Primary sternal closure and mediastinal decompression by inlay autologous rib grafts
J P Geiger1, C A Tabak, E M Aronstam
1St. Mary's Hospital and Medical Center, San Francisco, California 94123, USA.
Abstract:
Hemodynamic instability and arrhythmia after cardiopulmonary bypass occasionally requires delayed sternal closure or placement of a stenting device. A primary sternal closure with autologous inlay rib grafts can ensure a secure, stable sternal repair and avoids prolonged ventilator support and the concerns, risks, and expense associated with a secondary sternotomy repair.
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