@article{article_323968, title={Delayed sternal closure after arterial switch operations: a single center experience}, journal={Cukurova Medical Journal}, volume={42}, pages={540–545}, year={2017}, DOI={10.17826/cutf.323968}, author={Göçen, Uğur}, keywords={Gecikmiş sternal kapatma,arteriel switch ameliyatı,mediastinit}, abstract={<p class="z">Purpose: Delayed sternal closure after arterial switch operation is a therapeutic option in the treatment of the hemorrhage, tamponade and edema. The purpose of this study is to evaluate the relationship between delayed sternal closure and mediastinitis after arterial switch operation. </p> <p class="z">Material and Methods: Between January 2011 and November 2016, 43 consecutive patients undergoing arterial switch surgery and delayed sternal closure due to major arterial transposition or Taussig-Bing anomaly were examined retrospectively. The patients’ operations were performed by the same surgeon. Indications for delayed sternal closure, sternal closure time, pre- and post-cardiopulmonary bypass, and metabolic status, mortality, and infection parameters were recorded. </p> <p class="z">Results: The mean sternal closure time was 2.7 days. The mortality rate was 2.32 % (n=1). 5 (11.63%) patients required prolonged antibiotic use due to postoperative infection. There was gram negative microorganism predominance. There were no patients with postoperative mediastinitis. Postoperative infection rate statistically not increased with cardiopulmonary bypass time, sternal closure time and intensive care unit stay time. On the other hand, the mortality was seen only one patient. This patients’ diagnosis was taussing bing anomaly with single coronary ostia and postoperatively patient needed extracorporeal membrane oxygenation in Intensive care unit.  </p> <p class="z">Conclusions: Use of delayed sternal closure is an important management strategy after arterial switch operations. In our study, the prolonged sternal closure time is not associated with increased rate of postoperative mediastinit. </p> <div> <br /> </div>}, number={3}, publisher={Çukurova Üniversitesi}