Subramaniam Thavakumar, Keita Luther, Veerasingam Dave
Department of Cardiothoracic Surgery, Galway University Hospital, Ireland.
Kardiochir Torakochirurgia Pol. 2015 Jun;12(2):153-4. doi: 10.5114/kitp.2015.52858. Epub 2015 Jun 30.
Sternal dehiscence is a recognised complication after median sternotomy, occurring in 0.5-5% of cases with or without infection. A 72-year-old man presenting with collapse and ventricular tachycardia was investigated for a possible acute cardiac event 2 years after coronary artery bypass grafting for ischemic heart disease. Work-up chest X-ray showed displacement of all sternal wires, and computed tomography (CT) performed to investigate further showed sternal dehiscence with right ventricle wall herniation through the defect and sternal wire breakdown. A decision was made after discussion with the patient to repair the defect using 3 Sternal Talon devices and 2 sternal wires. The patient made an uncomplicated recovery, and the outpatient clinic review after discharge home showed satisfactory and stable sternal union. We report a case of non-infected sternal dehiscence managed successfully with the Sternal Talon without long-term complications.
胸骨裂开是正中开胸术后一种公认的并发症，发生率为0.5%-5%，无论有无感染。一名72岁男性，在因缺血性心脏病行冠状动脉搭桥术后2年，因晕厥和室性心动过速接受检查，怀疑发生急性心脏事件。胸部X光检查显示所有胸骨钢丝移位，进一步检查的计算机断层扫描（CT）显示胸骨裂开，右心室壁通过缺损处疝出，胸骨钢丝断裂。与患者讨论后决定使用3个胸骨爪形器械和2根胸骨钢丝修复缺损。患者恢复顺利，出院后门诊复查显示胸骨愈合良好且稳定。我们报告一例非感染性胸骨裂开病例，使用胸骨爪形器械成功治疗，无长期并发症。
