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Hitoshi Yokoyama
Takao Togo
Makoto Miura
Koichi Tabayashi
Hitoshi Mohri
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Ann Thorac Surg 1993;56:971-972
© 1993 The Society of Thoracic Surgeons

Articles

Cardiac dilatation after cardiopulmonary bypass: Ceramic plate technique for sternal splinting

Hitoshi Yokoyama, MD, PhD*, Takao Togo, MD, Sadayuki Murata, MD, Kenji Osaka, MD, Makoto Miura, MD, Koichi Tabayashi, MD, Hitoshi Mohri, MD

Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan

Accepted for publication December 14, 1992.

* Address reprint requests to Dr Yokoyama, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine. 1-1 Sciryo-machi, Aoba-ku, Sendai 980, Japan.

Intraoperative sternal closure after cardiopulmonary bypass in patients with cardiac dilatation and dysfunction may cause fatal deterioration of their hemodynamics. To avoid this complication, a ceramic plate made from methyl methacrylate was used for sternal splinting. This simple splint can avoid chest wall compression to the overdilated heart, maintaining stable hemodynamics after cardiopulmonary bypass without postoperative respiratory complications or mediastinal infection.




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