Delayed sternal closure after open heart surgery in neonates and early infants

M. Inoue, S. Sano, K. Kino, M. Kawada, H. Irie, E. Sugawara, A. Aoki

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Between November 1992 and February 1996, 84 patients (less than 3 months of age) underwent open heart surgery. Among 76 patients except 8 who required mechanical circulatory support, the sternum was left open. The indication of open sternotomy was hypoplastic left heart syndrome in 14 patients and unstable hemodynamics in 4 patients. Three patients died before delayed sternal closure. Delayed sternal closure was carried out in 15 patients with a mean of 4.7 days postoperatively. By the time of sternal closure, blood pressure, left atrial pressure and respiratory parameters improved and inotropics were reduced with the minus fluid balance. One patient died of sepsis 4 days after delayed sternal closure. Delayed sternal closure was effective modality to neonates or early infants after complex open heart surgery.

Original languageEnglish
Pages (from-to)729-733
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume53
Issue number9
Publication statusPublished - Aug 2000

ASJC Scopus subject areas

  • Medicine(all)

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