Delayed sternal closure: Lifesaving procedure in coronary artery bypass grafting

Prieta Adriane, Ardiyan, Rudyanto Sedono

Research output: Contribution to journalArticlepeer-review


Delaying sternal closure in cardiac surgery is one of the life-saving decisions for patients in an intraoperative life-threatening condition with no access to extracorporeal membrane oxygenation (ECMO) therapy. Apart from the perioperative period, delayed sternal closure carries the risk of severe postoperative complications. Postoperative care is a difficult challenge faced by intensiv-ists in the intensive care unit (ICU) and requires good cooperation with the various units involved. We report a case of delayed sternal closure during coronary heart bypass surgery in a 59-year-old woman who had intraoperative problems and failed intra-aortic balloon pump (IABP) insertion. The patient was treated for 18 days in the ICU and 5 days in the intermediate ward before discharge from the hospital.

Original languageEnglish
Pages (from-to)103-108
Number of pages6
JournalCritical Care and Shock
Issue number2
Publication statusPublished - Apr 2022


  • coronary artery bypass grafting
  • Delayed sternal closure
  • postoperative complications


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