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J Thorac Cardiovasc Surg 2007;134:254-255
© 2007 The American Association for Thoracic Surgery


Brief Communication

Treatment of deep thoracotomy wound infection in neonatal age: A case report

Mariano Vicchio, MDa,*, Alessandra Amato, MDb, Ettore Merlino, MDa, Alessandro Nava, MDa, Marisa De Feo, MD, PhDa, Giuseppe Caianiello, MDa, Maurizio Cotrufo, MDa

a Department of Cardiothoracic Sciences, Second University of Naples and Department of Cardiovascular Surgery and Transplants, V. Monaldi Hospital, Naples, Italy
b Department of Pediatrics, Second University of Naples, Naples, Italy.

Received for publication March 14, 2007; accepted for publication March 26, 2007.

* Address for reprints: Mariano Vicchio, MD, Via Cassano 150, 80144, Naples, Italy. (Email: marianovicchio@libero.it).

The first 20% of the full text of this article appears below.


Figure 1
Dr Vicchio


In 1997 Argenta and Morykwas1Go reported the use of negative pressure to enhance wound granulation and closure. Since then, more studies have reported good results with the application of vacuum in the treatment of deep sternal wound infection after cardiac surgery.2,3Go

No study has described the use of negative pressure and the therapeutic intensity of vacuum in the neonatal age group. We report our experience in a 28-day-old female neonate with a thoracotomy wound infection treated with vacuum application.

Clinical Summary

A 14-day-old female infant (weight 3,260 kg) with aortic coarctation, cleft palate, hypertelorism, and low-set ears underwent surgical correction of the coarctation. Patch aortoplasty was performed through a left thoracotomy. The surgical procedure and early postoperative period did not show complications, and 6 days after the operation the infant was transferred to a pediatric facility to investigate the presence of a genetic syndrome.

Eight days later the patient returned to our surgical department with dehiscence of the thoracotomy (. . . [Full Text of this Article]




This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
M. Vicchio, M. De Feo, G. Caianiello, and M. Cotrufo
Vacuum for Pediatric Post-Sternotomy Mediastinitis: The Role of Laser Doppler Velocimetry in the Establishment of Adequate Subatmospheric Pressure Intensity
Ann. Thorac. Surg., October 1, 2008; 86(4): 1399 - 1399.
[Full Text] [PDF]




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