APPROACH TO ANAESTHETIC AND SURGICAL MANAGEMENT OF REDO CARDIAC SURGERIES - A SINGLE CENTRE EXPERIENCE

Abstract

Redo cardiac surgeries are often considered a different genre because of the technical
challenges they pose for the surgeons and the intraoperative hemodynamic and bleeding
challenges they impose on the anaesthesiologists. Time has seen an increase in redo cardiac
surgery candidates presenting to centres due to various reasons including increase in lifespan,
increase in comorbidities, more primary patients with bioprosthetic valves in situ etc. Better
results have also been visible throughout the years owing to high volume in these centres and
inturn, greater experience in handling these cases. In addition, the risk associated with
resternotomy is a seperate challenge which can be tackled by preoperative imaging and proper
surgical planning accordingly.