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Title: Delayed sternal closure for life-threatening complications in cardiac operations: An update
Authors: Mestres, C. A.
Pomar, J. L.
Acosta, M.
Ninot, S.
Barriuso, C.
Abad, C. 
Mulet, J.
UNESCO Clasification: 32 Ciencias médicas
320501 Cardiología
3213 Cirugía
Keywords: Sternal closure
Cardiovascular surgery
Issue Date: 1991
Journal: The annals of thoracic surgery 
Abstract: Over a 7-year-period, 25 patients had delayed sternal closure after open heart operations out of 34 patients whose sternum was not closed. The indications were extreme cardiac dilatation and uncontrollable mediastinal hemorrhage. This represented a 1.79% incidence in the overall open heart surgical experience at our unit. Sternal closure was performed at a mean of 2.64 days after the initial operation. Eighteen patients (52.9%) left the hospital alive and well, representing a 72% survival rate among patients undergoing delayed sternal closure. No mediastinal or fatal infection developed and only 1 patient had late superficial wound infection after delayed sternal closure. We conclude that delayed sternal closure is an effective method to treat severe complications after cardiac operations.
ISSN: 0003-4975
DOI: 10.1016/0003-4975(91)90124-9
Source: The Annals of Thoracic Surgery[ISSN 0003-4975],v. 51(5), p. 773-776 (Mayo 1991)
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