Abstract
The morbidity of deep sternal infection far surpasses that of sternal wound dehiscence post-cardiac surgery. Pectoralis major (PM) and rectus abdominus flaps are commonly used to reconstruct deep sternal infection following cardiac surgery. Like many others,1 we generally use a unilateral or bilateral pectoralis major (PM) advancement flap or vertical rectus abdominus (VRAM) flap for dehiscence and deep sternal defects. Caudal sternal defects and salvage reconstruction present a different and difficult challenge.
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