Abstract
Masih Daneshvari Medical Center, Darabad, Niavaran, Tehran, Iran
Closing the sternum causes 25% reduction in cardiac output. In critical patients closing the sternum may be enough for decreasing blood pressure and initiation a viscous cycle for subsequent adverse effects. In the new era ECMO and other mechanical circulatory supports are the best way to prevent this adverse effect. But in our country due to inavailability of ECMO at all times and high cost of it, the sternum was kept open for 24-48 hours and the results was compared with the patients undergone ECMO
Closing the sternum causes 25% reduction in cardiac output. In critical patients closing the sternum may be enough for decreasing blood pressure and initiation a viscous cycle for subsequent adverse effects. In the new era ECMO and other mechanical circulatory supports are the best way to prevent this adverse effect. But in our country due to inavailability of ECMO at all times and high cost of it, the sternum was kept open for 24-48 hours and the results was compared with the patients undergone ECMO
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© 2015, Multidisciplinary Cardiovascular Annals. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.