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Ann Thorac Surg 1981;31:281-282
© 1981 The Society of Thoracic Surgeons

Articles

Secondary Sternal Closure: A Method of Preventing Cardiac Compression

Deepak M. Gangahar, M.D.*, Edwin C. McGough, M.D., David Synhorst, M.D.

Departments of Thoracic and Cardiovascular Surgery, and Pediatric Cardiology, Primary Children's Medical Center, University of Utah College of Medicine, Salt Lake City, UT

Accepted for publication February 22, 1980.

* Address reprint requests to Dr. Gangahar, 5440 S St, Suite 1200, Lincoln, NB 68506

A patient with severe congenital pulmonary stenosis who underwent pulmonary valvulectomy is reported. Acute cardiac compression and left ventricular failure developed in the immediate postoperative period. Because of extreme cardiac dilatation, the chest wall could not be closed. A technique of secondary sternal closure is described.




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