title: Primary sternal closure and mediastinal decompression by inlay autologous rib grafts.
abstract: Hemodynamic instability and arrhythmia after cardiopulmonary bypass occasionally requires delayed sternal closure or placement of a stenting device. A primary sternal closure with autologous inlay rib grafts can ensure a secure, stable sternal repair and avoids prolonged ventilator support and the concerns, risks, and expense associated with a secondary sternotomy repair.
authors.affiliation: St. Mary's Hospital and Medical Center, San Francisco, California 94123, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Geiger
authors.forename: C A
authors.initials: CA
authors.lastname: Tabak
authors.forename: E M
authors.initials: EM
authors.lastname: Aronstam
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D001145:Arrhythmias, Cardiac / Q000209:etiology; D016025:Bone Transplantation; D001026:Coronary Artery Bypass; D004487:Edema / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007431:Intraoperative Complications; D008297:Male; D008482:Mediastinum / Q000503:physiopathology; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011312:Pressure; D012272:Ribs; D013249:Sternum / Q000601:surgery*