Rectus abdominis myocutaneous flap after unsuccessful delayed sternal closure
Autor: | Takanobu Aoyama, Hiromichi Fujii, Shigefumi Seuhiro, Hidekazu Hirai, Toshihiko Shibata, Koji Hattori |
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Rok vydání: | 2003 |
Předmět: |
Pulmonary and Respiratory Medicine
Sternum medicine.medical_specialty Time Factors Rectus Abdominis Surgical Flaps Chest wall reconstruction medicine Humans In patient Cardiac Surgical Procedures Thoracic Wall Rectus abdominis muscle Aged Alternative methods Wound Healing business.industry musculoskeletal system Surgery body regions surgical procedures operative medicine.anatomical_structure Anesthesia Rectus abdominis myocutaneous flap Female Cardiology and Cardiovascular Medicine business Thoracic wall |
Zdroj: | The Annals of Thoracic Surgery. 76:956-958 |
ISSN: | 0003-4975 |
Popis: | Open chest management is one of the best options for severely impaired hearts after open-heart surgery. Reapproximation of sternal edges compresses the heart, so a less compressive method of chest wall reconstruction should be considered when sternal closure must be delayed. We applied a rectus abdominis myocutaneous flap approach in 3 patients after difficulties with delayed sternal closures. Two patients were weaned off intraaortic balloon pumping and survived without respiratory troubles or wound complications. This alternative method of chest reconstruction is useful in patients after an unsuccessful delayed sternal closure. |
Databáze: | OpenAIRE |
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