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The Annals of Thoracic Surgery, Vol 43, 227-228, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Use of a zipper in cardiac surgical operations

RE Applebaum, DC Green, A Sequeira and JS McLaughlin

A simplified technique to gain repeated access to the median sternotomy incision is presented. The technique involves the use of a sterile polyester zipper attached to the skin edge. The sternum remains open. Unzipping the zipper allows for repeated relief of cardiac tamponade and viewing of cardiac action. Other advantages include prevention of cardiac compression or kinking of assist device cannulas from sternal closure, ease in changing of dressings, and quick removal of ventricular assist devices without reopening the sternum.

This article has been cited by other articles:

				M. Mubeen, S. Dan, S. K. Agarwal, A. K. Srivastava, and V. M Kanhere Delayed Sternal Closure After Cardiac Operations Asian Cardiovasc Thorac Ann, June 1, 2001; 9(2): 82 - 85. [Abstract] [Full Text] [PDF]

				M. M. Demirtas and R. Iyer Delayed sternal closure with sternal zipper. Ann. Thorac. Surg., October 1, 1997; 64(4): 1226 - 1227. [Full Text]