The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Ivanov K.P.

Petrovsky National Research Center of Surgery

Vinokurov I.A.

Petrovsky National Research Center of Surgery

Yusupov S.A.

Petrovsky National Research Center of Surgery

Pshonkin D.N.

Petrovsky National Research Center of Surgery

Tagabilev D.G.

Petrovsky National Research Center of Surgery

Nechaenko M.A.

Petrovsky National Research Center of Surgery

Gens A.P.

Petrovsky National Research Center of Surgery

Molochkov A.V.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Center of Surgery

A balance between surgical management and therapy in a patient with severe sternomediastinitis complicated by heart failure and refractory septic shock

Authors:

Ivanov K.P., Vinokurov I.A., Yusupov S.A., Pshonkin D.N., Tagabilev D.G., Nechaenko M.A., Gens A.P., Molochkov A.V., Stepanenko A.B.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12‑2): 166‑172

DOI: 10.17116/hirurgia2024122166

Views: 493

Downloaded: 6

Buy for 300₽
Contact the author
Table of contents

A BALANCE BETWEEN SURGICAL MANAGEMENT AND THERAPY IN A PATIENT WITH SEVERE STERNOMEDIASTINITIS COMPLICATED BY HEART FAILURE AND REFRACTORY SEPTIC SHOCK
A BALANCE BETWEEN SURGICAL MANAGEMENT AND THERAPY IN A PATIENT WITH SEVERE STERNOMEDIASTINITIS COMPLICATED BY HEART FAILURE AND REFRACTORY SEPTIC SHOCK

To cite this article:

Ivanov KP, Vinokurov IA, Yusupov SA, et al. . A balance between surgical management and therapy in a patient with severe sternomediastinitis complicated by heart failure and refractory septic shock. Pirogov Russian Journal of Surgery. 2024;(12‑2):166‑172. (In Russ.)
https://doi.org/10.17116/hirurgia2024122166

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata
Recommended articles:
Postoperative sternomediastinitis: morphology of lesion, treatment stra­tegy. Piro­gov Russian Journal of Surgery. 2024;(7):78-84
An aggressive variant of Crohn’s disease in a teenage girl. (Case report). Russian Journal of Evidence-Based Gastroenterology. 2024;(1):115-120
Rare case of SARS-CoV-2 and Acinetobacter Baumannii complications after reinfection of SARS-CoV-2. Russian Journal of Preventive Medi­cine. 2024;(5):81-83
Clinical and anatomical rationale for the effe­ctiveness of treatment of phle­gmon of the floor of the oral cavity and deep cellular spaces of the neck complicated with sepsis. Russian Journal of Operative Surgery and Clinical Anatomy. 2024;(2):19-25
Role of the dissection course on reco­nstructive maxi­llofacial surgery in the continuing medi­cal education of maxi­llofacial surgeons. Russian Rhinology. 2024;(2):140-147
Prospective asse­ssment of surgical stress response in patients with craniosynostosis: comparison of clinical and labo­ratory data. Burdenko's Journal of Neurosurgery. 2024;(4):62-70
Influence of sevo­flurane on neutrophils in patients with sepsis. Russian Journal of Anesthesiology and Reanimatology. 2024;(5):50-57
Breast reco­nstruction after single-stage auto­logous reco­nstruction and subsequent flap lipo­necrosis. Plastic Surgery and Aesthetic Medi­cine. 2024;(4):77-83
Neurometabolic therapy with Cere­brolysin in patients with sepsis-associated ence­phalopathy. Russian Journal of Anesthesiology and Reanimatology. 2024;(6):46-54
Nutritional support for sepsis: is there a single concept?. Russian Journal of Anesthesiology and Reanimatology. 2024;(6):70-78

We present successful treatment of a patient with deep sternal wound infection, severe heart failure and sepsis with infection of wound surface, tracheobronchial tree and abdominal cavity. Surgical treatment under limited possibilities for reconstructive surgery is described, and approaches to conservative therapy of comorbidities are discussed.

Keywords:

deep sternal wound infection
heart surgery
sepsis
reconstructive surgery
thoracodorsal flap
heart failure

Authors:

Ivanov K.P.

Petrovsky National Research Center of Surgery

Vinokurov I.A.

Petrovsky National Research Center of Surgery

Yusupov S.A.

Petrovsky National Research Center of Surgery

Pshonkin D.N.

Petrovsky National Research Center of Surgery

Tagabilev D.G.

Petrovsky National Research Center of Surgery

Nechaenko M.A.

Petrovsky National Research Center of Surgery

Gens A.P.

Petrovsky National Research Center of Surgery

Molochkov A.V.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Center of Surgery

Received:

23.08.2024

Accepted:

16.09.2024

List of references:

