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Akihiko Usui
Hideki Oshima
Toshiaki Akita
Yuichi Ueda
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J Thorac Cardiovasc Surg 2006;131:1174-1175
© 2006 The American Association for Thoracic Surgery

Brief Communication

Polydioxane (PDS) cord has insufficient reliability to securely close the sternum

Akihiko Usui, MD * , Hideki Oshima, MD, Toshiaki Akita, MD, Yuichi Ueda, MD

Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan

* Corresponding author: Akihiko Usui, MD, Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Tsurumai 65, Showa-ku, Nagoya, Japan 466-8550 (Tel; 81-52-744-2376, FAX; 81-52-744-2383) (Email: ausui@med.nagoya-u.ac.jp).

The first 20% of the full text of this article appears below.

Median sternotomy is a common approach to expose the heart for cardiac surgery. The sternum is usually closed with stainless wires or thick-braided sutures after surgery. We have used Polydioxane (PDS) cord sutures 1.0 mm in diameter for closing the sternum on 350 patients for the last one and a half year. But recently, three patients suffered broken PDS sutures and instability of the sternum several weeks after surgery. The sternum had to be closed immediately in two of them after the broken sutures because of wound dehiscence. One patient was observed closely without surgical intervention because of renal failure and MRSE carrier on skin culture.

Cases

All three patients had some risk factors for wound healing. One was a 73 -year-old man, who suffered an old myocardial infarction with poor left ventricle function, chronic atrial fibrillation and diabetes mellitus. He underwent on-pump 4-vessel aorto-coronary bypass grafting concomitant with Maze procedure. He suffered a minor stroke and required long mechanical . . . [Full Text of this Article]




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