Document Detail


Evolution of redo cardiac surgery: review of personal experience.
MedLine Citation:
PMID:  15245461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This presentation summarizes the author's personal observations on the major advances in reoperative cardiac surgery. They include earlier referral for cardiac prosthetic and bioprosthetic cardiac valve dysfunction, alternative incisional approaches to minimize injury to adherent cardiac structures, alternative perfusion sites, improved hemostasis on cardiopulmonary bypass, improved myocardial protection, tailoring the valve prosthesis to the patients' anatomy and clinical situation, "no-touch" technique in reoperative coronary artery surgery, and increasing use of hypothermic circulatory arrest for recurrent ascending arch and descending thoracic pathology. Each of these is explained in detail with the appropriate references and retrospective data collections where appropriate. This risk of reoperative cardiac surgery will continue to improve as these and additional techniques continue to evolve and become simplified. Further investigation into the clinical uses of minimally invasive techniques including robot technology, may eventually reduce morbidity and mortality of reoperations to that equal to primary operations.
Authors:
Lawrence H Cohn
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  19     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-07-12     Completed Date:  2004-11-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  320-4     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. lcohn@partners.org
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve / surgery*
Cardiopulmonary Bypass / methods
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation / methods*
Humans
Mitral Valve / surgery*
Reoperation / methods
Surgical Procedures, Minimally Invasive
Thoracotomy / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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