Geiger J P, Tabak C A, Aronstam E M
St. Mary's Hospital and Medical Center, San Francisco, California 94123, USA.
Ann Thorac Surg. 1996 Jan;61(1):215-6. doi: 10.1016/0003-4975(95)00773-3.
Hemodynamic instability and arrhythmia after cardiopulmonary bypass occasionally requires delayed sternal closure or placement of a stenting device. A primary sternal closure with autologous inlay rib grafts can ensure a secure, stable sternal repair and avoids prolonged ventilator support and the concerns, risks, and expense associated with a secondary sternotomy repair.
体外循环后出现的血流动力学不稳定和心律失常有时需要延迟胸骨闭合或置入支架装置。采用自体镶嵌肋骨移植进行一期胸骨闭合可确保胸骨修复牢固、稳定，避免长时间机械通气支持以及二次胸骨切开修复相关的担忧、风险和费用。
