case_images: PMC11743157_01
case_images: Non-contrasted CT chest demonstrating dehiscence of the chest wall incision with inflammatory changes and gas concerning for deep sternal wound infection.
case_images: fcvm-11-1480392-g001.jpg
case_images: PMC11743157_01_fcvm-11-1480392-g001.jpg
case_images: F1
case_images: Admission labs were notable for leukocytosis and imaging revealed dehiscence of the chest wall incision with inflammatory changes and gas surrounding the sternotomy concerning for deep sternal wound infection and osteomyelitis (Figure 1).
case_images: An example setup of the continuous wound irrigation system. A 19 Fr Blake drain is placed in the posterior pericardium and tunneled through the subcutaneous tissue before being secured in the usual manner. This setup is proceeded by the placement of wound vacuum sponges in the anterior mediastinum, followed by sternal closure. Voriconazole solution is flushed through the drain.
case_images: fcvm-11-1480392-g002.jpg
case_images: PMC11743157_01_fcvm-11-1480392-g002.jpg
case_images: F2
case_images: A continuous irrigation system and negative pressure therapy system was then constructed, as demonstrated in Figure 2.