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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 21.

Structural Renal Changes in Obesity and Diabetes
Summary: Overweight, obesity, and associated diseases represent an emerging problem, not only in Western countries but also in the developing world. They are now characterized as epidemic diseases. Obesity is particularly serious because its incidence in children and adolescents increased dramatically: it is estimated that in the United States every eighth adolescent suffers from obesity, which in the long run may reduce life expectancy in the population. Apart from cardiovascular disease (ie, blood pressure, stroke, and coronary heart disease), kidney diseases also have been shown to be associated with obesity. Epidemiol...
Source: Seminars in Nephrology - January 1, 2013 Category: Urology & Nephrology Authors: Kerstin Amann, Kerstin Benz Tags: Gunter Wolf, MD, MHBA Source Type: research

Nontraditional Manifestations of Primary Hyperparathyroidism
Abstract: Classical primary hyperparathyroidism (PHPT) was previously a multisystemic symptomatic disorder not only with overt skeletal and renal complications but also with neuropsychological, cardiovascular, gastrointestinal, and rheumatic effects. The presentation of PHPT has evolved, and today most patients are asymptomatic. Osteitis fibrosa cystica is rarely seen today, and nephrolithiasis is less common. Gastrointestinal and rheumatic symptoms are not part of the clinical spectrum of modern PHPT. It remains unclear whether neuropsychological symptoms and cardiovascular disease, neither of which are currently indicati...
Source: Journal of Clinical Densitometry - January 1, 2013 Category: Radiology Authors: Marcella Donovan Walker, Mishaela Rubin, Shonni J. Silverberg Tags: Original Articles Source Type: research

Errors of level in spinal surgery: an evidence-based systematic review. Longo UG, Loppini M, Romeo G, Maffulli N, Denaro V. J Bone Joint Surg Br 2012;94(11):1546–50.
Wrong-level surgery is a unique pitfall in spinal surgery and is part of the wider field of wrong-site surgery. Wrong-site surgery affects both patients and surgeons and has received much media attention. We performed this systematic review to determine the incidence and prevalence of wrong-level procedures in spinal surgery and to identify effective prevention strategies. We retrieved 12 studies reporting the incidence or prevalence of wrong-site surgery and that provided information about prevention strategies. Of these, ten studies were performed on patients undergoing lumbar spine surgery and two on patients undergoing...
Source: The Spine Journal - January 1, 2013 Category: Orthopaedics Tags: Journal Reports Source Type: research

[Modification of perioperative psychiatric drug therapy].
Abstract Apart from cardiovascular, pulmonary and metabolic drugs, many patients scheduled for surgery are taking antidepressive or antipsychotic drugs. Some of these psychiatric drugs may interfere with anesthetics. The anesthesiologist has to decide whether or not to continue the psychiatric medication during the perioperative period. Since the discontinuation of psychiatric drugs may lead to withdrawal syndromes, the decision should be made in accordance with the attending psychiatrist. Should the discontinuation of any psychiatric drug be recommended, it may be prudent to involve the attending surgeon in order ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2013 Category: Intensive Care Authors: Redel A, Hommers LG, Kranke P, Schwemmer U, Prasser C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

New approach to direct stenting using a novel ‘All‐In‐One’ coronary stent system via 5 french diagnostic catheters: A pilot study
Conclusions:Direct stenting using a novel bare metal stent with an integrated delivery system via 5 F diagnostic catheters is a viable alternative to conventional stenting in selected patients and is associated with significant cost savings. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed A. Khattab, Crochan J. O'Sullivan, Giulio G. Stefanini, Lorenz Räber, Mark Paquin, Stephan Windecker, Bernhard Meier Source Type: research

Airway obstruction following bronchoscopic photodynamic therapy in early centrally located lung cancer requiring extracorporeal membrane oxygenation.
We report a case presenting with nearly fatal complication: airway obstruction following bronchoscopic photodynamic therapy for early endobronchial lung cancer, requiring extracorporeal membrane oxygenation. An 81-year-old man was admitted to thoracic surgery division due to an early centrally located lung cancer. Due to multiple comorbidity and high surgical risk we performed bronchoscopic PDT instead of aggressive lung resection for the patient. After the procedure, he developed severe airway obstruction by tumor debris and required temporary cardiopulmonary support with extracorporeal membrane oxygenation. The patient r...
Source: J Formos Med Assoc - January 1, 2013 Category: Journals (General) Authors: Chang YC, Lee JM, Ko WJ, Lee YC Tags: J Formos Med Assoc Source Type: research

