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The Annals of Thoracic Surgery, Vol 56, 971-972, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

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

H Yokoyama, T Togo, S Murata, K Osaka, M Miura, K Tabayashi and H Mohri
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, 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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