Spooner Aaron J, Mewhort Holly E M, DiFrancesco Lisa M, Fedak Paul W M
Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Departments of Pathology & Laboratory Medicine and Oncology, The University of Calgary, Calgary, AB, Canada.
Case Rep Surg. 2017;2017:8605313. doi: 10.1155/2017/8605313. Epub 2017 May 29.
This clinical case report describes sternal reentry performed years after adhesive-enhanced sternal closure using Kryptonite bone cement. This report provides novel data on the late effects of this innovation. We observed that sternal reentry is feasible and safe. The adhesive did not weaken from biodegradation over a period of several years. There was no evidence of adherence to adjacent soft tissues or other nonbony deep mediastinal structures. Surgeons who receive patients who require redoing cardiac surgery after adhesive-enhanced closure with Kryptonite can be reassured that sternal reentry is safe and feasible.
本临床病例报告描述了在使用氪石骨水泥进行增强粘连胸骨闭合多年后进行的胸骨再次切开术。本报告提供了关于这一创新技术后期影响的新数据。我们观察到胸骨再次切开术是可行且安全的。在数年时间里，粘连剂并未因生物降解而减弱。没有证据表明其与相邻软组织或其他非骨性纵隔深部结构粘连。对于接收在使用氪石进行增强粘连闭合后需要再次进行心脏手术患者的外科医生来说，可以放心的是胸骨再次切开术是安全可行的。
