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Ann Thorac Surg 2000;69:1957-1958
© 2000 The Society of Thoracic Surgeons

How to do it

Reinforcing the conventional sternal closure

Heinz R. Zurbrügg, MDa, Timothy Freestone, PhDa, Matthias Bauer, MDa, Roland Hetzer, MD, PhDa

a German Heart Center Berlin and Alpha Research GmbH, Berlin, Germany

Address reprint requests to Dr Zurbrügg, Abteilung Herz-, Thorax- und Gefässchirurgie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, D-13353 Berlin, Germany
e-mail: zurbruegg{at}dhzb.de

Sternal infection is a devastating complication of heart surgery. It may be the result of unstable osteosynthesis, caused by the sternal wires cutting into the cortical layers, which results in tension loss and gap formation. We describe a technique that prevents the cerclages from cutting into the sternal plates and covers the sternum with a well-capillarized barrier of major pectoralis muscle.




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