Using antibiotic-loaded bone cement for a patient with deep sternal wound infection after cardiac surgery

Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1150-1151. doi: 10.1093/icvts/ivab332.

Abstract

A 67-year-old male presented with sternal dehiscence following open cardiac surgery. Extensive debridement and attempted closure failed, and the wound had since been managed with vacuum-assisted closure therapy, with little progress. We treated him with antibiotic-loaded bone cement to repair the wound defect. After 3 weeks, the wound healed with excellent result. To our knowledge, this is the first report of antibiotic-loaded bone cement for deep sternal wound infection.

Keywords: Antibiotic-loaded bone cement; Deep sternal wound infection; Sternal dehiscence.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Bone Cements* / adverse effects
  • Cardiac Surgical Procedures* / adverse effects
  • Debridement
  • Humans
  • Male
  • Sternum / surgery
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / drug therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Bone Cements