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Ann Thorac Surg 1991;51:773-776
© 1991 The Society of Thoracic Surgeons
Department of Cardiovascular Surgery, Hospital Clinico y Provincial, Barcelona, Spain
Accepted for publication January 14, 1991.
* Address reprint requests to Dr Mestres, Cardiovascular Surgery, Hospital Clinico y Provincial, c/Villarroel 170, 08036 Barcelona, Spain.
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.
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