Work

Sternotomy healing by secondary intention in a complex single ventricle patient after stage 1 palliation

Year: 2025

Type: article

Abstract: Delayed sternal closure is an important and commonly utilized strategy in neonates following cardiac surgery to optimize postoperative cardiac output. We present the case of an infant with hypoplastic left heart syndrome (HLHS) who underwent stage 1 Norwood/Sano palliation and did not tolerate sternal closure in the immediate post-op period, even when attempted after delay, due to persistent hemodynamic instability. Our approach involved closure of the skin and subcutaneous tissue to allow for sternotomy healing by secondary intention. This technique may be considered in rare instances when delayed sternal closure is not possible.

Source: Journal of Cardiothoracic Surgery

DOI: 10.1186/s13019-025-03749-4

Authors: Kara Gay-Simon, Sanjiv K. Gandhi, Redmond Burke, Ryan Halickman

Institution: Miami Children's Hospital

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890