Case reports sternal talon, a novel repair for sternal dehiscence
Subramaniam, Thavakumar ; Keita, Luther ; Veerasingam, Dave
Subramaniam, Thavakumar
Keita, Luther
Veerasingam, Dave
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Publication Date
2015-01-01
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Article
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Subramaniam, Thavakumar; Keita, Luther; Veerasingam, Dave (2015). Case reports sternal talon, a novel repair for sternal dehiscence. Polish Journal of Cardio-Thoracic Surgery 12 (2), 153-154
Abstract
Sternal dehiscence is a recognised complication after median sternotomy, occurring in 0.5-5% of cases with or without infection. A 72-year-old man presenting with collapse and ventricular tachycardia was investigated for a possible acute cardiac event 2 years after coronary artery bypass grafting for ischemic heart disease. Work-up chest X-ray showed displacement of all sternal wires, and computed tomography (CT) performed to investigate further showed sternal dehiscence with right ventricle wall herniation through the defect and sternal wire breakdown. A decision was made after discussion with the patient to repair the defect using 3 Sternal Talon devices and 2 sternal wires. The patient made an uncomplicated recovery, and the outpatient clinic review after discharge home showed satisfactory and stable sternal union. We report a case of noninfected sternal dehiscence managed successfully with the Sternal Talon without long-term complications.
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Publisher
Termedia Sp. z.o.o.
Publisher DOI
10.5114/kitp.2015.52858
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Attribution-NonCommercial-NoDerivs 3.0 Ireland