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Eur J Cardiothorac Surg 2008;34:929. doi:10.1016/j.ejcts.2008.07.027
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Sameh I. Sersar
Ahmed A. Jamjoom
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Letters to the Editor

Open chest after cardiac surgery; revisited

Sameh I. Sersar*, Ismaeil M. Fouad, Walid A. AbuKhudair, Ahmed A. Jamjoom

Division of Cardiothoracic Surgery, Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

Received 2 July 2008; accepted 14 July 2008.

* Corresponding author. Address: MBC-J 16, P.O. Box 40047, Jeddah 21499, Saudi Arabia. Tel.: +966 2 667 7777x5234; fax: +966 2 6639581. (Email: Sameh001@yahoo.com).

Key Words: Open chest • Sternotomy • Mediastinitis

The first 20% of the full text of this article appears below.

We read with interest the article entitled ‘Outcomes of delayed sternal closure after complex aortic surgery’ [1].

We congratulate the authors for their excellent results. However, they only mentioned the mediastinitis and graft infections as the outcomes although we expected some neurological, renal, gastrointestinal complications, septicaemia and/or multiorgan failures.

This is a retrospective study including a small number of open chest cases with the weaknesses of retrospective studies. In their study, Table 2 shows exploration in all survived patients {11} at least once, although the authors mentioned exploration in 5 patients only.

Mean left atrial and central venous pressures can reflect a new milieu after cardiac surgery produced by the factors affecting cardiac . . . [Full Text of this Article]






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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.