Bootlace Technique for Delayed Sternal Closure in Pediatric Cardiac Surgery

Abstract

Delayed sternal closure is commonly required following cardiac surgery. This strategy has proven itself very helpful, especially after cardiac transplantation with significant donor/recipient size mismatch. However, at the time of chest closure, acute changes in intrathoracic pressure may be challenging. In this study, we describe our technique of gradual chest approximation, which facilitates closure in difficult situations.