How To Do Safe Sternal Reentry and the Risk Factors of Redo Cardiac Surgery: A 21-Year Review with Zero Major Cardiac Injury

Structured PICO

Does direct vision resternotomy prevent major cardiac injury in patients undergoing redo cardiac surgery?

Population

Patients undergoing redo cardiac surgery

Intervention

Direct vision resternotomy

Outcome

Moderate or major cardiac injury/catastrophic hemorrhage at reoperationsafety

Direct vision resternotomy appears to be a highly safe technique for sternal reentry during redo cardiac surgery, avoiding major cardiac injury.

Abstract

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.

Mark Helpful

Bookmark

Relay