2014
DOI: 10.1055/s-0034-1390154 View full text |Buy / Rent full text
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Abstract: This study suggests that re-exploration after cardiac surgery is associated with increased mortality and morbidity. Patients with delayed re-exploration and suffering from cardiac tamponade have adverse outcome.

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“…10,11 Previous studies have reported higher rates of mortality in patients who require re-explorative surgery after heart surgery due to bleeding or tamponade. 12 However, Haneya et al 13 observed differential rates based on the timing of re-exploration, with a mortality of 3.6% vs 31.4% among patients undergoing reoperation within the first 12 hours or after, respectively (P = .003). As these findings suggest, early diagnosis and intervention may be life-saving in postoperative tamponade.…”
Section: Resultsmentioning
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“…10,11 Previous studies have reported higher rates of mortality in patients who require re-explorative surgery after heart surgery due to bleeding or tamponade. 12 However, Haneya et al 13 observed differential rates based on the timing of re-exploration, with a mortality of 3.6% vs 31.4% among patients undergoing reoperation within the first 12 hours or after, respectively (P = .003). As these findings suggest, early diagnosis and intervention may be life-saving in postoperative tamponade.…”
Section: Resultsmentioning
“…Surgical re-exploration bleeding or suspected or acute cardiac tamponade is associated with increased mortality and morbidity ( Haneya et al, 2015 ) and is still needed in 2–6% of patients ( Karthik et al, 2004; Biancari et al, 2012 ). As well as its effect on blood loss, CPPF may have an important impact on the prevention of acute cardiac tamponade, which was not seen in the CPPF group.…”
Section: Discussionmentioning
“…Kalp cerrahisi sonrası gelişen kardiyak tamponad, dolaşım fonksiyonlarını bozabilir. Tamponad sonrası hastanın reeksplorasyonu ve yüksek miktarda kan transfüzyonunun da ABH sıklığını arttırdığı bilinmektedir [57] . Postoperatif uygulanan nefrotoksik ilaçlar da böbrek hasarı için risk oluşturur [58] .…”
Section: Hemodilüsyonunclassified