{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:29Z","timestamp":1753876589001,"version":"3.41.2"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Treatment of suprasternal wound infection (SSWI) following cardiac surgery is not a clearly developed procedure. We report our female patient\u2019s secondary SSWI treatment following bypass surgery. An obese female patient with unstable angina underwent an urgent, uneventful off-pump coronary artery bypass operation. An SSWI appeared within a week. After negative pressure wound therapy (NPWT), the sternum was rewired. In the previously irradiated territory of the left breast necrosis formed, a plastic surgeon reconstructed a defect. This procedure failed NPWT was restarted again, and a secondary reconstructive plastic surgery intervention was necessary. Despite extensive tissue mobilization, the central part of the reconstructive area necrotized, and we had to cover it with a split thickness skin mash graft. The irradiation therapy increases the incidence of suprasternal and\/or sternal infection. It was possible to manage large soft tissue defects with bilateral and rotational advancement flaps.<\/jats:p>","DOI":"10.1093\/jscr\/rjad623","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T14:34:44Z","timestamp":1699886084000},"source":"Crossref","is-referenced-by-count":0,"title":["Extensive suprasternal dehiscence reconstruction with NPWT and advancement flaps following cardiac surgery"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8387-0719","authenticated-orcid":false,"given":"Boglarka","family":"Juhasz","sequence":"first","affiliation":[{"name":"Adult Cardiac Surgery Department, Gottsegen National Cardiovascular Center , Haller Street 29, 1096 Budapest , Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Tamas","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Hungarian Defense Forces Medical Centre , Robert K. sgt. 44, 1134 Budapest , Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,12]]},"reference":[{"key":"2023111314333667000_ref1","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0003-4975(10)62300-4","article-title":"Mediastinitis infections after cardiac surgery","volume":"38","author":"Sarr","year":"1984","journal-title":"Ann Thorac Surg"},{"key":"2023111314333667000_ref2","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/S0003-4975(98)01195-3","article-title":"Is mediastinitis a preventable complication? 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