Rivaroxaban: an oral factor xa inhibitor.
CONCLUSIONS: Based on the findings of the studies reported in this review, rivaroxaban is an effective option for the prevention of VTE after orthopedic surgery, stroke prevention for nonvalvular AF, and treatment of VTE. At this time, rivaroxaban cannot be recommended for secondary risk reduction after ACS because of the increased bleeding risk. PMID: 23328267 [PubMed - in process]
Source: Clinical Therapeutics - January 1, 2013 Category: Drugs & Pharmacology Authors: Thomas TF, Ganetsky V, Spinler SA Tags: Clin Ther Source Type: research

Drug treatments to restore vascular function and diabesity.
Abstract Over the last decades, an escalating rate of type 2 diabetes has paralleled an epidemic rise in the prevalence of obesity. Both diabetes and obesity confer an increased risk of cardiovascular comorbidities, including hypertension, coronary artery disease and stroke. Vascular dysfunction, represented by impaired endothelial release of vasodilator substances or defective smooth muscle vasodilator reactivity, is the early stage of the process leading to atherosclerosis and a common finding in patients with diabesity. It is understandable, therefore, that effective treatments for diabesity should restore vascu...
Source: Annales Pharmaceutiques Francaises - January 1, 2013 Category: Drugs & Pharmacology Authors: Cardillo C Tags: Ann Pharm Fr Source Type: research

Lipoprotein apheresis: State of the art and novelties.
Abstract Lipoprotein apheresis (LA) is an extracorporeal technique which permits the unselective or specific removal of lipoproteins, namely Low Density Lipoproteins (LDL), as well as other apolipoprotein B100-containing lipoproteins from plasma. LA represents a selective upgrade (with both clinical and metabolic advantages) from conventional forms of extracorporeal therapy such as plasma-exchange (PEX) which was used in the seventies to treat severe hypercholesterolemia. The primary reason for using is the treatment of homo-, double- (or compound) and heterozygous familial hypercholesterolemia (Hoz-, DHtz,- Htz,-F...
Source: Atherosclerosis. Supplements. - January 1, 2013 Category: Cardiology Authors: Stefanutti C, Julius U Tags: Atheroscler Suppl Source Type: research

Patients with a History of Spine Surgery or Spinal Injury may have a Higher Chance of Intrathecal Catheter Granuloma Formation
ConclusionCerebrospinal fluid flow dynamics within the spinal canal along with the physical, chemical, and immunological properties of intrathecal medications have been suggested to be responsible for the growth of inflammatory mass lesions at the tips of intrathecal drug delivery catheters. Our literature review supports the possible role of certain factors, specifically previous spine surgery or spinal injury, in granuloma formation. The rate of development of ICTG appears to be higher in patients who have had previous spine surgery or spinal injury (68%) than in a general cohort of patients (48%), with an intrathecal pu...
Source: Pain Practice - January 1, 2013 Category: Anesthesiology Authors: Samer N. Narouze, Jose Casanova, Dmitri Souzdalnitski Tags: Clinical Report Source Type: research

Dosing of iodinated contrast volume: A new simple algorithm to stratify the risk of contrast‐induced nephropathy in patients with acute coronary syndrome
Conclusions:A sequential protocol based on CV/MACD and CV/eGFR appropriately identified those ACS patients who developed CIN, with predictive values similar to a Mehran score, reducing the false positive rate. It is also useful to predict risk of in‐hospital cardiac events regardless of GRACE score. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sergio Raposeiras‐Roubín, Emad Abu‐Assi, Raymundo Ocaranza‐Sánchez, Belén Álvarez‐Álvarez, Cristina Cambeiro‐González, Rubén Fandiño‐Vaquero, Alberto García‐Castelo, José María García‐Acuña, José Ramón González‐Juanatey Tags: Original Study Source Type: research

Successful transcatheter closure of coronary artery fistula in a child with single coronary artery: A heavy load and a long road
We report our experience of a successful transcatheter closure of a coronary artery fistula in a patient with single coronary artery. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Manjunath Phasalkar, Bhavesh Thakkar, Vishal Poptani Tags: Case Report Source Type: research

