[Prophylactic Negative Pressure Wound Therapy for Patients at High Risk of Surgical Site Infection in Cardiovascular Surgery].

Background: Deep sternal wound infection after cardiovascular surgery is one of the most devasting complications in both a short and long term. The addition of prophylactic negative pressure wound therapy( pNPWT) to standard surgical site infection( SSI) prophylaxis could be promising approach for the reduction of this problem.

Methods: We evaluated 117 consecutive patients who underwent median sternotomy for cardiovascular surgery at our institution from July 2021 to December 2021.

Iatrogenic atrial septal defect caused by repeated catheter ablation.

Iatrogenic atrial septal defect is an issue after percutaneous interventions for structural heart disease. A 63-year-old man, who had previously received 5 catheter ablations for paroxysmal atrial fibrillation, was found to have an iatrogenic atrial septal defect that persisted after the fourth intervention. Approximately 4 years later, he suffered exertional dyspnea.