BMJ Case Reports 2011; doi:10.1136/bcr.03.2011.3971
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Treatment of severe mediastinitis following cardiac surgery with omental flaps

  1. Harry Parissis
  1. Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
  1. Correspondence to Umar Imran Hamid, umar79{at}


The incidence of mediastinal wound infection in patients undergoing open heart surgery can be up to 4%.1 A subgroup of 20–30% of those patients as per El Oakley and Wright2 develops deep sternal infections. Radical debridement is of a paramount importance, therefore sternal excision becomes a necessity in cases with severe sternal osteomyelitis. Under those circumstances various flaps have been used.3

The omentum, is a well-vascularized …

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