@article{Ruiz_Valderrama Treviño_Gómez Mendoza_Mendoza Aceves_Baca Domínguez_Hernández_Verdejo_Alba_Ulloa_Ortega_Mera_2019, title={Use of advanced flap and microsurgery techniques in the resolution of mediastinitis as a complication of cardiac surgery}, volume={7}, url={https://www.msjonline.org/index.php/ijrms/article/view/7389}, DOI={10.18203/2320-6012.ijrms20195171}, abstractNote={<p class="abstract">In the majority of cases, mediastinitis is a potential complication in any cardiac surgical procedure. The objective of this case report is to accurately describe how the combination of microsurgery and soft tissue flaps can be an effective therapeutic alternative in the treatment of mediastinitis as a complication of cardiac valve replacement. Female 63-year-old patient with a background of obesity, hypertension and extense cardiac interventions, she was programmed for necrosectomy with left pectoralis flap technique. Mediastinitis, although a rare complication of the sternotomy performed in cardiac surgery, occurring in 1-2%, carries a high mortality rate.  Early diagnosis of mediastinitis after cardiac surgery requires high clinical suspicion, initially making the diagnosis may be difficult, risk factors should be considered. An early surgical approach can reduce the morbidity and mortality of this condition. The pectoralis flap should be considered as a safe therapeutic option.</p>}, number={12}, journal={International Journal of Research in Medical Sciences}, author={Ruiz, Rodrigo Banegas and Valderrama Treviño, Alan I. and Gómez Mendoza, Francisco Fabián and Mendoza Aceves, Rodrigo A. and Baca Domínguez, Carlos R. and Hernández, Rigoberto Román and Verdejo, Fernando Gómez and Alba, Ismael Vejar and Ulloa, Rubén Olivares and Ortega, Emilio Pérez and Mera, Baltazar Barrera}, year={2019}, month={Nov.}, pages={4783–4785} }