{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:13:15Z","timestamp":1777576395561,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:00:00Z","timestamp":1645142400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim was to evaluate early and long-term outcomes of re-sternotomy for aortic valve replacement (AVR) with previous patent coronary artery grafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for re-sternotomy for AVRs (group 1 isolated AVR, group 2 AVR with concomitant procedure) were collected (2000\u20132019). Logistic regression analysis was performed to identify predictors of in-hospital mortality and postoperative composite outcome (in-hospital death, transient ischemic attack\/stroke, renal failure requiring new hemofiltration, deep sternal wound infection, re-exploration for bleeding\/tamponade and length of stay &gt;30 days). Survival curves were compared using log-rank test Cox proportion hazards model was used for predictors of long-term survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Total 178 patients were included (groups 1\u201390 patients, group 2\u201388 patients). Mean age was 75\u2009\u00b1\u20094 years and mean log EuroSCORE was 17\u2009\u00b1\u200912% (15\u2009\u00b1\u20098% \u2013 group 1 vs. 19\u2009\u00b1\u200914% \u2013 group 2, p\u2009=\u20090.06). Mean follow-up was 6.3\u2009\u00b1\u20094.4 years. Cardiovascular injury occurred in 12%. Left internal mammary artery was most commonly injured. In-hospital mortality was 7.8% (5% \u2013 group 1 vs. 10.2% \u2013 group 2, p\u2009=\u20090.247). NYHA class III\u2013IV, perioperative intra-aortic balloon pump and cardiovascular injury were independent predictors of in-hospital mortality (hazard ratio: 13.33, 95% confidence interval: 2.04\u201383.33, p\u2009=\u20090.007). Survival was significantly worse with cardiovascular injury at re-sternotomy up to 5 years (46% vs. 67%, p\u2009=\u20090.025) and postoperative complications ( p\u2009=\u20090.023). Survival was significantly lower than age-matched first-time AVR and UK population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Long-term survival is significantly impaired by cardiovascular injury and perioperative complications of re-sternotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923221081704","type":"journal-article","created":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T10:29:36Z","timestamp":1645180176000},"page":"688-695","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early and long-term outcomes of re-sternotomy for aortic valve replacement with patent coronary artery grafts"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-1894","authenticated-orcid":false,"given":"Suvitesh","family":"Luthra","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, University Hospital Southampton NHS Trust, Southampton, UK"},{"name":"University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3508-2670","authenticated-orcid":false,"given":"Pietro","family":"Malvindi","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, University Hospital Southampton NHS Trust, Southampton, UK"},{"name":"Cardiac Surgery Unit, Azienda Ospedaliero Universitaria, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajiram","family":"Sarvananthan","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, University Hospital Southampton NHS Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiemezie","family":"Okorocha","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil K","family":"Ohri","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, University Hospital Southampton NHS Trust, Southampton, UK"},{"name":"University of Southampton, Southampton, 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