Sternal dehiscence after cardiac surgery and ACE type 1 inhibition

被引:11
作者
Abid, Q [1 ]
Podila, SR [1 ]
Kendall, S [1 ]
机构
[1] S Cleveland Hosp, Dept Cardiothorac Surg, Middlesbrough, Cleveland, England
关键词
sternal dehiscence; cardiac surgery; ACE inhibition;
D O I
10.1016/S1010-7940(01)00761-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report two cases, which underwent surgery through Median sterntomy. They were on an ACE type I inhibitor pre-operatively. Both of these patients developed persistent dry cough post-operatively, which resulted in sternal wound dehiscence. They had no clinical or bacteriological evidence of sternal wound infection. Although one patient was overweight and had moderately impaired left ventricular function, there were no other associated risk factors. Both patients underwent rewiring of the sternum. Type II receptors inhibitor were introduced post-rewiring, which cured the persistent dry cough. Both the patients are enjoying a good quality of life at 2 year 6 months and 2 years post-rewiring of the sternum. (C) 2001 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:203 / 204
页数:2
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