title: [Postponed closure of the sternum after operations on the heart with extracorporeal circulation].
abstract: Data on postponed closure of the sternum in 3 patients who were operated on with extracorporeal circulation are discussed. Various clinical and technical aspects of the applied method are considered. On the basis of their personal experience and the literature data, the authors discuss the causes of the development of acute heart dilatation in operations with extracorporeal circulation and, with due regard for this, substantiate the indications for the use of the method. Postponed closure of the sternum is a promising method of treatment of critical hemodynamic disorders which occur at the stage of closure of the sternotomy and are characterized by the picture of cardiac tamponade.
authors.forename: D E
authors.initials: DE
authors.lastname: Babliak
authors.forename: L V
authors.initials: LV
authors.lastname: Kulyk
authors.forename: V G
authors.initials: VG
authors.lastname: Averchuk
authors.forename: A V
authors.initials: AV
authors.lastname: Bagrinovskiĭ
authors.forename: A
authors.initials: A
authors.lastname: Mufid
mesh_terms: D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery*; D002648:Child; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005112:Extracorporeal Circulation; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D013536:Suture Techniques; D013997:Time Factors; D014286:Trilogy of Fallot / Q000601:surgery*
vernacular_title: Otstrochennoe zakrytie grudiny pri operatsiiakh na serdtse s iskusstvennym krovoobrashcheniem.