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Effective median sternotomy closure in high-risk open heart patients
Eugene L Bek1, Kwok L Yun, Gary S Kochamba
1Regional Department of Cardiac Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California 90027, USA. eugene.l.bek@kp.org
The Annals of Thoracic Surgery
|March 27, 2010
Abstract:
We describe a novel surgical technique with a median sternotomy closure in high-risk open heart patients. In contrast to conventional sternal closure, in which sternal wires are passed through the intercostal space, the novel technique in sternal closure passes sternal wires transcostally or through costo-chondral joints.

