Original articleCardiovascularClinical Outcomes of Noninfectious Sternal Dehiscence After Median Sternotomy
Section snippets
Patients and Methods
A retrospective review was performed of all patients undergoing median sternotomy for cardiac surgery at The Johns Hopkins Hospital from March 1994 to February 2004. A total of 12,380 median sternotomies were performed during the study period, and 48 patients (0.39%) underwent surgery to repair a noninfectious sternal dehiscence. Patients who experienced infectious complications of the sternal wound after sternotomy were excluded. Age, sex, race, and procedure-matched controls who underwent
Results
During this period, a total of 12,380 median sternotomies were performed, with an incidence of noninfectious sternal dehiscence of 0.39% (48 of 12,380). The incidence of infectious sternal dehiscence during the same period was 2.4% (298 of 12,380). Our patient cohort consisted of 48 patients (48 of 12,380, 0.39%) who suffered from noninfectious sternal dehiscence after median sternotomy, with a mean age of 58.8 ± 12.8 years (range, 30 to 79) at reoperation and a male to female ratio of 45:3 (
Comment
The purpose of this study was to identify the preoperative characteristics, postoperative complications, and long-term functional outcomes of patients undergoing sternal reoperation from noninfectious causes and to compare these patients with a group of age-, sex-, race-, and procedure-matched control subjects to determine risk factors for noninfectious sternal dehiscence. Previous studies have addressed these issues for patients having sternal dehiscence from infectious causes. Although the
Requirements for Recertification/Maintenance of Certification in 2006
Diplomates of the American Board of Thoracic Surgery who plan to participate in the Recertification/Maintenance of Certification process in 2006 must hold an active medical license and must hold clinical privileges in thoracic surgery. In addition, a valid certificate is an absolute requirement for entrance into the recertification/maintenance of certification process. if your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the
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