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Ann Thorac Surg 2004;78:358-359
© 2004 The Society of Thoracic Surgeons

How to do it

Sternal closure with reabsorbable pin and cord in pediatric less invasive cardiac surgery

Hiroshi Oiwa, MD, PhDa*, Ryoichi Ishida, MDa, Kenichi Sudo, MD, PhDa

a Department of Cardiovascular Surgery, Kyorin University School of Medicine, Tokyo, Japan

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Oiwa, Department of Cardiovascular Surgery, Kyorin University School of Medicine, 6-20-2, Shinkawa, Mitaka, Tokyo 181-8611, Japan
e-mail: hiroshioiwa{at}hotmail.com

In pediatric less invasive cardiac surgery, we recently closed a patient's sternum using reabsorbable radiolucent poly-(L-lactide) acid sternal pins together with multifilament polydioxanone cord after a lower partial median sternotomy. This combination completely prevents postoperative sternal deformity, and leaves no radiopaque material identifiable radiographically, which is a significant cosmetic benefit.






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