Effects of pleurotomy on respiratory sequelae after internal mammary artery harvesting

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dc.contributor.authorIyem H.
dc.contributor.authorIslamoglu F.
dc.contributor.authorYagdi T.
dc.contributor.authorSargin M.
dc.contributor.authorBerber O.
dc.contributor.authorHamulu A.
dc.contributor.authorBuket S.
dc.contributor.authorDurmaz I.
dc.date.accessioned2019-10-27T00:09:22Z
dc.date.available2019-10-27T00:09:22Z
dc.date.issued2006
dc.departmentEge Üniversitesien_US
dc.description.abstractThe preservation of pleural integrity during mammary artery harvesting may decrease atelectasis and pleural effusion during the postoperative period. We designed this retrospective study to evaluate the effects on postoperative pulmonary function of pleural integrity versus opened pleura, in patients who receive a left internal mammary artery graft. The study group consisted of 1,141 patients who underwent elective coronary artery bypass grafting. The patients were retrospectively evaluated and divided into 2 groups: those who underwent internal mammary artery harvesting with opened pleura (n=873) or with pleural integrity (n=268). To monitor pleural effusion and atelectasis, chest radiography was performed routinely 1 day before operation and on the 2nd, 5th, and 7th postoperative days. The preoperative, after extubation, and 1st postoperative day values of partial oxygen pressure (PaO2), partial carbon dioxide pressure (PaCO2), and oxygen (O2) saturation were recorded for comparison, as was the hematocrit. The mean age of the patients was 57.4 ±8.81 years. There were no significant differences between the groups in mean values of PaO2, PaCO2, O 2 saturation, and hematocrit after extubation or on the 1st postoperative day. Atelectasis on the 5th and 7th postoperative days, pleural effusion on the 2nd, 5th, and 7th days, and postoperative bleeding were significantly less in the group with preserved pleural integrity. We showed that preservation of pleural integrity during internal mammary artery harvesting decreases postoperative bleeding, pleural effusion, and atelectasis. We conclude that preservation of pleural integrity, when possible, can decrease these postoperative complications of coronary artery bypass grafting. © 2006 by the Texas Heart® Institute.en_US
dc.identifier.endpage121en_US
dc.identifier.issn0730-2347
dc.identifier.issue2en_US
dc.identifier.pmid16878610en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage116en_US
dc.identifier.urihttps://hdl.handle.net/11454/21654
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAtelectasisen_US
dc.subjectCardiopulmonary bypassen_US
dc.subjectCoronary artery bypass/adverse effectsen_US
dc.subjectInternal mammary-coronary artery anastomosisen_US
dc.subjectMediastinitisen_US
dc.subjectPain, postoperative/etiologyen_US
dc.subjectPleura/surgeryen_US
dc.subjectPleural effusionen_US
dc.subjectPostoperative complicationsen_US
dc.subjectRespiratory insufficiencyen_US
dc.titleEffects of pleurotomy on respiratory sequelae after internal mammary artery harvestingen_US
dc.typeArticleen_US

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