DING Jin yang,MO Xu ming,GU Hai tao,et al. Delayed Sternal Closure following operations for complex and severe congenital heart disease in infant[J].Journal of Clinical Pediatric Surgery,,10():98-100.
Delayed Sternal Closure following operations for complex and severe congenital heart disease in infant
- Keywords:
- ; Cardiac Surgicalprocedures; Critical Illness; Heart Diseases/CN; Infant
- Document code:
- A
- Abstract:
- 【Abstract】ObjectiveThe purpose of this study was to determine the effects of delayed sternal closure (DSC) in operations for complex and severe congenital heart disease in infants.MethodsBetween May 2008 and June 2009, 19 infant cases with complex and severe congenital heart disease underwent delayed sternal closure. The age ranged from 2 days to 18 months and the body weight ranged from 3 kg to10 kg. The traction was removed successfully in the ICU between 1 and 4 days (mean 1.26±0.52 days).ResultsIn 19cases, 14 were recovery, 2 deaths, 2 giving up treatment and 1 death a few months late. ConclusionThe technique of delayed sternal closure may help to overcome the problems such as low cardiac output syndrome, unstable hemodynamic conditions, hemorrhage, arhythmias, myocardium edema etc. DSC is a simple, safe and very useful technique for the complex cardiac diseases. DSC according to the indictors could decrease the mortality of the cardiac operations for the infant patients with complex and severe congenital heart disease effectively.
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