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  1 / 1808 MEDLINE  
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[PMID]:29489689
[Au] Autor:Jiang L; Tao T; Zheng J; Jia Z; Xu H; Ni Y
[Ad] Endereço:Department of Cardiothoracic Surgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
[Ti] Título:Case report of refractory pericardial effusion associated with lymphatic fistula due to surgical injury during sternotomy.
[So] Source:Medicine (Baltimore);97(9):e9892, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A 35-year old Chinese female was admitted to hospital with refractory pericardial effusions 10 days post mitral valve replacement via median sternotomy. We performed an exploratory resternotomy and found lymphatic leakage on the surface of the diaphragm which was continuously emitting a light yellow fluid. PATIENT CONCERNS: The patient complained of no obvious discomfort except for the concern of massive pericardial effusion drainage. DIAGNOSES: Exploratory resternotomy and biochemical testing lead to a supradiaphragmatic lymphatic fistula being diagnosed as the cause of the refractory pericardial effusion. INTERVENTIONS: The fistula was closed with a continuous suture and no other fistulas were found after a thorough exploration. OUTCOMES: The patient was discharged home on postoperative day 5 and recovery was uneventful. LESSONS: In this case a timely exploratory resternotomy proved effective in seeking the cause of and treating pericardial effusion following cardiac surgery.
[Mh] Termos MeSH primário: Complicações Intraoperatórias/etiologia
Doenças Linfáticas/complicações
Derrame Pericárdico/etiologia
Fístula do Sistema Respiratório/complicações
Esternotomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Diafragma/patologia
Diafragma/cirurgia
Drenagem
Feminino
Seres Humanos
Complicações Intraoperatórias/patologia
Doenças Linfáticas/patologia
Derrame Pericárdico/cirurgia
Fístula do Sistema Respiratório/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009892


  2 / 1808 MEDLINE  
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[PMID]:28453792
[Au] Autor:Risteski P; Monsefi N; Miskovic A; Josic T; Bala S; Salem R; Zierer A; Moritz A
[Ad] Endereço:Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University Hospital, Frankfurt am Main, Germany.
[Ti] Título:Triple valve surgery through a less invasive approach: early and mid-term results.
[So] Source:Interact Cardiovasc Thorac Surg;24(5):677-682, 2017 05 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: A partial upper sternotomy has become established as a less invasive approach mainly for single and double valve surgery. This report evaluates the clinical outcomes of triple valve surgery performed through a partial upper sternotomy. METHODS: We reviewed the medical records of 37 consecutive patients (28 men, 76%) who underwent triple valve surgery through a partial upper sternotomy between 2005 and 2015. The patients' mean age was 67 ± 17 years; 27 (73%) were in New York Heart Association Class III or IV. Aortic and mitral valve insufficiency was more common than stenosis. Ninety-three percent of surviving patients were followed for a mean period of 58 ± 24 months. RESULTS: Aortic valve procedures consisted of 24 (65%) replacements and 13 (35%) repairs. The mitral valve was repaired in 28 (76%) patients, whereas tricuspid valve repair was feasible in all patients. No conversion to full sternotomy was necessary. Myocardial infarction was not observed. Chest tube drainage was 330 ± 190 ml, and 4 patients required reopening for bleeding (1, 3%) or tamponade (3, 8%). One stroke was observed due to heparin-induced thrombocytopaenia after initial unremarkable neurological recovery. Early mortality included 5 (13.5%) patients. Actuarial survival at 5 years was 52 ± 10%. CONCLUSIONS: A partial upper sternotomy provides adequate exposure to all heart valves. We did not experience technical limitations with this approach. Wound dehiscence, postoperative bleeding, intensive care unit and hospital stay and early deaths were low compared to data from other published series of triple valve surgery through a full median sternotomy. Early and mid-term outcomes were not adversely affected by this less invasive approach.
[Mh] Termos MeSH primário: Valva Aórtica/cirurgia
Procedimentos Cirúrgicos Cardíacos/métodos
Doenças das Valvas Cardíacas/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Valva Mitral/cirurgia
Esternotomia/métodos
Valva Tricúspide/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Insuficiência da Valva Mitral/cirurgia
Estudos Retrospectivos
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivw430


