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. 2024 May;40(3):275-280.
doi: 10.6515/ACS.202405_40(3).20231129A.

The Effect of the Presence of Barrier during Resternotomy in Congenital Heart Surgery

Onur Isik  1 , Muhammet Akyuz  1 , Gökcen Ozcifci  2 , Gokmen Akkaya  1 , Fatih Durak  3 , Ayse Berna Anil  3
Affiliations

The Effect of the Presence of Barrier during Resternotomy in Congenital Heart Surgery

Onur Isik et al. Acta Cardiol Sin. 2024 May.

Abstract

Background: Reoperation is an important cause of morbidity and mortality in congenital heart surgery. The aim of this study was to assess whether the presence of barrier during resternotomy affected the outcomes of infants and children who underwent congenital heart surgery.

Methods: A total of 110 (7.6%) patients who underwent reoperations among 1445 consecutive patients between February 2018 and June 2023 were evaluated. The patients were divided into two groups: those with barrier (n = 72) and those without barrier (n = 38). Demographic, intraoperative and postoperative data were retrospectively analyzed.

Results: Among the 110 patients, the age at reoperation was 10.1 ± 1.4 years in the group with barrier and 10.9 ± 2.8 years in the group without barrier. There were no statistically significant differences in the age at surgery, preoperative saturation, interval since preceding surgery (years), and aortic cross clamp time (minutes) between the groups. However, there were significantly higher rates of injuries during dissection (p = 0.001) and adverse events (p = 0.002) during dissection in the non-barrier group. One patient in the group without barrier underwent reoperation but subsequently died.

Conclusions: The usage of any barrier in front of the right ventricle can decrease the incidence of adverse events, morbidity and mortality.

Keywords: Congenital heart disease; Infant; Surgical management.

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Conflict of interest statement

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1
Computed tomography (CT) images. (A) Polytetrafluoroethylene (PTFE) barrier in front of the right ventricular (RV). (B) Pericardial barrier in front of the RV. (C) Non-barrier in front of the RV.
See this image and copyright information in PMC

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