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Sternal incision dehiscence

Imaging findings

Serial post-operative chest radiographs show progressive rightward displacement and malalignment of the sternal wires with an appearing gap, representing mechanical dehiscence of the sternum with wires pulling out of the left sternal half.

Key takeaways

Sternal dehiscence is a serious complication post-sternotomy. Early radiographic signs include subtle malalignment or rotation of intact sternal wires, which precedes frank wire fracture or widening of the sternal gap.

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