  3 / 1808 MEDLINE  
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[PMID]:29390286
[Au] Autor:Kuo CC; Yu WL; Lee CH; Wu NC
[Ad] Endereço:Division of Cardiovascular Surgery, Department of Surgery.
[Ti] Título:Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report.
[So] Source:Medicine (Baltimore);96(50):e8949, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Purulent pericarditis is a rare and usually fatal disease. Immunodeficiency state and preexisting pericardial effusion can predispose patients to infections. However, we are not aware of similar cases in patients with adult-onset Still's disease (AOSD). In addition, it is seldom caused by Salmonella bacteria. PATIENT CONCERNS: We report a 30-year-old woman with dyspnea on exertion and epigastric fullness. She was newly diagnosed with AOSD 4 months previously and medicated with prednisolone. DIAGNOSES: Transthoracic echocardiography (TTE) and computed tomography revealed a thickened pericardium with loculations in the pericardial space, consistent with purulent constrictive pericarditis. Subsequent cultures of blood and pericardial fluid yielded S enteritidis. INTERVENTIONS: She underwent subtotal pericardiectomy through a limited median sternotomy, and antibiotic therapy (ceftriaxone) for 1 month. OUTCOMES: The New York Heart Association functional classification downgraded from class III to class I. There was no recurrence during the 1-year follow-up. LESSONS: This case presents an opportunity to highlight the importance of considering purulent pericarditis in patients previously diagnosed with AOSD. High clinical suspicion, early diagnosis, and prompt management can result in a better outcome in purulent pericarditis.
[Mh] Termos MeSH primário: Pericardite Constritiva/microbiologia
Salmonella enteritidis/isolamento & purificação
Doença de Still de Início Tardio/complicações
Doença de Still de Início Tardio/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Antibacterianos/uso terapêutico
Terapia Combinada
Ecocardiografia
Feminino
Seres Humanos
Pericardite Constritiva/diagnóstico por imagem
Pericardite Constritiva/terapia
Esternotomia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008949


