{"id":"https://openalex.org/W3008037812","doi":"https://doi.org/10.18999/nagjms.81.4.549","title":"Routine presternotomy extracorporeal circulation for redo surgery.","display_name":"Routine presternotomy extracorporeal circulation for redo surgery.","publication_year":2019,"publication_date":"2019-11-01","ids":{"openalex":"https://openalex.org/W3008037812","doi":"https://doi.org/10.18999/nagjms.81.4.549","mag":"3008037812","pmid":"https://pubmed.ncbi.nlm.nih.gov/31849373","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:5869076","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110848474","display_name":"Toshikuni Yamamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshikuni Yamamoto","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009509532","display_name":"Shunei Saito","orcid":"https://orcid.org/0000-0002-8526-9935","observed_orcids":["https://orcid.org/0000-0002-8526-9935"]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shunei Saito","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110828726","display_name":"Akio Matsuura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akio Matsuura","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113975927","display_name":"Ken Miyahara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ken Miyahara","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082043775","display_name":"Haruki Takemura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Haruki Takemura","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052519044","display_name":"Ryohei Otsuka","orcid":"https://orcid.org/0000-0001-8283-0494","observed_orcids":["https://orcid.org/0000-0001-8283-0494"]},"institutions":[{"id":"https://openalex.org/I4210113086","display_name":"Ichinomiya Municipal City Hospital","ror":"https://ror.org/026a4qe69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113086"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryohei Otsuka","raw_affiliation_strings":["Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan","institution_ids":["https://openalex.org/I4210113086"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210113086"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.27642897,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"81","issue":"4","first_page":"549","last_page":"555"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extracorporeal-circulation","display_name":"extracorporeal circulation","score":0.9769999980926514},{"id":"https://openalex.org/keywords/reoperative-cardiac-surgery","display_name":"cardiac reoperation","score":0.8130000233650208},{"id":"https://openalex.org/keywords/resternotomy","display_name":"resternotomy","score":0.9649999737739563},{"id":"https://openalex.org/keywords/mediastinal-injury","display_name":"mediastinal injury","score":0.8149999976158142},{"id":"https://openalex.org/keywords/right-ventricular-injury","display_name":"right ventricular injury","score":0.7860000133514404},{"id":"https://openalex.org/keywords/cardiopulmonary-bypass-time","display_name":"cardiopulmonary bypass time","score":0.7369999885559082},{"id":"https://openalex.org/keywords/blood-transfusion","display_name":"blood transfusion","score":0.7979999780654907},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6899999976158142},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.5529999732971191},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.746999979019165},{"id":"https://openalex.org/keywords/prolonged-mechanical-ventilation","display_name":"prolonged mechanical ventilation","score":0.6510000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.943494439125061},{"id":"https://openalex.org/C2994232697","wikidata":"https://www.wikidata.org/wiki/Q1115882","display_name":"Extracorporeal circulation","level":2,"score":0.6492396593093872},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6471009850502014},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.5688443779945374},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.48914507031440735},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.47603610157966614},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.4745137095451355},{"id":"https://openalex.org/C2779526774","wikidata":"https://www.wikidata.org/wiki/Q831830","display_name":"Median sternotomy","level":2,"score":0.46069854497909546},{"id":"https://openalex.org/C2778881276","wikidata":"https://www.wikidata.org/wiki/Q552304","display_name":"Cardiopulmonary bypass","level":2,"score":0.45965614914894104},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.4581199884414673},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.4409741759300232},{"id":"https://openalex.org/C2908767450","wikidata":"https://www.wikidata.org/wiki/Q736995","display_name":"Superior vena cava","level":2,"score":0.4382089674472809}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005112","descriptor_name":"Extracorporeal Circulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D056346","descriptor_name":"Sternotomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":6,"locations":[{"id":"pmh:oai:europepmc.org:5869076","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6892668","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nagoya J Med Sci","raw_type":"Text"},{"id":"pmid:31849373","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31849373","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nagoya journal of medical science","raw_type":"Journal Article"},{"id":"pmh:oai:irdb.nii.ac.jp:01152:0004317936","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"https://nagoya.repo.nii.ac.jp/records/28732","pdf_url":null,"source":{"id":"https://openalex.org/S7407056385","display_name":"Institutional Repositories DataBase (IRDB)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I184597095","host_organization_name":"National Institute of Informatics","host_organization_lineage":["https://openalex.org/I184597095"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Nagoya Journal of Medical Science","raw_type":"departmental bulletin paper"},{"id":"pmh:oai:nagoya.repo.nii.ac.jp:00028732","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"http://hdl.handle.net/2237/00030919","pdf_url":null,"source":{"id":"https://openalex.org/S4406922638","display_name":"Nagoya University Repository (NAGOYA Repository)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Nagoya Journal of Medical Science","raw_type":"departmental bulletin paper"},{"id":"mag:3008037812","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31849373","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:5869076","doi":"https://doi.org/10.18999/nagjms.81.4.549","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6892668","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W1997191470","https://openalex.org/W2010126641","https://openalex.org/W2038767097","https://openalex.org/W2044541292","https://openalex.org/W2083766328","https://openalex.org/W2086198934","https://openalex.org/W2140046494","https://openalex.org/W2512612974"],"related_works":["https://openalex.org/W2038767097","https://openalex.org/W1997191470","https://openalex.org/W2081270650","https://openalex.org/W2367720664","https://openalex.org/W2034388098","https://openalex.org/W4323339001","https://openalex.org/W2420147599","https://openalex.org/W1985274261","https://openalex.org/W2000079732","https://openalex.org/W2027869028"],"abstract_inverted_index":{"To":[0],"reduce":[1],"the":[2,35,67,77,170,175,185],"risk":[3,171],"of":[4,27,125,166,172,187],"adverse":[5],"events,":[6],"presternotomy":[7,29,167],"extracorporeal":[8],"circulation":[9],"(ECC)":[10],"is":[11],"routinely":[12],"performed":[13,45],"at":[14],"our":[15,24],"institution":[16],"for":[17,31,131],"patients":[18,63,73,119,152],"who":[19],"require":[20],"resternotomy.":[21],"We":[22],"report":[23],"10-year":[25],"experience":[26],"performing":[28],"ECC":[30,52,110,168,196],"cardiac":[32,40],"reoperation":[33],"and":[34,49,102,112,159,180,198],"clinical":[36],"results.":[37],"Fifty-seven":[38],"consecutive":[39],"reoperations":[41],"involving":[42],"resternotomy":[43],"were":[44,116],"between":[46],"January":[47],"2006":[48],"December":[50],"2015.":[51],"was":[53],"established":[54],"prior":[55],"to":[56,66,76,174],"median":[57],"sternotomy":[58],"in":[59,84,89,94,100,106,133,137,146,150,156,161,184],"all":[60],"patients.":[61],"Two":[62,118],"sustained":[64,74],"injury":[65,75,173,189],"right":[68],"ventricle":[69],"during":[70,80,178,190],"sternotomy.":[71],"Eleven":[72],"mediastinal":[78,176],"structures":[79,177],"dissection":[81],"(right":[82],"atrium":[83],"3;":[85,95],"superior":[86],"vena":[87,92],"cava":[88,93],"2;":[90],"inferior":[91],"left":[96],"internal":[97],"thoracic":[98],"artery":[99],"1;":[101],"saphenous":[103],"vein":[104],"graft":[105],"2":[107],"patients).":[108],"Longer":[109],"time":[111,197],"greater":[113,200],"transfusion":[114,201],"volume":[115,202],"necessary.":[117],"(3.5%)":[120],"died":[121],"within":[122],"30":[123],"days":[124],"operation.":[126],"Perioperative":[127],"morbidity":[128],"included":[129],"reexploration":[130],"bleeding":[132],"4":[134],"(7.0%),":[135],"stroke":[136],"1":[138],"(1.8%),":[139],"acute":[140],"renal":[141],"failure":[142],"that":[143],"required":[144],"hemodialysis":[145],"5":[147,151,162],"(8.8%),":[148,153],"sepsis":[149],"prolonged":[154],"ventilation":[155],"9":[157],"(15.8%)":[158],"tracheostomy":[160],"(8.8%).":[163],"Routine":[164],"establishment":[165],"reduces":[169],"reentry":[179,191],"facilitates":[181],"easier":[182],"repair":[183],"event":[186],"structural":[188],"or":[192],"dissection.":[193],"However,":[194],"longer":[195],"significantly":[199],"requires":[203],"attention.":[204]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-03-06T00:00:00"}