Giant Right Coronary Artery Draining into the Coronary Sinus
Source: Journal of Cardiac Surgery - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Martin Vobornik, Tomas Holubec, Jan Vojacek, Zdenek Belobradek, Pavel Zacek Tags: Images in Cardiac Surgery Source Type: research

Extracorporeal Membrane Oxygenation as a Temporizing Approach in a Patient with Shock, Myocardial Infarct, and a Large Ventricle Septal Defect; Successful Repair after Six Days
Abstract Rupture of the ventricular septum occurs in 1% to 2% of all acute myocardial infarctions (MI) requiring surgical intervention in the majority of cases. Furthermore, patch dehiscence and residual shunt are major problems following repair in the acute stage. A delay in repair may prevent patch dehiscence. We now describe the technique used for a successful repair of a ruptured ventricular septal defect following six days of extracorporeal membrane oxygenation support.
Source: Journal of Cardiac Surgery - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Siyamek Neragi‐Miandoab, Robert E. Michler, Daniel Goldstein, David D'Alessandro Tags: Surgical Technique Source Type: research

Intrathoracic Implantation of a Dual‐Chamber Pacemaker in a Preterm Infant with Congenital AV Block
We present a preterm infant with maternal Sjögren's syndrome with congenital heart block and describe the technique for implantation of an intrathoracic dual‐chamber pacemaker.
Source: Journal of Cardiac Surgery - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sertac Haydin, Erkut Ozturk, Yakup Ergul, Volkan Tuzcu Tags: Surgical Technique Source Type: research

Primary percutaneous coronary intervention without on-site cardiac surgery backup in unselected patients with ST-segment-Elevation Myocardial Infarction: The RIvoli ST-segment Elevation Myocardial Infarction (RISTEMI) registry
Abstract: Background: Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for patients with ST-segment-elevation myocardial infarction (STEMI), but some concerns remain about its safety and efficacy in centers without on-site cardiac surgery (OCS).Methods: The Infermi Hospital in Rivoli, Italy, is a community hospital without OCS with a high volume catheterization laboratory (>800 PCI and >150 primary PCI per year), which provides a 24-hour primary PCI service to a population of 583.000 and is only 14 km far from the nearest OCS hospital. We analyzed clinical and procedural data, as well ...
Source: Cardiovascular Revascularization Medicine - January 1, 2013 Category: Cardiology Authors: Francesco Tomassini, Andrea Gagnor, Nicolò Montali, Vincenzo Infantino, Emanuele Tizzani, Paolo Tizzani, Gaetano Antonio Lanza, Maria Rosa Conte, Ferdinando Varbella Tags: Clinical Source Type: research

Gauze packing as damage control for uncontrollable haemorrhage in severe thoracic trauma.
CONCLUSIONS: Intrathoracic packing is useful for some patients, particularly in the space around the vertebrae, at the lung apex, and between the diaphragm and the thoracic wall. After packing, it is advisable to wait for three hours to see whether vital signs can be maintained and then to wait further to see if the discharge from the thoracic tube decreases to less than 200ml/hr within five hours. PMID: 23317720 [PubMed - in process]
Source: Annals of the Royal College of Surgeons of England - January 1, 2013 Category: Surgery Authors: Moriwaki Y, Toyoda H, Harunari N, Iwashita M, Kosuge T, Arata S, Suzuki N Tags: Ann R Coll Surg Engl Source Type: research

Thoracotomy versus VATS: is there an optimal approach to treating pneumothorax?
CONCLUSIONS: A comparable recurrence rate is attainable with a VATS approach once the learning curve is surpassed and a reduction in morbidity is an additional merit. PMID: 23317731 [PubMed - in process]
Source: Annals of the Royal College of Surgeons of England - January 1, 2013 Category: Surgery Authors: Joshi V, Kirmani B, Zacharias J Tags: Ann R Coll Surg Engl Source Type: research