  4 / 1808 MEDLINE  
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Rodrigues, Alfredo José
Texto completo SciELO Brasil
[PMID]:29211217
[Au] Autor:Horácio GS; Coltro PS; Albacete A; Almeida JB; Silva VZD; Almeida IR; Rodrigues AJ; Farina JA
[Ad] Endereço:Division of Plastic Surgery, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.
[Ti] Título:Application of Unilateral Pectoralis Major Muscle Flap in the Treatment of Sternal Wound Dehiscence.
[So] Source:Braz J Cardiovasc Surg;32(5):378-382, 2017 Sep-Oct.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aims to report the use of the unilateral pectoralis major muscle flap for the treatment of the sternal wound dehiscence. METHODS: A retrospective study including patients who underwent unilateral pectoralis major muscle flap was performed for the treatment of sternotomy dehiscence due to coronary artery bypass, valve replacement, congenital heart disease correction and mediastinitis, between 1997 and 2016. Data from the epidemiological profile of patients, length of hospital stay, postoperative complications and mortality rate were obtained. RESULTS: During this period, 11 patients had their dehiscence of sternotomy treated by unilateral pectoralis major muscle flap. The patients had a mean age of 54.7 years, the mean hospital stay after flap reconstruction was 17.9 days (from 7 to 52 days). In two patients, it was necessary to harvest a flap from the rectus abdominis fascia, in association with the pectoralis major muscle flap, to facilitate the closure of the distal wound. In the postoperative period, seroma discharge from the surgical wound was observed in six patients, five reported intense pain (temporary), three had partial cutaneous dehiscence, and two presented granuloma of the incision. CONCLUSION: The complex wound from sternotomy dehiscences presents itself as a challenge to surgical teams. Treatment should include debridement of necrotic tissue and preferably coverage with well-vascularized tissue. We propose that the unilateral pectoralis major muscle flap is an interesting and low morbidity option for the reconstruction of sternal wound dehiscences, with proper sternum stability and satisfactory functional and aesthetic outcomes.
[Mh] Termos MeSH primário: Músculos Peitorais/transplante
Esternotomia/efeitos adversos
Retalhos Cirúrgicos
Deiscência da Ferida Operatória/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Complicações Pós-Operatórias
Estudos Retrospectivos
Deiscência da Ferida Operatória/mortalidade
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  5 / 1808 MEDLINE  
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[PMID]:28467129
[Au] Autor:Botta L; De Chiara B; Macera F; Cannata A; Costetti A; Voltolini A; Moreo A; Cipriani M; Frigerio M; Russo CF
[Ad] Endereço:a Cardiac Surgery Unit, Cardio-Thoraco-Vascular Department , Niguarda Hospital , Milano , Italy.
[Ti] Título:HeartWare-HVAD for end-stage heart failure: a review of clinical experiences with ≥50 patients.
[So] Source:Expert Rev Med Devices;14(6):423-437, 2017 Jun.
[Is] ISSN:1745-2422
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Despite the improvements in medical and surgical treatments, the incidence of end-stage heart failure (ESHF) continues to increase. Different mechanical systems have been adopted to support failing left ventricles. Among continuous-flow devices, the HeartWare-HVAD was the first to use a centrifugal pump rather than an axial one. Areas covered: In this review article, we provide an overview of the HeartWare-HVAD as a ventricular assist device for ESHF, discussing indications, echocardiographic assessment, surgical techniques, outcomes, concerns and controversies. Scientific literature was reviewed with a MEDLINE search strategy combining 'HeartWare' or 'HVAD' with 'heart failure'. A total of 263 papers were found using the reported search. From these, 16 were identified to provide the best evidence on the subject reporting outcomes in ≥50 patients. Expert commentary: HeartWare-HVAD is a minute device that provides full circulatory support in patients with ESHF. Its main indication remains bridge to heart transplantation (HTx). Median sternotomy is the preferred technique of implantation although less invasive procedures have been described. Early outcomes are satisfactory. Nevertheless, some fearing complications still occur during the mid- and long-term follow-up. Further technical developments and optimal medical management will guarantee better outcomes.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/terapia
Coração Auxiliar
Implante de Prótese/métodos
[Mh] Termos MeSH secundário: Transplante de Coração
Seres Humanos
Estudos Retrospectivos
Esternotomia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1080/17434440.2017.1325318


  6 / 1808 MEDLINE  
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[PMID]:29310373
[Au] Autor:Kim SH; Park AY; Cho HB; Yoo JH; Park SY; Chung JW; Kim MG
[Ad] Endereço:Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Seoul, Hannam-dong, Yongsan-gu, Seoul, Korea.
[Ti] Título:A rare case of nonresterilized reinforced ETT obstruction caused by a structural defect: A case report.
[So] Source:Medicine (Baltimore);96(48):e8886, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Various factors can cause ventilatory failure after endotracheal tube (ETT) intubation, which is associated with increased patient morbidity and mortality. PATIENT CONCERNS: A 76-year-old woman who was diagnosed with a hemopericardium and suspicion of a major-vessel injury due to dislocation of the clavicular fracture fixation screw. DIAGNOSIS: Non-resterilized reinforced ETT obstruction caused by a structural defect. INTERVENTION: Endotracheal tube was exchanged. OUTCOMES: The ventilator profile showed rapid improvement. LESSONS: Anesthesiologists should consider that a non-resterilized reinforced ETT may be defective. An ETT defect can cause high PIP and ETT obstruction without kinking or foreign materials.
[Mh] Termos MeSH primário: Intubação Intratraqueal/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Tronco Braquiocefálico/lesões
Clavícula/lesões
Clavícula/cirurgia
Falha de Equipamento
Feminino
Seres Humanos
Derrame Pericárdico/etiologia
Derrame Pericárdico/cirurgia
Retratamento
Esternotomia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008886


