Preserved pleura space integrity and respiratory dysfunction after coronary surgery

Effect of Pleurotomy on Blood Loss During Coronary Artery Bypass Grafting

“…Regarding the effect of IMA harvesting technique, bilateral IMA harvesting or pleural opening on respiratory function are controversial. Some authors noted an increased incidence of pulmonary complications in patients with open pleural IMA harvesting technique 5‐18 . We have also seen extremely high incidence of left pleural effusion on day 3 (96.2%) in patients with open pleural group.…”

“…Some authors noted an increased incidence of pulmonary complications in patients with open pleural IMA harvesting technique. [5][6][7][8][9][10][11][12][13][14][15][16][17][18] We have also seen extremely high incidence of left pleural effusion on day 3 (96.2%) in patients with open pleural group. Incidence of left pleural effusion was significantly low in patients with preserved pleural integrity, both on day 1 and day 3 (37.6% and 60.8%, respectively).…”

“…Most of the papers were interested in lung functions. Totaro et al 12 indicated that blood loss was decreased in patients with preserved pleural integrity than open pleural group. But they found no difference in blood transfusion requirements and ventilation duration of the two groups.…”

“…The optimal management of the lungs during coronary artery bypass surgery remains to be defined 4‐16 . IMA harvesting may have an important role for postoperative pulmonary complications during coronary artery bypass graft (CABG) surgery.…”

“…The optimal management of the lungs during coronary artery bypass surgery remains to be defined. [4][5][6][7][8][9][10][11][12][13][14][15][16] IMA harvesting may have an important role for postoperative pulmonary complications during coronary artery bypass graft (CABG) surgery. Regarding the effect of IMA harvesting technique, bilateral IMA harvesting or pleural opening on respiratory function are controversial.…”