Use of intermittent high negative pressure vacuum-assisted closure for pediatric poststernotomy mediastinitis

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Postoperative mediastinitis is an infrequent, but potentially destructive, complication of open heart surgery, characterized by high morbidity and mortality, prolonged hospitalization and increased costs.1,2 Currently, there is no general consensus regarding the appropriate surgical approach for poststernotomy mediastinitis. Vacuum-assisted closure (VAC) is a valid treatment option in adults,3,4 but its validity in the pediatric population remains to be confirmed.5–7 Herein, we describe a case of pediatric poststernotomy mediastinitis treated by VAC therapy.

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