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Computed tomography dataset virtual dissection for sternal re-entry in congenital cardiac surgery.
Indian J Thorac Cardiovasc Surg
February 2025
Department of Paediatric and Congenital Heart Surgery, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Rao Saheb, Achutrao Patwardhan Marg, Four Bungalows, Andheri West, Mumbai, Maharashtra 400053 India.
Unlabelled: In congenital heart surgery, redo-sternotomies are very common. In most cases, sternal re-entry is achieved without serious complications. However, sometimes elective institution of peripheral cardiopulmonary bypass is needed for safe sternotomy, albeit with a long cardio-pulmonary bypass time.
View Article and Find Full Text PDFSimple and safe redo sternotomy technique using the ultrasonic bone scalpel for patients with an embedded calcified conduit.
Multimed Man Cardiothorac Surg
January 2025
Hibino Laboratory, University of Chicago Medicine, Chicago, IL, USA.
With the increase of patients with adult congenital heart disease, the number of high-risk multiple redo sternotomies is increasing. Calcified conduit embedded in the sternum or large vessels attached to the sternum presents an especially challenging case. This video tutorial presents a simple safe redo sternotomy technique using an ultrasonic bone scalpel in such high-risk patients.
View Article and Find Full Text PDFComplication Rate of the Nuss Procedure in Adults and Pediatric Patients: National Database Analysis.
Ann Thorac Surg Short Rep
September 2024
Division of Esophageal and Thoracic Surgery, Thomas Jefferson University Hospital, Philadelphia, Philadelphia.
Background: Pectus excavatum (PE) is the most common congenital chest wall defect and is characterized by the inward displacement of the sternum and costal cartilages. To date, there are limited data on adult patients undergoing the Nuss procedure for PE. This study aimed to assess the complication rate between the pediatric and adult populations and assess the trends in demographics.
View Article and Find Full Text PDFRisk Factors for Surgical Site Infection After Cardiac Surgery in Neonates: A Case-Control Study.
J Clin Med
December 2024
Department of Surgical Diseases of Children, Saint-Petersburg State Pediatric Medical University, 194100 Saint Petersburg, Russia.
This study was undertaken to determine the incidence and risk factors associated with the development of sternal wound infection in neonates after surgery for congenital heart disease. A case-control study was conducted to examine the influence of perioperative risk factors on the development of sternal infection. In total, 253 neonates with CHD underwent a complete median sternotomy.
View Article and Find Full Text PDFEvaluation of Thoracic Morphological Changes Using Chest CT in Patients with Congenital Pectus Carinatum Treated by the Modified Abramson Technique.
Mater Sociomed
January 2024
epartment of Surgery, Hanoi Medical University, Hanoi, Vietnam.
Background: The Pectus carinatum is an outward protrusion deformity of the sternum and adjacent costal cartilages. It is the second most common congenital deformity of the anterior chest wall, commonly occuring in adolescents.
Objective: The aim of this study was to evaluate thoracic morphological changes using computed tomography (CT) imaging in patients with pectus carinatum treated via the modified Abramson technique at Viet Duc University Hospital from 2020 to 2023.
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