[Redo sternotomy open heart surgery with cardiopulmonary bypass: challenge and strategy].

中华外科杂志 Pub Date : 2026-05-01 DOI:10.3760/cma.j.cn112139-20260119-00030

Z B Qiu, F H Huang, X Chen

引用次数: 0

Abstract

Open heart surgery with redo sternotomy is more common recently along with the advanced surgical techniques and better long term patient survival. The mortality can be three times higher than the first time surgery because of the difficulties of re-entry. This article summarizes the experiences of sternal re-entry and mediastinal dissection to decrease the incidence of devastating bleeding, to share all tips and tricks of how to prevent and how to take care of bleeding while doing redo sternotomy and to safely establish cardiopulmonary bypass with all the cannular strategy. An experienced surgical team with preoperative careful planning, meticulous surgical technique, myocardial protection, are critical for optimal outcomes.

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[再开胸心内直视手术合并体外循环：挑战和策略]。

随着外科技术的进步和患者长期生存率的提高，心脏直视手术再开胸术越来越普遍。由于再入的困难，死亡率可能比第一次手术高三倍。本文总结胸骨再入腔和纵隔分离术的经验，以减少破坏性出血的发生，并就如何预防和处理胸骨再开胸术中的出血，以及如何在各种套管策略下安全建立体外循环进行分享。一个经验丰富的手术团队，术前精心规划，细致的手术技术，心肌保护，是获得最佳结果的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中华外科杂志

CiteScore

0.80

自引率

0.00%

发文量

20861

期刊介绍： Chinese Journal of Surgery|Chin J Surg (monthly) is a high-level medical science and technology journal approved by the General Administration of Press and Publication of the People's Republic of China, under the supervision of the China Association for Science and Technology, and organised by the Chinese Medical Association for domestic and international public circulation. It was founded in January 1951, and is published on the basis of the Journal of Chinese Surgery. The Journal is aimed at senior and intermediate surgeons and related researchers, mainly reporting the leading scientific research results and clinical experience in the field of surgery, as well as the basic theoretical research that has a guiding effect on the clinical work of surgery. Chinese Journal of Surgery|Chin J Surg is committed to reflecting the major research progress in the field of surgery in China and promoting academic exchanges at home and abroad. The main columns include thesis, meta-analysis, review, expert forum, synthesis, case report, diagnosis and treatment experience, technical exchange, clinical case discussion, academic controversy, and special lectures, etc. The journal has been accepted by the National Academy of Medicine of the United States. The journal has been included in many famous databases at home and abroad, such as the Biomedical Analysis and Online Retrieval System (MEDLINE) of the U.S. National Library of Medicine.