Technique to stent the open sternum after cardiac operations

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Abstract

Extreme myocardial edema may preclude sternal closure after a cardiac operation. We describe a technique to stent the sternum open to optimize cardiac function.

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Cited by (19)

  • Penetrating cardiac trauma

    2023, Surgery Open Science
    Citation Excerpt :

    In extreme cases, where any contact between the heart and the sternal edges compromises cardiac function, sternal stenting is necessary. Two semi-rigid chest tubes, or twisted wires, can be bridged across the mediastinum and sutured against the sternal edges as a quick and simple approach to prevent an edematous heart from compression [57,58]. Bilateral transverse thoracosternotomies can be closed by one or two figure-of-eight stainless steel wires that go through and cross-bridge both parts of the separated sternum.

  • Twisted wire stent technique for delayed sternal closure after congenital heart operations

    2013, Annals of Thoracic Surgery
    Citation Excerpt :

    Several techniques have been described for sternal stenting. Jones and colleagues [3] used pieces of semirigid chest tubes. The ends were cut to create notches to fit to the sternal edges.

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    Citation Excerpt :

    Options include the use of synthetic materials vs closure with native skin/flaps or just leaving the chest open and packed.4,5,6,7 A technique described by Jones et al10 advocates the use of stents, in addition to coverage, to prevent trauma to the heart from the open bony segments. We used an artificial patch (Gore-Tex; WL Gore) that was sutured to the sternal skin edges.

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    1995, The Annals of Thoracic Surgery
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