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Muzaffer Ökten had an infection in the anterior wall bone of the thoracic cage as a result of the open heart surgery and the fibula bone of his left leg was taken and placed in the thoracic cage.

Muzaffer Ökten, 76-year-old man living in Konya, had an open heart surgery in a hospital where he went 7 months ago due to heart failure and arrhythmia disturbance. After the operation, an infection occured on the anterior wall of the thoracic cage of Ökten. Upon this situation, Ökten had taken under treatment at a private hospital and the fibula (calf) bone of his left leg was cut appropriately according to the anterior wall bone and placed in the thoracic cage by supporting with metal plates.

The retired official, Muzaffer Ökten, having 5 children, had an open heart surgery at a private hospital where he went 7 months ago due to heart failure and heart rhythm disturbance. After the operation, an infection occurred in the operation site of Ökten. Ökten applied to another hospital because of the inflammation flowed out. Ökten was taken under treatment at his hospital and it was determined that the bone on the anterior chest wall was completely infected.

FIBULA BONE IN THE FOOT WAS REMOVED AND PLACED IN THE CHEST

The fibula (calf) bone of Muzaffer Ökten’s left leg was cut appropriately according to the anterior wall bone and placed in the thoracic cage by supporting with metal plates. Muzaffer Ökten, who stated that he had recovered his health, said “The infection started after the heart surgery. I had drug treatment for this problem. However, there was too much bleeding. We could not stop the bleeding. Doctor controlled the infection. He told that these bones should be cleaned. We had accepted. I feel well after the surgery. I can meet my own needs”.

Thoracic Surgery Specialist of Private Medova Hospital  Op.Dr. Serdar Özkan, who had performed the surgery, stated that:

”Mr. Muzaffer is our patient who had a cardiac valve replacement about 7 months ago. After surgery, he applied to us with the complaint of an inflammation on the surgery site that flows outwards. In the examinations of our patient with continuing complaints for approximately 6 months, we decided for a surgery as a result of the determination of the complete inflammation of the anterior chest wall. In the surgery, this infected, inflammatory bone is completely removed. To the place where we removed the bone, we placed the bone taken from the foot on the thoracic anterior wall together with metal plates and completed the surgery. Technically, this is the first case in the world. There have been previous such cases, but this surgery was the first operation performed with this technique. The surgery was completed approximately 1 month ago. The treatment of the patient was completed and we had discharged him. Recovery period still continues. He recovered his health.”

HIGH MORTALITY RISK

Dr. Ozkan, said that the patients have high mortality risk in such disorders and stated that, “the possibility of infection as in our patient is a rarely seen clinical table. However, despite it is rare, disease-related mortality risk is high. It is as high as 80%. Additional illnesses such as diabetes, heart failure, hypertension, cardiac arrhythmia, etc., increase such risks. We performed this operation with the aim of correcting the quality of life of our patient by taking all the risks into consideration. The surgery could have been performed in other ways. The most appropriate treatment for the patient was to perform by using his own bones. Because we did not have a chance to get a bone from a cadaver. The most suitable bone that can be used is the fibula bone found in the leg. After we removed this bone together with our orthopedics doctor, we replaced the infected bone with the said bone and placed it in company with metal plates after modification. Now, the recovery process of our patient is continuing in a healthy way”.