Why the study?
Does direct vision resternotomy prevent major cardiac injury in patients undergoing redo cardiac surgery?
Does direct vision resternotomy prevent major cardiac injury in patients undergoing redo cardiac surgery?
Direct vision resternotomy appears to be a highly safe technique for sternal reentry during redo cardiac surgery, avoiding major cardiac injury.
Supports safety of direct vision resternotomy in redo surgery; leaves open need for randomized comparison to standard techniques.
The technique of direct vision resternotomy has been associated with zero moderate or major cardiac injury/catastrophic hemorrhage at reoperation. Few patients have required groin cannulation. In the postoperative period, there was acceptable blood loss, transfusion rates, reduced morbidity, and moderate low mortality for this potentially high risk group.
No takes yet. Share an insight, caveat, or question.
O’Brien et al. (2008) studied this question.
Synapse has enriched 5 related papers. Consider them for comparative context: