scholarly journals Management of refractory Mycobacterium abscessus sternal infection following reoperative cardiac surgery

2021 ◽  
Author(s):  
Brandon M. Wojcik ◽  
John D. Mitchell ◽  
Tae Chong ◽  
Jessica Y. Rove
Keyword(s):  
Cardiac Surgery ◽  
Mycobacterium Abscessus ◽  
Sternal Infection ◽  
Reoperative Cardiac Surgery

Room B, 10/17/2000 2: 00 PM - 4: 00 PM (PS) Aprotinin Vs Epsilon Amino Caproic Acid (EACA) in Reoperative Cardiac Surgery 

2000 ◽  
Vol 93 (3A) ◽  
pp. A-194
Author(s):  
J. M. Marquez ◽  
E. K. Heres ◽  
B. Ben-David ◽  
W. Gil ◽  
G. P. Gravlee
Keyword(s):  
Cardiac Surgery ◽  
Caproic Acid ◽  
Reoperative Cardiac Surgery

scholarly journals 3-D multidetector computed tomography in reoperative cardiac surgery

2013 ◽  
Vol 03 (05) ◽  
pp. 389-393
Author(s):  
Tsuyoshi Kaneko ◽  
Micheal L. Steigner ◽  
Igor Gosev ◽  
Sary F. Aranki
Keyword(s):  
Computed Tomography ◽  
Cardiac Surgery ◽  
Multidetector Computed Tomography ◽  
Reoperative Cardiac Surgery

scholarly journals Impact of some intraoperative factors on wound infection in cardiac surgery

2021 ◽  
Vol 20 (1) ◽  
pp. 36-43
Author(s):  
A. V. Stepin
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Wound Infection ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Wound Infections ◽  
Open Heart ◽  
Postoperative Wound ◽  
Sternal Infection ◽  
Mammary Arteries

Relevanc. Surgical Site Infection (SSI) after open heart surgery is a significant problem in clinical, social, and economic aspect which causes the need to identification of the preferred procedures for successful prevention of the SSI.Objectives. To determine risk of the SSI in cardiac surgery depending on complexity of intervention, using of cardiopulmonary bypass (CBP) and use of both internal mammary arteries (IMA).Methods. Prospective observations study from 2010 to 2019 in cardiac surgery department of the Ural Institute of Cardiology, where in total 4993 open heart surgery procedures were consecutively performed. All SSI cases were recorded up to 90 days after surgery. The analysis was performed to identify risk of cardiopulmonary bypass (CPB), bilateral IMA grafting and combined procedures on the risk of the postoperative wound infection.Results. During the investigation period, total 220 cases of the SSI (4,5%) have been registered of the 4993 patients undergoing open heart surgery. It included 42 cases of deep sternal infection (0,9%) and 178 cases of superficial infection (3,6%). The main pathogen identified was Staphylococcus epidermidis (56,4%). During the hospital period, 151 cases (66,5%) of SSI have been detected, with the median time to detection of the complication 6 days. The relative mortality risk in deep sternal infection group was 4,4 times higher than in the group without SSI (HR 4,6, 95 % CI 1,5-13,9, p=0,003624). CABG increases the relative risk of SSI in compare with non-CABG procedures (OR 3,086169; 95%CI 1,281 – 7,437), while the complexity of the operation (combined versus isolated interventions) does not significantly increase the risk (OR 0.972283; 95% CI: 0.696 - 1.359). The incidence of SSI in the group of in situ BIMA grafting was 8.8%, significantly increasing the likelihood of the SSI in compare to those with SIMA (OR 2.167983, 95% CI 1.463 - 3.212; p =0,000057). CBP significantly increases the risk of postoperative wound infections (OR 1.523890, 95% CI 1.149 - 2.022, p = 0.001742).Conclusions. Refusal of cardiopulmonary bypass, simultaneous procedures and bilateral coronary artery bypass does not allow completely to avoid postoperative wound infections. Nevertheless, the technical features of the preparations and use of grafts, including skeletonization, prevention of coagulation and the preference for sequential composite CABG, can reduce the risk associated with the type of the open heart surgery.

Reoperative Cardiac Surgery Is a Risk Factor for Long-Term Mortality

2020 ◽  
Vol 110 (4) ◽  
pp. 1235-1242 ◽  
Author(s):  
Valentino Bianco ◽  
Arman Kilic ◽  
Thomas G. Gleason ◽  
Edgar Aranda-Michel ◽  
Andreas Habertheuer ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Risk Factor ◽  
Reoperative Cardiac Surgery ◽  
Long Term Mortality

Impact of Surgical Experience on Operative Mortality After Reoperative Cardiac Surgery

2020 ◽  
Vol 110 (6) ◽  
pp. 1909-1916 ◽  
Author(s):  
Marc R. Moon ◽  
Matthew C. Henn ◽  
Hersh S. Maniar ◽  
Michael K. Pasque ◽  
Spencer J. Melby ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Operative Mortality ◽  
Surgical Experience ◽  
Reoperative Cardiac Surgery
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