{"id":548,"date":"2008-11-12T06:35:47","date_gmt":"2008-11-12T06:35:47","guid":{"rendered":"http:\/\/cardiophile.org\/?p=548"},"modified":"2008-11-12T06:35:47","modified_gmt":"2008-11-12T06:35:47","slug":"post-cabg-x-ray-chest-pa-view","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/post-cabg-x-ray-chest-pa-view\/","title":{"rendered":"Post CABG X-ray chest PA view"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Post CABG X-ray chest PA view<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/b7b9u3vJy8M\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<figure id=\"attachment_38119\" aria-describedby=\"caption-attachment-38119\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-38119\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/Post-CABG-X-ray-chest-PA-view.png\" alt=\"Post CABG X ray chest PA view\" width=\"1200\" height=\"1060\"><figcaption id=\"caption-attachment-38119\" class=\"wp-caption-text\">Post CABG X-ray chest PA view<\/figcaption><\/figure>\n<p>Post coronary artery bypass chest X-ray PA view: Chest X-ray PA view after coronary artery bypass showing the sternal wires and clips used for occluding the side branches of the left internal mammary artery. The magnified views are given below for better delineation.<\/p>\n<figure id=\"attachment_25394\" aria-describedby=\"caption-attachment-25394\" style=\"width: 357px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25394 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/sternal-wires.jpg\" alt=\"Magnified view of sternal wires on chest X ray after CABG\" width=\"357\" height=\"379\"><figcaption id=\"caption-attachment-25394\" class=\"wp-caption-text\">Magnified view of sternal wires on chest X-ray after CABG<\/figcaption><\/figure>\n<p>Sternal wires are used to hold the two sides of the sternum divided during midline sternotomy together for the initial few months during which firm bony union occurs. This reduces sternal instability and chance for sternal wound dehiscence. Occasionally one of these wires can get infected and erode outside the skin, necessitating removal at a later date.<\/p>\n<figure id=\"attachment_25395\" aria-describedby=\"caption-attachment-25395\" style=\"width: 355px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25395 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/11\/clips-occluding-lima-branches2.jpg\" alt=\"Clips occluding branches of left internal mammary artery\" width=\"355\" height=\"399\"><figcaption id=\"caption-attachment-25395\" class=\"wp-caption-text\">Clips occluding branches of left internal mammary artery<\/figcaption><\/figure>\n<p>Clips are used to occlude the side branches of the left internal mammary artery (LIMA) which is used for grafting the stenotic left anterior descending artery. The branches removed are the anterior intercostal arteries.<\/p>\n<p>Bello SO et al checked whether routine chest X-ray (CXR) during follow up after cardiac surgery is useful [1]. In their retrospective study group of 350 patients, 271 patients had CXR. Of these, 83 were for clinical indications. CXR led to alteration of management in 33 patients. Alteration in management occurred in 40% of cases when CXR was taken for a clinical indication, but only 12% overall. There was good correlation between clinical indication based CXR and resulting change in management. Authors concluded that CXR should be performed during routine follow up of adult cardiac surgical patients using a patient centered approach based on signs and symptoms.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>Bello SO, Page A, Sadat U, Codispoti M, Nair SK. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3653455\/\">Chest X-ray and electrocardiogram in post-cardiac surgery follow-up clinics: should this be offered routinely or when clinically indicated?<\/a> Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):725-30. doi: 10.1093\/icvts\/ivt017. Epub 2013 Feb 20. PMID: 23429568; PMCID: PMC3653455.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Post CABG X ray chest PA view showing sternal wires and clips occluding side branches of the grafted left internal mammary artery.<\/p>\n","protected":false},"author":1,"featured_media":38119,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-548","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology-x-ray"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Post CABG X ray chest PA view<\/title>\n<meta name=\"description\" content=\"Post CABG X ray chest PA view showing sternal wires and clips occluding side branches of the grafted left internal mammary artery.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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