Asian Annals
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Pasquale Totaro
Vincenzo Argano
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Asian Cardiovasc Thorac Ann 2006;14:432-434
© 2006 Asia Publishing EXchange Ltd


HOW TO DO IT

Longitudinal Reinforcement for Treatment of Sternal Dehiscence

Pasquale Totaro, MD, Nello Degno, MD, Vincenzo Argano, FRCS

Division of Cardiac Surgery, Regional Cardiac Center, Morriston Hospital, Swansea, United Kingdom

For reprint information contact: Pasquale Totaro, MD Tel: 39 091 698 1111 Fax: 39 091 676 1612 Email: ptotaro{at}yahoo.com, Villa Maria Eleonora Hospital, Palermo 90135, Italy.

Re-fixation of the sternum after sternal dehiscence is still a problem following cardiac surgery. An original technique that allows reinforcement against various causes of dehiscence is described. The technique consists of 3 additional overlapping longitudinal wires set on both sides of the sternum. Over 2 years, this technique was applied in 34 patients, with complete sternal re-fixation in all, and no signs of recurrence on follow-up.







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