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January 1, 2013World Journal of Cardiovascular DiseasesOpen Access

3-D multidetector computed tomography provides critical preoperative information that guides surgical strategy and reduces the risk of vital structure injury during reoperative cardiac surgery.

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Why the study?

Does preoperative 3-D MDCTA improve surgical planning and prevent injury to vital structures in patients undergoing reoperative cardiac surgery?

Population

Patients undergoing reoperative cardiac surgery

Comparison

Preoperative evaluation with 3-D multidetector… vs Standard preoperative imaging or no MDCTA

Design

Review

Key result

3-D multidetector computed tomography provides critical preoperative information that guides surgical strategy and reduces the risk of vital structure injury during reoperative cardiac surgery.

Authors

TKTsuyoshi KanekoMSMicheal SteignerIGIgor Gošev

Discussion

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Member takes

Overview

May support preoperative planning in reoperative cardiac surgery; leaves open need for prospective outcome validation.

Structured PICO

Does preoperative 3-D MDCTA improve surgical planning and prevent injury to vital structures in patients undergoing reoperative cardiac surgery?

P
Population
Patients undergoing reoperative cardiac surgery
I
Intervention
Preoperative evaluation with 3-D multidetector computed tomographic angiography (3-D MDCTA)
C
Comparator
Standard preoperative imaging (chest X-ray and coronary angiography) or no MDCTA
O
Outcome
Frequency of injury to vital structures during sternal reentry and alteration of surgical strategysafety

Preoperative 3-D MDCTA in reoperative cardiac surgery provides critical anatomical information that guides surgical strategy and reduces the risk of catastrophic injury during sternal reentry.

Limitations

  • No randomized prospective study has been performed to prove the role of preoperative MDCTA

Cite This Study

Kaneko et al. (2013) conducted a review in Reoperative cardiac surgery. 3-D multidetector computed tomographic angiography (3-D MDCTA) was evaluated. 3-D multidetector computed tomography provides critical preoperative information that guides surgical strategy and reduces the risk of vital structure injury during reoperative cardiac surgery.

synapsesocial.com/papers/6a9b2001bf6daa7605d3a1d3https://doi.org/10.4236/wjcd.2013.35060
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Three dimensional computed tomographic imaging in planning the surgical approach for redo cardiac surgery after coronary revascularization2005 · 89 citations
  2. 2Role of computed tomography in tailoring reoperative procedures and changing trends in reoperative cardiac surgery2014 · 1 citations
  3. 3Does preoperative computed tomography reduce the risks associated with re-do cardiac surgery?2009 · 37 citations
  4. 4Evolution of Three-Dimensional Computed Tomography Imaging in Thoracic Surgery2024 · 18 citations
  5. 5Clinical utility of multi‐detector cardiac computed tomography in structural heart interventions2016 · 7 citations