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J Card Surg. 2011 Nov;26(6):618-20. doi: 10.1111/j.1540-8191.2011.01320.x. Epub 2011 Sep 19.

Aortic valve replacement in a patient with severe nickel allergy.

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  • 1University Campus Bio-Medico of Rome, CIR-Area of Cardiovascular Surgery, Rome, Italy. m.lusini@unicampus.it


Nickel allergy can raise clinical problems in patients undergoing cardiac surgery who require sternal closure with stainless steel wire. We describe the case of a 51-year-old woman with severe nickel allergy who underwent aortic valve replacement with a nickel-free ON-X prosthesis and sternal closure by Fiberwire # 2 suture without complications. Considering its biocompatibility and its mechanical characteristics including optimal strength and knot resistance, this suture might be a viable alternative in patients in which the use of stainless steel wire is contraindicated.

© 2011 Wiley Periodicals, Inc.

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