Prolonged open sternotomy and delayed sternal closure after cardiac operations.

  title={Prolonged open sternotomy and delayed sternal closure after cardiac operations.},
  author={Anthony P. Furnary and James A. Magovern and Kylie A. Simpson and George J. Magovern},
  journal={The Annals of thoracic surgery},
  volume={54 2},
Maintenance of an open sternotomy (OS) after a complicated cardiac operation is an adjunct in the treatment of the severely impaired heart. We hypothesized that predictors of the timing, morbidity, and prognosis of delayed sternal closure (DSC) could be determined by intensive case review. Prolonged OS was used in 107 of 6,030 adult open heart patients (1.8%) between 1987 and 1991. Indications for OS were hemodynamic instability (40), myocardial edema (18), intractable bleeding (23), relentless… CONTINUE READING
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