Double Breasting for Sternal Wound Dehiscence following CABG

Sternal wound infection and dehiscence have been reported to occur in 0.2–10% of cases following the sternotomy with a mortality rate of 5 to 20%. The most devastating complication of sternal dehiscence is mediastinitis, which increases mortality to 50% hence, need a quick and aggressive management. There are numerous treatment modalities available, ranging from multiple debridements to muscle/myocutaneous flaps. A muscle flap gives stable coverage, increased blood supply to the wound and protects the underlying vital structures. We report a case of sternal dehiscence following coronary artery bypass surgery treated successfully with bilateral pectoralis muscle flap (Double breasting).