Surgical considerations in patients undergoing repeat median sternotomy

Q. Macmanus, J. E. Okies, S. J. Phillips, A. Starr

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. Eighty one patients had one repeat sternotomy, 16 had two repeat sternotomies and 3 had three repeat sternotomies. All had valve procedures in the past and were reoperated upon for progressive rheumatic valvular disease or for complications related to the prostheses. Complications included operative hemorrhage in 8 patients, postoperative hemorrhage in 2, seroma in 4 and dehiscence, wound infection and hematoma in 1 patient each. The most serious complication was hemorrhage and was the cause of the only operative death. Seven other patients survived hemorrhage encountered during repeat sternotomy. Control of massive hemorrhage during repeat sternotomy has been possible due to an organized approach to the patient with adhesions from previous surgery.

Original languageEnglish (US)
Pages (from-to)138-143
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume69
Issue number1
DOIs
StatePublished - 1975

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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