Why the study?
Does thoracic CT scanning prior to redo coronary surgery facilitate reopening of the sternum and avoid preventive femoral vessel exposure?
Does thoracic CT scanning prior to redo coronary surgery facilitate reopening of the sternum and avoid preventive femoral vessel exposure?
Preoperative thoracic CT in redo coronary surgery can map retrosternal anatomy, potentially preventing the need for femoral vessel exposure or lateral thoracotomy.
May support CT-guided planning in redo sternotomy; leaves open prospective confirmation of reduced exposures.
Thoracic CT scanning prior to redo coronary surgery allows for detailed assessment of retrosternal relations and facilitates reopening of the sternum. Preventive femoral vessel exposure and lateral thoracotomies may be avoidable in many cases.
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Cremer et al. (1998) studied this question.
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