MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Interactive CardioVascular and Thoracic Surgery' source. Tue, 07 Feb 2012 03:52:34 +0100 http://www.medworm.com/index.php?rid=5636522&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F234%3Frss%3D1 Positron-emission tomography scans (PET) with fluorine-18-fluorodeoxyglucose (18F- FDG) are usually negative in leiomyomas. Two patients underwent a PET that showed an increased 18F- FDG uptake of the distal oesophagus suggestive for malignancy. Both patients were operated on and histologic examination revealed a benign leiomyoma in both cases. We conclude that oesophageal leiomyomas are a potential cause of a false-positive PET. A high level of caution is needed in these diagnostically challenging cases to prevent unnecessary surgical procedures. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636522 Wed, 25 Jan 2012 05:00:00 +0100 5636522 http://www.medworm.com/index.php?rid=5636521&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F231%3Frss%3D1 We report a case of acute limb ischaemia due to unusual upstream stent migration into the aorta 2 years after successful kissing stenting. Angiography showed a misplacement of both common iliac stent into the aorta, upstream migration with a fracture on the left external iliac stent into the iliac common artery, occlusion of the left iliac and femoral artery, dilatation of aortic bifurcation and stent separation on the right side. The patient underwent a successful axillo-bifemoral bypass graft. Vessel wall remodelling due to overestimation of stent size, aortic turbulence and rebound effect may explain this complication. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636521 Wed, 25 Jan 2012 05:00:00 +0100 5636521 http://www.medworm.com/index.php?rid=5636520&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F228%3Frss%3D1 A 45-year old woman presented with a 5-month history of coughing, eight months after surgery for post-tubercular fibrosis with bronchiectasis. Upon computerized tomography (CT) scanning, a sponge-like structure was seen in the pneumonectomy cavity near the stump of the right main bronchus. Bronchoscopic examination revealed a whitish mass blocking the right main bronchial stump which, upon attempted retrieval, yielded long threads of cotton fibres from a retained surgical gauze. The gossypiboma was removed surgically and the patient became symptom-free. Although rare after thoracic surgery, gossypibomas need to be considered in symptoms following surgery. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636520 Wed, 25 Jan 2012 05:00:00 +0100 5636520 http://www.medworm.com/index.php?rid=5636519&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F226%3Frss%3D1 The importance of preservation of subvalvular apparatus and valve-ventricular continuity during mitral valve replacement (MVR) has been suggested for many years. The chordal-sparing MVR has been shown to be superior to the standard MVR with chordal resection in terms of improved left ventricular function and has been considered to be a safe procedure. However, we encounter a rare case requiring early reoperation for bioprosthetic valve failure caused by preserved leaflets after chordal-sparing MVR. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636519 Wed, 25 Jan 2012 05:00:00 +0100 5636519 http://www.medworm.com/index.php?rid=5636518&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F223%3Frss%3D1 We report a case of a 57-year old patient who presents with neurosyphilis and, in the following study, a large ascending aorta aneurysm is identified. The authors discuss the diagnostic challenge, the epidemiologic concerns, surgical indication and treatment and subsequent follow-up. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636518 Wed, 25 Jan 2012 05:00:00 +0100 5636518 http://www.medworm.com/index.php?rid=5636517&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F220%3Frss%3D1 An isolated, spontaneous, ruptured aneurysm of the replaced left hepatic artery (LHA) arising from the left gastric artery, in a 72-year-old female, leading to haemorrhagic shock treated by surgical ligation is reported. To our best knowledge, this is the second case report of a ruptured hepatic artery aneurysm in this location. A thorough knowledge of hepatic arterial anatomy and variations, and prompt diagnosis and urgent surgical intervention are necessary in such a potentially lethal condition. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636517 Wed, 25 Jan 2012 05:00:00 +0100 5636517 http://www.medworm.com/index.php?rid=5636516&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F217%3Frss%3D1 We describe the case of a large patent ductus arteriosus in a 52-year old man, which was deemed unsuitable for coil occlusion or Amplatzer duct occluder. His ductus was successfully closed using Talent prostheses (Medtronic AVE, Santa Rosa, CA, USA). The postoperative course was uneventful. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636516 Wed, 25 Jan 2012 05:00:00 +0100 5636516 http://www.medworm.com/index.php?rid=5636515&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F215%3Frss%3D1 Surgical treatment of an abdominal aortic aneurysm in patients with a heart disease is risky. Aortic cross-clamping is featured by important consequences on cardiac, renal and gastrointestinal functions. Endovascular aortic repair is considered to be the gold standard in patients with severe comorbidities. However, in the case of unsuccessful endovascular treatment, surgery can be reconsidered with the use of extracorporeal membrane oxygenation, which seems to be a new tool for the management of cardiac and gastrointestinal events ensuring better post-operative outcomes. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636515 Wed, 25 Jan 2012 05:00:00 +0100 5636515 http://www.medworm.com/index.php?rid=5636514&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F209%3Frss%3D1 A best evidence topic was written according to a structured protocol. The question addressed was what the optimum antibiotic prophylaxis in patients undergoing implantation of a left ventricular assist device (LVAD) is. A total of 373 papers were found, of which 11 represented the best evidence. The authors, date, journal, study type, population, main outcome measures and results are tabulated. Eight retrospective and two prospective studies, including one randomized controlled trial (RCT), were identified. Although highly variable, the prophylactic antibiotic protocols employed in these studies generally favour the use of vancomycin, a cephalosporin, beta-lactam and quinolone, with the option of additional fluconazole and mupirocin. However, the lack of standardized definitions for infect... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636514 Wed, 25 Jan 2012 05:00:00 +0100 5636514 http://www.medworm.com/index.php?rid=5636513&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F205%3Frss%3D1 A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: in patients with isolated right-sided infective endocarditis (RSE) is the outcome of surgical management the same as in patients with or without left-sided involvement? Altogether, 419 papers were found using the reported search, six of which represented the best evidence to answer the clinical question. Two studies point towards better outcomes with isolated RSE. In one paper, mortality was significantly lower in isolated RSE patients (P = 0.0093) for the duration of the follow-up time (median 488 patient-years). Two studies reported early mortality (<30 days) for RSE patients at 3.6 and 3.8%, respectively. Combined right- and left-sided endocarditis (RLSE) pat... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636513 Wed, 25 Jan 2012 05:00:00 +0100 5636513 http://www.medworm.com/index.php?rid=5636512&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F200%3Frss%3D1 A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: ‘is water washout more effective than normal saline washout after lobectomy in preventing local recurrence?’ Altogether more than 48 papers were found using the reported search, of which nine represented the best evidence to answer the clinical question. The authors, journal, date, country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Tumour cell ‘spillage’ after cancer resection is linked to a worse prognosis, so washout to minimize contamination is an established surgical technique. While the mechanical effects of lavage are well validated, the differential cytocidal effects of water... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636512 Wed, 25 Jan 2012 05:00:00 +0100 5636512 http://www.medworm.com/index.php?rid=5636511&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F194%3Frss%3D1 A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was ‘is the addition of ketamine to morphine patient-controlled analgesia (PCA) following thoracic surgery superior to morphine alone’. Altogether 201 papers were found using the reported search, of which nine represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. This consisted of one systematic review of PCA morphine with ketamine (PCA-MK) trials, one meta-analysis of PCA-MK trials, four randomized controlled trials of PCA-MK, one meta-analysis of trials using a variety of peri-operative ketamine regimes and ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636511 Wed, 25 Jan 2012 05:00:00 +0100 5636511 http://www.medworm.com/index.php?rid=5636510&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F188%3Frss%3D1 A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: In patients undergoing off-pump coronary artery bypass (OPCAB) surgery, does the off-pump to on-pump conversion rate have an impact on post-operative results? Altogether more than 420 papers were found using the reported search, of which 14 randomized controlled trials (RCTs) represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated and ordered according to the sample size. In the 14 RCTs reviewed, the off-pump to on-pump conversion rate incidence ranged from 0 to 13.3%. The most frequent causes of conversion were haemodyn... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636510 Wed, 25 Jan 2012 05:00:00 +0100 5636510 http://www.medworm.com/index.php?rid=5636509&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F183%3Frss%3D1 A best evidence topic was constructed according to a structured protocol. The question addressed was whether the presence of extended criteria donors influences the early and long-term results in patients referred for lung transplantation. Of the 30 papers found using a report search, 14 presented the best evidence to answer the clinical question. The authors, journal, date, country of publication, study type, group studied, relevant outcomes and results of these papers are given. In total, we recorded 10 retrospective studies that considered all the donor criteria for comparing marginal donors (MDs) and standard donors. On the one hand, six of them showed no difference between the two groups in terms of early and long-term results. On the other hand, four studies demonstrated a negative i... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636509 Wed, 25 Jan 2012 05:00:00 +0100 5636509 http://www.medworm.com/index.php?rid=5636508&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F176%3Frss%3D1 Complete revascularization is considered superior to incomplete revascularization (IR), with better long-term survival and a lower rate of reintervention. However, it has yet to be established whether this difference is due directly to IR as a surgical strategy or whether this approach is merely a marker of more severe coronary disease and more rapid progression. We believe that IR is a prognostic marker for a more complex coronary pathology, and adverse effects are probably due to the preoperative condition of the patient. In fact, although IR may negatively affect long-term outcomes, it may be, when wisely chosen, the ideal treatment strategy in selected high-risk patients. IR can derive from a surgical strategy of target vessel revascularization, where the impact of surgery is minimized... