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Ann Thorac Surg 1996;61:215-216
© 1996 The Society of Thoracic Surgeons

Case Report

Primary Sternal Closure and Mediastinal Decompression by Inlay Autologous Rib Grafts

James P. Geiger, MD, Carol A. Tabak, MD, Elmore M. Aronstam, MD

St. Mary's Hospital and Medical Center, San Francisco, California

Accepted for publication July 17, 1995.

Hemodynamic instability and arrhythmia after cardiopulmonary bypass occasionally requires delayed sternal closure or placement of a stenting device. A primary sternal closure with autologous inlay rib grafts can ensure a secure, stable sternal repair and avoids prolonged ventilator support and the concerns, risks, and expense associated with a secondary sternotomy repair.




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