Staged Delayed Sternal Closure Using a Binder Clip After Pediatric Cardiac Surgery
Tai Fuchigami1, Masahiko Nishioka1, Toru Akashige1
1Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Abstract:
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).
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