• Kyobu Geka · Oct 2018

    Case Reports

    [Sternal Nonunion after Open Heart Surgery through a Partial Sternotomy;Report of a Case].

    • Seiji Ichikawa, Fumihiko Murakami, and Tetsuya Ohara.
    • Department of Thoracic and Cardiovascular Surgery, Meijo Hospital, Nagoya, Japan.
    • Kyobu Geka. 2018 Oct 1; 71 (11): 969-971.

    AbstractSternal nonunion is an uncommon complication after a sternal wound and some cases have been reported as a complication of open heart surgery. A 28-year-old male suffered from persistent sternal pain. Six years ago, open heart surgery was performed through a partial sternotomy with transverse sternotomy. The sternal nonunion was repaired using 3 sternal wires and 1 absorbable sternal pin. Three years later, the patient experienced recurrence of persistent sternal pain with clicking, because all of the sternal wires had ruptured and the sternal healing was incomplete. The patient was treated with adequate debridement and a technique using metal plates and autogenous bone grafts, which provided excellent pain relief. A transverse sternotomy potentially exposes the patient to the risk of sternal nonunion, which should be treated using autogenous bone grafting.

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