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Author Leistner, Marcus ♦ Sommer, Stefanie ♦ Aleksić, Ivan ♦ Schimmer, Christoph ♦ Schmidt-Hengst, Elisa ♦ Leyh, Rainer G. ♦ Sommer, Sebastian-Patrick
Source J-STAGE
Content type Text
Publisher The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
Language English
Subject Keyword cardiac surgery ♦ breast cancer ♦ internal mammary artery ♦ blood loss
Abstract Purpose: In cardiac surgery candidates, a concomitant history of breast cancer suggests adverse outcomes. The possibility of internal mammary artery (IMA) utilization and its patency rate is frequently discussed. Secondary, blood loss and wound related infections might be important issues. However, publications focusing on these issues are limited.Methods: We analyzed 32 patients with previously treated breast cancer undergoing cardiac bypass (CABG) and combined CABG surgery matched to 99 control subjects in a retrospective cohort study. Patients were analyzed regarding IMA utilization, blood loss and substitution and frequent perioperative complications as well as long-term mortality.Results: No significant differences between groups were observed regarding duration of surgery, IMA-utilization, incidence of infections and postoperative complications or mortality. A pronounced decline of hemoglobin/hematocrit was evident within the first 6 postoperative hours (3.3 ± 1.8 vs. 2.5 ± 1.8 mg/dl; p = 0.03) in breast cancer patients not related to an increased drainage loss but associated with an increase of international normalized ratio (INR) (0.39 ± 0.16 vs. 0.29 ± 0.24; p <0.01).Conclusion: In breast cancer patients, CABG and combined CABG procedures can safely be performed with comparable short- and long-term results.
ISSN 13411098
Learning Resource Type Article
Publisher Date 2016-01-01
e-ISSN 21861005
Journal Annals of Thoracic and Cardiovascular Surgery(atcs)
Volume Number 22
Issue Number 3
Page Count 6
Starting Page 168
Ending Page 173


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