Use of moldable titanium bars and rib clips for total sternal replacement: A new composite technique

echocardiography revealed no paradoxical motion of the interventricular septum and a left ventricular ejection fraction of 47%. Cardiac magnetic resonance imaging revealed a left ventricular ejection fraction of 35.8% and left ventricular end-diastolic volume of 124.6 mL (Figure 2). There was no arrhythmia on 24-hour Holter monitor. Eight months after the operation, the patient was in New York Heart Association functional class I with digoxin and angiotensin-converting inhibitor medication. Measured values by echocardiography and cardiac magnetic resonance imaging are shown in Table 1.