Sternal Dehiscence Accompanied by Protrusion of the Left Lung Through the Chest Wall

Abstract

We report an almost complete protrusion of the lung through the anterior chest wall occurring as a complication following sternal dehiscence. Emergency treatment is mandatory since it has a high potential for incarceration, hemopneumothorax, respiratory failure, and infection. Twenty-eight days after coronary by-pass surgery, the left lung of a 66-year-old male patient almost completely protruded through the sternotomy incision in the chest wall; the lung tissue was successfully reduced and the sternotomy was closed. Recurrence was not observed within the 6-month follow-up period, his general condition was good. The clinical course of the patient was retrospectively reviewed, and this case was reported with a unique complication.

Keywords

sternum - wound dehiscence - pleura - lung

• References

• 1 Losanoff JE, Richman BW, Jones JW. Disruption and infection of median sternotomy: a comprehensive review. Eur J Cardiothorac Surg 2002; 21 (5) 831-839
• 2 Narang S, Banerjee A, Satsangi DK, Geelani MA. Sternal weave in high-risk patients to prevent noninfective sternal dehiscence. Asian Cardiovasc Thorac Ann 2009; 17 (2) 167-170
• 3 Kiessling AH, Isgro F, Weisse U, Möltner A, Saggau W, Boldt J. Advanced sternal closure to prevent dehiscence in obese patients. Ann Thorac Surg 2005; 80 (4) 1537-1539
• 4 Irwin RS. Complications of cough: ACCP evidence-based clinical practice guidelines. Chest 2006; 129 (1, Suppl): 54S-58S
• 5 Celik S, Kirbas A, Gurer O, Yildiz Y, Isik O. Sternal dehiscence in patients with moderate and severe chronic obstructive pulmonary disease undergoing cardiac surgery: the value of supportive thorax vests. J Thorac Cardiovasc Surg 2011; 141 (6) 1398-1402