Fig. 3

Long-term result and surgical technique of BPMMAF combined with VAC in patient.1 .DSWI after cardiac surgery; 2. Cleared necrotic tissue, knot, wire and diseased sternum; 3.The wound after debridement; 4. Using VAC after debridement; 5. The wound after second debridement; 6. Using VAC after second debridement; 7. Separate the starting points of the bilateral pectoralis major muscles; 8. Advance the bilateral pectoralis major muscles to the middle; and suture the bilateral pectoralis major muscles; 9.The skin and subcutaneous tissue is sutured by methods of relieving tension; 10. Using VAC after retension suture of the skin; 11.Wound healing