Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):459-465. doi: 10.1177/2150135120922222.
With the increasing number of congenital heart disease patients living into adulthood and requiring reoperations, learning a safe and efficient reoperative sternotomy is essential. This article provides insight into the successful reoperative sternotomy, including preoperative evaluation, assessing risk for cardiac injury and preparations to take depending on the level of risk, safeguards taken before and during the sternotomy, and pearls and pitfalls in managing untoward events.
随着越来越多的先天性心脏病患者成年后需要再次手术，学习一种安全有效的再次开胸手术至关重要。本文深入探讨了再次开胸手术的成功经验，包括术前评估、评估心脏损伤风险以及根据风险水平采取的准备措施、开胸前和开胸期间采取的安全措施，以及处理不良事件的要点和陷阱。
