HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Cohen, A. J. Articles by Edwards, F. H. Search for Related Content PubMed PubMed Citation Articles by Cohen, A. J. Articles by Edwards, F. H.

The Annals of Thoracic Surgery, Vol 56, 1107-1109, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Effect of internal mammary harvest on postoperative pain and pulmonary function

AJ Cohen, P Moore, C Jones, TJ Miner, WR Carter, RP Zurcher, R Lupkas and FH Edwards
Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001.

Forty-three patients undergoing median sternotomy were evaluated for postoperative pain and pulmonary function. Group 1 (n = 26) had harvest of the internal mammary artery (IMA) and group 2 (n = 17) did not. Postoperative pain and pulmonary function were evaluated on the fifth postoperative day. Both groups showed a decrease in forced expiratory volume in 1 second (group 1, 44%; group 2, 39%), but there was no significant difference in the loss between the two groups (p = 0.32). Using a numeric rating scale, there was significant increase in postoperative pain in group 1 (group 1, 6.35; group 2, 3.82; p = 0.0002). There is a suggestion that internal mammary artery harvesting itself worsens postoperative pulmonary function tests, and this may be related to a significant increase in postoperative pain.

This article has been cited by other articles:

				K M King, M Parry, D Southern, P Faris, and R T Tsuyuki Women's Recovery from Sternotomy-Extension (WREST-E) study: examining long-term pain and discomfort following sternotomy and their predictors Heart, April 1, 2008; 94(4): 493 - 497. [Abstract] [Full Text] [PDF]

				M. A. Norgaard, T. C. Andersen, M. J. Lavrsen, and S. Borgeskov The outcome of sternal wire removal on persistent anterior chest wall pain after median sternotomy. Eur. J. Cardiothorac. Surg., June 1, 2006; 29(6): 920 - 924. [Abstract] [Full Text] [PDF]

				S. Cimen, V. Ozkul, B. Ketenci, N. Yurtseven, R. Gunay, B. Ketenci, H. Gercekoglu, and M. Demirtas Daily comparison of respiratory functions between on-pump and off-pump patients undergoing CABG Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 589 - 594. [Abstract] [Full Text] [PDF]

				R. Ceriani, M. Mazzoni, F. Bortone, S. Gandini, C. Solinas, G. Susini, and O. Parodi Application of the Sequential Organ Failure Assessment Score to Cardiac Surgical Patients Chest, April 1, 2003; 123(4): 1229 - 1239. [Abstract] [Full Text] [PDF]

				Y. J. Woo and T. J. Gardner Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607. [Full Text]

				M. Bauer, M. Pasic, R. Ewert, and R. Hetzer Ministernotomy versus complete sternotomy for coronary bypass operations: No difference in postoperative pulmonary function J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 702 - 707. [Abstract] [Full Text] [PDF]

				M. Guler, K. Kirali, M. E. Toker, N. Bozbuga, S. N. Omeroglu, E. Akinci, and C. Yakut Different CABG methods in patients with chronic obstructive pulmonary disease Ann. Thorac. Surg., January 1, 2001; 71(1): 152 - 157. [Abstract] [Full Text] [PDF]

				A. Lichtenberg, C. Hagl, W. Harringer, U. Klima, and A. Haverich Effects of minimal invasive coronary artery bypass on pulmonary function and postoperative pain Ann. Thorac. Surg., August 1, 2000; 70(2): 461 - 465. [Abstract] [Full Text] [PDF]

				D. P. Taggart Respiratory dysfunction after cardiac surgery: effects of avoiding cardiopulmonary bypass and the use of bilateral internal mammary arteries Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 31 - 37. [Abstract] [Full Text] [PDF]

				A. Aris, M. L. Camara, J. Montiel, L. J. Delgado, J. Galan, and H. Litvan Ministernotomy versus median sternotomy for aortic valve replacement: a prospective, randomized study Ann. Thorac. Surg., June 1, 1999; 67(6): 1583 - 1587. [Abstract] [Full Text] [PDF]

				G. Wimmer-Greinecker, M. Yosseef-Hakimi, T. Rinne, R. Buhl, G. Matheis, S. Martens, K. Westphal, and A. Moritz Effect of internal thoracic artery preparation on blood loss, lung function, and pain Ann. Thorac. Surg., April 1, 1999; 67(4): 1078 - 1082. [Abstract] [Full Text] [PDF]

				A. J. Cohen, M. G. Katz, R. Katz, D. Mayerfeld, E. Hauptman, and A. Schachner Phrenic Nerve Injury After Coronary Artery Grafting: Is It Always Benign? Ann. Thorac. Surg., July 1, 1997; 64(1): 148 - 153. [Abstract] [Full Text]

				M. Matsumoto, Y. Konishi, S. Miwa, and K. Minakata Effect of Different Methods of Internal Thoracic Artery Harvest on Pulmonary Function Ann. Thorac. Surg., March 1, 1997; 63(3): 653 - 655. [Abstract] [Full Text]

				A. Cohen, M. Katz, R. Katz, E. Hauptman, and A. Schachner Chronic obstructive pulmonary disease in patients undergoing coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 574 - 581. [Abstract] [Full Text]