Abstract
Postoperative chest radiographs of 70 adults who had undergone cardiopulmonary bypass surgery were evaluated. The distribution of pulmonary collapse/consolidation and pleural effusions, and the pattern of radiopacities related to drainage tubes were considered. Radiologic manifestations related to sternotomy were noted.
Cases with a recorded postoperative blood loss of more than 280 ml/hour and/or an increase in mediastinal width of more than 70% had massive mediastinal hemorrhage that required reoperation. Changes in mediastinal contour were inconsistent, although total loss of mediastinal definition sugested hemorrhage or drainage tube blockage. A left apical extrapleural cap indicated massive mediastinal hemorrhage.
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Berkow, A.E., Demos, T.C.: The midsternal stripe and its relationship to postoperative sternal dehiscence. Radiology 121: 521–524, 1976.
Curtis, J.A., Libshitz H.I., Dalinka M.K.: Fracture of the first rib as a complication of midline sternotomy. Radiology 115: 63–65, 1975
Ellison, L.H., Kirsh, M.M.: Delayed mediastinal tamponade after open heart surgery. Chest 65: 64–66, 1974
Escovitz, E.S., Okulski, T.A., Lapayowker, M.S.: The midsternal stripe: A sign of dehiscence following median sternotomy. Radiology 121: 521–524, 1976
Fishbone, G., Robbins, D.I., Osborn, D.J.: Trauma to the thoracic aorta and great vessels. Radiol. Clin. N. Am. 11: 543–554, 1973
Gauert, W.B., Anderson, D.S., Reed, W.A., Templeton, A.W.: Pulmonary complications following extracorporeal circulation. South. Med. J. 64: 679–686, 1971
Hipona, F.A., Lerona, P.T., Paredes, S.: Radiologic diagnosis of late complications associated with cardiac valve surgery in acquired heart disease. Radiol. Clin. N. Am. 9: 265–283, 1971
Itzchak, Y., Rosenthal, T. Adar, R., Rubenstein, Z.J., Lieberman Y., Deutsch, V.: Dissecting aneurysm of thoracic aorta: Reappraisal of radiologic diagnosis. Am. J. Roentgenol. 125: 559–570, 1975
McCormick, T.L., Kuhns, L.R., Perry, B.L.: Radiographic changes in children following cardiac surgery performed by splitting the sternum. Radiology 118: 141–143, 1976
Melamed, M., Hipona, F.A., Reynes, C.J., Barker, W.L., Paredes, S.: The adult postopeative chest. Charles C. Thomas, Springfield, 111, 1977
Resnicoff, S.A., McReynolds, D.G., DeWeese, J.A.: A technique from maintaining the patency of chest catheters following open heart surgery. Ann Thorac. Surg. 13: 190–191, 1972
Sandor, F.: Incidence and significance of traumatic mediaiastinal haematoma. Thorax 22: 43–63, 1967
Simeone, J.F., Minagi, H., Putnam, C.E.: Traumatic disruption of the thoracic aorta: Significance of the left apical extra-pleural cap. Radiology 117: 265–268, 1975.
Templeton, A.W., Almond, C.H., Seaber, A. Simmons, C., Mackenzie, J.: Post-operative pulmonary patterns following cardiopulmonary bypass. Am. J. Roentol. 96: 1007–1018, 1966
Turnbull, K.W., Miyagishima, R.T., Gerein, A.N.: Pulmonary complications and cardipulmonary bypass: A clinical study in adults. Can. Anaesth. Soc. J. 21: 181–194 1974
Ziter F.M.H.: Major thoracic dehiscence: Radiographic considerations. Radiology 122: 587–590, 1977
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Katzberg, R.W., Whitehouse, G.H. & deWeese, J.A. The early radiologic findings in the adult chest after cardiopulmonary bypass surgery. Cardiovasc Radiol 1, 205–215 (1978). https://doi.org/10.1007/BF02552045
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DOI: https://doi.org/10.1007/BF02552045