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At least 793 records · Page 44Linked to original sources
PubMed1988

The fate of sternotomy scars in children.

The scars from sternal split incisions were examined and rated in 101 consecutive children attending a cardiology clinic at least 1 year after surgery. Each scar was rated as excellent, good, acceptable, or poor. Factors that may correlate with scar quality were analyzed. This analysis showed that poor scars were most likely to have been closed with intracuticular polyglycolic acid suture; males were more likely to have better scars than females; the younger the child at operation, the better was the scar result; and only 18 of the 69 scars that were hypertrophic 1 year postoperatively remained so after a mean of 5.5 years.

Adolescent↗
PubMed2006

Off-pump coronary artery bypass grafting through sternotomy: for whom?

PURPOSE OF REVIEW: Off-pump coronary artery bypass grafting hopes to avoid morbidity associated with cardiopulmonary bypass, improving clinical outcomes. Yet its technical difficulty and unfamiliarity raise concern that adoption of off-pump coronary artery bypass might be associated with poorer outcomes. Both surgeon-specific and patient-related factors are believed to play roles in the success of off-pump coronary artery bypass. This review sought to elucidate these factors. RECENT FINDINGS: Current prospective data suggest that both techniques have similar rates of mortality but off-pump coronary artery bypass does provide patients with a lower morbidity. Multiple prospective studies suggest a decrease in stroke rates for off-pump coronary artery bypass grafting. There is a consensus that certain patients will have better outcomes if done off-pump. Surgeon experience with the procedure does impact patient outcome. SUMMARY: Though every patient must be dealt with on an individual basis, it would appear that almost any patient is a candidate for off-pump coronary artery bypass and that, given time and an appropriate desire, most any surgeon can perform the procedure.

Clinical Competence↗
PubMed1990

Sternotomy after muscle flap repair of sternal osteomyelitis and mediastinitis.

A 61-year-old man who had undergone aortocoronary bypass developed sternal osteomyelitis and mediastinitis which required sternal debridement and muscle flap interposition. Two years later the midline incision was used for an orthotopic heart transplantation. No major technical difficulties were encountered at the time of transplantation.

Coronary Artery Bypass↗
PubMed1994

Technique for reoperative median sternotomy in the presence of a patent left internal mammary artery graft.

Damage to a patent left internal mammary artery (IMA) graft during reoperation can be catastrophic. An organized approach to reenter the mediastinum in the presence of a functioning left IMA graft is described. The sternum is opened using an oscillating saw to carefully divide the anterior and posterior tables. The right side is then dissected out first, exposing the aorta and right atrium. After placing pursestring sutures for cannulation, attention is turned to the left side. An IMA retractor is used to elevated the left edge of the sternum in incremental stages. The dissection is begun at the inferior end of the sternum, exposing the distal anastomosis first and then dissecting superiorly anterior to the IMA. A Doppler flow detector probe is used to assist in locating the artery in the adhesions.

Coronary Artery Bypass↗