Abstract | BACKGROUND: METHODS: RESULTS: Both groups of patients were similar in age, gender between two operations, and also in peripheral venous pressure, cardiac rhythm and New York Heart Association (NYHA) class distribution. The mortality rates were similar in both groups with one death (12.5%) due to low cardiac output syndrome in the left anterolateral thoracotomy group and two deaths (12.5%) in the median sternotomy group. All the deaths were associated with cardiac complications and happened in the perioperative period. NYHA functional class status enhanced in most of the patients. Patients in both groups had a similar and significant improvement in their NYHA status that improved from 3.4 ± 0.7 to 1.8 ± 0.1 (P = 0.001) in the left anterolateral thoracotomy group and reduced from 3.3 ± 0.6 to 1.9 ± 0.4 (P = 0.001) in the median sternotomy group. There was a significantly greater rate of pulmonary infection in the thoracotomy group than in the median sternotomy group (50% versus 25%, P = 0.02). Nevertheless, there was a significantly greater occurrence of wound infections in the median sternotomy group in 3 patients versus in one patient of the left anterolateral thoracotomy group (18.8% versus 12.5%, P = 0.02). CONCLUSIONS: Left thoracotomy incision was preferred to sternotomy in the current setting of this situation and was done safely without CPB. It avoided life-threatening sternal infection and it also has showed an equal as well las significant enhancement of NYHA status of the patients.
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Authors | Ling Yunfei, Li Tao, Qian Yongjun |
Journal | Journal of cardiothoracic surgery
(J Cardiothorac Surg)
Vol. 14
Issue 1
Pg. 152
(Aug 22 2019)
ISSN: 1749-8090 [Electronic] England |
PMID | 31439013
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adolescent
- Adult
- Cardiac Output, Low
(etiology)
- Female
- Humans
- Male
- Middle Aged
- Pericardiectomy
(adverse effects, methods, mortality)
- Pericarditis, Constrictive
(mortality, physiopathology, surgery)
- Perioperative Period
- Pneumonia
(etiology)
- Recurrence
- Reoperation
- Retrospective Studies
- Sternotomy
(methods)
- Surgical Wound Infection
(etiology)
- Thoracotomy
(methods)
- Young Adult
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