Dr. Jacobson has done over 2000 sternal reconstructions in his career in Arizona. Dr. Jacobsen were closely with cardiologists and cardiothoracic surgeons in the Valley to help patients who has had heart surgery that required the sternum to be divided during the surgery. Sometimes the sternum becomes infected or this narrow sternal bone breaks or the sternal wires pull through. This can cause infection and open wound that extends down to the hard and can cause pain as the bone sometimes fractures from the wire particularly in patients that cough a great deal. These daunting wounds and sternal disruptions can be repaired. This is often done through a short operation at the Hospital. Dr. Jacobson has a team of physicians and nurses to help care for this difficult problem. This requires very careful management of your antibiotics your activity her pain medications your anticoagulation and her blood sugar. There are frequently multiple medical problems that have to be cared for in patient’s that have this problem. These are just as important to take care of carefully as is the surgery that has to be done carefully. Dr. Jacobsen’s team will happy to help you or your family if you have this problem. Normally patients with this problem are referred to Dr. Jacobsen directly from their heart surgeon. But if you have a problem with sternal pain or chest pain related to a fracture or disruption of the sternum he can call Dr. Jacobsen and he will help you.