HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Erratum (v20,p659) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Simon Kendall Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Abid, Q. Articles by Kendall, S. Search for Related Content PubMed PubMed Citation Articles by Abid, Q. Articles by Kendall, S. Related Collections Mediastinum

Eur J Cardiothorac Surg 2001;20:203-204
© 2001 Elsevier Science NL

Case report

Sternal dehiscence after cardiac surgery and ACE type 1 inhibition

Department of Cardiothoracic Surgery, South Cleveland Hospital, Middlesbrough, UK

Received 19 March 2001; received in revised form 9 April 2001; accepted 10 April 2001.

Corresponding author. Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne, NE7 7DN, UK. Tel.: +44-191-2843111; fax: +44-191-223-1152
e-mail: munazza{at}eudoramail.com

We report two cases, which underwent surgery through Median sternotomy. 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.

Key Words: Sternal dehiscence • Cardiac surgery • ACE inhibition

This article has been cited by other articles:

				V. A. Olbrecht, C. J. Barreiro, P. N. Bonde, J. A. Williams, W. A. Baumgartner, V. L. Gott, and J. V. Conte Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann. Thorac. Surg., September 1, 2006; 82(3): 902 - 907. [Abstract] [Full Text] [PDF]

				R. S. Irwin Complications of Cough: ACCP Evidence-Based Clinical Practice Guidelines Chest, January 1, 2006; 129(1_suppl): 54S - 58S. [Abstract] [Full Text] [PDF]

				V. Vijay and J. P. Gold Late Complications of Cardiac Surgery Card. Surg. Adult, January 1, 2003; 2(2003): 521 - 537. [Full Text]

				Q. Abid, S. Rao Podila, and S. Kendall Corrigendum to ""Sternal dehiscence after cardiac surgery and ACE type 1 inhibition"" [Eur J Cardio-thorac Surg 2001;20:203-204] Eur. J. Cardiothorac. Surg., September 1, 2001; 20(3): 659 - 659. [Full Text] [PDF]