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Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

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Presentation on theme: "Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,"— Presentation transcript:

1 Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures 
Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija, BS, Peter Riley, Lia Petrose, Bartley P. Griffith, MD, James S. Gammie, MD  The Annals of Thoracic Surgery  Volume 96, Issue 4, Pages (October 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Patient population. (MV = mitral valve.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Protocol used for patients with a history of sternotomy undergoing mitral valve operation. (CABG = coronary artery bypass grafting; CPB = cardiopulmonary bypass; MV = mitral valve.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Computed tomography scans of a patient at low risk and (B) a patient at high risk for intraoperative injury. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Percentage of primary and repeat sternotomy mitral valve operations. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Kaplan-Meier analysis of survival in for patients undergoing first-time sternotomy mitral valve operation (n = 926) (continuous line) compared with those who underwent repeat operation (n = 130). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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