Abstract
A 64-year-old man presented to his GP complaining of intermittent shortness of breath on exertion, particularly when constipated. His background included coronary artery bypass surgery 20 years ago using bilateral internal thoracic arteries and the left radial artery; this was complicated by deep sternal wound infection that required sternal debridement and bilateral pectoral flaps advancement. A recurrent infection some time later was treated with a second debridement and partial sternectomy followed by pedicled omental flap reconstruction.
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