Opened Chest after Cardiac Surgery, Is it Justified?

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