It can get attached by scar tissue, adhesions, or whatever, in cases where there has been a previous open-heart surgery. Then, if another surgery is needed, one of the things that the next surgeon checks for in the presurgical work-up is that he's not going to cut right into the heart, as soon as the sternum is sawed open. This is my understanding, anyway, from reading the posts on another forum of a couple of people that this happened to. They stated that their re-op surgeon discussed with them, prior to the procedure, that it could be a problem. It was only a couple of people, and they had both had had previous OHS.
There is no question that it can happen due to prior surgery. In my case it wasn't the heart, but some of the intestines attached themselves to the abdominal wall due to surgery not relatad to the heart. I wound up twice in the ER because the intestines twisted around the attachment point and got totally blocked.
When this happened to my 11 yo daughter, I questioned why noone knew her heart/pericardium had attached to her sternum before they sawed through her sternum. They told me there was no way they could know prior to surgery. Cath wouldn't show and xray wouldn't really show either. I ask because we have friends who will eventually go through the same thing and I would love nothing more than to spare them the nightmare and panic.
And I would think that a CT would show it, since with a CT scan you ought to be able to get an idea of the total amount of surface area of the heart that is directly adjacent to the sternum. From what I understand, this is an unusual, maybe even rare, complication of multiple open-heart surgeries. If a particular surgeon or a particular surgical center does not do a high volume of OHS re-ops, then perhaps there is a not a high index of suspicion for this.
Luvusam, I'm sorry that this happened to your daughter. If you'll check your PMs, I have a link for you to look at. Other than that, I just don't know too much about it.
I know someone that was having a second bypass. When the doctor used the saw to crack her chest an artery was trapped by scar tissue in the sternum. Doctor severed the artery and she did not survive. She was not given a CT scan.
Oh, wow. I am so sorry. I don't know which blood vessels a CT scan can show, other than the great vessels, so I don't know if it would have made a difference in this case, but that is terrible. Open-heart surgery does have a small number of unavoidable fatalities, simply because it involves such major trauma to the body. Successive open-heart surgeries are almost always more risky than the first one. That is just so sad, though. Please accept my condolences.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.