Avtor/Urednik     Cohn, W; Gregorič, ID; Frazier, OH
Naslov     Staged reoperation: a novel strategy for high-risk patients
Tip     članek
Vir     Ann Thorac Surg
Vol. in št.     Letnik 83, št. 4
Leto izdaje     2007
Obseg     str. 1558-9
Jezik     eng
Abstrakt     A staged reoperative approach may be advantageous in improving surgical outcomes in patients who require multiple reoperations. Patients undergo redo sternotomy and mediastinal dissection only to the extent necessary to perform the indicated procedure. After chest tubes are placed and the sternum and soft tissues are temporarily closed, patients are taken to the postoperative intensive care unit until normothermia is achieved, clotting studies are within normal limits, and chest tube output is nominal. Patients are subsequently returned to the operating room for heparinization, cannulation, and initiation of cardiopulmonary bypass to perform the indicated procedure.
Deskriptorji     BIOPROSTHESIS
ECHOCARDIOGRAPHY, DOPPLER
FOLLOW-UP STUDIES
MITRAL VALVE INSUFFICIENCY
PROSTHESIS FAILURE
PROSTHESIS-RELATED INFECTIONS
REOPERATION
RISK ASSESSMENT
STERNUM
THORACOTOMY
TIME FACTORS
TREATMENT OUTCOME
WOUND HEALING