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636508 Wed, 25 Jan 2012 05:00:00 +0100 5636508 http://www.medworm.com/index.php?rid=5636507&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F171%3Frss%3D1 We reviewed 50 patients with Marfan syndrome who underwent surgery for aortic root pathologies comprising a root aneurysm without (n = 25; group A) and with (n = 25; group B) dissection. Aortic root repair included Bentall (n = 37) and valve-sparing (n = 13) procedures. Hospital mortality was 4.0%. Twenty-two patients required 36 repeat surgeries on the distal aorta. The main indication for re-intervention was the dilation of the false lumen. In group A, the distal aorta was stable for up to 7 years, but new dissection developed in 5 (33.3%) of the 15 patients who were followed up for >7 years after the root repair. Actuarial survival including operative mortality was 88.1 and 65.0% at 10 and 20 years, respectively; groups A and B did not signific... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636507 Wed, 25 Jan 2012 05:00:00 +0100 5636507 http://www.medworm.com/index.php?rid=5636506&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F167%3Frss%3D1 Most stage IV non-small-cell lung cancer (NSCLC) patients are not amenable to curative treatment. The purpose of this study was to analyse our initial experience with an aggressive surgical strategy for stage IV NSCLC, and to define which patients can benefit from this treatment. Forty-six stage IV NSCLC patients who underwent surgical resection of both primary lung cancer and metastatic sites from April 1989 to December 2010 were included in this study. The record of each patient was reviewed for age, gender, pN status, sites of metastasis, histology, surgical procedure and duration of survival. There were 13 females and 33 males. Their median age was 62.0 years (range, 44–82 years). The overall 5-year survival rate was 23.3% (median, 20.0 months), and the disease-free survival rate... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636506 Wed, 25 Jan 2012 05:00:00 +0100 5636506 http://www.medworm.com/index.php?rid=5636505&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F162%3Frss%3D1 American Heart Association recommendations have changed preoperative management of patients with antiplatelet therapy (APT). We assessed safety and outcomes of surgery in patients who were receiving APT. A prospective study of patients operated on while receiving APT was matched with those with no APT (ratio 1:4), using the propensity score method. Logistic regression analysis was used to identify covariates among imbalanced baseline patient variables. Both 2 test and Fisher's test were used to calculate the probability value for the comparison of dichotomous variables. Between January 2008 and December 2010, 38 patients who received APT at the time of surgery were matched with 141 patients who had not received APT. APT indications were a history of myocardial infarction, coronary artery b... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636505 Wed, 25 Jan 2012 05:00:00 +0100 5636505 http://www.medworm.com/index.php?rid=5636504&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F156%3Frss%3D1 Surgical resection is currently a standard approach for isolated lung metastases from different primary tumours. The aim of the present analysis is to evaluate the outcome of patients submitted to complete resection of pulmonary metastases and to determine prognostic factors for long-term survival. A group of 440 consecutive patients previously diagnosed with primary malignant solid tumours and submitted to complete surgical resection of lung nodules with suspected or diagnosed metastatic lesion were retrospectively reviewed. The average follow-up time was 43.2 months (range: 0–192) and the 60-month O.S. was 43.7%. Univariate analysis: patients with adenocarcinoma presented the highest 5-year survival rates (53.4%, P = 0.0001); DFI >36 months (P < 0.0001), n... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636504 Wed, 25 Jan 2012 05:00:00 +0100 5636504 http://www.medworm.com/index.php?rid=5636503&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F151%3Frss%3D1 Stage has been defined as the major prognostic factor in resected non-small cell lung cancer (NSCLC). However, there is some evidence that indicates season of operation could play a role in the survival of patients. Between January 1995 and June 2008, 698 (621 men and  77 women) patients who had undergone pulmonary resection for NSCLC were evaluated. Patients were analysed according to surgical–pathological stages and month of the year in which they were operated. Vitamin D receptor (VDR) polymorphism was also analysed in 62 patients. The median survival time in all patients was 60 ± 6 months (95% confidence interval (CI): 44–81 months). The survival of patients who underwent resection in winter was statistically significantly shorter than those operated i... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636503 Wed, 25 Jan 2012 05:00:00 +0100 5636503 http://www.medworm.com/index.php?rid=5636502&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F146%3Frss%3D1 In conclusion, in patients with both the UIP and the NSIP patterns, AE development is possible. In patients with a high risk of AE, such as those with high KL-6 values, limited surgery may be an option to prevent AE development. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636502 Wed, 25 Jan 2012 05:00:00 +0100 5636502 http://www.medworm.com/index.php?rid=5636501&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F143%3Frss%3D1 This report demonstrates the success of folding valvuloplasty without resection in the treatment of mitral valve prolapse and severe annular calcification. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636501 Wed, 25 Jan 2012 05:00:00 +0100 5636501 http://www.medworm.com/index.php?rid=5636500&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F140%3Frss%3D1 In colorectal cancer, little high grade evidence for cure, life extension, disease modification or palliation achieved by pulmonary metastasectomy exists. This has prompted the pulmonary metastasectomy in colorectal cancer (PulMiCC) trial. Reappraisal of the biological facts on colorectal metastasis may, however, shed light on an alternative avenue of clinical management. Early onset of metastasis, short doubling time and a short disease-free interval are all associated with poor clinical outcomes. Selecting who will be cured (i.e. no occult metastasis) remains the holy grail for pulmonary metastasectomy surgery. Serial CT scans can be utilized to calculate the tumour doubling time by volumetric analysis. Knowing the doubling time and size of the largest metastasis, which by definition is ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636500 Wed, 25 Jan 2012 05:00:00 +0100 5636500 http://www.medworm.com/index.php?rid=5636499&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F138%3Frss%3D1 We describe a novel surgical technique for occlusion of the superior and inferior venae cavae which allows opening of the right atrium safely during robotic cardiac surgery. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636499 Wed, 25 Jan 2012 05:00:00 +0100 5636499 http://www.medworm.com/index.php?rid=5636498&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F2%2F133%3Frss%3D1 Based on the natural mathematical relationships between the components of the human tri-leaflet aortic valve, new calibrated cusp sizers were developed in order to facilitate aortic valve assessment in the operating room and enhance the chance for a perfect restoration of aortic valve competence. These sizers were used clinically to guide the implementation of established aortic valve repair techniques in 10 consecutive patients with severe aortic valve regurgitation. Valve repair was successful in all cases, and at a median follow-up was 5.5 months, aortic valve function remained stable, with aortic regurgitation ≤1+ in every patient and no significant gradient across the aortic valves. This preliminary clinical experience indicates that the calibrated cusp sizers can provide reliable ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5636498 Wed, 25 Jan 2012 05:00:00 +0100 5636498 http://www.medworm.com/index.php?rid=5605245&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F691%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605245 Thu, 12 Jan 2012 05:00:00 +0100 5605245 http://www.medworm.com/index.php?rid=5605244&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F688%3Frss%3D1 We present a case of a 37-year-old male who was admitted to our department because of severe acute congestive heart failure and signs of ruptured aneurysm of the SV into the right ventricle. Transthoracic and transoesophageal echocardiography confirmed the communication between an important right coronary SVA and right ventricle, bicuspid aortic valve, mild aortic regurgitation, and revealed severe aortic coarctation. Because of the severe dilation of right sinus of Valsalva a surgical repair of the ruptured aneurysm was performed. Aortic coarctation was treated four weeks later by a percutaneous stent-graft implantation. This case report supports the concept that hybrid approach is feasible in patients with ruptured SVA and aortic coarctation in adulthood. (Source: Interactive CardioVascu... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605244 Thu, 12 Jan 2012 05:00:00 +0100 5605244 http://www.medworm.com/index.php?rid=5605243&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F686%3Frss%3D1 Blunt cardiac trauma is one of the leading causes of death on site in motor vehicle accidents and frequently requires an emergent surgical intervention if the patient reaches the hospital. We experienced a rare case of blunt right ventricular disruption that was successfully managed by conservative therapy without surgery. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605243 Thu, 12 Jan 2012 05:00:00 +0100 5605243 http://www.medworm.com/index.php?rid=5605242&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F684%3Frss%3D1 We describe a 60-year-old female with acute heart failure. Computed tomography (CT)-scan and magnetic resonance imaging (MRI) revealed that the cause of the heart failure was cardiac after-load mismatch due to serious stenosis of the aorta. In order to prevent cardio-respiratory failure, an axillofemoral bypass was performed to release the cardiac after-load mismatch. This diminished the pressure gradient between upper and lower blood pressure that caused cardiac dysfunction. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605242 Thu, 12 Jan 2012 05:00:00 +0100 5605242 http://www.medworm.com/index.php?rid=5605241&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F682%3Frss%3D1 We reported successful distal repair using the frozen elephant trunk technique to treat a mycotic aneurysm extending from the ascending aorta to the descending aorta. A blood culture sample was positive for Escherichia coli, and total arch replacement with a rifampicin-bonded graft covered the omental pedicle flap. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605241 Thu, 12 Jan 2012 05:00:00 +0100 5605241 http://www.medworm.com/index.php?rid=5605240&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F679%3Frss%3D1 We report a case of a patient with a radial artery graft who did not receive vasodilators after surgery due to hypotension. The patient developed vasospasm of the radial artery conduit which did not respond to direct injection of vasodilators into the conduit but recovered after taking oral vasodilators for four weeks. