3-D multidetector computed tomography in reoperative cardiac surgery

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DOI: 10.4236/wjcd.2013.35060    2,805 Downloads   3,997 Views   Citations


Reoperative cardiac surgery is becoming more common surgery although it carries significant risk due to possible injury to vital structures under the sternum. Three-dimensional multidetector computed tomographic angiography (3-D MDCTA) allows identifying the relationship between the sternum and the mediastinal structures. Evidence shows that 3-D MDCTA guides surgical strategy and enables to perform this challenging surgery safely.

Cite this paper

Kaneko, T. , Steigner, M. , Gosev, I. and Aranki, S. (2013) 3-D multidetector computed tomography in reoperative cardiac surgery. World Journal of Cardiovascular Diseases, 3, 389-393. doi: 10.4236/wjcd.2013.35060.

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The authors declare no conflicts of interest.


[1] Weintraub, W.S., Jones, E.L., Craver, J.M., Grosswald, R. and Guyton, R.A. (1995) In-hospital and long-term outcome after reoperativecoronary artery bypass graft surgery. Circulation, 9, II50-II57. doi:10.1161/01.CIR.92.9.50
[2] Shapira, I., Isakov, A., Heller, I., Topilsky, M. and Pines, A. (1999) Long-termfollow-up after coronary artery bypass grafting reoperation. Chest, 115, 1593-1597. doi:10.1378/chest.115.6.1593
[3] Yau, T.M., Borger, M.A., Weisel, R.D. and Ivanov, J. (2000) The changingpattern of reoperative coronary surgery: Trends in 1230consecutive reoperations. The Journal of Thoracic and Cardiovascular Surgery, 120, 156-163. doi:10.1067/mtc.2000.106983
[4] Stephan, W.J., O’Keefe, Jr. J.H., Piehler, J.M., et al. (1996) Coronaryangioplasty versus repeat coronary artery bypass graftingfor patients with previous bypass surgery. Journal of the American College of Cardiology, 28, 1140-1146. doi:10.1016/S0735-1097(96)00286-0
[5] Akl, E.S., Ozdogan, E., Ohri, S.K., et al. (1992) Early and long termresults of re-operation for coronary artery disease. British Heart Journal, 68, 176-180. doi:10.1136/hrt.68.8.176
[6] Fitzgibbon, G.M., Kafka, H.P., Leach, A.J., Keon, W.J., Hooper, G.D. and Burton, J.R. (1996) Coronary bypass graft fate and patient outcome: Angiographic follow-up of 5065 grafts related to survival andreoperation in 1388 patients during 25 years. Journal of the American College of Cardiology, 28, 616-626. doi:10.1016/0735-1097(96)00206-9
[7] Shimada, Y., Dixit, A., Fermanis, G. and Horton, D. (1998) Reoperation forrecurrent coronary artery disease: Results of 200 consecutivecases. Australian and New Zealand Journal of Surgery, 68, 729-734. doi:10.1111/j.1445-2197.1998.tb04661.x
[8] Fullerton, D.A., St Cyr, J.A., Fall, S.M. and Whitman, G.J. (1994) Protection of the patent internalmammary artery bypass graft from subsequent sternotomy. The Journal of Cardiovascular Surgery (Torino), 35, 499-501.
[9] Kaneko, T., Nauta, F., Borstlap, W., McGurk, S., Couper, G. and Cohn, L. (2012) The “no-dissection” technique is safe for reoperative aortic valvereplacement with a patent left internal thoracic artery graft. The Journal of Thoracic and Cardiovascular Surgery, 144, 1036-1041. doi:10.1016/j.jtcvs.2012.07.057
[10] Song, M.H., Ito, T., Watanabe, T., Nakamura, H. (2005) Multidetectorcomputed tomography versus coronary angiogram in evaluationof coronary artery bypass grafts. The Annals of Thoracic Surgery, 79, 585-588. doi:10.1016/j.athoracsur.2004.08.014
