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Cardiac Surgery: Current Developments and Trends

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: closed (15 April 2025) | Viewed by 3238

Special Issue Editors


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Guest Editor
Division of Cardiothoracic Surgery, University of Washington Medical Center, 1959 NE Pacific Street, Seattle, WA 98195-6410, USA
Interests: cardiothoracic transplantation; mechanical circulatory support; aortic surgery

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Guest Editor
Department of Cardiac Surgery, University Heart Center, Rostock University Medical Center, Schillingallee 35, 18057 Rostock, Germany
Interests: aortic surgery; off-pump CABG; minimally-invasive valve reconstruction

Special Issue Information

Dear Colleagues,

During the modern era of cardiac surgery, we have witnessed tremendous achievements in all aspects of the discipline, from coronary artery revascularization to thoracic transplantation. Innovation is progressing at such a rapid pace that traditional textbooks are lagging to capture the status quo of individual areas. Advancements in percutaneous technology have completely changed the landscape of structural heart disease. Surgical techniques aiming at native valve preservation alongside adaptation of minimally invasive approaches are being routinely utilized. Cardiac transplantation has also undergone significant improvements with ex vivo perfusion platforms utilized routinely and groups experimenting with xenotransplantation. In addition, the objectives of cardiothoracic surgical research have shifted from biological to quality-of-life outcomes in many fields. Therefore, our Special Issue aims to provide contributions sharing cutting-edge articles from leading international authorities.

Dr. Ioannis Dimarakis
Prof. Dr. Christian D. Etz
Guest Editors

Manuscript Submission Information

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Keywords

  • cardiothoracic transplantation
  • mechanical circulatory support
  • aortic surgery
  • off-pump CABG
  • minimally invasive valve reconstruction

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Published Papers (1 paper)

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Research

11 pages, 2296 KiB  
Article
Improving Sternal Closure Outcomes in Cardiac Surgery: Polyethylene Suture Tapes vs. Steel Wires
by Zain Khalpey, Ujjawal Aditya Kumar, Usman Aslam, Tyler Phillips, Zacharya Khalpey, Anthony Cooper and Robert Riley
J. Clin. Med. 2025, 14(1), 277; https://doi.org/10.3390/jcm14010277 - 6 Jan 2025
Cited by 2 | Viewed by 2665
Abstract
Background: Steel wires are often inadequate for sternal closure for patients at high risk of sternal complications. This study compares a novel sternal closure system to conventional steel wires to assess its potential to reduce sternal complication rates and improve clinical outcomes. Methods: [...] Read more.
Background: Steel wires are often inadequate for sternal closure for patients at high risk of sternal complications. This study compares a novel sternal closure system to conventional steel wires to assess its potential to reduce sternal complication rates and improve clinical outcomes. Methods: A retrospective study was conducted on 300 consecutive patients undergoing cardiac surgery via median sternotomy. A total of 150 patients underwent steel wire sternal closure, while 150 underwent suture tape closure. Preoperative, intraoperative, and postoperative data were collected and analyzed for both groups. Results: Rates of sternal wound infections (1% vs. 5%, p = 0.0363) and sternal dehiscence (0% vs. 5%, p = 0.0297) were lower in the suture tape group. Suture tape patients had significantly less pain at 14 and 30 days (p = 0.0002 and 0.0071). The requirement for sternal protection adjuncts was eliminated with suture tape closure. Sternal closure time was significantly shorter in the suture tape group (11 vs. 19 min, p < 0.0001). Conclusions: Suture tapes proved safe, feasible, and effective for sternal closure, demonstrating significant advantages for sternal closure over steel wires, with reduced rates of sternal dehiscence, infection, postoperative incisional pain, and closure time. These superior outcomes and the elimination of sternal protection adjuncts can potentially reduce healthcare costs. Our experiences suggest that this novel sternal closure system has significant potential, with larger prospective studies warranted to optimize sternal closure strategies. Full article
(This article belongs to the Special Issue Cardiac Surgery: Current Developments and Trends)
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