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605240 Thu, 12 Jan 2012 05:00:00 +0100 5605240 http://www.medworm.com/index.php?rid=5605239&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F676%3Frss%3D1 We present a case of lower lobectomy of the left lung for an adenocarcinoma found in a patient with an implantable continuous-flow LVAD. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605239 Thu, 12 Jan 2012 05:00:00 +0100 5605239 http://www.medworm.com/index.php?rid=5605238&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F675%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605238 Thu, 12 Jan 2012 05:00:00 +0100 5605238 http://www.medworm.com/index.php?rid=5605237&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F674%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605237 Thu, 12 Jan 2012 05:00:00 +0100 5605237 http://www.medworm.com/index.php?rid=5605236&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F672%3Frss%3D1 We are reporting the successful surgical treatment of a 23-year-old female with a giant right coronary artery to coronary sinus fistula. This woman had complaints of chest pain and dyspnea on exertion for few months. Transthoracic echocardiography (TTE) showed a large tortuous right coronary artery and a dilated coronary sinus. Preoperative multi-detector computed tomography (MDCT) coronary angiography and cardiac catheterization confirmed the diagnosis of a right coronary artery to coronary sinus fistula. The patient underwent surgical closure of the fistula and division of the communication between the right coronary artery and the coronary sinus with the use of cardiopulmonary bypass. The patient was discharged home on postoperative day 5 and at one-year follow-up is symptom-free. (Sour... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605236 Thu, 12 Jan 2012 05:00:00 +0100 5605236 http://www.medworm.com/index.php?rid=5605235&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F669%3Frss%3D1 We describe two cases of intramitral ring, the diagnostic challenge they provided, and the value of the information obtained using real-time three-dimensional echocardiography in such cases. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605235 Thu, 12 Jan 2012 05:00:00 +0100 5605235 http://www.medworm.com/index.php?rid=5605234&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F666%3Frss%3D1 This is a case of 50-year-old male who underwent left single lung transplantation for pulmonary fibrosis. He sustained a bronchial dehiscence with a pulmonary artery-bronchial fistula which was primarily repaired. One week later, there was complete bronchial dehiscence followed by a massive hemoptysis. At operation, following resection of necrotic donor bronchus there was a sizeable gap between donor and recipient bronchus, which was bridged with a cryopreserved aortic homograft. The homograft patch provided a satisfactory repair without malacia. The patient required retransplantation six months later for reasons unassociated with the repair. Homograft aorta proved useful material for salvaging the dehisced lung transplant bronchial anastomosis. (Source: Interactive CardioVascular and Thor... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605234 Thu, 12 Jan 2012 05:00:00 +0100 5605234 http://www.medworm.com/index.php?rid=5605233&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F664%3Frss%3D1 A 65-year-old male was referred to our team after the incidental finding of a large non-coronary sinus of Valsalva aneurysm on computed tomography (CT)-scan of the thorax. Further imaging with transesophageal echocardiography (TOE) excluded intracardiac shunting. Unusually, the aneurysm had ruptured into the interatrial septum and was seen to be compressing both atria. At operative intervention, a 20 mm defect which had replaced the non-coronary sinus was repaired using a patch graft. An aneurysm of an aortic sinus is a rare disorder, and a rupture of a non-coronary sinus typically results in the formation of a fistulous tract in the right atrium. These images highlight an unusual case of a non-coronary sinus of Valsalva aneurysm which ruptured into the interatrial septum (IAS), and d... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605233 Thu, 12 Jan 2012 05:00:00 +0100 5605233 http://www.medworm.com/index.php?rid=5605232&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F661%3Frss%3D1 Anomalous aortic origin of the coronary artery is a rare cardiac anomaly which induces myocardial ischemia and is associated with sudden death. We operated on a 25-year-old female with syncopal episodes who had an intramural left coronary artery. A neo-ostium was created in the left sinus but the initial neo-ostium seemed small because of the hypoplastic intramural segment of the left coronary artery. Therefore, saphenous vein patch angioplasty was added for ostial enlargement. The patient was symptom-free at one year follow-up and exercise stress test was negative for ischemia. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605232 Thu, 12 Jan 2012 05:00:00 +0100 5605232 http://www.medworm.com/index.php?rid=5605231&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F660%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605231 Thu, 12 Jan 2012 05:00:00 +0100 5605231 http://www.medworm.com/index.php?rid=5605230&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F657%3Frss%3D1 We describe an additional case of MICE in a 24-year-old female with antiphospholipid syndrome. A mobile hyperechogenic mass attached to the left ventricular surface of the aortic valve was documented by transthoracic echocardiography (TTE). The patient did have cardiac catheterization one month before the cardiac surgery. Histopathologic and immunohistochemical examination showed a lesion composed of histiocytes and mesothelial cells together with fibrin and scattered inflammatory cells. To our knowledge, this is the first case of MICE detected in a patient with antiphospholipid syndrome. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605230 Thu, 12 Jan 2012 05:00:00 +0100 5605230 http://www.medworm.com/index.php?rid=5605229&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F655%3Frss%3D1 We describe the case and our surgical technique. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605229 Thu, 12 Jan 2012 05:00:00 +0100 5605229 http://www.medworm.com/index.php?rid=5605228&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F653%3Frss%3D1 We report here the case of an 18-year-old male, who after suffering a chest stab injury, was seen at another institution where he underwent an emergency left anterolateral thoracotomy and right ventricular suture. During the following 30 days, his course was torpid, complicated by a ventilator-associated pneumonia and heart failure with acute pulmonary edema. Workup confirmed the presence of an acute aortic regurgitation due to perforation of the right coronary leaflet with an interventricular shunt. After implementing appropriate medical treatment, the valve was replaced with a mechanical prosthesis and the shunt was closed with an autologous pericardial patch. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605228 Thu, 12 Jan 2012 05:00:00 +0100 5605228 http://www.medworm.com/index.php?rid=5605227&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F650%3Frss%3D1 A 26-year-old Rwandan male presented with constrictive pericarditis, massive ascites and a giant umbilical hernia that had been asymptomatic for over a decade. Successful pericardiectomy was complicated by prompt incarceration of the abdominal hernia. This unexpected complication was caused by rapid resolution of the ascites due to autodiuresis and subsequent collapse of the hernial orifice. Patients with constrictive pericarditis and massive ascites who are evaluated for pericardiectomy should be carefully examined for the presence of abdominal hernias. If any such hernias are found, perioperative hernia repair should be considered and postoperative diuresis should be undertaken under close observation. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605227 Thu, 12 Jan 2012 05:00:00 +0100 5605227 http://www.medworm.com/index.php?rid=5605226&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F649%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605226 Thu, 12 Jan 2012 05:00:00 +0100 5605226 http://www.medworm.com/index.php?rid=5605225&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F648%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605225 Thu, 12 Jan 2012 05:00:00 +0100 5605225 http://www.medworm.com/index.php?rid=5605224&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F642%3Frss%3D1 A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: is it safe to stop anticoagulants after successful surgery for atrial fibrillation? Altogether, 177 papers were found using the reported search, of which 14 were selected that represented the best evidence to answer the clinical question. Selection criteria included study relevance, primary outcome, size of study population and length of follow-up. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The weight of evidence, including over 10,000 patient–years of follow-up, supports the discontinuation of warfarin following atrial fibrillation correction procedures a... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605224 Thu, 12 Jan 2012 05:00:00 +0100 5605224 http://www.medworm.com/index.php?rid=5605223&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F635%3Frss%3D1 A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: In [adults undergoing a maze procedure for Atrial Fibrillation (AF)], [does Left Atrial size reduction] compared to [maze surgery alone] improve [maze surgery success]? A total of 58 papers were found using the reported search, of which eight represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Four out of eight papers compared a volume reduction technique as an adjunct to the maze procedure to a maze procedure alone – all four papers reported that atrial volume reduction significantly increased restorat... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605223 Thu, 12 Jan 2012 05:00:00 +0100 5605223 http://www.medworm.com/index.php?rid=5605222&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F631%3Frss%3D1 A best evidence topic was constructed according to a structured protocol. The question addressed was whether lung transplantation remained a beneficial treatment for cystic fibrosis (CF) patients infected or colonized with Burkholderia cepacia complex (BCC) prior to lung transplantation (LTx). Of the 25 papers found using a report search, five presented the best evidence to answer the clinical question. The authors, journal, date and country of publication, study type, group studied, relevant outcomes and results of these papers are given. We conclude that, on the whole, the five studies were clearly in favor of maintaining access to LTx lists for BCC infected or colonized CF patients. In other words, access to LTx should not be denied to BCC infected CF patients in that the beneficial eff... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605222 Thu, 12 Jan 2012 05:00:00 +0100 5605222 http://www.medworm.com/index.php?rid=5605221&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F626%3Frss%3D1 A best evidence topic was written according to a structured protocol. The question addressed was whether harvesting the saphenous vein (SV) as a conduit for coronary artery bypass grafting (CABG) using a no-touch technique would result in better patency rates. This technique involves the harvest of the SV with a pedicle of peri-vascular tissue left intact and the avoidance of distension of the vein prior to anastomosis. A total of 405 papers were found using the reported searches of which eight represented the best evidence to answer the clinical question. The authors, date, journal, study type, population, main outcome measures and results are tabulated. The studies found analysed the ultrastructural and mechanical properties of the endothelium and vessel walls of the two harvesting techn... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605221 Thu, 12 Jan 2012 05:00:00 +0100 5605221 http://www.medworm.com/index.php?rid=5605220&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F619%3Frss%3D1 Bronchiectasis is characterized by irreversible widening of the medium-sized airways, with inflammation, chronic bacterial infection and destruction of the bronchial walls. Exercise or inspiratory muscle training may improve quality of life and exercise endurance in people with non-cystic fibrosis bronchiectasis. Prolonged-use antibiotics improve clinical response rates, but may not reduce exacerbation rates or lung function. Surgery is often considered for people with extreme damage to one or two lobes of the lung who are at risk for severe infection or bleeding. In this review, the authors will focus on non-cystic fibrosis bronchiectasis, pointing out the differences in management when compared with the cystic fibrosis context, with special emphasis on surgical management. (Source: Inter... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605220 Thu, 12 Jan 2012 05:00:00 +0100 5605220 http://www.medworm.com/index.php?rid=5605219&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F611%3Frss%3D1 Conclusions: ACS patients from Middle East countries with prior CABG have adverse baseline characteristics, reported higher GRACE risk score, multivessel disease, more severe LV dysfunction, cardiogenic shock, in-hospital major bleeding, but with less incidence of STEMI with less prominent surge of cardiac biomarkers. However, there was no significant difference in mortality during hospitalization, at 30 days and at one year between ACS patients with and without prior CABG. The reasons for this 'risk-mortality' paradox need to be further evaluated. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605219 Thu, 12 Jan 2012 05:00:00 +0100 5605219 http://www.medworm.com/index.php?rid=5605218&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F610%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605218 Thu, 12 Jan 2012 05:00:00 +0100 5605218 http://www.medworm.com/index.php?rid=5605217&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F606%3Frss%3D1 Conclusion: Aortic valve replacement with 17 mm SJMR or 19 mm SJMR prostheses appear to provide satisfactory clinical and hemodynamic results at rest and under DSE, even in those patients with BSA of 1.8±0.11 m2 where it was not possible to enlarge the aortic annulus. Prosthesis-patient mismatch is not associated with lesser regression of left ventricular mass. Dobutamine stress echocardiography should be a useful and effective means for evaluating prosthesis hemodynamic aspects. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605217 Thu, 12 Jan 2012 05:00:00 +0100 5605217 http://www.medworm.com/index.php?rid=5605216&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F605%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605216 Thu, 12 Jan 2012 05:00:00 +0100 5605216 http://www.medworm.com/index.php?rid=5605215&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F601%3Frss%3D1 Conclusions: The six-year results for GA using remifentanil conscious sedation were very satisfactory and highlighted the advantages of both GA (hemodynamic stability and excellent control of ventilation) and local anesthesia (ease of evaluation of neurological status) in a calm and relaxed environment for both patient and surgeon. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605215 Thu, 12 Jan 2012 05:00:00 +0100 5605215 http://www.medworm.com/index.php?rid=5605214&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F600-b%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605214 Thu, 12 Jan 2012 05:00:00 +0100 5605214 http://www.medworm.com/index.php?rid=5605213&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F600-a%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605213 Thu, 12 Jan 2012 05:00:00 +0100 5605213 http://www.medworm.com/index.php?rid=5605212&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F597%3Frss%3D1 Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. We review our experience with 41 patients who underwent surgical intervention for cardiac myxoma between 1994 and 2011. All patients’ preoperative, intraoperative and postoperative characteristics were recorded. They all had a standard sternotomy and cardiopulmonary bypass with cardioplegic cardiac arrest and were followed up with clinical examination and echocardiography. The surgical goal was to remove not only the tumor but the whole area of attachment to prevent recurrence. Biatrial approach facilitated the complete excision of the tumor. Surgical excision of cardiac myxoma carries a low-operative risk and give... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605212 Thu, 12 Jan 2012 05:00:00 +0100 5605212 http://www.medworm.com/index.php?rid=5605211&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F591%3Frss%3D1 Current membrane oxygenators are constructed for patients with a body surface under 2.2 m2. If the body surface exceeds 2.5 m2, commercially available devices may not allow adequate oxygenation during cardiopulmonary bypass. To address this, a hollow-fiber oxygenator with an enlarged contact surface of 1.81 m2 was tested. In an experimental set-up, six calves of mean weight 85.4±3 kg were connected to cardiopulmonary bypass. They were randomly assigned to a standard oxygenator (n=3; ADMIRAL, Euroset, Medola, Italy) with a surface of 1.35 m2 or to an enlarged surface oxygenator (n=3; AMG, Euroset). Blood samples were taken before bypass, after 10 min on bypass, and after 1, 2, 5 and 6 h of perfusion. Analysis of variance was used for repeated measur... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605211 Thu, 12 Jan 2012 05:00:00 +0100 5605211 http://www.medworm.com/index.php?rid=5605210&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F589%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605210 Thu, 12 Jan 2012 05:00:00 +0100 5605210 http://www.medworm.com/index.php?rid=5605209&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F585%3Frss%3D1 Endothelin (ET-1) is a potent vasoconstrictor. We compared patterns of ET-1 in percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and correlated it with markers of inflammation. Patients with multivessel disease were enrolled in a prospective randomized study of PCI vs. on-pump CABG. Procedural myocardial injury was assessed biochemically (CK-MB) and with new late gadolinium enhancement (LGE) on magnetic resonance imaging (MRI) one week postprocedure. ET-1 was measured at baseline, 1 h, 6 h, 12 h, 24 h and one week postprocedure. Log ET-1 values were compared between PCI and CABG and between patients without significant myocardial injury. Measurement of ET-1 values was performed in 36 PCI and 31 CABG patients. Baseline ET-1 values were si... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605209 Thu, 12 Jan 2012 05:00:00 +0100 5605209 http://www.medworm.com/index.php?rid=5605208&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F584%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605208 Thu, 12 Jan 2012 05:00:00 +0100 5605208 http://www.medworm.com/index.php?rid=5605207&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F579%3Frss%3D1 Non-invasive monitoring of pulmonary vascular resistance (PVR) in postoperative cardiac surgery patients might be useful, particularly for management of pulmonary hypertension. For this purpose, we sought to assess Doppler echocardiography in the intensive care setting. In 73 patients, hemodynamics was measured using both, invasive gold standard (pulmonary artery catheter), and non-invasively by Doppler echocardiography. Four Doppler parameters: (1) tricuspid regurgitant velocity/time-velocity-integral of right ventricular outflow tract (TRV/VTIRVOT), (2) tricuspid annular systolic velocity (S’), (3) tricuspid annular strain, and (4) tricuspid annular strain rate, were compared with invasive PVR, using linear regression analysis and receiver-operating-characteristics. Patients withou... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605207 Thu, 12 Jan 2012 05:00:00 +0100 5605207 http://www.medworm.com/index.php?rid=5605206&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F578%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605206 Thu, 12 Jan 2012 05:00:00 +0100 5605206 http://www.medworm.com/index.php?rid=5605205&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F577%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605205 Thu, 12 Jan 2012 05:00:00 +0100 5605205 http://www.medworm.com/index.php?rid=5605204&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F573%3Frss%3D1 Cardiac displacement during off-pump coronary artery bypass (OPCAB) surgery causes a fall in cardiac output. Here, we investigate how this drop in systemic perfusion is transferred to the oxygenation of sublingual and cerebral tissue. Sublingual microcirculatory perfusion or microcirculatory hemoglobin oxygen saturation (μHbSO2) measurements were performed using sidestream dark-field imaging and reflectance spectrophotometry, respectively (both n=12). The cerebral tissue oxygenation index was measured by near-infrared spectrophotometry (n=12). Cardiac output was calculated by pulse contour analysis of arterial pressure. Cardiac displacement reduced the cardiac output from 4.3±0.8 to 1.2±0.3 l/min (P<0.05), paralleled by a decrease in μHbSO2 from 64.2±9.1 ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605204 Thu, 12 Jan 2012 05:00:00 +0100 5605204 http://www.medworm.com/index.php?rid=5605203&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F569%3Frss%3D1 Congenital heart diseases are corrected early in life, so the surgical procedure has to maintain the maximum potential for growth. The quest for the ideal material for cardiac tissue repair is still ongoing. Here, we describe our preliminary experience with an extracellular matrix for cardiac and vascular tissue repair. Between August 2009 and April 2011, 26 patients underwent cardiac surgery using the CorMatrix patch for vascular repair (10 pulmonary artery, four ascending aorta, three aortic arch and one right ventricular outflow tract) or for valve reconstruction (five aortic, two tricuspid, one mitral and one pulmonary valve); in four cases, the repair was associated with pericardial closure using the same patch. There were no deaths, and at a mean follow-up of 13.2 months, there ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605203 Thu, 12 Jan 2012 05:00:00 +0100 5605203 http://www.medworm.com/index.php?rid=5605202&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F568%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605202 Thu, 12 Jan 2012 05:00:00 +0100 5605202 http://www.medworm.com/index.php?rid=5605201&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F566%3Frss%3D1 The internal jugular vein continues to be the preferred site for cannulation to monitor central venous pressure despite the reported evidence of the accuracy of external jugular venous pressure (EJVP) to reliably predict internal jugular venous pressure (IJVP). Internal jugular venous cannulation carries a risk of thrombosis that can be life-threatening in children undergoing superior cavopulmonary anastomosis and a subsequent Fontan procedure. The present study compared IJVP and EJVP in children undergoing superior cavopulmonary anastomosis and found no statistical and clinical difference between IJVP and EJVP. Thus, external jugular vein cannulation reliably predicts IJVP and pulmonary artery pressures in children undergoing superior cavopulmonary anastomosis, and may obviate the risk of... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605201 Thu, 12 Jan 2012 05:00:00 +0100 5605201 http://www.medworm.com/index.php?rid=5605200&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F557%3Frss%3D1 In conclusion, the protocol acts as a guide for safe management of the CSFD and directs staff in reacting to detection of neurological deficit. