Rectus abdominis myocutaneous flap after unsuccessful delayed sternal closure.
case_report · Level V
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- Record sourced from PubMed, PMID 12963246.
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Abstract
Open chest management is one of the best options for severely impaired hearts after open-heart surgery. Reapproximation of sternal edges compresses the heart, so a less compressive method of chest wall reconstruction should be considered when sternal closure must be delayed. We applied a rectus abdominis myocutaneous flap approach in 3 patients after difficulties with delayed sternal closures. Two patients were weaned off intraaortic balloon pumping and survived without respiratory troubles or wound complications. This alternative method of chest reconstruction is useful in patients after an unsuccessful delayed sternal closure.
Medical subject headings
- Cardiac Surgical Procedures
- Surgical Flaps
- Thoracic Wall
- Wound Healing