title: Bootlace Technique for Delayed Sternal Closure in Pediatric Cardiac Surgery.
abstract: Delayed sternal closure is commonly required following cardiac surgery. This strategy has proven itself very helpful, especially after cardiac transplantation with significant donor/recipient size mismatch. However, at the time of chest closure, acute changes in intrathoracic pressure may be challenging. In this study, we describe our technique of gradual chest approximation, which facilitates closure in difficult situations.
authors.affiliation: 1 Department of Pediatric Cardiothoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.|2 Department of Cardiothoracic Surgery, Alexandria University, Egypt.
authors.forename: Mohamed S
authors.initials: MS
authors.lastname: Nassar
authors.affiliation: 1 Department of Pediatric Cardiothoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
authors.forename: Bari
authors.initials: B
authors.lastname: Murtuza
authors.affiliation: 1 Department of Pediatric Cardiothoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
authors.forename: Asif
authors.initials: A
authors.lastname: Hasan
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D056346:Sternotomy; D013536:Suture Techniques; D013997:Time Factors; D058106:Wound Closure Techniques
keywords: delayed sternal closure