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Staged Delayed Sternal Closure Using a Binder Clip After Pediatric Cardiac Surgery
Author(s) -
Fuchigami Tai,
Nishioka Masahiko,
Akashige Toru,
Higa Shotaro,
Nagata Nobuhiro
Publication year - 2016
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12767
Subject(s) - medicine , mediastinitis , closure (psychology) , surgery , cardiac surgery , cardiopulmonary bypass , sternum , anesthesia , market economy , economics
A BSTRACT After pediatric cardiac surgery, patients who undergo delayed sternal closure may become hemodynamically unstable. We performed a staged sternal closure technique using a binder clip in 31 consecutive patients to minimize cardiopulmonary instability. Only one patient (3.2%) died of mediastinitis. Thus, our technique may be safe and minimize cardiopulmonary instability. doi: 10.1111/jocs.12767 (J Card Surg 2016;31:464–466)