Couldn't find what you looking for?

TRY OUR SEARCH!

Help!!!!!!!
My 79 yr old mother had heart surgery to repair valve (this was a success). Several days after the procedure the wires holding the sternum pull through the sternum and now she is in ICU with her chest wild open. A plastic surgeon is looking for a procedure that will have some level of expected success. At this point he is saying it will likely be several weeks before they attempt any repairs and close up her chest, if they do it at all. According to the plastic surgeron she has poor blood supply to the sterum area which impeads the healing process. In addition, she has COPD and her lungs are only about 40% functional and she is now on a lung machine. Other than that all of her other vitals are fairly normal. No infections, kidneys are functioning, and mentally she is fine. Her heart is strong however her heart rate is elevated (100 - 130 bpm)....likely due to the stress of her current condition. Are there any viable options to repair the sternum? This is a live or death situation. Any thoughtful input is appreicated. Thanks!!

Loading...

Everyone, but especially someone who already has breathing problems need a stable chest to breath properly. It isn't uncommon for sternal wires to pull through the sternum bone. Especially with someone with a bit of osteoporosis (common in post menopausal females). Some times the heart surgeon can re wire the sternum using a bit of a fancier pattern. When this can't be done...the plastic surgeon will move a muscle and place it in the sternal position. She is very lucky that she does not have an infection. People do very well with this procedure.
Reply

Loading...

My daughter has had two open heart surgeries and is left with a broken or non-union sternum. The lower part of the sternum did not heal and the lower ribcage is out of alignment. We are having a hard time getting the hospital here to address the problem. We are also unsure what kind of doctor should do the repair.....cardio/thorac , plastic etc. My daughter is two years old and also has down syndrome. Her heart status is pretty good now, except for some leaking of the aortic and mitral valves. She has also had a diapragrhamatic hernia repair which we are unsure if it was caused by the fractured lower rib cage. Any advise?
Reply

Loading...

You could get a second opinion from a plastic surgeon. I'm not sure how bad her Aortic and Mitral valves are leaking. If she is going to need surgery again to repair them, and she is doing fine now with the sternum the way it is, you could wait till she has to have her valves fixed.
Reply

Loading...

Our cardiologist has consulted many depts. at our children's hospital (ortho plastics, cardiac) and they all seem to agree that it is a complicated issue - and that fixing the problem may be difficult. They are worried that a fix, might not "hold" for her. She suffered from a significant protrusion after the first surgery and during the second open-heart surgery, the surgeon shaved-down the sternum to try to minimize the protrusion - which is most likely why it broke and/or didn't heal. She is having recurring respiratory issues but feel they are unrelated to the sternum issue and we are treating her for croup with nebulizer meds. We most likely will have to wait until she is older or needs another heart surgery as was your reply. In the meantime will there be lung issues or muscle-skeletal/spine issues as she grows?
Reply

Loading...

My son also has a nonunion sternum, his surgeon woud like to repair it this summer or next. My son also has Down Syndrome. He had three open heart surgeries. His valves may need further work in the future, but they are hoping and expecting that this will not be needed until adolescence, and there is a chance he wont need any further work at all. I just hate to go thru the process of fixing the sternum, then going back in, even if it is 15-20-30 years from now...
Reply

Loading...

Hi, we're going through this now. Different professionals have different views how to address this - looking more like will operate again now. She's six months old.
What happened with your daughter?
Reply

Loading...

Did you get a repair?
Reply

Loading...

I'm curious how things panned out. Our son has DS, had ohs at 15 mos and we are awaiting a surgery date to fix his sternum. He isn't fused on bottom.
Reply

Loading...