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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 February;41(1):65-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Interposition of hydroxyapatite ceramic stents alternative to delayed sternal closure

Iemura J., Aoshima M., Ishigami N., Kaneda T., Miho T.

From the Department of Cardiovascular Surgery Shizuoka General Hospital, Shizuoka, Japan


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Ascending and hem­i­arch replace­ment sur­gery for an ­acute Stan­ford ­type A dis­sec­tion in asso­ci­a­tion ­with a pre­vious ­type B dis­secting aneu­rysm was per­formed on a 58-­year-old ­female ­patient. How­ever, ­sternal clo­sure ­could not be per­formed ­after sur­gery due to hemo­dy­namic dete­ri­ora­tion. ­Even ­four ­weeks ­after the oper­a­tion, ­sternal clo­sure was impos­sible due to ­advanced adhe­sion ­around the med­i­as­tinum ­caused by med­i­as­tin­itis. There­fore, hydrox­ya­pa­tite ­ceramic ­spacers, ­which ­have oste­o­gen­esis and ossifi­ca­tion char­ac­ter­is­tics, ­were inter­posed ­between the ­split ­sternum as ­stents to ­avoid fur­ther sur­gery.

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