Introduction: Postoperative wound infection is a complication that occurs after coronary artery bypass graft surgery. The aim of this study was to examine the incidence of wound infections after coronary artery bypass graft surgery among the patients operated in Ghaem Hospital in the city of Mashhad from 2009-2011. Methods: This cross-sectional study was performed in the years 2009 to 2011 o...

BACKGROUND Deep sternal wound infections are a rare but serious complication after median sternotomy. We evaluated the incidence of deep sternal wound infection associated with two techniques for sternal closure. METHODS In this retrospective case series, we recorded the method of sternal closure in consecutive patients undergoing a variety of cardiothoracic surgical procedures. Sternal closu...

Daptomycin in combination with surgical therapy has shown to be effective for treatment of deep sternal wound infection in cardiac surgery. However, till now midterm results in terms of re-infection or re-operation in patients who were successfully treated with daptomycin for gram-positive deep sternal wound infection are not published. Herein, we present midterm results in patients treated suc...

i c i m s i a p d c s d t s t w A the overall incidence of postoperative deep sternal wound infections after eart surgery continues to be low, the prevention nd subsequent management of the complication till poses a daunting task for every cardiac sureon. The reported incidence ranges from 1.3% o 5% in most recent series and with a high ssociated mortality rate of 9.8% to 14%.1-3 In ddition to ...

Background—The prevalence of diabetes mellitus is increasing at an unprecedented rate, affecting nearly 8% of the population. Previous studies have demonstrated a potential benefit for surgical over interventional revascularization in this group of patients. Similarly, studies have shown the superiority of bilateral internal mammary artery (BIMA) grafting over single internal mammary artery (SI...

BACKGROUND The prevalence of diabetes mellitus is increasing at an unprecedented rate, affecting nearly 8% of the population. Previous studies have demonstrated a potential benefit for surgical over interventional revascularization in this group of patients. Similarly, studies have shown the superiority of bilateral internal mammary artery (BIMA) grafting over single internal mammary artery (SI...

[1] van Wingerden JJ, Lapid O, Boonstra PW, de Mol BAJM. Muscle flaps or omental flap in the management for deep sternal wound infection. Interact CardioVasc Thorac Surg 2011;13:179–188. [2] Matros E, Aranki SF, Bayer LR, McGurk S, Neuwalder J, Orgill DP. Reduction in incidence of deep sternal wound infections: random or real? J Thorac Cardiovasc Surg 2010;139:680–685. [3] Raja SG, Berg GA. Sho...

Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evidence for the advantages of BITA grafting as well as the associated the risk of sternal wound com...

OBJECTIVE The diagnosis and treatment of sternal wound infections with mycobacteria are challenging. Such an infection is often associated with a delayed diagnosis and improper treatment that may lead to a worsened clinical outcome. The present study is designed to highlight its clinical features so as to facilitate a prompt diagnosis and timely treatment. METHODS MEDLINE, Highwire Press, and...