Authors: Takashi Miura Kazuyoshi Tanigawa Seiji Matsukuma Ichiro Matsumaru Kazuki Hisatomi Shiro Hazama Akira Tsuneto Kiyoyuki Eishi
Publish Date: 2016/03/11
Volume: 64, Issue: 6, Pages: 315-324
Abstract
Between October 2009 and May 2015 eighteen patients underwent a right thoracotomy R group and 28 underwent resternotomy reS group The right thoracotomy was prioritized for previous coronary artery bypass grafting Followup was 100 complete with a mean followup of 19 ± 15 years for the R group and 25 ± 14 years for the reS group p = 02137Hypothermic ventricular fibrillation was applied in 333 in the R group and in 71 in the reS group p = 00424 Hospital mortality the median intensive care unit stay and the median postoperative hospital stay were 0 versus 71 p = 05130 3 days versus 2 days p = 02370 and 28 days versus 295 days p = 08043 for the R group versus the reS group respectively Although the rate of major complications was comparable R group 333 versus reS group 250 p = 05401 those contents were not equal Deep sternum infection developed only in the reS group 36 and reoperation for bleeding was required only in the R group 111 No significant difference was observed in the 2year cardiacrelated mortalityfree rate R group 933 ± 64 versus reS group 908 ± 64 p = 07516Given study limitations the right thoracotomy approach after previous sternotomy provided favorable outcomes as well as resternotomy When selecting a right thoracotomy for redo mitral and/or tricuspid surgery the surgical strategy needs to be thoroughly planned
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