  7 / 1808 MEDLINE  
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[PMID]:29054232
[Au] Autor:Wang Y; Zheng X; Liu K
[Ad] Endereço:Department of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, Jilin, China.
[Ti] Título:Surgical Repair of Bland-White-Garland Syndrome With Giant Right Coronary Artery Aneurysm.
[So] Source:Ann Thorac Surg;104(5):e375-e377, 2017 Nov.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:A 61-year-old man was diagnosed with adult-type anomalous left coronary artery from pulmonary artery (or Bland-White-Garland syndrome) and a giant right coronary artery aneurysm. He underwent a thorough anatomic correction to excise the aneurysm and reconstruct a coronary system of two vessels. The postoperative period of this patient was uneventful.
[Mh] Termos MeSH primário: Síndrome de Bland-White-Garland/complicações
Síndrome de Bland-White-Garland/cirurgia
Procedimentos Cirúrgicos Cardíacos/métodos
Ponte Cardiopulmonar/métodos
Aneurisma Coronário/complicações
Aneurisma Coronário/cirurgia
[Mh] Termos MeSH secundário: Anastomose Cirúrgica/métodos
Síndrome de Bland-White-Garland/diagnóstico
Angiografia por Tomografia Computadorizada/métodos
Aneurisma Coronário/diagnóstico
Angiografia Coronária/métodos
Dispneia/diagnóstico
Dispneia/etiologia
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Monitorização Intraoperatória/métodos
Doenças Raras
Recuperação de Função Fisiológica
Índice de Gravidade de Doença
Esternotomia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171022
[St] Status:MEDLINE


  8 / 1808 MEDLINE  
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[PMID]:29054231
[Au] Autor:Kurihara C; Kawabori M; Ono M; Hussain ST; Parulekar AD; Morgan JA; Loor G
[Ad] Endereço:Division of Cardiothoracic Transplantation and Circulatory Support, Baylor College of Medicine, Houston, Texas; Department of Cardiopulmonary Transplantation and the Center for Cardiac Support, Texas Heart Institute, Houston, Texas. Electronic address: chitaru1207@gmail.com.
[Ti] Título:Lung Procurement After Cardiac Death in a Donor With Previous Median Sternotomy.
[So] Source:Ann Thorac Surg;104(5):e371-e373, 2017 Nov.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:The shortage of lungs for organ donation is problematic, and meeting the demand by expanding the donor pool in lung transplantation is critical. Donation after cardiac death (DCD) is an under-used approach that could be a valuable source of organs. However, procuring lungs from donors with a previous median sternotomy is technically difficult and is usually avoided. Here, we describe the procurement of lungs from a DCD patient with a previous median sternotomy.
[Mh] Termos MeSH primário: Morte
Transplante de Pulmão/métodos
Doença Pulmonar Obstrutiva Crônica/cirurgia
Doadores de Tecidos
Transplantados
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Sobrevivência de Enxerto
Seres Humanos
Masculino
Meia-Idade
Doença Pulmonar Obstrutiva Crônica/diagnóstico por imagem
Radiografia Torácica/métodos
Medição de Risco
Esternotomia
Obtenção de Tecidos e Órgãos/métodos
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171022
[St] Status:MEDLINE


