Multidetector Computed Tomographic Angiography in Planning of Reoperative Cardiothoracic Surgery

Apur R. Kamdar; Telly A. Meadows; Eric E. Roselli; Eiran Z. Gorodeski; Ronan J. Curtin; Joseph F. Sabik; Paul Schoenhagen; Richard D. White; Bruce W. Lytle; Scott D. Flamm; Milind Y. Desai

doi:10.1016/j.athoracsur.2007.11.075

Multidetector Computed Tomographic Angiography in Planning of Reoperative Cardiothoracic Surgery

Apur R. Kamdar, Telly A. Meadows, Eric E. Roselli, Eiran Z. Gorodeski, Ronan J. Curtin, Joseph F. Sabik, Paul Schoenhagen, Richard D. White, Bruce W. Lytle, Scott D. Flamm, Milind Y. Desai

Research output: Contribution to journal › Article › peer-review

89 Scopus citations

Abstract

Background: Redo cardiothoracic surgery is associated with increased morbidity and mortality compared with primary operations. Multidetector computed tomographic angiography (MDCTA) delineates the course of previous coronary artery bypass grafts (CABG) and proximity of mediastinal structures to the chest wall. We sought to determine if high-risk preoperative MDCTA findings were associated with greater use of preventive surgical strategies during redo cardiac surgery in patients with prior CABG. Methods: We studied 167 patients (mean age 69 ± 9 years, 79% men) with prior CABG, referred for redo cardiac surgery, who underwent contrast-enhanced MDCTA to assess CABG location and mediastinal relationship to chest wall. Preoperative risk was determined. Prevalence of high-risk MDCTA findings, use of preventive surgical strategies, frequency of severe intraoperative bleeding, and postoperative mortality were recorded. Results: Mean risk score was high (7.5 ± 3). High-risk MDCTA findings included proximity (

Original language	English (US)
Pages (from-to)	1239-1245
Number of pages	7
Journal	Annals of Thoracic Surgery
Volume	85
Issue number	4
DOIs	https://doi.org/10.1016/j.athoracsur.2007.11.075
State	Published - Apr 2008
Externally published	Yes

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Surgery

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10.1016/j.athoracsur.2007.11.075

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title = "Multidetector Computed Tomographic Angiography in Planning of Reoperative Cardiothoracic Surgery",

abstract = "Background: Redo cardiothoracic surgery is associated with increased morbidity and mortality compared with primary operations. Multidetector computed tomographic angiography (MDCTA) delineates the course of previous coronary artery bypass grafts (CABG) and proximity of mediastinal structures to the chest wall. We sought to determine if high-risk preoperative MDCTA findings were associated with greater use of preventive surgical strategies during redo cardiac surgery in patients with prior CABG. Methods: We studied 167 patients (mean age 69 ± 9 years, 79% men) with prior CABG, referred for redo cardiac surgery, who underwent contrast-enhanced MDCTA to assess CABG location and mediastinal relationship to chest wall. Preoperative risk was determined. Prevalence of high-risk MDCTA findings, use of preventive surgical strategies, frequency of severe intraoperative bleeding, and postoperative mortality were recorded. Results: Mean risk score was high (7.5 ± 3). High-risk MDCTA findings included proximity (",

author = "Kamdar, {Apur R.} and Meadows, {Telly A.} and Roselli, {Eric E.} and Gorodeski, {Eiran Z.} and Curtin, {Ronan J.} and Sabik, {Joseph F.} and Paul Schoenhagen and White, {Richard D.} and Lytle, {Bruce W.} and Flamm, {Scott D.} and Desai, {Milind Y.}",

year = "2008",

month = apr,

doi = "10.1016/j.athoracsur.2007.11.075",

language = "English (US)",

volume = "85",

pages = "1239--1245",

journal = "Annals of Thoracic Surgery",

issn = "0003-4975",

publisher = "Elsevier USA",

number = "4",

}

TY - JOUR

T1 - Multidetector Computed Tomographic Angiography in Planning of Reoperative Cardiothoracic Surgery

AU - Kamdar, Apur R.

AU - Meadows, Telly A.

AU - Roselli, Eric E.

AU - Gorodeski, Eiran Z.

AU - Curtin, Ronan J.

AU - Sabik, Joseph F.

AU - Schoenhagen, Paul

AU - White, Richard D.

AU - Lytle, Bruce W.

AU - Flamm, Scott D.

AU - Desai, Milind Y.

PY - 2008/4

Y1 - 2008/4

N2 - Background: Redo cardiothoracic surgery is associated with increased morbidity and mortality compared with primary operations. Multidetector computed tomographic angiography (MDCTA) delineates the course of previous coronary artery bypass grafts (CABG) and proximity of mediastinal structures to the chest wall. We sought to determine if high-risk preoperative MDCTA findings were associated with greater use of preventive surgical strategies during redo cardiac surgery in patients with prior CABG. Methods: We studied 167 patients (mean age 69 ± 9 years, 79% men) with prior CABG, referred for redo cardiac surgery, who underwent contrast-enhanced MDCTA to assess CABG location and mediastinal relationship to chest wall. Preoperative risk was determined. Prevalence of high-risk MDCTA findings, use of preventive surgical strategies, frequency of severe intraoperative bleeding, and postoperative mortality were recorded. Results: Mean risk score was high (7.5 ± 3). High-risk MDCTA findings included proximity (

AB - Background: Redo cardiothoracic surgery is associated with increased morbidity and mortality compared with primary operations. Multidetector computed tomographic angiography (MDCTA) delineates the course of previous coronary artery bypass grafts (CABG) and proximity of mediastinal structures to the chest wall. We sought to determine if high-risk preoperative MDCTA findings were associated with greater use of preventive surgical strategies during redo cardiac surgery in patients with prior CABG. Methods: We studied 167 patients (mean age 69 ± 9 years, 79% men) with prior CABG, referred for redo cardiac surgery, who underwent contrast-enhanced MDCTA to assess CABG location and mediastinal relationship to chest wall. Preoperative risk was determined. Prevalence of high-risk MDCTA findings, use of preventive surgical strategies, frequency of severe intraoperative bleeding, and postoperative mortality were recorded. Results: Mean risk score was high (7.5 ± 3). High-risk MDCTA findings included proximity (

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Multidetector Computed Tomographic Angiography in Planning of Reoperative Cardiothoracic Surgery

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