Cardiac Compression due to Closure of the Median Sternotomy in Open Heart Surgery

CHEST Journal ◽  
1975 ◽  
Vol 67 (1) ◽  
pp. 113-114 ◽  
Author(s):  
Mohammad Riahi ◽  
Luis A. Tomatis ◽  
Ralph J. Schlosser ◽  
Enrique Bertolozzi ◽  
Daniel W. Johnston
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Cardiac Compression

Partial Pericardiectomy to Prevent Cardiac Compression in Open-Heart Surgery

1986 ◽  
Vol 41 (5) ◽  
pp. 581-583 ◽  
Author(s):  
Pino Fundaró ◽  
Edoardo Santoli ◽  
Francesco Scribani Rossi ◽  
Mario Botta ◽  
Carmine Santoli
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Cardiac Compression

scholarly journals Use of a force measuring walker to optimize recovery after median sternotomy

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
A Lapier ◽  
K Cleary
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Functional Mobility ◽  
Emg Activity ◽  
Vertical Force ◽  
Open Heart ◽  
Design Elements ◽  
Feedback Training ◽  
Older Subjects

Abstract Funding Acknowledgements Type of funding sources: None. BACKGROUND Patients often need to use their arms to assist with functional activities, but after open-heart surgery, pushing with the arms is often limited to <10 lb (4.5 kg), to minimize force across the healing sternum. Restricting arm use often limits patient functional independence which can contribute to longer hospital stays and greater need for care after hospitalization. Therefore, appropriate arm use is important for return to function. Currently, no method exists to measure patient upper extremity weight bearing (UEWB) forces objectively in clinical settings. The ultimate goal was to develop a walker that provides UEWB force feedback to patients recovering from median sternotomy. This research project included three interrelated parts that sequentially built on each other. PART 1 First, I conducted a secondary data analysis comparing UEWB force and Pectoralis Major Muscle EMG during functional mobility in younger vs. older subjects (n = 65). Results showed that the mean arm force was >10 lb before feedback training during all functional mobility tasks for both groups. There were significant differences in UEWB force and EMG between groups (young vs. old) and trials (pre- vs. post-feedback training). There was significantly greater improvement (change) in the UEWB force in the older than younger subjects. We also found a significantly greater reduction in EMG activity in the older subjects than younger subjects for all tasks except during stand-to-sit. Results suggested that patients, particularly older ones, may not accurately estimate UEWB force <10 lb, and feedback training is effective for improving accuracy. This established proof-of-concept, the need for a Clinical Force Measuring (CFM) walker, and the efficacy of its use with feedback training. PART 2 Next, I completed a qualitative study to obtain critiques of a CFM walker prototype from rehabilitation professionals through structured interviews that were recorded and transcribed. I coded key statements and phrases that allowed "themes" to emerge (Table 1), which guided device revisions. PART 3 Lastly, I fabricated and tested a second CFM Walker prototype (Figure 1) based on key design elements including: 1) integrated vertical force measuring capability, 2) ergonomic handles, 3) simple visual and auditory feedback with upper limit alarms, 4) streamline, stable, and manoeuvrable frame, 5) lightweight construction, 6) minimal drag, 7) adjustable height, 8) ability to disinfect, and 9) affordable cost. CONCLUSIONS The CFM Walker could help patients recover safer and faster from open heart surgery, especially elderly adults.

Aorto-Innominate Vein Fistula: A Rare Complication following Open-Heart Surgery

1996 ◽  
Vol 4 (1) ◽  
pp. 54-56
Author(s):  
Lokeswara Rao Sajja ◽  
Satyanarayana Rao Pinnamaneni ◽  
Madhusudan Kandukuri Narasimha ◽  
Chinna Reddy Naresh Kumar Reddy ◽  
Benjavani Sita Ram Reddy
Keyword(s):  
Cardiopulmonary Bypass ◽  
Heart Surgery ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Innominate Vein ◽  
Moderate Hypothermia ◽  
Open Heart

A case of aorto-innominate vein fistula following open-heart surgery is reported. This was successfully repaired through a redo median sternotomy using partial cardiopulmonary bypass and moderate hypothermia.

scholarly journals Continuous Incisional Lidocaine in Pediatric Patients following Open Heart Surgery

