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The Annals of Thoracic Surgery, Vol 37, 273-278, Copyright © 1984 by The Society of Thoracic Surgeons
AR Dobell and AK Jain
This paper reviews the attitude of 131 surgeons to the performance of a
second sternotomy incision and assesses 144 severe hemorrhages that
occurred as the sternotomy was being done. Eighty-eight percent of the
hemorrhages occurred in situations in which the pericardium had not been
closed at the first operation. From these events and the present attitude
of surgeons responding to our questionnaire, we offer advice on the
management of second sternotomies and on the management of hemorrhage when
it occurs.
ARTICLES
Catastrophic hemorrhage during redo sternotomy
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