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Marisa De Feo
Antonio Carozza
Alessandro Della Corte
Cesare Quarto
Michele Torella
Luca Salvatore De Santo
Gianantonio Nappi
Maurizio Cotrufo
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Ann Thorac Surg 2005;79:359-360
© 2005 The Society of Thoracic Surgeons

How to do it

Achilles Tendon for Sternal Synthesis in the Treatment of Mediastinitis

Marisa De Feo, MDa,*, Antonio Carozza, MD, PhDa, Alessandro Della Corte, MD, Cesare Quarto, MDa, Michele Torella, MDa, Luca Salvatore De Santo, MDa, Gianantonio Nappi, MDa, Maurizio Cotrufo, MDa

a Department of Cardiothoracic and Respiratory Sciences, Second University of Naples, V. Monaldi Hospital, Naples, Italy

Accepted for publication October 16, 2003.

* Address reprint requests to Dr De Feo, Via Due Principati 1 Trav. 37, 83100 Avellino, Italy
marisa.defeo{at}tin.it

Surgical approaches to postoperative mediastinitis that imply wire removal achieve earlier infection recovery but leave the patient with sternal instability. In 10 patients after wound surgical debridement, my colleagues and I achieved sternal synthesis by using Achilles tendons retrieved from multiorgan donors and stored in glutaraldehyde. Three tendons were used in each patient; they were passed through the bone at the manubrium and parasternally at the midsternum and the lower sternum. Thirty-day computed tomographic scan results, infection recovery, and quality of life were satisfactory.






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