Cardiovascular recovery following bariatric surgery in extremely obese adolescents: preliminary results using Cardiac Magnetic Resonance (CMR) Imaging
We report the use of CMR in a cohort of extremely obese adolescents undergoing WLS.Methods: A retrospective analysis of adolescent WLS patients at a single institution was conducted. Data collection included mean age, sex, body mass index (BMI), and CMR measurements of left ventricular (LV) mass, LV end-diastolic volume (LVEDV), ejection fraction (EF), and myocardial perfusion reserve index (MPRI). Comparison of CMR results to normative data derived from lean subjects was performed.Results: Ten subjects (9 female), with a mean age and BMI of 17.4±1.9years and 50.33±10.21kg/m2 respectively, were studied. When compared to ...
Source: Journal of Pediatric Surgery - January 1, 2013 Category: Surgery Authors: Marc P. Michalsky, Subha V. Raman, Steven Teich, Dara P. Schuster, John A. Bauer Tags: APSA Papers Source Type: research

Congenital heart disease and heterotaxy: upper gastrointestinal fluoroscopy can be misleading and surgery in an asymptomatic patient is not beneficial
Conclusion: While rotational abnormalities are common in heterotaxy, risk of volvulus is low. Following operation, the risk of bowel obstruction and of need for reoperation is higher. We advocate avoiding operation in the asymptomatic patient.
Source: Journal of Pediatric Surgery - January 1, 2013 Category: Surgery Authors: Stephanie Papillon, Catherine J. Goodhue, Osnat Zmora, Shalini S. Sharma, Winfield J. Wells, Henri R. Ford, Jeffrey S. Upperman, Kasper S. Wang, Gerald A. Bushman, Richard Kim, James R. Pierce Tags: APSA Papers Source Type: research

Enthusiasm, evidence and ethics: The triple E of minimally invasive pediatric surgery
This article also focuses on reports on complications and disadvantages which are relevant for final conclusions and recommendations. The ethical implications of the application of new techniques in children are also discussed. On the basis of evidence based data and ethical principles, minimally invasive techniques may be appropriately used in the future.
Source: Journal of Pediatric Surgery - January 1, 2013 Category: Surgery Authors: Benno Ure Tags: Invited International Lecture Source Type: research

[Thoracic outlet syndrome in a child. A rare pediatric diagnosis].
Abstract Thoracic outlet syndrome (TOS) is a rare pediatric syndrome and few cases have been reported in the literature. The authors report the case of a 10-year-old boy with generalized arm pain and neck stiffness. The angiocomputed tomography revealed the presence of a TOS caused by an additional cervical rib and stenosis of the sub-clavian artery. The resection of this rib relieved the patient of his pain during a full year following surgery. This case reminds us that children can also be affected by TOS. When a cervical rib causes TOS, a resection is often necessary. PMID: 23266168 [PubMed - in process]
Source: Archives de Pediatrie - January 1, 2013 Category: Pediatrics Authors: Lebhar J, Marleix S, Fraisse B, Chapuis M, Bruneau B, Violas P Tags: Arch Pediatr Source Type: research

Anesthesia for off-pump coronary artery bypass surgery.
Abstract The evolution of techniques and knowledge of beating heart surgery has led anesthesia toward the development of new procedures and innovations to promote patient safety and ensure high standards of care. Off-pump coronary artery bypass (OPCAB) surgery has shown to have some advantages compared to on-pump cardiac surgery, particularly the reduction of postoperative complications including systemic inflammation, myocardial injury, and cerebral injury. Minimally invasive surgery for single vessel OPCAB through a limited thoracotomy incision can offer the advantage of further reduction of complications. The an...
Source: Annals of Cardiac Anaesthesia - January 1, 2013 Category: Anesthesiology Authors: Hemmerling TM, Romano G, Terrasini N, Noiseux N Tags: Ann Card Anaesth Source Type: research

NT-pro-BNP assay in diagnosing heart failure or respiratory disease in cats
Differentiating congestive heart failure (CHF) from non-cardiac disease in cats with respiratory signs is problematic. Results of history, physical examination, thoracic radiography, and serum biochemistry often are unremarkable. Echocardiography requires specialized equipment and trained personnel. However, blood-based biomarker assays are easy to perform and can provide reliable information that helps distinguish between cardiac and noncardiac causes of dyspnea.
Source: Advances in Small Animal Medicine and Surgery - January 1, 2013 Category: Veterinary Research Tags: Critical Care Source Type: research

