ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Serafin Y. DeLeon
Michel N. Ilbawi
Kate Tubeszewski
William R. Wilson, Jr
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by DeLeon, S. Y.
Right arrow Articles by Sulayman, R. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by DeLeon, S. Y.
Right arrow Articles by Sulayman, R. F.

Ann Thorac Surg 1991;52:569-571
© 1991 The Society of Thoracic Surgeons

Articles

Resternotomy in patients with valved conduits adherent to the sternum

Serafin Y. DeLeon, MD*,a,b, Michel N. Ilbawi, MDa,b, Kate Tubeszewski, MSNa,b, William R. Wilson, Jr, MDa,b, Jose A. Quinones, MDa,b, David A. Roberson, MDa,b, Rabi F. Sulayman, MDa,b

a The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn, USA
b Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA

Accepted for publication June 26, 1991.

* Address reprint requests to Dr DeLeon, Christ Hospital and Medical Center, 4440 West 95th St. Oak Lawn, IL 60453.

Twenty-two patients with valved conduits adherent to the sternum underwent resternotomy. Mean age was 10 ± 6 years, and mean conduit age was 4 ± 4 years. Diagnoses were D-transposition (7), truncus arteriosus (7), univentricular heart (6), Taussig-Bing anomaly (1), and corrected transposition (1). The majority of patients (68%) had reoperation for outgrown or degenerated conduits. In 17 patients, the sternum was opened with a chisel. Two of these patients sustained conduit neointimal collapse from manipulation, and 3 had conduit tear requiring immediate cardiopulmonary bypass through the femoral vessels. In the last 5 patients, the sternum was opened above and below the conduit, and the inner table was chiseled and left attached to the conduit avoiding injury and undue conduit manipulation. Cardiopulmonary bypass and operation were carried out uneventfully. We believe that the recent technique described provides a safe alternative approach to valved conduits adherent to the sternum.




This article has been cited by other articles:


Home page
 Asian Cardiovascular and Thoracic AnnalsHome page
M. Elahi, R. Dhannapuneni, R. Firmin, and M. Hickey
Direct Complications of Repeat Median Sternotomy in Adults
Asian Cardiovascular and Thoracic Annals, June 1, 2005; 13(2): 135 - 138.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. E. Delius, C. Buckley, and H. L. Walters III
Cervical cannulation for resternotomy in pediatric patients
J. Thorac. Cardiovasc. Surg., January 1, 2004; 126(6): 2095 - 2096.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. S. Hartz, S. Y. Deleon, J. Lane, J. Dorotan, J. Joyce, E. Urbina, N. Ross-Ascuitto, and R. Ascuitto
Medtronic freestyle valves in right ventricular outflow tract reconstruction
Ann. Thorac. Surg., December 1, 2003; 76(6): 1896 - 1900.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. M. Follis, S. B. Pett Jr, K. B. Miller, R. S. Wong, R. T. Temes, and J. A. Wernly
Catastrophic hemorrhage on sternal reentry: still a dreaded complication?
Ann. Thorac. Surg., December 1, 1999; 68(6): 2215 - 2219.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.