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. 1978 Mar;5(1):15–18.

DELAYED STERNAL CLOSURE: A USEFUL TECHNIQUE TO PREVENT TAMPONADE OR COMPRESSION OF THE HEART

David A Ott 1, Denton A Cooley 1, John C Norman 1, Frank M Sandiford 1
PMCID: PMC287699  PMID: 15216074

Abstract

Closure of the sternotomy incision was limited to the skin in four critically ill patients following cardiopulmonary bypass. One patient had sustained an intractable bleeding diathesis and the other three had ventricular distention which prevented approximation of the sternum. All patients survived after delayed closure and repair of the sternotomy. Delayed primary closure of the sternum is a useful maneuver after cardiac surgery when routine closure would jeopardize early recovery.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cooley D. A., Norman J. C. Severe intravascular hemolysis after aortic valve replacement: reversal by left ventricular apico-abdominal aortic composite conduit. J Thorac Cardiovasc Surg. 1977 Aug;74(2):322–324. [PubMed] [Google Scholar]
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