Outcomes of Delayed Sternal Closure in Pediatric Heart Surgery: Single-Center Experience

BioMed Research International
Daniel Hurtado-SierraSamuel Ramírez-Marroquin

Abstract

Delayed sternal closure (DSC) after cardiac surgery is a therapeutic option in the treatment of the severely impaired heart in pediatric cardiac surgery. A single-center retrospective review of all bypass surgeries performed over a 10-year period (2003-2012). Of a total of 2325 patients registered in our database, the DSC group included 259 cases (11%), and the remaining 2066 cases (89%) constituted the control group (PSC). RACHS-1 risk was higher for the DSC group (74% had a score of 3 or 4) than for the PSC group (82% had a score of 2 or 3). The most frequent diagnosis for the DSC group was transposition of the great arteries (28%). We found out that hemodynamic instability was the main indication observed in patients aged ≤ 8 years (63%), while bleeding was the principal indication for patients aged ≥ 8 years (94%) (p ≤ 0.001). The average time between surgery and sternal closure was 2.3 ± 1.4 days. Overall mortality rates were higher for patients of the DSC group (22%) than for the PSC group (8.7%) (OR: 0.4 (95% CI: 0.4 to 0.5), p < 0.05). There were six patients with DSC who developed mediastinitis (2.3%). The risk of mediastinitis was significantly higher when DSC was performed 4 days after the primary surgery. DSC is an ...Continue Reading

References

Jan 1, 1989·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P H KayC Lincoln
Jan 1, 1985·Scandinavian Journal of Thoracic and Cardiovascular Surgery·P Jögi, O Werner
Sep 1, 1981·The Annals of Thoracic Surgery·I GielchinskyR M Abel
Feb 1, 1995·The Annals of Thoracic Surgery·V Alexi-MeskishviliR Hetzer
Nov 1, 1994·The Annals of Thoracic Surgery·A ElamiJ L Sebastian
Feb 1, 1997·The Annals of Thoracic Surgery·R S IyerM J Elliott
May 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·S TabbuttP C Laussen
May 16, 2000·Critical Care Medicine·J Amato
Jan 5, 2002·Critical Care Clinics·G S Murphy, J S Vender
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Khaled SamirBernard Kreitmann
Apr 9, 2005·The Pediatric Infectious Disease Journal·Caroline B LongLouis M Bell
Jul 26, 2005·The Annals of Thoracic Surgery·Shelley RiphagenIan A Murdoch
Nov 25, 2005·The Annals of Thoracic Surgery·Abdullah A Al-SehlyIvan M Rebeyka
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Samir S ShahLouis M Bell
Apr 13, 2010·Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology·Haydar YasaAli Gürbüz
Oct 4, 2012·Journal of Cardiothoracic Surgery·Emre ÖzkerRiza Türköz
Oct 30, 2012·American Journal of Infection Control·Michael E BowmanSarah E Forgie

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Citations

Sep 4, 2020·Cardiology in the Young·Igor V PolivenokMarcelo Cardarelli
Jul 17, 2019·World Journal for Pediatric & Congenital Heart Surgery·Mouhammad YabrodiChristopher W Mastropietro
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Simran KundanSuresh Gururaja Rao
Mar 5, 2021·The Annals of Thoracic Surgery·Mohamed F ElsisyElizabeth H Stephens
Oct 2, 2021·World Journal for Pediatric & Congenital Heart Surgery·Ahmed AsfariSantiago Borasino

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