SHA 31. Life styles related to coronary artery disease in Saudi males older than 12 years of age

Abstract

Objectives: To evaluate the incidence, patient characteristics, and early outcome of open chest technique. Methods: Fourteen adult patients were managed by open chest technique after cardiac surgery. Preoperative, operative and postoperative patient’s data were recorded and reviewed. Results: Mean age was 52 ± 8.2 years, NYHA functional class III/IV 78%, emergency operation 52%, redo operation 21%. Preoperative mean EF%= 38%± 14%. Preoperatively, eight patients (52%) required inotropic support and five of them (36%) required intraaortic balloon pump (IABP) support in addition to inotropic support. Mortality was 42.8%, causes of death included multi-organ failure in three patients, low cardiac output in two patients, and sepsis in one patient. Complications included superficial sternotomy wound infection occurred in three patients and mediastinits in one patient. sepsis in three patients, upper. Delayed sternal closure was performed successfully at 2.8 ± 1.7 days after primary operation. Conclusion: Open chest management with delayed sternal closure is a helpful strategy in the management of critical patients who had unstable hemodynamics or uncontrollable bleeding after cardiac surgery. It allows easymanagement ofmediastinal bleeding, monitoring of cardiac edema regression, and recovery of ventricular function with a relatively low incidence of sternal morbidity. Tracks: Cardiovascular Surgery.