  9 / 1808 MEDLINE  
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Texto completo SciELO Brasil
[PMID]:28977198
[Au] Autor:Wadhawa V; Doshi C; Hinduja M; Garg P; Patel K; Mishra A; Shah P
[Ad] Endereço:Department of Cardiovascular and Thoracic Surgery of the U. N. Mehta Institute of Cardiology and Research Center (affiliated to BJ Medical College, Ahmedabad), Gujarat, India.
[Ti] Título:Anterior Minithoracotomy: a Safe Approach for Surgical ASD Closure & ASD Device Retrieval.
[So] Source:Braz J Cardiovasc Surg;32(4):270-275, 2017 Jul-Aug.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Midline sternotomy is the preferred approach for device migration following transcatheter device closure of ostium secundum atrial septal defect. Results of patients operated for device migration were retrospectively reviewed after transcatheter closure of atrial septal defect. METHODS: Among the 643 patients who underwent atrial septal defect with closure device, 15 (2.3%) patients were referred for device retrieval and surgical closure of atrial septal defect. Twelve patients underwent device retrieval and surgical closure of atrial septal defect through right antero-lateral minithoracotomy with femoral cannulation. Three patients were operated through midline sternotomy. RESULTS: Twelve patients operated through minithoracotomy did not require conversion to sternotomy. Due to device migration to site of difficult access through thoracotomy, cardiac tamponade and hemodynamic instability, respectively, three patients were operated through midline sternotomy. Mean aortic cross-clamp time and cardiopulmonary bypass time were 28.1±17.7 and 58.3±20.4 minutes, respectively. No patient had surgical complication or mortality. Mean intensive care unit and hospital stay were 1.6±0.5 days and 7.1±2.2 days, respectively. Postoperative echocardiography confirmed absence of any residual defect and ventricular dysfunction. In a mean follow-up period of six months, no mortality was observed. All patients were in New York Heart Association class I without wound or vascular complication. CONCLUSION: Minithoracotomy with femoral cannulation for cardiopulmonary bypass is a safe-approach for selected group of patients with device migration following transcatheter device closure of atrial septal defect without increasing the risk of cardiac, vascular or neurological complications and with good cosmetic and surgical results.
[Mh] Termos MeSH primário: Migração de Corpo Estranho/cirurgia
Comunicação Interatrial/cirurgia
Dispositivo para Oclusão Septal
Toracotomia/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Ponte Cardiopulmonar/métodos
Cateterismo/métodos
Criança
Pré-Escolar
Feminino
Artéria Femoral
Migração de Corpo Estranho/complicações
Comunicação Interatrial/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Dispositivo para Oclusão Septal/efeitos adversos
Esternotomia/métodos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE


  10 / 1808 MEDLINE  
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[PMID]:28949848
[Au] Autor:Forrester JD; Cai LZ; Zeigler S; Weiser TG
[Ad] Endereço:1 Department of General Surgery, Stanford University , Stanford, California.
[Ti] Título:Surgical Site Infection after Sternotomy in Low- and Middle-Human Development Index Countries: A Systematic Review.
[So] Source:Surg Infect (Larchmt);18(7):774-779, 2017 Oct.
[Is] ISSN:1557-8674
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The burden of cardiovascular disease is increasing in low- and middle-human development index (LMHDI) countries, and cardiac operations are an important component of a comprehensive cardiovascular care package. Little is known about the baseline incidence of surgical site infections (SSIs) among patients undergoing sternotomy in LMHDI countries. METHODS: A prospectively registered, systematic literature review of articles in the PubMed, Ovid, and Web of Science databases describing the epidemiology and management of SSIs among persons undergoing sternotomy in LMHDI countries was performed. We performed a quantitative synthesis of patients undergoing sternotomy for CABG to estimate published sternotomy SSI rates. RESULTS: Of the 423 abstracts identified after applying search criteria, 14 studies were reviewed in detail. The pooled SSI rate after sternotomy among reviewed studies was 4.3 infections per 100 sternotomies (95% confidence interval [CI] 1.3-6.0 infections per 100 sternotomies), which is comparable to infection rates in high-human development index countries. CONCLUSIONS: As the burden of cardiovascular disease in LMHDI settings increases, the ability to provide safe cardiac surgical care is paramount. Describing the baseline SSI rate after sternotomy in LMHDI countries is an important first step in creating baseline expectations for SSI rates in cardiac surgical programs in these settings.
[Mh] Termos MeSH primário: Esternotomia/efeitos adversos
Infecção da Ferida Cirúrgica
[Mh] Termos MeSH secundário: Adulto
Ponte de Artéria Coronária
Países em Desenvolvimento
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE
[do] DOI:10.1089/sur.2017.149



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