- Academic Editor
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†These authors contributed equally.
Background: Cardiac surgical re-exploration for bleeding is associated
with increased morbidity and mortality. Whether to perform these procedures in
the operating room (OR) or the Cardiac Intensive Care Unit (CICU) in uncertain.
We sought to determine if the location of the reoperation would affect
postoperative outcomes when a reoperation for bleeding is required following
cardiac surgery. Methods: Patients who underwent planned cardiac
re-explorations for bleeding at our center from January 2019 to December 2021
were retrospectively enrolled in this study. Patient outcomes were compared and
analyzed. Results: Due to hemorrhagic shock, 72 patients underwent
planned cardiac re-explorations, including 21 operated in the CICU and 51 in the
OR. Within 12 h of the primary operation, 65 re-explorations (90.3%) were
performed. The peak Vasoactive-Inotropic Score was 47.0
