Complicated sternal dehiscence treated with the strasbourg thoracic osteosyntheses system (STRATOS) and the transposition of greater omentum: a case report.
Sternal dehiscence is a serious complication after cardiac surgery. Sternal refixation, performed by simple rewiring or techniqual modification of rewiring as described by Robicsek, can fail, overall when the bone quality is poor or the sternum is completely destroyed. The sternal closure systems, consisting of plates, screws or rib clips and titanium bars, have been recently introduced to treat the complicated sternal dehiscence. We describe for the first time the use of the Strasbourg Thoracic Osteosyntheses System (STRATOS) and the greater omentum, to treat a complicated sternal dehiscence, causing chest pain and respiratory failure.
Ceresa
Fabrizio
F
Cardiac Surgery Division, Papardo Hospital, Messina, Italy. ceresa77@hotmail.com
Casablanca
Giuseppe
G
Patanè
Francesco
F
D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001672:Biocompatible Materials; D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009852:Omentum / Q000637:transplantation*; D013249:Sternum / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery*; D014025:Titanium
D001672:Biocompatible Materials; D014025:Titanium