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KMID : 0364019960290121377
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 12 p.1377 ~ p.1380
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Delayed Sternal Closure after CABG Using DCP Wide Plate -A Case Report-
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Abstract
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Severe hemodynamic dysfunction may follow after the closure of the median sternotomy in patients with myocardial edema, cardiac dilatation, and severe postoperative bleeding.
In extreme cases, myocardial edema may be so severe that cardiac function is compromised merely by the edges of the open sternum touching the heart.
Sternotomy remained open and delayed sternal closure is already described adjunct in complicated cardiac operations.
We experienced a case of delayed sternal closure after 16 hours of CABG using synthes DCP wide plate in a 54-year old obese female patient.
Our experience confirms that delayed sternal closure is an effective at simple means of dealing with severe myocardial edema so we report this case with literature review.
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