PMID: 9159622May 1, 1997Paper

Delayed sternal closure after cardiac operations in a pediatric population

The Journal of Thoracic and Cardiovascular Surgery
S TabbuttP C Laussen

Abstract

The purpose of this study was to assess morbidity and mortality associated with delayed sternal closure after pediatric cardiac operations. Hospital records were reviewed of all patients with an open sternum after a cardiac operation at Children's Hospital, Boston, from January 1992 to December 1995. A total of 178 patients had delayed sternal closure with an overall mortality rate of 19%. The most common diagnosis of patients with delayed sternal closure was hypoplastic left heart syndrome (29%). Although myocardial distention or chest wall edema (n = 47) was a common indication to delay sternal closure, in many patients (n = 47) the sternum was left open electively to avoid postoperative cardiac or respiratory compromise. Successful sternal closure was achieved in 158 patients (89%) at a mean of 3.4 +/- 1.8 days after opening. There were significant increases in left atrial pressure (7.7 +/- 3.4 to 9.8 +/- 4.1 mm Hg, p = 0.00001) and right atrial pressure (8 +/- 3.2 to 10.1 +/- 3.3 mm Hg, p = 0.00001) with sternal closure. There was a small but statistically significant drop in pH (7.44 +/- 0.05 to 7.41 +/- 0.08, p < 0.0001) during sternal closure. The peak inspiratory pressure, delivered breaths per minute, and fraction of i...Continue Reading

References

Aug 1, 1992·The Annals of Thoracic Surgery·A P FurnaryG J Magovern
May 1, 1991·The Annals of Thoracic Surgery·C A MestresJ Mulet
Apr 1, 1990·Critical Care Medicine·E M PollockG A Trusler
Aug 1, 1987·The Annals of Thoracic Surgery·W J FanningJ W Kilman
Jan 1, 1985·Scandinavian Journal of Thoracic and Cardiovascular Surgery·P Jögi, O Werner
Mar 1, 1983·Pediatric Infectious Disease·M S Edwards, C J Baker
Sep 1, 1981·The Annals of Thoracic Surgery·I GielchinskyR M Abel
Mar 1, 1981·The Annals of Thoracic Surgery·D M GangaharD Synhorst
Feb 1, 1995·The Annals of Thoracic Surgery·V Alexi-MeskishviliR Hetzer

❮ Previous
Next ❯

Citations

Dec 15, 2011·Pediatric Radiology·George WuRichard I Markowitz
Jun 1, 2001·The Annals of Thoracic Surgery·W A OwensJ R Hamilton
Feb 5, 2004·The Annals of Thoracic Surgery·Paul A ChecchiaLeonard L Bailey
Jul 1, 1999·Cardiology in the Young·B KearnsJ Goldfarb
May 16, 2000·Critical Care Medicine·J Amato
Oct 31, 2000·The Pediatric Infectious Disease Journal·P A MehtaL B Weiner
Aug 13, 2002·Plastic and Reconstructive Surgery·Eti GurselEllen Ozolins
Sep 9, 2005·The Pediatric Infectious Disease Journal·Samir S ShahLouis M Bell
Oct 4, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David M AxelrodUNKNOWN Board Members of the Pediatric Cardiac Intensive Care Society
Jun 29, 2007·The Pediatric Infectious Disease Journal·Jessica KagenSamir S Shah
Oct 4, 2012·Journal of Cardiothoracic Surgery·Emre ÖzkerRiza Türköz
Jan 8, 2013·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·J Izquierdo-BlascoUNKNOWN Grupo de Infección Nosocomial de la Sociedad Española de Infectología Pediátrica
Oct 30, 2012·American Journal of Infection Control·Michael E BowmanSarah E Forgie
Sep 25, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Chad A KnodererKevin M Sowinski
Apr 2, 2008·International Journal of Cardiology·Walter KnirschEmanuela R Valsangiacomo Büchel
Nov 17, 2007·Paediatric Respiratory Reviews·David N Schell, David S Winlaw
Sep 16, 2004·Seminars in Thoracic and Cardiovascular Surgery·Charles B Huddleston
Jan 6, 2009·Journal of Cardiac Surgery·Khosrow Hashemzadeh, Shahryar Hashemzadeh
Nov 26, 2013·Journal of Cardiac Surgery·Chirantan V MangukiaDeepak Satsangi
Mar 9, 2010·Current Problems in Surgery·Avihu Z GazitA Thomas Pezzella
Jul 24, 2004·Seminars in Pediatric Surgery·Scott G Walker, Eckehard A Stuth
Oct 26, 2006·The Annals of Thoracic Surgery·Nancy S GhanayemJames S Tweddell
Nov 25, 2005·The Annals of Thoracic Surgery·Abdullah A Al-SehlyIvan M Rebeyka
Feb 9, 2002·The Annals of Thoracic Surgery·Jeffrey M PearlPeter B Manning
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·James S Tweddell, George M Hoffman
Jan 4, 2012·Journal of the American College of Cardiology·Jeffrey A FeinsteinGerard R Martin
Aug 1, 2006·Biochimica Et Biophysica Acta·Jonathan R EganDavid S Winlaw
Feb 8, 2014·The Journal of Thoracic and Cardiovascular Surgery·David M KwiatkowskiDavid S Cooper
May 30, 2016·The Journal of Thoracic and Cardiovascular Surgery·Sabrina LueckMichael Schaefer
Oct 30, 2012·The Journal of Thoracic and Cardiovascular Surgery·Erika E HarderJennifer C Hirsch
Dec 31, 1997·The Journal of Thoracic and Cardiovascular Surgery·Y Misawa
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Robert HorvathMarco Ricci
Jul 26, 2005·The Annals of Thoracic Surgery·Shelley RiphagenIan A Murdoch
Mar 1, 2011·The Annals of Thoracic Surgery·Srikant DasKevin Maher
Apr 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·Ersin ErekCafer Tayyar Sarioglu
Mar 27, 2009·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Joyce L Owens, Ndidiamaka Musa
Aug 29, 2018·Cardiology in the Young·Kimberly I MillsJohn N Kheir
Apr 25, 2018·Circulation·Bradley S MarinoUNKNOWN American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Counc
Oct 1, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Gilad ShermanItzhak Levy
May 21, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Takeshi HatachiMuneyuki Takeuchi
Nov 9, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ghassan A ShaathMohamed S Kabbani
Apr 16, 2020·World Journal for Pediatric & Congenital Heart Surgery·Cathy WoodwardS Adil Husain

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.