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Ann Thorac Surg 1998;65:846-847
© 1998 The Society of Thoracic Surgeons

Case Reports

One-Stage Sternal Stenting With Homograft Bone After Cardiac Operation in Pediatric Patients

Jaw-Ji Chu, MD, Chau-Hsiung Chang, MD, Pyng Jing Lin, MD, Wen-Jen Su, MD, Peter P. C. Tan, MD

Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan
Department of Pediatric Cardiology, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan
Department of Anesthesiology, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan

Accepted for publication October 23, 1997.

Dr Chang, Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, 199, Tun-Hwa North Rd, Taipei, Taiwan 105.

Low cardiac output after open heart operations in neonates and infants carries a high mortality. Delayed sternal closure may be life-saving but may prolong hospital stay and increase costs. To circumvent these issues, we shaped homograft bone and interposed it between the sternal edges to allow primary wound closure in 2 pediatric patients. Midterm results are satisfactory.




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