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605200 Thu, 12 Jan 2012 05:00:00 +0100 5605200 http://www.medworm.com/index.php?rid=5605199&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F552%3Frss%3D1 This study investigated whether platelet-rich plasma (PRP) promotes healing and reduces anastomotic complications following airway surgery in a pig model. PRP was obtained by spinning down the animal's own blood (60 ml) and collecting the buffy coat containing platelets and white blood cells. Fifteen adult pigs were randomized into three groups: (1) sham treatment (cervicotomy), (2) non-PRP group (50% tracheal resection and end-to-end anastomosis), and (3) PRP group (50% tracheal resection, end-to-end anastomosis and PRP application). Blood samples were taken at baseline and at one, six and 24 . Animals were monitored for anastomotic complications, infection and local reactivity. Laser Doppler flowmetry was performed intraoperatively and at 30 days to assess differences in p... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605199 Thu, 12 Jan 2012 05:00:00 +0100 5605199 http://www.medworm.com/index.php?rid=5605198&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F551%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605198 Thu, 12 Jan 2012 05:00:00 +0100 5605198 http://www.medworm.com/index.php?rid=5605197&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F549%3Frss%3D1 We describe a new technique of VATS lobectomy in supine position consisting of complete lymph node dissection and subxyphoidal removal of the lobe(s) preventing any degree of rib traction. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5605197 Thu, 12 Jan 2012 05:00:00 +0100 5605197 http://www.medworm.com/index.php?rid=5594673&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F131%3Frss%3D1 We describe this rare complication which occurred at our institute. A 49-year old man developed Tapia's syndrome after an uneventful coronary artery bypass surgery. He complained of dysphonia, hoarseness of voice and an inability to swallow soon after extubation. The syndrome resolved completely over the following weeks with no neurological deficit. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594673 Mon, 09 Jan 2012 05:00:00 +0100 5594673 http://www.medworm.com/index.php?rid=5594672&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F128%3Frss%3D1 We report a case encountered in our clinic in a 70-year old man evaluated in a neighbouring clinic with symptoms of transient ischaemic attack with initially unclear aetiology. Posterior–anterior chest X-rays suggested that the lead was in the left heart. This finding was confirmed by transthoracic and transoesophageal echocardiography. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594672 Mon, 09 Jan 2012 05:00:00 +0100 5594672 http://www.medworm.com/index.php?rid=5594671&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F125%3Frss%3D1 We report the case of a non-intubated patient who benefited from veno-venous (VV) ECMO. A 35-year old cystic fibrosis man presented a severe respiratory decompensation with refractory hypercapnia. We opted for an ECMO instead of mechanical ventilation (MV). We implanted a double lumen bi-cava cannula (DLC) (Avalon EliteTM) in the right jugular vein. Before ECMO implantation, the patient presented refractory respiratory failure (pH = 7.1, PaO2 = 83 mmHg, PaCO2 = 103 mmHg). We proposed that the patient be placed on the high emergency lung transplantation waiting list after failure to wean him from ECMO. This registration was effective 10 days after ECMO implantation. The patient was grafted the next day. Under ECMO, mean PaO2, PaCO2 and TCA were 80.6&n... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594671 Mon, 09 Jan 2012 05:00:00 +0100 5594671 http://www.medworm.com/index.php?rid=5594670&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F124%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594670 Mon, 09 Jan 2012 05:00:00 +0100 5594670 http://www.medworm.com/index.php?rid=5594669&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F122%3Frss%3D1 A rare case of insufficient right-sided unilateral cerebral perfusion during emergent aortic arch replacement in a patient with an acute aortic dissection is reported. On the basis of intraoperative monitoring using near-infrared spectroscopy, the insufficient perfusion of the contralateral hemisphere was detected and the bilateral perfusion was performed, which led to normalization of cerebral perfusion and an uncomplicated neurological outcome. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594669 Mon, 09 Jan 2012 05:00:00 +0100 5594669 http://www.medworm.com/index.php?rid=5594668&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F120%3Frss%3D1 Acute traumatic transection of the aorta (ATAT) is a devastating event. Transluminal endovascular aortic repair (TEVAR) has meanwhile become an excellent alternative for such lesions. A 27-year old woman sustained a multiple trauma in a car accident including ATAT which was treated by aortic stent graft placement. Six years after the endovascular repair, our patient had only noticed, just shortly after an annual computed tomography (CT) check-up, that she was pregnant and in the 9th week of gestation. The CT was considered as unproblematic for the foetus since direct radiation of the uterus had been avoided. Our patient clearly preferred a vaginal delivery over a caesarean section. The pregnancy was uneventful with uncomplicated vaginal delivery at term. This case shows that vaginal delive... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594668 Mon, 09 Jan 2012 05:00:00 +0100 5594668 http://www.medworm.com/index.php?rid=5594667&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F117%3Frss%3D1 We report a surgical case of extraskeletal Ewing's sarcoma that had been followed-up as a stable sized tumour for many years, which then grew rapidly within a year. A 27-year old female patient with a rapidly growing abnormal shadow on chest roentgenogram was admitted to our department. She had undergone periodic examinations including chest computed tomography (CT) scans for 6 years since a small nodule in her chest had been pointed out by chest roentgenogram. The initial CT demonstrated a solitary nodule with a diameter of 20 mm on the parietal pleura that covered the V rib of the posterior chest wall. For 5 years the tumour's size did not change noticeably but it suddenly grew to about 90 mm diameter in a year. The tumour volume doubling time was calculated to be 17 days. (Sou... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594667 Mon, 09 Jan 2012 05:00:00 +0100 5594667 http://www.medworm.com/index.php?rid=5594666&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F115%3Frss%3D1 A tracheal perforation was discovered after Nd-YAG laser thermal ablation (LTA) of a thyroid nodule. The LTA is a relatively new method of treatment of thyroid nodules, which consists of delivering laser energy into the thyroid by means of two optical fibres. The patient presented with a multinodular goitre and initially refused surgery, then underwent an LTA of a thyroid nodule. Fifty days after the procedure she started to have symptoms related to a tracheal stenosis and, after tracheoscopy, a tracheal perforation was diagnosed and she underwent a total thyroidectomy plus tracheal repair. The results of the histological examination revealed a goitre with a focal area of papillary carcinoma. This particular complication is likely the first of its kind to be described after the LTA of a th... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594666 Mon, 09 Jan 2012 05:00:00 +0100 5594666 http://www.medworm.com/index.php?rid=5594665&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F113%3Frss%3D1 We present a rare case of left ventricular myxoma discovered incidentally in an asymptomatic 16-year old male. The patient underwent the appropriate work-up and a robotic-assisted excision of the mass. The patient had an uneventful recovery and was discharged home at postoperative day 3. To our knowledge, this is the first case of robotic-assisted left ventricular myxoma excision in the literature. Robotic-assisted surgery of left ventricular myxomas is a safe and feasible method of excision. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594665 Mon, 09 Jan 2012 05:00:00 +0100 5594665 http://www.medworm.com/index.php?rid=5594664&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F110%3Frss%3D1 We report here the first and a rarest presentation of the AMVT in a 19-year old female patient diagnosed to have double outlet right ventricle, ventricular septal defect (VSD), infundibular stenosis and congenital mitral stenosis (MS). She presented with a history of shortness of breath and chest pain over 3 years. Diagnosis was made by chest X-ray, transthoracic and transoesophageal echocardiography, which was confirmed by cardiac catheterization, and angiography. A successful closure of the VSD with excision of the right ventricular bundle and excision of the AMVT was done. Post-operative course was uneventful and an echocardiogram before the discharge showed no residual shunt, no right ventricular outflow gradient or mitral regurgitation, and the gradient across the mitral valve was 5/3... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594664 Mon, 09 Jan 2012 05:00:00 +0100 5594664 http://www.medworm.com/index.php?rid=5594663&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F108%3Frss%3D1 We present a seldom seen case of Takotsubo cardiomyopathy (TCM) with concurrent obstructive coronary artery disease (OCAD) and its first case surgical experience. We propose that TCM and OCAD can coexist and that the presence of OCAD should not be an exclusion criterion for the diagnosis of TCM. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594663 Mon, 09 Jan 2012 05:00:00 +0100 5594663 http://www.medworm.com/index.php?rid=5594662&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F107%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594662 Mon, 09 Jan 2012 05:00:00 +0100 5594662 http://www.medworm.com/index.php?rid=5594661&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F105%3Frss%3D1 We herein report a case of apicoaortic bypass (AAB) in a 79-year old patient presenting with structural valve deterioration who had undergone an aortic valve replacement with a 19 mm bioprosthetic valve and aortocoronary (A-C) bypass grafting 4 years prior to the AAB. Considering the small diameter of the aortic annulus, the existence of a previous A-C bypass and the high risk of reoperation, we selected implanting an AAB. The postoperative course was uneventful. The postoperative haemodynamics were evaluated using phase-contrast cine magnetic resonance imaging. It demonstrated that 58% of ventricular outflow was directed through the valved conduit. It showed that no obvious stagnation of the blood flow occurred during the entire cardiac cycle. (Source: Interactive CardioVascular and ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594661 Mon, 09 Jan 2012 05:00:00 +0100 5594661 http://www.medworm.com/index.php?rid=5594660&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F104%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594660 Mon, 09 Jan 2012 05:00:00 +0100 5594660 http://www.medworm.com/index.php?rid=5594659&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F102%3Frss%3D1 Bilateral coronary artery fistulas with the coronary artery stenosis are rare. In this case, we successfully performed closure of coronary artery fistulas with coronary artery bypass grafting. Furthermore, we were able to measure the flow in the coronary artery fistulas using transit-time flow measurement. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594659 Mon, 09 Jan 2012 05:00:00 +0100 5594659 http://www.medworm.com/index.php?rid=5594658&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F99%3Frss%3D1 We present the case of a heavy smoking, 35-year-old woman who was referred to the emergency department of our hospital because of sudden abdominal pain and urinary incontinence. She also complained of a two-year history of bilateral intermittent claudication. A computerized tomography revealed the thrombosis of the abdominal aorta and of both iliac arteries. Treatment consists of an aortoiliac thromboendarterectomy (AITE). For young patients with atheromatous occlusive disease of the infrarenal aorta, AITE is an attractive alternative to bypass grafting. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594658 Mon, 09 Jan 2012 05:00:00 +0100 5594658 http://www.medworm.com/index.php?rid=5594657&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F96%3Frss%3D1 This report presents the case of a 79-year old woman who developed radionecrosis after irradiation following a radical mastectomy at the age of 50 and complicated lung adenocarcinoma in the left upper lobe. Chest wall resection and reconstruction were performed simultaneously with left upper lobectomy, and a latissimus dorsi musculocutaneous flap was used for reconstruction via the left pleural cavity after lobectomy. The flap was well adapted to the defect of the chest wall. This clinical course indicates that a transpleural musculocutaneous flap can be a reconstructive procedure for such patients showing chest wall radionecrosis complicated with an intrathoracic disease. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594657 Mon, 09 Jan 2012 05:00:00 +0100 5594657 http://www.medworm.com/index.php?rid=5594656&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F94%3Frss%3D1 We report the case of a 42-year old diabetic male presenting with erythema of the neck and anterior right thoracic region secondary to the application of an ointment derived from rattlesnakes, progressing to a full-blown necrotizing fasciitis in a short period of time, with associated mediastinitis, thrombocytopaenia and sepsis. The patient died despite aggressive multidisciplinary medical and surgical treatment. We present this case due to the unusual aetiology and fulminating course. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594656 Mon, 09 Jan 2012 05:00:00 +0100 5594656 http://www.medworm.com/index.php?rid=5594655&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F91%3Frss%3D1 We report the first case of a radically resected EHE of the azygos vein (AV). A 47-year old man presented to our institution with an asymptomatic incidental neck–chest computerized tomography (CT) evidence of a 3 cm mediastinal mass, resembling a station 4R lymphadenopathy, with rather distinct margins, strictly adjacent to the AV. 18F-fluorodeoxyglucose positron emission tomography (FDG-PET)/CT revealed a SUV max of 2.3. Fiberbronchoscopy with EBUS-trans-tracheal needle aspiration of station 4R yielded nondiagnostic cytology result. A right lateral thoracotomy revealed an ovoidal mediastinal mass originating from the AV, unresectable from it but showing cleavage from the superior vena cava. The mass with the involved AV was resected en bloc by vascular stapler. Histopathology r... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594655 Mon, 09 Jan 2012 05:00:00 +0100 5594655 http://www.medworm.com/index.php?rid=5594654&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F85%3Frss%3D1 A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether blood transfusion increases the chance of recurrence in patients undergoing surgery for lung cancer. Altogether 468 papers were found using the reported search, of which 21 represented the best evidence to answer the clinical question. The authors, journal date and country of publication, patient group studied, study type, relevant outcomes and results of these papers were tabulated. Nineteen cohort studies (two of which examined the same or similar data sets as two other studies already included), one comment article and one meta-analysis were identified. In total, the outcomes of 5378 patients undergoing surgical resection for lung cancer were analysed. The transfu... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594654 Mon, 09 Jan 2012 05:00:00 +0100 5594654 http://www.medworm.com/index.php?rid=5594653&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F81%3Frss%3D1 A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was whether video-assisted mediastinoscopy (VAM) is a more effective procedure than conventional mediastinoscopy (CM). A total of 108 papers were identified using the search as discussed below. Of which, eight papers presented the best evidence to answer the clinical question as they included a sufficient number of patients to reach conclusions regarding the issues of interest for this review. Complications, complication rates, number of lymph nodes biopsies, number of stations sampled and training opportunities were included in the assessment. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results and study weak... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594653 Mon, 09 Jan 2012 05:00:00 +0100 5594653 http://www.medworm.com/index.php?rid=5594652&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F72%3Frss%3D1 Neurologic dysfunction complicates the course of 10–40% of left-side infective endocarditis (IE). In right-sided IE, instead, when systemic emboli occur, paradoxical embolism should be considered. The spectrum of neurologic events includes embolic cerebrovascular complication (CVC), intracranial haemorrhage, ruptured mycotic aneurysm, transient ischaemic attack (TIA), meningitis, encephalopathy and brain abscess. Cardiopulmonary bypass might exacerbate neurological deficits due to: heparinization and secondary cerebral haemorrhage; hypotension and cerebral oedema in areas of the disrupted blood brain barrier. A best evidence topic was written according to a structured protocol. The question addressed was, whether there is an optimal timing for surgery in IE with CVCs. One hundred pap... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594652 Mon, 09 Jan 2012 05:00:00 +0100 5594652 http://www.medworm.com/index.php?rid=5594651&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F68%3Frss%3D1 Short periods of ischaemia consecutive to reperfusion periods before a sustained ischaemic condition, the so-called ischaemic preconditioning (IP), aim to protect myocardial cells against prolonged ischaemia. IP appears as a considerable endogenous cardioprotective mechanism decreasing the infarct size after total occlusion in either experimental models or humans. Angina periods before an acute coronary syndrome limit the myocardial infarction being protective for the myocardium. Our report aims to review the international bibliography of the IP during off-pump coronary artery bypass grafting. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594651 Mon, 09 Jan 2012 05:00:00 +0100 5594651 http://www.medworm.com/index.php?rid=5594650&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F64%3Frss%3D1 CONCLUSIONS Pulmonary embolectomy is an effective therapeutic option for patients with massive or submassive pulmonary embolism. Prompt triage of patients with haemodynamic instability is important. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594650 Mon, 09 Jan 2012 05:00:00 +0100 5594650 http://www.medworm.com/index.php?rid=5594649&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F56%3Frss%3D1 Conclusions Waistcoat aortoplasty proved a safe and durable treatment for patients with asymmetric non-syndromic non-familial ascending aorta dilatation. The technique showed its best durability in aortic stenosis patients and in patients with normofunctional BAV. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594649 Mon, 09 Jan 2012 05:00:00 +0100 5594649 http://www.medworm.com/index.php?rid=5594648&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F48%3Frss%3D1 CONCLUSIONS Adenosine 400 μmol l–1 in cold blood cardioplegia showed no cardioprotective effects on the parameters studied. Myocardial ischaemia was more pronounced in patients receiving retrograde cardioplegia. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594648 Mon, 09 Jan 2012 05:00:00 +0100 5594648 http://www.medworm.com/index.php?rid=5594647&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F44%3Frss%3D1 The aim of this study was to compare our experience between open and video-assisted thoracic surgery (VATS) approaches to the management of thoracic effusions in ventricular assist device (VAD) patients. This was a retrospective review of a prospectively collected database of VAD patients at a single institution. Patients who were operated on for pericardial and/or pleural effusions were included. Primary outcomes included operative mortality and morbidity as well as effusion recurrence. From 1993 to 2009, 360 adult patients underwent VAD placement. Twenty-three patients (11.9%) required operative management of pleural (n = 24), pericardial (n = 13) or both pleural and pericardial (n = 6) effusions [open = 20 (47%); VATS = 23 (53%)]. Draina... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594647 Mon, 09 Jan 2012 05:00:00 +0100 5594647 http://www.medworm.com/index.php?rid=5594646&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F41%3Frss%3D1 The objective of this study was to report our experience in the management of the monostotic FD of the ribs. Between January 2004 and December 2009, seven cases of FD of the rib (six men and one woman, mean age 30.4 years, range 17–40 years) were operated on. The patients were evaluated with plain radiographs and computer tomography (CT). All our patients were symptomatic; two patients presented chest pain and swelling and other patients presented only chest pain. One rib was involved in all our patients (monostotic form): the site was fifth rib (four cases), sixth rib (two cases) or second rib (one case). Radiologically, plain films and CT showed an expansible lesion with a ground-glass centre and thinning of the cortex. Rib resection was performed in all patients; there were no pos... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594646 Mon, 09 Jan 2012 05:00:00 +0100 5594646 http://www.medworm.com/index.php?rid=5594645&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F38%3Frss%3D1 This study compares the traditional live lecture to a web-based approach in the teaching of bronchoscopy and evaluates the positive and negative aspects of both methods. We developed a web-based bronchoscopy curriculum, which integrates texts, images and animations. It was applied to first-year interns, who were later administered a multiple-choice test. Another group of eight first-year interns received the traditional teaching method and the same test. The two groups were compared using the Student's t-test. The mean scores (±SD) of students who used the website were 14.63 ± 1.41 (range 13–17). The test scores of the other group had the same range, with a mean score of 14.75 ± 1. The Student's t-test showed no difference between the test res... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594645 Mon, 09 Jan 2012 05:00:00 +0100 5594645 http://www.medworm.com/index.php?rid=5594644&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F34%3Frss%3D1 In conclusion, we confirmed that EBUS-TBNA obtained the pathological diagnosis in a less-invasive manner in all cases. Despite the small number of cases, our results can reveal the usefulness of EBUS-TBNA particularly in patients with previously treated thoracic malignancy. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594644 Mon, 09 Jan 2012 05:00:00 +0100 5594644 http://www.medworm.com/index.php?rid=5594643&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F31%3Frss%3D1 A model for predicting the risk of emergency, unplanned intensive care unit (ICU) admission after lung resection for lung cancer has been reported. However, it has not been validated outside of the derivation cohort, and the aim of our study was to undertake external validation at our institution. We reviewed a series of consecutive patients who underwent major lung resection for non-small cell lung cancer over a 6-year period. Test performance was evaluated by area under the receiver operator characteristic (ROC) curve. Between 2003 and 2008, 425 patients underwent major lung resections for lung cancer. The mean age (SD) was 65 (10) years and 241 (57%) were men. A total of 77 (18%) patients were admitted to ICU, 47 for elective admission and 30 (7%) for treatment of post-procedure complic... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594643 Mon, 09 Jan 2012 05:00:00 +0100 5594643 http://www.medworm.com/index.php?rid=5594642&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F26%3Frss%3D1 Management of infective endocarditis (IE) with cerebrovascular complications is difficult due to absence of concrete evidence. These patients usually have multiple neurological deficits and the optimal timing for cardiac operation remains controversial. The aims of this study were to present cases and discuss the treatment options for IE with cerebrovascular complications. From 1998 to 2010, 51 patients underwent operations for IE at our institution. From a review of medical records, 10 patients (19.6%) with preoperative neurological complications were identified. Data on these 10 patients were analysed. Cerebrovascular complications included cerebral infarction (n = 4, 40.0%), mycotic aneurysm (n = 1, 10.0%), mycotic aneurysm plus cerebral infarction (n = 3, ... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594642 Mon, 09 Jan 2012 05:00:00 +0100 5594642 http://www.medworm.com/index.php?rid=5594641&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F22%3Frss%3D1 Atrial fibrillation (AF) remains a frequent complication after coronary artery bypass graft surgery (CABG). We evaluate the association of AF occurrence and serum cardiac troponin I (cTnI) levels in the early postoperative period after CABG. Between April 2009 and January 2010, 95 consecutive patients with sinus rhythm who underwent CABG were evaluated. The patients were divided into two groups according to their postoperative rhythms: sinus rhythm group (SR) and AF group (AF). Demographic, clinical variables, and troponin I were evaluated at the pre- and postoperative times. There were no clinical or demographic differences between the two groups. The postoperative troponin I in the SR group was lower than that in the AF group (0.66 ± 1.62 vs. 2.07 ± 5.01... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594641 Mon, 09 Jan 2012 05:00:00 +0100 5594641 http://www.medworm.com/index.php?rid=5594640&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F21%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594640 Mon, 09 Jan 2012 05:00:00 +0100 5594640 http://www.medworm.com/index.php?rid=5594639&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F17%3Frss%3D1 Post-sternotomy mediastinitis is a rare but serious complication of cardiac surgery leading to prolonged hospital stay and higher mortality. In the last decades several treatment modalities have been described, of which vacuum-assisted closure (VAC) shows the most promising results. The aim of this study is to describe clinical outcomes of VAC as compared to open packing and to predict risk factors for mortality. We performed a retrospective analysis of 113 patients with mediastinitis undergoing VAC (n = 89) or open packing (n = 24) between January 2000 and July 2010. Patient characteristics, risk factors and procedure-related variables were analysed. C-reactive protein and leukocyte counts were determined on admission and at regular intervals during hospital stay. We c... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594639 Mon, 09 Jan 2012 05:00:00 +0100 5594639 http://www.medworm.com/index.php?rid=5594638&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F12%3Frss%3D1 The purpose of this study was to determine whether a clampless facilitating device (CFD) to perform proximal aortocoronary anastomoses would result in a lower incidence of cerebral embolic events compared with a partial clamping strategy during off-pump coronary artery bypass (OPCAB). After epiaortic ultrasound confirmed the mild aortic disease (Grades I and II), 57 patients were randomly assigned to have proximal anastomoses using a partial-occluding clamp (CL, n = 28) or a CFD [Heartstring (HS), n = 29] (Maquet Cardiovascular LLC, San Jose, CA). Solid and gaseous emboli in the middle cerebral arteries were detected using transcranial Doppler ultrasonography. The mean number of proximal anastomoses was similar between groups 1.93 ± 0.72 (CL) and 1.72&n... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594638 Mon, 09 Jan 2012 05:00:00 +0100 5594638 http://www.medworm.com/index.php?rid=5594637&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F5%3Frss%3D1 We analysed the results of radical segmentectomy achieved through a hybrid video-assisted thoracic surgery (VATS) approach that used both direct vision and television monitor visualization at a median follow-up of over 5 years. Between April 2004 and October 2010, 102 consecutive patients able to tolerate lobectomy to treat clinical T1N0M0 non-small cell lung cancer (NSCLC) underwent hybrid VATS segmentectomy in which we used electrocautery without a stapler to divide the intersegmental plane detected by selective jet ventilation in addition to the path of the intersegmental veins. Curative resection was achieved in all patients. The median surgical duration and blood loss during the surgery were 129 min (range, 60–275 min) and 50 ml (range, 10–350 ml), resp... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594637 Mon, 09 Jan 2012 05:00:00 +0100 5594637 http://www.medworm.com/index.php?rid=5594636&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F2%3Frss%3D1 Today, there is a strong increase in video-assisted thoracic surgery; however, there are still some diseases and interventions that need a wide pleural cavity exposure (i.e. sulcus tumours and extended resections). These complex procedures are usually performed via a standard posterolateral thoracotomy, which is a good approach but has significant disadvantage due to pain and difficulty coughing. We propose a new thoracotomy that avoids a dorsal muscle division but has the same intrathoracic exposure as a posterolateral thoracotomy. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594636 Mon, 09 Jan 2012 05:00:00 +0100 5594636 http://www.medworm.com/index.php?rid=5594635&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F14%2F1%2F1%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5594635 Mon, 09 Jan 2012 05:00:00 +0100 5594635 http://www.medworm.com/index.php?rid=5474437&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F691%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474437 Mon, 05 Dec 2011 05:00:00 +0100 5474437 http://www.medworm.com/index.php?rid=5474436&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F688%3Frss%3D1 We present a case of a 37-year-old male who was admitted to our department because of severe acute congestive heart failure and signs of ruptured aneurysm of the SV into the right ventricle. Transthoracic and transoesophageal echocardiography confirmed the communication between an important right coronary SVA and right ventricle, bicuspid aortic valve, mild aortic regurgitation, and revealed severe aortic coarctation. Because of the severe dilation of right sinus of Valsalva a surgical repair of the ruptured aneurysm was performed. Aortic coarctation was treated four weeks later by a percutaneous stent-graft implantation. This case report supports the concept that hybrid approach is feasible in patients with ruptured SVA and aortic coarctation in adulthood. (Source: Interactive CardioVascu... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474436 Mon, 05 Dec 2011 05:00:00 +0100 5474436 http://www.medworm.com/index.php?rid=5474435&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F686%3Frss%3D1 Blunt cardiac trauma is one of the leading causes of death on site in motor vehicle accidents and frequently requires an emergent surgical intervention if the patient reaches the hospital. We experienced a rare case of blunt right ventricular disruption that was successfully managed by conservative therapy without surgery. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474435 Mon, 05 Dec 2011 05:00:00 +0100 5474435 http://www.medworm.com/index.php?rid=5474434&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F684%3Frss%3D1 We describe a 60-year-old female with acute heart failure. Computed tomography (CT)-scan and magnetic resonance imaging (MRI) revealed that the cause of the heart failure was cardiac after-load mismatch due to serious stenosis of the aorta. In order to prevent cardio-respiratory failure, an axillofemoral bypass was performed to release the cardiac after-load mismatch. This diminished the pressure gradient between upper and lower blood pressure that caused cardiac dysfunction. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474434 Mon, 05 Dec 2011 05:00:00 +0100 5474434 http://www.medworm.com/index.php?rid=5474433&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F682%3Frss%3D1 We reported successful distal repair using the frozen elephant trunk technique to treat a mycotic aneurysm extending from the ascending aorta to the descending aorta. A blood culture sample was positive for Escherichia coli, and total arch replacement with a rifampicin-bonded graft covered the omental pedicle flap. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474433 Mon, 05 Dec 2011 05:00:00 +0100 5474433 http://www.medworm.com/index.php?rid=5474432&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F679%3Frss%3D1 We report a case of a patient with a radial artery graft who did not receive vasodilators after surgery due to hypotension. The patient developed vasospasm of the radial artery conduit which did not respond to direct injection of vasodilators into the conduit but recovered after taking oral vasodilators for four weeks. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474432 Mon, 05 Dec 2011 05:00:00 +0100 5474432 http://www.medworm.com/index.php?rid=5474431&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F676%3Frss%3D1 We present a case of lower lobectomy of the left lung for an adenocarcinoma found in a patient with an implantable continuous-flow LVAD. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474431 Mon, 05 Dec 2011 05:00:00 +0100 5474431 http://www.medworm.com/index.php?rid=5474430&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F675%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474430 Mon, 05 Dec 2011 05:00:00 +0100 5474430 http://www.medworm.com/index.php?rid=5474429&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F674%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474429 Mon, 05 Dec 2011 05:00:00 +0100 5474429 http://www.medworm.com/index.php?rid=5474428&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F672%3Frss%3D1 We are reporting the successful surgical treatment of a 23-year-old female with a giant right coronary artery to coronary sinus fistula. This woman had complaints of chest pain and dyspnea on exertion for few months. Transthoracic echocardiography (TTE) showed a large tortuous right coronary artery and a dilated coronary sinus. Preoperative multi-detector computed tomography (MDCT) coronary angiography and cardiac catheterization confirmed the diagnosis of a right coronary artery to coronary sinus fistula. The patient underwent surgical closure of the fistula and division of the communication between the right coronary artery and the coronary sinus with the use of cardiopulmonary bypass. The patient was discharged home on postoperative day 5 and at one-year follow-up is symptom-free. (Sour... