Publications by authors named "Hannah L Mcmullen"
Primary delayed sternal closure in adult cardiac surgery: a systematic review of protocols.
J Cardiovasc Surg (Torino)
October 2024
Introduction: Primary delayed sternal closure (DSC) is a useful tool in the management of certain critically unstable patients after cardiac surgery, but there is a paucity of consensus management guidelines. This review aimed to identify critical key areas in DSC management.
Evidence Acquisition: Systematic literature search was conducted in January 2023 and performed using Embase and PubMed.
Article Synopsis
- Left ventricular outflow tract obstruction (LVOTO) is a common complication after correcting interrupted aortic arch with a ventricular septal defect (IAA-VSD), making it critical to identify at-risk patients for future interventions.
- A study reviewing patients from 2006-2021 showed that 23% required reoperations for LVOTO, with key factors being smaller LVOT diameter and higher velocity measurements at discharge.
- Despite no significant differences in clinical or surgical variables, the findings indicate that smaller preoperative LVOT measurements may predict the need for subsequent LVOTO interventions.
Background: Little is known about the chance of patients not experiencing complications (uneventful recovery) after aortic root replacement for aortic aneurysm. The aim of this study was to investigate the probability of uneventful recovery, identify its predictors, and address the association between the uneventful recovery and long-term survival.
Methods: Patients with aortic aneurysm who underwent elective aortic root replacement between 2005 and 2018 were retrospectively reviewed (N = 676).