A 70-year-old woman was operated on by the Cardiac Surgery Department for a complex valvular problem.
She presented multiple postoperative complications that worsened her general condition due to pump failure.
After two weeks of admission, the patient developed mediastinal sepsis.
The surgical wound was opened, with exposure of the heart, and daily dressings with saline.
Two weeks after the first intervention, the Cardiac Surgery team performed an epipeptic repair of the defect without success.
Two months after the opening of the chest, the patient still developed generalized polyneuropathy in the Intensive Care Unit (ICU) with assisted ventilation support, with left respiratory movements and developed generalized polyneuropathy; exposure of the heart, with
It was decided to perform reconstruction using a wide dorsal flap and alloplastic material (Gore-tex®) to repair the central defect and lung herniation.
Part of the omentum flap previously performed was used to cover the defect.
The patient recovered uneventfully and the neurological condition gradually improved and the patient was transferred to the ward 18 days later to be discharged home one month after the intervention.
The patient died 6 months later due to pneumonia affecting the right lung.
