Vermeidung von Komplikationen bei der Resternotomie

Armin Gorski1
1Klinik und Poliklinik für Thorax‑, Herz- und Thorakale Gefäßchirurgie des Universitätsklinikums, Zentrum Operative Medizin, Universitätsklinikum Würzburg, Würzburg, Deutschland

Tóm tắt

Bis zu 10 % aller herzchirurgischen Eingriffe sind Reoperationen. Meist erfolgen diese über eine erneute mediane Sternotomie. Dabei besteht die Gefahr der Verletzungen des Herzens, der großen Gefäße und offener Bypass-Grafts. Dies hat erheblichen Einfluss auf Morbidität und Mortalität. Darstellung von Strategien zur Vermeidung von Blutungskomplikationen während der medianen Resternotomie. Recherche und Bewertung zur Evidenz von Präventionsstrategien, Diskussion des eigenen Konzepts. Bei einer Reoperation über eine erneute Sternotomie muss mit Verletzungen der substernalen Strukturen gerechnet werden. Die Kenntnis der retrosternalen anatomischen Verhältnisse, z. B. mithilfe des CT, unterstützt dabei, eine situationsgerechte Strategie zur Vermeidung von Blutungskomplikationen sowie der damit einhergehenden Morbidität und Mortalität zu entwickeln.

Tài liệu tham khảo

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