"We read with great interest...".
PMID: 23264513 [PubMed - in process]
Source: Perfusion - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kurusz M Tags: Perfusion Source Type: research

Commentary on: Intraoperative Washing of Stored Red Blood Cells.
PMID: 23264514 [PubMed - in process]
Source: Perfusion - January 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Smith T Tags: Perfusion Source Type: research

Phosphodiesterase-3 inhibition augments the myocardial infarct size-limiting effects of exenatide in mice with type 2 diabetes
In conclusion, EX and CIL have additive effects on IS limitation in diabetic mice. The additive effects are related to cAMP-induced PKA activation, as H-89 blocked the protective effect of CIL + EX.
Source: AJP: Heart and Circulatory Physiology - January 1, 2013 Category: Cardiology Authors: Ye, Y., Qian, J., Castillo, A. C., Ling, S., Ye, H., Perez-Polo, J. R., Bajaj, M., Birnbaum, Y. Tags: INTEGRATIVE CARDIOVASCULAR PHYSIOLOGY AND PATHOPHYSIOLOGY Source Type: research

Health-Related Quality of Life After Transcatheter Aortic Valve Replacement
With great interest we read the recent report by Reynolds et al. (1) reporting on the health-related quality-of-life (HRQOL) outcomes in Cohort A of the PARTNER (Placement of Aortic Transcatheter Valves) randomized controlled trial. Using 3 different standardized questionnaires at 1, 6, and 12 months, HRQOL was analyzed in a total of 628 patients with severe, symptomatic aortic valve stenosis at high surgical risk who were randomized to transcatheter aortic valve replacement (TAVR) via the transapical or transfemoral approach or to surgical aortic valve replacement (SAVR). Health status improved substantially between basel...
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - December 31, 2012 Category: Cardiology Source Type: research

[Risk factors of nasogastric tube placement after elective colorectal surgery included in a rehabilitation programme: A multivariate analysis.]
CONCLUSIONS: After colorectal surgery tolerance to rapid oral feeding is impaired by denutrition and postoperative hypothermia. The combined used of postoperative droperidol should also be considered to avoid postoperative NTP. PMID: 23286886 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - December 31, 2012 Category: Anesthesiology Authors: Aveline C, Le Roux A, Le Hetet H, Vautier P, Cognet F, Bonnet F Tags: Ann Fr Anesth Reanim Source Type: research

Prophylaxis of Chylothorax After Esophagectomy [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Sheel, A. R. G., Page, R. D. Tags: Mediastinum, Esophagus - cancer CORRESPONDENCE Source Type: research

Postesophagectomy Chylothorax and Esophageal Squamous Cell Cancer: Missing Link? [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Li, H. Tags: Mediastinum, Esophagus - cancer CORRESPONDENCE Source Type: research

Reply [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Yendamuri, S., Demmy, T. L. Tags: Lung - cancer CORRESPONDENCE Source Type: research

Typical Bronchial Carcinoid Tumors: Focus on Surgical Management [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Cafarotti, S., Cesario, A., Margaritora, S., Granone, P. Tags: Lung - cancer CORRESPONDENCE Source Type: research

Reply [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Jaroszewski, D. E., Harold, K. Tags: Esophagus - cancer CORRESPONDENCE Source Type: research

Use of Anvil Positioning Technique in Minimally Invasive Intrathoracic Esophagectomy [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Li, H. Tags: Esophagus - cancer CORRESPONDENCE Source Type: research

Reply [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Kiani, S., Poston, R. S. Tags: Coronary disease CORRESPONDENCE Source Type: research

How to Reduce Learning Curve of Endoscopic Vein Harvesting [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ramakrishnan, K. V., Nainar, M. S. Tags: Coronary disease CORRESPONDENCE Source Type: research

Reply [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Saxena, P., Galvin, I. F. Tags: Coronary disease CORRESPONDENCE Source Type: research

Graft Lengthening [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Sharma, A. K. Tags: Coronary disease CORRESPONDENCE Source Type: research

Aortic Stentgraft in Aortobronchial Fistula Is a Bridge Solution? [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Bozzani, A., Arici, V., Odero, A. Tags: Great vessels CORRESPONDENCE Source Type: research

Reply [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Zoffoli, G. Tags: Myocardial infarction CORRESPONDENCE Source Type: research

