ArticleJHLT open2026
Stacking sternotomies: Does surgical history predict post-transplant risk?
Article in JHLT open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Prior sternotomy at the time of heart transplantation (HT) has been linked to decreased post-transplant survival, but whether additional sternotomies confer incremental risk remains uncertain. We compared outcomes among HT recipients with 0, 1, or ≥2 prior sternotomies. Methods: HT recipients at a single center from January 2020 to December 2024 were retrospectively reviewed. Patients undergoing multiorgan transplants were excluded. Patients were stratified by 0 prior ( Results: On multivariable analysis compared with primary sternotomy, 1 prior sternotomy was associated with lower survival at 30 days (99.6% vs 93.6%, hazard ratios [HR] 14.64, Conclusions: Reoperative sternotomy is associated with increased blood product utilization, risk of vasoplegia, and post-transplant mortality. However, more than 1 prior sternotomy did not confer a statistically detectable additional risk.
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