scholarly journals Sternal reconstruction and omentoplasty after mediastinitis

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 618-622
Author(s):  
Hristo Stoev
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Titanium Plate ◽  
Postoperative Result ◽  
Paradoxical Movement ◽  
Uncontrolled Diabetes ◽  
Initial Procedure ◽  
Sternal Reconstruction ◽  
One Year ◽  
Surgery Department

Deep sternal infections are serious complications after open heart surgery. We present a case of a 59-year-old female with uncontrolled diabetes who underwent aortocoronary bypass surgery in another cardiac surgery department. After the surgical intervention sternal dehiscence and wound infection occurred, which was followed by two unsuccessful attempts for sternal refixation. Two months after the initial procedure the patient was admitted to our institution with severe dyspnea and paradoxical movement of the thorax. Computed tomography revealed a huge defect of the sternum and metal osteosynthesis with a titanium plate and omentoplasty was performed. The patient was followed-up for one year with excellent postoperative result.

scholarly journals The Management of Infants for Cardiac Surgery under Deep Hypothermia

1972 ◽  
Vol 1 (2) ◽  
pp. 137-140 ◽  
Author(s):  
T. C. K. Brown ◽  
C. P. Clarke ◽  
E. A. Shanahan ◽  
B. D. McKie ◽  
H. M. Wood ◽  
...  
Keyword(s):  
Oxygen Supply ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Deep Hypothermia ◽  
Operating Conditions ◽  
Temperature Gradients ◽  
Cerebral Oxygen ◽  
Physiological Effects ◽  
Surface Cooling ◽  
One Year

Deep hypothermia is now employed for open heart surgery in infants. The method of surface cooling infants to 25° C and then by-pass cooling down to 15–20° C prior to exsanguination is described. This provides a still heart and ideal operating conditions. The infants are re-warmed on by-pass. Some of the physiological effects of hypothermia and the methods employed to counteract these are discussed. The aims are to reduce temperature gradients, improve cerebral oxygen supply, avoid arrhythmias and secure haemostasis. The experience in 33 operations is outlined. Seventeen patients were under one year of age.

scholarly journals Successful Conservative Treatment of Chylopericardium after Open-Heart Surgery: A Case Report

2020 ◽  
Author(s):  
Ferhat Borulu ◽  
Bilgehan Erkut
Keyword(s):  
Conservative Treatment ◽  
Heart Surgery ◽  
Pathological Condition ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Coronary Bypass ◽  
Anterior Mediastinum ◽  
Left Ventricular ◽  
Normal Left Ventricular ◽  
Surgery Department

Chylopericardium is a rare complication following cardiac surgery. The incidence of this pathological condition is very low and mainly attributed to lymphatic injuries to the thymus or anterior mediastinum, thoracic duct injuries, or extensive posterior pericardial dissection with the possible interruption of major cardiac lymph channels. A 62-year-old man was admitted to the cardiovascular surgery department for coronary bypass surgery, and the surgical procedure was performed 3 days later. Revision surgery was performed, because of the drainage associated with bleeding. In the post-revision days, the amount of serous drainage increased, and then chylous drainage occurred. After conservative treatment, the drainage of the chylous features decreased and eventually disappeared. The patient was discharged without any problem. At 6 months’ follow-up, the patient was doing well with a normal left ventricular function and without effusion.

Efficacy of Thermoreactive Nitinol Clip Implantation in Reconstruction of Sternal Dehiscence

2012 ◽  
Vol 15 (5) ◽  
pp. 280 ◽  
Author(s):  
Adem Guler ◽  
Ahmet Baris Durukan ◽  
Hasan Alper Gurbuz ◽  
Murat Tavlasoglu ◽  
Mehmet Ali Sahin ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Easy Method ◽  
Sternal Dehiscence ◽  
Medical Centers ◽  
Sternal Reconstruction ◽  
The Mean

<p><b>Background:</b> Sternal dehiscence is a severe complication of open heart surgery. Reinforced wiring, a system of reinforced sternal closure, fixation of a rigid plate, and implantation of thermoreactive nitinol clips (TRC) are some surgical procedures used. The aim of this study was to evaluate the role of TRC for secondary sternal reconstruction.</p><p><b>Methods:</b> Of 1198 patients who underwent their operations via median sternotomy in 2 separate medical centers, sternal dehiscence was observed in 16 patients overall (1.33%). The mean (SD) age of the patients was 64.06 � 9.18 years (range, 40-77 years). Sternal dehiscence was diagnosed in all patients between the fifth and 30th postoperative days.</p><p><b>Results:</b> TRC were implanted in all of the patients who developed sternal dehiscence (16 patients). One patient developed severe respiratory failure, became ventilator dependent, and died from pneumonia on postoperative day 24. The other 15 patients were discharged without complications. Postoperative follow-up of the surviving patients revealed adequate and satisfactory sternal stability.</p><p><b>Conclusion:</b> Implantation of TRC is an effective and easy method for fixing the sternum and can be performed rapidly and securely.</p>

Lifestyle intervention and one-year prognosis of patients following open heart surgery: a randomised clinical trial

2015 ◽  
Vol 24 (11-12) ◽  
pp. 1611-1621 ◽  
Author(s):  
Olga Kadda ◽  
Anastasia Kotanidou ◽  
Athanasios Manginas ◽  
George Stavridis ◽  
Serafim Nanas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Lifestyle Intervention ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Randomised Clinical Trial ◽  
Open Heart ◽  
One Year
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