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Abstract
Robicsek's technique is a surgical methodology mainly used for sternal dehiscence,
stabilization of the chest wall, and maintaining respiratory dynamics. Returning to
an infected and anatomically altered scenario after cardiac surgery fosters a high risk
of rupture, tears of previous repairs, and vascular bypasses. Classically, the dense
adhesion of the left internal mammary artery to the posterior plate of the sternum
makes the dissection of half of the fractured and dehisced sternum a prone situation
for transection avulsion of the artery conduit, requiring ligating the most critical
bypass to the heart. Our proposal brings a solid and safe surgical alternative to avoid
dealing with the dangerous situation of dissecting the posterior sternum to perform
Robicsek's procedure.
References
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