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Resternotomy in pediatric cardiac surgery: CoSeal^® initial experience

Pediatric Cardiac Surgery Unit, S.Orsola-Malpighi Hospital, Bologna Medical School, Via Massarenti 9, 40138 Bologna, Italy

*Corresponding author. Tel.: +39-051-6363156; fax: +39-051-6363157.

E-mail address: pace{at}aosp.bo.it (C. Pace Napoleone).

Sternal re-entry adds supplementary risk to cardiac re-operations and it may represent the most important factor in the entire hazard estimation. A new anti-adhesive substance, based on a polyethylene glycol material, has been proposed to solve this problem. Results and surgical observations at chest re-entry in five patients treated with this synthetic polymer are herein discussed.

Key Words: Pediatric cardiac surgery; Reoperation; Pericardial adhesions

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