Conclusion
Chest and abdominal wall infarction is an extremely rare complication of
BIMA harvesting during CABG surgery, leading to deep sternal wound
infection and parietal defect. Butterfly sternal closure technique,
pectoralis major flap reconstruction and Vacuum Assisted Closure device
therapy can be useful in the management of these challenging
complications. Although BIMA has proved its benefits in mid- and
long-term survival after surgical coronary revascularization, cautions
should be in order in patients with compromised inferior epigastric
artery flow.