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Delayed Sternal Closure vs Emergency Sternal Reopening in Adults With Congenital Heart Disease.
Ann Thorac Surg
October 2024
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Article Synopsis
- Limited data on the outcomes of delayed sternal closure (DSC) in adults with congenital heart disease have been gathered from a review of 159 patients over 30 years.
- Among the 112 patients undergoing DSC, those closed within 4 days had lower early mortality (6.8%) compared to those closed after 4 days (32%), and higher ages and specific medical conditions were linked to worse outcomes.
- Despite the risks, hospital survivors showed no significant difference in late survival between those with brief DSC (≤4 days) and prolonged DSC (>4 days), indicating that a shorter DSC duration may lead to better initial outcomes.
Sternal closure with sandwiched three-piece bioresorbable mesh reduces postoperative hemorrhage: a retrospective study.
J Cardiothorac Surg
November 2023
Department of Cardiovascular Surgery, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Background: Median sternotomy is the most performed procedure in cardiac surgery; however, sternal displacement and bleeding remains a problem. This study aimed to investigate whether sternal reconstruction using a sandwiched three-piece bioresorbable mesh plate can prevent postoperative sternal displacement and bleeding more than a bioresorbable pin.
Methods: Patients (n = 218) who underwent median sternotomy were classified according to whether a sandwiched three-piece bioresorbable mesh plate and wire cerclage (group M, n = 109) or a bioresorbable pin and wire cerclage (group P, n = 109) were used during sternal reconstruction.
Bilateral versus single internal mammary artery in diabetic patients: systematic review and meta-analysis.
Asian Cardiovasc Thorac Ann
November 2023
King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Objectives: Data on bilateral internal mammary artery (BIMA) versus single internal mammary artery (SIMA) on diabetics were analyzed; This is the only meta-analysis, the last 7 years.
Methods: Medline through PubMed/EMBASE/CINHAL and the Cochrane Central Register of Controlled Trials; 179 articles were studied; 19 studies deemed suitable and were included in the analysis.
Results: The mortality was 2.
The association of hyperhomocysteinemia with acute post-operative complications following coronary artery bypass grafting.
Asian Cardiovasc Thorac Ann
March 2023
Department of Cardiovascular and Thoracic Surgery, 80375Government Medical College Hospital Kottayam, Kottayam, India.
Background: Hyperhomocysteinemia is associated with an increased risk for cardiovascular diseases. The influence of hyperhomocysteinemia on post-operative events, after coronary artery bypass surgery graft, is less studied.
Methods: This cross-sectional study aimed to determine if hyperhomocysteinemia was associated with post-operative complications in patients < 50 years who underwent off-pump coronary artery bypass graft for coronary artery disease.
Safety and Efficacy of the Transaxillary Access for Minimally Invasive Aortic Valve Surgery.
Medicina (Kaunas)
January 2023
Center for Minimally Invasive Cardiac Surgery, University Heart Center Dresden, 01307 Dresden, Germany.
Background and Objectives: Transaxillary access is one of the latest innovations for minimally invasive aortic valve replacement (MICS-AVR). This study compares clinical performance in a large transaxillary MICS-AVR group to a propensity-matched sternotomy control group. Materials and Methods: This study enrolled 908 patients undergoing isolated AVR with a mean age of 69.
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