Catastrophic Hemorrhage during Redo Sternotomy

Dobell, Anthony R.C.; Jain, Ankit

doi:10.1016/s0003-4975(10)60728-x

Cited by 178 publications

(68 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reported rates of damage to the conduit in the reoperation range between 5% and 40%. [5][6][7][8][9][10][11] Damage to the LITA at reoperation is associated with perioperative mortality rates ranging from 9% to 50%. [5][6][7][8][9][10][11] Gillinov and colleagues reported a 5.3% prevalence of damage to ITA grafts, associated with mortality rates of up to 50%.…”

Section: Discussionmentioning

confidence: 99%

Cardiac and Aortic Reoperation for Patients withFunctional Grafts after CABG

Yamashiro

Kuniyoshi

Kise

et al. 2011

Annals of Vascular Diseases

View full text Add to dashboard Cite

Objective: Late cardiac and aortic reoperation after CABG is indispensable for patients with atherosclerotic disease, but reoperations are still associated with high morbidity rates. Patients and methods: Between January 2002 and December 2010, 459 patients underwent coronary artery bypass grafting. Six patients (males; mean age, 65.0 ± 5.7 years) with previous arterial bypass grafts (mean, 2.8 ± 1.2 per patient) required reoperation for cardiac and aortic disease (3, valvular disease; 3, acute type I aortic dissection) during long-term follow-up. The mean interval between the initial operation and reoperation was 5.4 ± 2.0 years. Grafts visualized by preoperative enhanced computed tomography were harvested as pedicles and clamped for myocardial protection. The total arch or ascending aorta was replaced in three patients. The aortic valve was replaced in two patients, and the aortic and mitral valves were replaced in one. Results: Durations for surgery, total cardiopulmonary bypass, and cardiac ischemia were 611.5 ± 172.6, 223.2 ± 88.4, and 133.4 ± 58.0 minutes, respectively. Perioperative myocardial infarction did not develop, and all patients recovered uneventfully with no neurological deficits. Conclusion: Bypass grafts should be preoperatively visualized and carefully exposed. Cardiac damage must be avoided during reoperation after coronary artery bypass grafting.

show abstract

Section: Discussionmentioning

confidence: 99%

Cardiac and Aortic Reoperation for Patients withFunctional Grafts after CABG

Yamashiro

Kuniyoshi

Kise

et al. 2011

Annals of Vascular Diseases

View full text Add to dashboard Cite

show abstract

“…These findings may be associated with severe hemorrhage during resternotomy due to injury of the underlying bypass grafts, RV or aorta, and have been reported to occur in 2-6% of cases of resternotomy, with mortality of up to 37%. 31,32 If high-risk features are identified on MDCT, surgical strategies can be employed to minimize the risk of complications, including non-midline incisions, deep hypothermic circulatory arrest, initiation of peripheral cardiopulmonary bypass and extrathoracic vascular exposure before incision. 31,32 These techniques were recently demonstrated to be associated with a very low 30-day mortality of 2.5%.…”

Section: Pre-operative Planning For Re-operative Open Cardiac Surgerymentioning

confidence: 99%

Beyond the Coronary Arteries: Evolving Applications of Multi-detector Cardiac Computed Tomography in the Assessment of Non-coronary Structures

Xu¹,

Seneviratne²,

Nasis³

2016

ICFJ

View full text Add to dashboard Cite

<p>Beyond the assessment of coronary artery anatomy, multi-detector computed tomography (MDCT) can be used to provide detailed structural evaluation of multiple non-coronary structures. The purpose of this review is to provide a clinical update on the evolving niche applications of MDCT in the assessment of non-coronary structures, including the assessment of the left ventricle for perfusion and scar, the evaluation of the right ventricle, pericardium and coronary anomalies. Additionally, the roles of MDCT in the assessment of congenital heart disease and intra-cardiac masses will be reviewed.</p>

show abstract

“…Most of the patients with congenital heart defects require re-surgery and in these cases, re-surgery risk is observed clearly [1][2][3] pericardial adhesion and mediastinal can cause damage to right ventricle, Aorta, right atrium and any aortocoronary bypass graft 4 .…”

Section: Introductionmentioning

confidence: 99%

Surgical application of fascia lata as a pericardial substitute in rabbits

Abedi

Shahzamani²,

Shahzamani³

et al. 2012

Acta Cir. Bras.

View full text Add to dashboard Cite

PURPOSE:To use fascia lata instead of pericardium and observe the presence of adhesions. METHODS:Twenty rabbits were divided into two group of ten. In group A, a 1×1 cm segment of pericardium was excised and resutured. In group B excised pericardium was substituted for autologous fascia lata. RESULTS:In the comparison of microscopic adhesion rate between two groups A, B after eight weeks, there was no significant statistical difference. CONCLUSION:Fascia lata is safe and it can be substituted for pericardium especially in repeat sternotomy in repairing congenital heart defects to avoid heart injury.

show abstract

Catastrophic Hemorrhage during Redo Sternotomy

Cited by 178 publications

References 5 publications

Cardiac and Aortic Reoperation for Patients withFunctional Grafts after CABG

Cardiac and Aortic Reoperation for Patients withFunctional Grafts after CABG

Beyond the Coronary Arteries: Evolving Applications of Multi-detector Cardiac Computed Tomography in the Assessment of Non-coronary Structures

Surgical application of fascia lata as a pericardial substitute in rabbits

Contact Info

Product

Resources

About