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Ann Thorac Surg 1993;55:1242-1243
© 1993 The Society of Thoracic Surgeons

Articles

Methyl methacrylate plate to prevent compression after heart transplantation

Ahmad S. Jazzar, MD, W. Edward Dalton, MD, Nathan E. Bradley, MD, David K.C. Cooper, MD, PhD*, Nazih Zuhdi, MD

Oklahoma Transplantation Institute, Baptist Medical Center, Oklahoma City, Oklahoma USA

Accepted for publication June 24, 1992.

* Address reprint requests to Dr Cooper, Oklahoma Transplantation Institute, Baptist Medical Center, 3300 NW Expressway, Oklahoma City, OK 73112.

A methyl methacrylale plate was fashioned to maintain the sternum in the open position in a patient with impaired donor heart function after transplantation. Bilateral mammary flaps enabled soft tissue and skin closure. The chest wall fixation obtained allowed extubation and spontaneous breathing. The plate was subsequently removed. The patient remains well almost 3 years later.




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