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Ann Thorac Surg 1989;47:927-929
© 1989 The Society of Thoracic Surgeons


Articles

Interlocking figure-of-8 closure of the sternum

R.F. Di Marco, Jr, MD*, M.W. Lee, MD, S. Bekoe, MD, K.J. Grant, MD, G.F. Woelfel, MD, R.V. Pellegrini, MD

Department of Cardiovascular and Thoracic Surgery, Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania USA

Accepted for publication February 20, 1989.

* Address reprint requests to Dr Di Marco, Department of Cardiovascular and Thoracic Surgery, Mercy Hospital of Pittsburgh, 1400 Locust St, Pittsburgh, PA 15219-5166.

Sternal dehiscence and mediastinitis are two of the most severe complications of a median sternotomy. A technique of closure is described that appears to provide a more stable sternal approximation without any increase in overall complication rate. Using this technique in 978 consecutive patients, no cases of sternal dehiscence or mediastinitis have been seen.




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