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Sarah Nicole Fernández ◽  
Blanca Toledo ◽  
Jesús Cebrián ◽  
Ramón Pérez-Caballero ◽  
Jesús López-Herce ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Pediatric Patients ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Control Group ◽  
Blood Levels ◽  
Open Heart ◽  
Historical Cohort ◽  
Level Of Consciousness ◽  
Drug Doses

Continuous incisional lidocaine infusion has been proposed as an adjunctive therapy in the management of postoperative pain in adult patients. The aim of this study was to determine the efficacy and safety of a continuous subcutaneous lidocaine infusion in pediatric patients following open heart surgery. All patients receiving a subcutaneous lidocaine infusion in median sternotomy incisions after open heart surgery during 2 consecutive years were included in the study. A historical cohort of patients was used as a control group. Demographic variables (age, size, and surgical procedure), variables related to sedation and analgesia (COMFORT and analgesia scales, drug doses, and duration), and complications were registered. 106 patients in the lidocaine infusion group and 79 patients in the control group were included. Incisional analgesia was effective for the treatment of pain as it reduced the dose and duration of intravenous fentanyl (odds ratio (OR) 6.26, confidence interval (CI) 95%: 2.48-15.97, p = 0.001 ; OR 4.30, CI 95%: 2.09-8.84, p = 0.001 , respectively). The reduction in fentanyl use was more important in children over two years of age. Adverse effects were seen in three children (2.8%): they all had decreased level of consciousness, and one of them presented seizures as well. Two of these three patients had lidocaine levels over 2 mcg/ml. A continuous lidocaine incisional infusion is effective for the treatment of pain after open heart surgery. This procedure reduced intravenous analgesic drug requirements in pediatric patients undergoing a median sternotomy incision. Although the incidence of secondary effects is low, monitoring of neurologic status and lidocaine blood levels are recommended in all patients.

scholarly journals Open Hart Surgery Experience of a High Volume Center During Pandemic

2021 ◽  
Author(s):  
Kemal Karaarslan ◽  
Ayşe Gül Kunt ◽  
Burçin Abud
Keyword(s):  
Cardiac Disease ◽  
Heart Surgery ◽  
Cardiovascular Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
High Volume ◽  
Healthcare Team ◽  
Open Heart ◽  
High Volume Center ◽  
Cardiac Surgeon

Objective: The aim of the study is to report the results of open heart surgery performed during the pandemic. Methods: One hundred eighty-five symptomatic patients were operated under a median sternotomy with a cardiopulmonary bypass in our pandemic hospital. They were all outpatient and were COVID-negative and strict precautions were taken. Results: 185 patients were referred to cardiovascular surgery for several type of cardiac operation. All patients were symptomatic due to primary cardiac disease. In-hospital mortality rate was seven times higher in those with Covid-19 (22.2%) while the non Covid-19 patients had a rate of (3.4%) (p<0.0001). Conclusion: Cardiac surgery is inevitable in symptomatic patients and can be done even with the risk of transmission and death. The patient, cardiac surgeon, and healthcare team should be aware of the ongoing contamination time.

Correlation of wound pain following open heart surgery (median sternotomy) and sternum misalignment assessed using X-ray computed tomography

2011 ◽  
Vol 9 (03) ◽  
pp. 159-163 ◽  
Author(s):  
Eiji Tamiya ◽  
Masako Asakawa ◽  
Masaaki Shibamoto ◽  
Nobuhiko Ito ◽  
Hiroshi Ikenouchi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
X Ray ◽  
Wound Pain ◽  
X Ray Computed

scholarly journals Management of Deep Median Sternotomy Wound Infection after Open Heart Surgery

2021 ◽  
Vol 85 (1) ◽  
pp. 2734-2740
Author(s):  
Nour El-Din Noaman Gwely ◽  
Sameh Mostafa Amer ◽  
Ahmad Abdel Aleem ElDerie ◽  
Mohamed Mohamed Zaki Zahran
Keyword(s):  
Wound Infection ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart

scholarly journals BREAST IMPLANT RUPTURE AS A COMPLICATION OF HEART SURGERY IN MEDIAN STERNOTOMY

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
G. Nisi ◽  
M. Campana ◽  
L. Grimaldi ◽  
C. Brandi ◽  
R. Cuomo ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Heart Surgery ◽  
Breast Implant ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

The authors report a case of a woman who underwent heart surgery in median sternotomy after breast reconstruction using prosthesis in 1984. After this open heart surgery in 2008, she developed an injury at right breast implant with intra and extra capsular silicone gel spread out the prosthesis.

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