  1. Jang YJ, Park MC, Park DH, Lim H, Kim JH, Lee IJ. Immediate debridement and reconstruction with a pectoralis major muscle flap for poststernotomy mediastinitis. Archives of Plastic Surgery. 2012;39(1):36-41.  https://doi.org/10.5999/aps.2012.39.1.36
  2. Hever P, Singh P, Eiben I, Eiben P, Nikkhah D. The management of deep sternal wound infection: Literature review and reconstructive algorithm. JPRAS Open. 2021;28:77-89.  https://doi.org/10.1016/j.jpra.2021.02.007
  3. McCranie AS, Christodoulou N, Wolfe B, Malgor RD, Mathes DW, Winocour J, Yu JW, Kalia N, Kaoutzanis C. The use of flaps for management of deep sternal wound complications: A systematic review and meta-analysis. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2024;91:302-311.  https://doi.org/10.1016/j.bjps.2024.02.041
  4. Wee SJ, Hsu SY, Shih PK, Chen JX, Chang CC. Free extended anterolateral thigh myocutaneous flap versus combined pedicled pectoralis major-latissimus dorsi myocutaneous flaps in deep and extensive sternal wound reconstruction. Microsurgery. 2022;42(8):810-816.  https://doi.org/10.1002/micr.30949
  5. Lin AN, Paget SA. Principles of Corticosteroid Therapy. Arnold; 2002.
  6. Nesbitt LT. Glucocorticosteroids. In: Bolognia JL, Jorizzo JL, Rapini RP, eds. Dermatology. London: Mosby; 2003: 1979-1789.
  7. Aljebab F, Choonara I, Conroy S. Systematic review of the toxicity of short-course oral corticosteroids in children. Archives of Disease in Childhood. 2016;101(4):365-370.  https://doi.org/10.1136/archdischild-2015-309522
  8. Frolova YuV, Polozkova IG, Rybachenko MS, Evseev EP, Korchazhkina NB. The role of cryoballoon ablation of the pulmonary vein orifices in the treatment of chronic heart failure with reduced left ventricular ejection fraction against the background of tachycardia-induced cardiomyopathy. Kardiologiya i serdechno-sosudistaya hirurgiya. 2024;17(2):222-227. (In Russ.).
  9. Korchazhkina NB, Mikhailova AA, Petrova MS. Features of the influence of physical activity on increasing the reserve capacity of organs and systems in people of different ages (literature review). Fizioterapiya, bal`neologiya i reabilitaciya. 2018;17(6):339-345. (In Russ.).
  10. Tsatsurova SA, Dymova OV, Korchazhkina NB, Mikhailova AA, Butenko AV, Petrenko KN, Kotenko KV, Bedzhanyan AL, Frolova YuV. The Impact of Comorbid Cardiovascular Nosologies on the Course of the In-Hospital Oncosurgical Period in Patients Over 60 Years of Age after Radical Surgical Treatment of Colorectal Cancer. Rossijskij kardiologicheskij zhurnal. 2024;29(S8):171-172. (In Russ.).
  11. Polozkova IG, Frolova YuV, Rybachenko MS, Evseev EP, Korchazhkina NB. Clinical Case of Cryoballoon Ablation of the Pulmonary Vein Orifices in the Treatment of Chronic Heart Failure with Reduced Left Ventricular Ejection Fraction Against the Background of Tachycardia-Induced Cardiomyopathy. Rossijskij kardiologicheskij zhurnal. 2024;29(S8):18. (In Russ.).
  12. Frolova YuV, Tsatsurova SA, Dymova OV, Korchazhkina NB, Mikhailova AA, Butenko AV, Kotenko KV, Bejanyan AL. Efficiency of oncocardial rehabilitation in patients with CRC and concomitant cardiovascular pathology over 60 years old. Voprosy` onkologii. 2023;69(3S):519-520. (In Russ.).
  13. Al-Zamil M, Kulikova NG, Shnayder NA, Korchazhkina NB, Petrova MM, Mansur TI, Blinova VV. Efficiency of lidocaine intramuscular and intraosseous trigger point injections in the treatment of residual chronic pain after degenerative lumbar spinal stenosis decompression surgery. Journal of Clinical Medicine. 2024;13(18):5437.
  14. Frolova YuV, Nikoda VV, Tyurina EA, Dymova OV, Korchazhkina NB, Mikhailova AA, Kotenko KV, Bejanyan AL. The main risk factors for cardiovascular complications at all stages of surgical treatment of elderly and senile patients with colorectal cancer and concomitant cardiovascular pathology. Kardiologiya i serdechno-sosudistaya xirurgiya. 2023;16(2):199-204. (In Russ.).
  15. Frolova YuV, Evseev EP, Balakin EV, Aidamirov YaA, Ivanov VA, Korchazhkina NB, Mikhailova AA, Butenko AV, Kotenko KV. Rehabilitation of a cardio-oncology patient with post-radiation heart damage at different stages of cardiac surgery: how to anticipate the danger and protect the patient. Voprosy` onkologii. 2022;68(3S):396-398. (In Russ.).
  16. Logeart D, Isnard R, Resche-Rigon M, Seronde MF, de Groote P, Jondeau G, Galinier M, Mulak G, Donal E, Delahaye F, Juilliere Y, Damy T, Jourdain P, Bauer F, Eicher JC, Neuder Y, Trochu JN; Heart Failure of the French Society of Cardiology. Current aspects of the spectrum of acute heart failure syndromes in a real-life setting: the OFICA study European Journal of Heart Failure. 2013;15(4):465-476.  https://doi.org/10.1093/eurjhf/hfs189
  17. Spinar J, Parenica J, Vitovec J, Widimsky P, Linhart A, Fedorco M, Malek F, Cihalik C, Spinarová L, Miklik R, Felsoci M, Bambuch M, Dusek L, Jarkovsky J. Baseline characteristics and hospital mortality in the Acute Heart Failure Database (AHEAD) Main registry. Critical Care. 2011;15(6):R291. https://doi.org/10.1186/cc10584
  18. Fedorov AA, Kaisinova AS, Mazyrina MV, Amiyants VYu, Akhkubekova NK, Gaidamaka II, Efimenko NV, Chalaya EN, Korchazhkina NB, Popov SO. High-tone therapy in complex rehabilitation of patients with post-sternotomy syndrome after coronary artery bypass surgery. (Open-label, prospective, randomized controlled trial). Voprosy` kurortologii, fizioterapii i lechebnoj fizicheskoj kul`tury`. 2023;100(6):14-20. (In Russ.). https://doi.org/10.17116/kurort202310006114

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.