Edward T Brackenbury

Publications (6)1.19 Total impact

• Article: Staged hybrid treatment of ascending aorta aneurysm post cardiac surgery.

  Kasra Shaikhrezai, Prakash Nanjaiah, Susan M Ingram, Edward T Brackenbury
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  ABSTRACT: We describe the management of ascending aorta aneurysm following a recurrent sternotomy wound infection in 2 male patients. The patients had undergone cardiac surgery using cardiopulmonary bypass with late complications of chronic sternal wound infection and saccular aneurysm at the aortic cannulation site. In both patients, following a multidisciplinary approach, a customized stent graft was implanted endovascularly into the ascending aorta to seal the aneurysm orifice followed by resternotomy, repair of the aneurysm and omentopexy. Both patients' postoperative course was uneventful.
  Interactive cardiovascular and thoracic surgery 03/2013;
• Article: eReply. The cheaper and efficient methods of prevention of deep sternal wound infection.

  Kasra Shaikhrezai, Faye L Robertson, Robert D Slight, Edward T Brackenbury
  Interactive cardiovascular and thoracic surgery 08/2012; 15(2):223.
• Article: Does the number of wires used to close a sternotomy have an impact on deep sternal wound infection?

  Kasra Shaikhrezai, Faye L Robertson, Susan E Anderson, Robert D Slight, Edward T Brackenbury
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  ABSTRACT: We studied the influence of the number of sternotomy mechanical fixation points on deep sternal wound infection (DSWI). Between September 2007 and February 2011, 2672 patients underwent a standard peri-sternal wire closure following a median sternotomy for a first-time cardiac surgery. Data were collected during the study period. The mean age of the patients was 66 ± 11 and 1978 (74.0%) were male. The mean body mass index (BMI) was 28.9 ± 9.3 and the median of the logistic EuroSCORE was 3.14, with a range of 0.88-54.1. Postoperatively, 40 (1.5%) patients developed DSWI after 14 ± 6 days, of whom 39 (92.5%) had positive deep sternal wound specimen cultures, predominantly Staphylococci (62.5%). The risk of DSWI was significantly increased in patients in whom eight or fewer paired points of sternal wire fixation were used when compared with patients in whom nine or more paired points of fixation were used (P = 0.002). Preoperative myocardial infarction (P = 0.001), elevated BMI (P = 0.046), bilateral internal mammary artery harvest (P < 0.0001), postoperative hypoxia (P < 0.0001), sepsis (P = 0.019) and postoperative inotrope use (P = 0.007) significantly increased the risk of DSWI. DSWI is associated with hypoxia, ischaemia, sepsis and mechanical sternal instability. DSWI may be prevented by using nine or more paired fixation points when closing with standard peri-sternal wires.
  Interactive cardiovascular and thoracic surgery 05/2012; 15(2):219-22.
• Source

  Available from: PubMed Central

  Article: Redo-redo aortic root replacement with a mechanical valved conduit in a patient with von Willebrand's disease: Case report.

  Kasra Shaikhrezai, Usman Bashir, Sheena Millar, Julia Anderson, Edward T Brackenbury
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  ABSTRACT: A 40 year-old female, with a history of cardiac surgery for congenital aortic valve stenosis and von Willebrand's disease (VWD) presented with increasing shortness of breath due to mixed aortic valve dysfunction. With a paucity of such cases in the literature, we describe the successful outcome of a patient with VWD who underwent elective redo-redo aortic root replacement with a mechanical valved conduit. She was given a three-month trial of warfarin pre-operatively to evaluate the extent of bleeding risk. Her post-operative course was uneventful and she was discharged home after six days.
  Journal of Cardiothoracic Surgery 01/2010; 5:59. · 1.19 Impact Factor
• Article: One-stage repair of an aortic dissection and aortic coarctation.

  Kristina R Cranfield, Edward T Brackenbury, Simon C A Fraser
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  ABSTRACT: Ascending aortic dissection with aortic coarctation has a high mortality. There are few reports of successful surgical management of the combined condition. We report a case of a successful one-stage repair of type A aortic dissection with aortic coarctation, using an extra-anatomic bypass to connect the ascending to the abdominal aorta.
  Interactive cardiovascular and thoracic surgery 03/2008; 7(1):170-2.
• Article: Aortic pseudoaneurysm complicating sternal wound infection following CABG.

  Mohan P Devbhandari, Sendhil K Balasubramanian, Ciro Campanella, Edward T Brackenbury
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  ABSTRACT: Pseudoaneurysm of the ascending aorta following coronary artery bypass grafting is a rare complication. In this report we present two such cases. We were successful in repairing the false aneurysm and sternal dehiscence in one case. The clinical features, diagnosis and surgical management are discussed.
  Cardiovascular Surgery 07/2003; 11(3):243-5.