Reop Sternotomy - How Many is too Many?

Reop Sternotomy - How Many is too Many?

Guest: Joseph A. Dearani, M.D. and Elizabeth H. Stephens, M.D., Ph.D.

Hosts: Patricia A. Pellikka, M.D.

Reoperations are inevitable for many structural heart lesions, and in some cases, it may be multiple reoperations over a lifetime. Current techniques in perioperative imaging and contemporary surgical techniques make cardiac reoperations safe in most circumstances. Lifelong surveillance with a heart team approach of both cardiology and cardiac surgery is the optimal strategy to determine the proper timing of reoperation to achieve a good outcome.

 

Topics Discussed:

• How many reoperations can a patient have?
• What are the most common reasons for the need for reoperation?
• Is it true that the risk of reoperation is often the same as a first-time operation?
• What matters most with patient selection for reoperation?
• Can a minimally invasive approach be applied at a reoperation?
• Is the length of hospital stay and postoperative recovery different with reoperation?
• Do all surgeons do cardiac reoperations?

 

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Podcast episode transcript found here.