Evolution of redo cardiac surgery: review of personal experience

Journal of Cardiac Surgery
Lawrence H Cohn

Abstract

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.

References

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Mar 12, 2003·Journal of the American College of Cardiology·Tomas GudbjartssonLawrence H Cohn

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Citations

Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Augusto D'OnofrioUNKNOWN , on behalf of the I-TA investigators
Jan 1, 2014·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Luca BottaLuigi Martinelli
Jul 11, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Umar Imran HamidAlastair N J Graham
Aug 22, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroshi Furukawa, Kazuo Tanemoto
May 23, 2016·The Annals of Thoracic Surgery·Robert A SorabellaIsaac George
Dec 2, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Jason BartalStanton K Shernan
Aug 28, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Ricardo LopesMaria Júlia Maciel
Jan 25, 2006·Asian Cardiovascular & Thoracic Annals·Nagarajan Muthialu
Oct 7, 2017·Heart·Hunter J MehaffeyGorav Ailawadi
Aug 30, 2017·Journal of Cardiac Surgery·Haytham ElgharablyGösta B Pettersson
Dec 3, 2016·Journal of Cardiothoracic Surgery·Konstantinos V VoudrisArash Salemi
Oct 27, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Nadejda MonsefiFarhad Bakhtiary
Apr 20, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Mattia GlauberAntonio Miceli
Aug 16, 2021·Interactive Cardiovascular and Thoracic Surgery·Nadejda MonsefiFarhad Bakhtiary

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