Introduction
The omentum is an effective and potent tissue that can treat deep
sternal wound infections because of its immunological
properties1. Many studies reported the utility of an
omental flap for severe mediastinitis after cardiac
surgery2-4. Few reports described re-sternotomy after
an omental flap procedure5, although there have been
some similar reports6, 7. Thick adhesions may be
present after surgical treatment for mediastinitis8,
and detection of the targeted coronary arteries may be extremely
difficult after surgical treatment for mediastinitis because of severe
adhesion9, 10. We report a 78-year-old-man who
underwent re-sternotomy using CABG after omental flap for mediastinitis
that was safely and successfully performed with a circular electric
sternum saw.