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Complication in vacuum assisted closure-A rare case of ventricle rupture and overview of 54 cases in cardiothoracic surgery

Deep sternal infections also known as mediastinitis are a rare but often fatal complication in cardiac surgery that is still a cause of increased morbidity and mortality and has a significant socioeconomic impact to the health system. Vacuum assisted closure therapy followed by muscular pectoralis plasty is a recently developed technique for the treatment of mediastinitis. Although it was shown that this techniques is at least as safe and reliable as other techniques for the therapy of sternal infections, complications are not absent. Here we report about complications using this therapy in a large set of 54 patients suffering from mediastinitis and describe in more detail a fatal case of ventricular rupture after using vacuum assisted closure therapy.