Use of Glue in Repair of Ventricular Rupture [CORRESPONDENCE]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Robicsek, F. Tags: Myocardial infarction CORRESPONDENCE Source Type: research

Preload Sensitivity in Cardiac Assist Devices [REVIEWS]
With implantable cardiac assist devices increasingly proving their effectiveness as therapeutic options for end-stage heart failure, it is important for clinicians to understand the unique physiology of device-assisted circulation. Preload sensitivity as it relates to cardiac assist devices is derived from the Frank-Starling relationship between human ventricular filling pressures and ventricular stroke volume. In this review, we stratify the preload sensitivity of 17 implantable cardiac assist devices relative to the native heart and discuss the effect of preload sensitivity on left ventricular volume unloading, levels of...
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Fukamachi, K., Shiose, A., Massiello, A., Horvath, D. J., Golding, L. A. R., Lee, S., Starling, R. C. Tags: Mechanical Circulatory Assistance REVIEWS Source Type: research

Optimal Timing of Coronary Artery Bypass Grafting in Acute Myocardial Infarction [REVIEWS]
The timing of surgical coronary artery revascularization after an acute myocardial infarction is not well defined. The inherent difficulties of mobilizing a surgical team at odd hours has led to the adoption of a percutaneous coronary intervention strategy when possible or a clot-busting drug regimen when percutaneous coronary intervention is not available. Despite the difficulties and risks of surgical revascularization, there are situations where it may be indicated. We conducted a review of the literature to better understand the timing, scope, and risks of surgical coronary revascularization after an acute myocardial infarction.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Caceres, M., Weiman, D. S. Tags: Coronary disease REVIEWS Source Type: research

A Protective Device for Negative-Pressure Therapy in Patients With Mediastinitis [HOW TO DO IT]
A devastating complication associated with negative-pressure wound therapy (NPWT) after cardiac surgical intervention is heart rupture resulting in serious bleeding. The benefit of a rigid barrier between the underlying organs and the sharp sternal edges has been demonstrated in pigs. In the present article, we present our first 6 patients with deep sternal wound infection treated with NPWT in combination with a protective device. The median duration of NPWT was 8 days (range, 6–14 days). No major bleeding or signs of organ damage were observed. The use of a protective device seems to decrease the risk of bleeding complications.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ingemansson, R., Malmsjo, M., Lindstedt, S. Tags: Chest wall HOW TO DO IT Source Type: research

A Method for Locating Embedded Left Anterior Descending Coronary Arteries [HOW TO DO IT]
This study describes an effective method to identify embedded coronary arteries by intraoperative cine angiography. Two embedded left anterior descending coronary arteries were successfully identified by intraoperative cine angiography. We believe that the intraoperative cineangiography is helpful for surgeons in this difficult situation.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Aydin, U., Kocogullari, C. U. Tags: Coronary disease HOW TO DO IT Source Type: research

Improved Brain and Myocardial Protection During Complex Aortic Reinterventions [HOW TO DO IT]
We present our technique involving antegrade brain perfusion before resternotomy and left ventricle venting through the apex using a small anterolateral left thoracotomy.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Di Eusanio, M., Savini, C., Folesani, G., Di Bartolomeo, R. Tags: Cardiac - other HOW TO DO IT Source Type: research

Extracorporeal Membranous Oxygenation Mimics Aortic Dissection on CAT Scan [IMAGES IN CARDIOTHORACIC SURGERY]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Batista, P. M., Cavarocchi, N. C., Hirose, H. Tags: Extracorporeal circulation IMAGES IN CARDIOTHORACIC SURGERY Source Type: research

Arrested Bullet Embolus to the Aortic Root [IMAGES IN CARDIOTHORACIC SURGERY]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Cleveland, J. D., Gazoni, L. M., Carrott, P. W., Norton, P. T., Ailawadi, G. Tags: Cardiac - other IMAGES IN CARDIOTHORACIC SURGERY Source Type: research

First Rib Fracture and Horner's Syndrome: A Rare Clinical Entity [IMAGES IN CARDIOTHORACIC SURGERY]
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ahmadi, O., Saxena, P., Wilson, B. K. J., Bunton, R. W. Tags: Chest wall IMAGES IN CARDIOTHORACIC SURGERY Source Type: research