Our experiences on open sternum in pediatric cardiac surgery

Öztekin OTO, Eyüp HAZAN, Murat ERTÜRK, Mustafa KARAÇELİK, Nejat SARIOSMANOĞLU, Baran UĞURLU, Ünal AÇIKEL, Hüdai ÇATALYÜREK

Dokuz Eylül Üniversitesi, Tıp Fakültesi. Göğüs, Kalp ve Damar Cerrahisi Anabilim Dalı

Cardiac operations especially during the neonatal period or in early infancy may result in severe myocardial, mediastinal and pulmonary edema [,<,]. The use of extracardiac conduits may cause the intrathorauic structures, including the heart to be compressed after closing sternum. For this reason, this clinical stituation, resulting often in high mortality, may cause limited diastolic filling, low cardiac output, ventilatory problems during closing sternum at the end of the operation or early postoperative period [,,,].

In this paper, we present our experience with open sternum during operation and delayed sternal closure after pediatric öpen heart surgery in intensive care unit or operation room since April, 1995.

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