Plass Andre, Grunenfelder Jurg, Pretre Rene, Genoni Michele
Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
Interact Cardiovasc Thorac Surg. 2008 Oct;7(5):935-7. doi: 10.1510/icvts.2007.174565. Epub 2008 May 9.
In a 13-year-old boy a correction of an atrioventricular septal defect (AVSD) was performed at the age of one year and a mitral valve reconstruction at the age of two years. The patient developed, after two median sternotomies, a massive sternal deformity. At the age of 12 years another mitral valve reconstruction had to be performed. At this time titanium plates were used for sternal closure and correction of the deformity. Six months later, and after a CT-follow-up, the plates could be removed with a very satisfying result. Sternal plate osteosynthesis represents an excellent alternative for the correction of difficult sternal closures and deformities in adults as well as in children.
一名13岁男孩在1岁时接受了房室间隔缺损(AVSD)矫正手术,2岁时进行了二尖瓣重建手术。该患者在接受两次正中胸骨切开术后,出现了严重的胸骨畸形。12岁时,不得不再次进行二尖瓣重建手术。此时,使用钛板进行胸骨闭合和畸形矫正。六个月后,经过CT随访,钛板可以取出,结果非常令人满意。胸骨板骨合成是矫正成人和儿童困难胸骨闭合及畸形的一种极佳替代方法。