[11] Anders, K., Baum, U., Schmid, M., et al. (2006) Coronary artery bypassgraft (CABG) patency: Assessment with high-resolution submillimeter16-slice multidetectorrow computed tomography(MDCT) versus coronary angiography. European Journal of Radiology, 57, 336-344. doi:10.1016/j.ejrad.2005.12.018
[12] Maluenda, G., Goldstein, M.A., Lemesle, G., Weissman, G., Weigold, G., Landsman, M.J., Hill, P.C., Pita, F., Corso, P.J., Boyce, S.W., Pichard, A.D., Waksman, R. and Taylor, A.J. (2010) Perioperative outcomes in reoperative cardiac surgery guided by cardiac multidetector computed tomographic angiography. American Heart Journal, 159, 301-306. doi:10.1016/j.ahj.2009.11.005
[13] Gasparovic, H., Rybicki, F.J., Millstine, J., Unic, D., Byrne, J.G., Yucel, K. and Mihaljevic, T. (2005) Three dimensional computedtomographic imaging in planning the surgical approach for redo cardiac surgery after coronary revascularization. European Journal Cardio-Thoracic Surgery, 28, 244-249. doi:10.1016/j.ejcts.2005.03.024
[14] Kamdar, A.R., Meadows, T.A., Roselli, E.E., Gorodeski, E.Z., Curtin, R.J., Sabik, J.F., Schoenhagen, P., White, R.D., Lytle, B.W., Flamm, S.D. and Desai, M.Y. (2008) Multidetector computed tomographic angiography in planning of reoperative cardiothoracic surgery. The Annals of Thoracic Surgery, 85, 1239-1245. doi:10.1016/j.athoracsur.2007.11.075
[15] Follis, F.M., Pett, Jr. S.B., Miller, K.B., Wong, R.S., Temes, R.T. and Wernly, J.A. (1999) Catastrophic hemorrhage on sternal reentry: Still a dreaded complication? The Annals of Thoracic Surgery, 68, 2215-2219. doi:10.1016/S0003-4975(99)01173-X
[16] Luciani, N., Anselmi, A., De Geest, R., Martinelli, L., Perisano, M. and Possati, G. (2008) Extracorporeal circulation by peripheral cannulation before redo sternotomy: Indications and results. The Journal of Thoracic and Cardiovascular Surgery, 136, 572-577. doi:10.1016/j.jtcvs.2008.02.071
[17] Byrne, J.G., Aranki, S.F., Adams, D.H., Rizzo, R.J., Couper, G.S. and Cohn, L.H. (1999) Mitral valve surgery after previous CABG with functioning IMA grafts. The Annals of Thoracic Surgery, 68, 2243-2247. doi:10.1016/S0003-4975(99)01120-0
[18] Byrne, J.G., Aklog, L., Adams, D.H., Cohn, L.H. and Aranki, S.F. (2001) Reoperative CABG using left thoracotomy: A tailored strategy. The Annals of Thoracic Surgery, 71, 196-200. doi:10.1016/S0003-4975(00)02182-2
[19] Aviram, G., Sharony, R., Kramer, A., Nesher, N., Loberman, D., Ben-Gal, Y., Graif, M., Uretzky, G. and Mohr, R. (2005) Modification of surgical planning based on cardiac multidetector computed tomography in reoperative heart surgery. The Annals of Thoracic Surgery, 79, 589-595. doi:10.1016/j.athoracsur.2004.07.012
[20] Gillinov, A.M., Casselman, F.P., Lytle, B.W., et al. (1999) Injury to a patent left internal thoracic artery graft at coronary reoperation. The Annals of Thoracic Surgery, 67, 382-386. doi:10.1016/S0003-4975(99)00009-0
[21] Cremer, J., Teebken, O.E., Simon, A., Hutzelmann, A., Heller, M. and Haverich, A. (1998) Thoracic computed tomography prior to redo coronary surgery. European Journal Cardio-Thoracic Surgery, 13, 650-654. doi:10.1016/S1010-7940(98)00087-6
[22] Goldstein, M.A., Roy, S.K., Hebsur, S., Maluenda, G., Weissman, G., Weigold, G., Landsman, M.J., Hill, P.C., Pita, F., Corso, P.J., Boyce, S.W., Pichard, A.D., Waksman, R. and Taylor, A.J. (2013) Relationship between routine multi-detector cardiac computed tomographic angiography prior to reoperative cardiac surgery, length of stay, and hospital charges. The International Journal of Cardiovascular Imaging, 29, 709-717. doi:10.1007/s10554-012-0133-2

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