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474428 Mon, 05 Dec 2011 05:00:00 +0100 5474428 http://www.medworm.com/index.php?rid=5474427&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F669%3Frss%3D1 We describe two cases of intramitral ring, the diagnostic challenge they provided, and the value of the information obtained using real-time three-dimensional echocardiography in such cases. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474427 Mon, 05 Dec 2011 05:00:00 +0100 5474427 http://www.medworm.com/index.php?rid=5474426&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F666%3Frss%3D1 This is a case of 50-year-old male who underwent left single lung transplantation for pulmonary fibrosis. He sustained a bronchial dehiscence with a pulmonary artery-bronchial fistula which was primarily repaired. One week later, there was complete bronchial dehiscence followed by a massive hemoptysis. At operation, following resection of necrotic donor bronchus there was a sizeable gap between donor and recipient bronchus, which was bridged with a cryopreserved aortic homograft. The homograft patch provided a satisfactory repair without malacia. The patient required retransplantation six months later for reasons unassociated with the repair. Homograft aorta proved useful material for salvaging the dehisced lung transplant bronchial anastomosis. (Source: Interactive CardioVascular and Thor... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474426 Mon, 05 Dec 2011 05:00:00 +0100 5474426 http://www.medworm.com/index.php?rid=5474425&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F664%3Frss%3D1 A 65-year-old male was referred to our team after the incidental finding of a large non-coronary sinus of Valsalva aneurysm on computed tomography (CT)-scan of the thorax. Further imaging with transesophageal echocardiography (TOE) excluded intracardiac shunting. Unusually, the aneurysm had ruptured into the interatrial septum and was seen to be compressing both atria. At operative intervention, a 20 mm defect which had replaced the non-coronary sinus was repaired using a patch graft. An aneurysm of an aortic sinus is a rare disorder, and a rupture of a non-coronary sinus typically results in the formation of a fistulous tract in the right atrium. These images highlight an unusual case of a non-coronary sinus of Valsalva aneurysm which ruptured into the interatrial septum (IAS), and d... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474425 Mon, 05 Dec 2011 05:00:00 +0100 5474425 http://www.medworm.com/index.php?rid=5474424&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F661%3Frss%3D1 Anomalous aortic origin of the coronary artery is a rare cardiac anomaly which induces myocardial ischemia and is associated with sudden death. We operated on a 25-year-old female with syncopal episodes who had an intramural left coronary artery. A neo-ostium was created in the left sinus but the initial neo-ostium seemed small because of the hypoplastic intramural segment of the left coronary artery. Therefore, saphenous vein patch angioplasty was added for ostial enlargement. The patient was symptom-free at one year follow-up and exercise stress test was negative for ischemia. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474424 Mon, 05 Dec 2011 05:00:00 +0100 5474424 http://www.medworm.com/index.php?rid=5474423&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F660%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474423 Mon, 05 Dec 2011 05:00:00 +0100 5474423 http://www.medworm.com/index.php?rid=5474422&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F657%3Frss%3D1 We describe an additional case of MICE in a 24-year-old female with antiphospholipid syndrome. A mobile hyperechogenic mass attached to the left ventricular surface of the aortic valve was documented by transthoracic echocardiography (TTE). The patient did have cardiac catheterization one month before the cardiac surgery. Histopathologic and immunohistochemical examination showed a lesion composed of histiocytes and mesothelial cells together with fibrin and scattered inflammatory cells. To our knowledge, this is the first case of MICE detected in a patient with antiphospholipid syndrome. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474422 Mon, 05 Dec 2011 05:00:00 +0100 5474422 http://www.medworm.com/index.php?rid=5474421&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F655%3Frss%3D1 We describe the case and our surgical technique. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474421 Mon, 05 Dec 2011 05:00:00 +0100 5474421 http://www.medworm.com/index.php?rid=5474420&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F653%3Frss%3D1 We report here the case of an 18-year-old male, who after suffering a chest stab injury, was seen at another institution where he underwent an emergency left anterolateral thoracotomy and right ventricular suture. During the following 30 days, his course was torpid, complicated by a ventilator-associated pneumonia and heart failure with acute pulmonary edema. Workup confirmed the presence of an acute aortic regurgitation due to perforation of the right coronary leaflet with an interventricular shunt. After implementing appropriate medical treatment, the valve was replaced with a mechanical prosthesis and the shunt was closed with an autologous pericardial patch. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474420 Mon, 05 Dec 2011 05:00:00 +0100 5474420 http://www.medworm.com/index.php?rid=5474419&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F650%3Frss%3D1 A 26-year-old Rwandan male presented with constrictive pericarditis, massive ascites and a giant umbilical hernia that had been asymptomatic for over a decade. Successful pericardiectomy was complicated by prompt incarceration of the abdominal hernia. This unexpected complication was caused by rapid resolution of the ascites due to autodiuresis and subsequent collapse of the hernial orifice. Patients with constrictive pericarditis and massive ascites who are evaluated for pericardiectomy should be carefully examined for the presence of abdominal hernias. If any such hernias are found, perioperative hernia repair should be considered and postoperative diuresis should be undertaken under close observation. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474419 Mon, 05 Dec 2011 05:00:00 +0100 5474419 http://www.medworm.com/index.php?rid=5474418&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F649%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474418 Mon, 05 Dec 2011 05:00:00 +0100 5474418 http://www.medworm.com/index.php?rid=5474417&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F648%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474417 Mon, 05 Dec 2011 05:00:00 +0100 5474417 http://www.medworm.com/index.php?rid=5474416&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F642%3Frss%3D1 A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: is it safe to stop anticoagulants after successful surgery for atrial fibrillation? Altogether, 177 papers were found using the reported search, of which 14 were selected that represented the best evidence to answer the clinical question. Selection criteria included study relevance, primary outcome, size of study population and length of follow-up. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The weight of evidence, including over 10,000 patient–years of follow-up, supports the discontinuation of warfarin following atrial fibrillation correction procedures a... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474416 Mon, 05 Dec 2011 05:00:00 +0100 5474416 http://www.medworm.com/index.php?rid=5474415&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F635%3Frss%3D1 A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: In [adults undergoing a maze procedure for Atrial Fibrillation (AF)], [does Left Atrial size reduction] compared to [maze surgery alone] improve [maze surgery success]? A total of 58 papers were found using the reported search, of which eight represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Four out of eight papers compared a volume reduction technique as an adjunct to the maze procedure to a maze procedure alone – all four papers reported that atrial volume reduction significantly increased restorat... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474415 Mon, 05 Dec 2011 05:00:00 +0100 5474415 http://www.medworm.com/index.php?rid=5474414&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F631%3Frss%3D1 A best evidence topic was constructed according to a structured protocol. The question addressed was whether lung transplantation remained a beneficial treatment for cystic fibrosis (CF) patients infected or colonized with Burkholderia cepacia complex (BCC) prior to lung transplantation (LTx). Of the 25 papers found using a report search, five presented the best evidence to answer the clinical question. The authors, journal, date and country of publication, study type, group studied, relevant outcomes and results of these papers are given. We conclude that, on the whole, the five studies were clearly in favor of maintaining access to LTx lists for BCC infected or colonized CF patients. In other words, access to LTx should not be denied to BCC infected CF patients in that the beneficial eff... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474414 Mon, 05 Dec 2011 05:00:00 +0100 5474414 http://www.medworm.com/index.php?rid=5474413&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F626%3Frss%3D1 A best evidence topic was written according to a structured protocol. The question addressed was whether harvesting the saphenous vein (SV) as a conduit for coronary artery bypass grafting (CABG) using a no-touch technique would result in better patency rates. This technique involves the harvest of the SV with a pedicle of peri-vascular tissue left intact and the avoidance of distension of the vein prior to anastomosis. A total of 405 papers were found using the reported searches of which eight represented the best evidence to answer the clinical question. The authors, date, journal, study type, population, main outcome measures and results are tabulated. The studies found analysed the ultrastructural and mechanical properties of the endothelium and vessel walls of the two harvesting techn... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474413 Mon, 05 Dec 2011 05:00:00 +0100 5474413 http://www.medworm.com/index.php?rid=5474412&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F619%3Frss%3D1 Bronchiectasis is characterized by irreversible widening of the medium-sized airways, with inflammation, chronic bacterial infection and destruction of the bronchial walls. Exercise or inspiratory muscle training may improve quality of life and exercise endurance in people with non-cystic fibrosis bronchiectasis. Prolonged-use antibiotics improve clinical response rates, but may not reduce exacerbation rates or lung function. Surgery is often considered for people with extreme damage to one or two lobes of the lung who are at risk for severe infection or bleeding. In this review, the authors will focus on non-cystic fibrosis bronchiectasis, pointing out the differences in management when compared with the cystic fibrosis context, with special emphasis on surgical management. (Source: Inter... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474412 Mon, 05 Dec 2011 05:00:00 +0100 5474412 http://www.medworm.com/index.php?rid=5474411&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F611%3Frss%3D1 Conclusions: ACS patients from Middle East countries with prior CABG have adverse baseline characteristics, reported higher GRACE risk score, multivessel disease, more severe LV dysfunction, cardiogenic shock, in-hospital major bleeding, but with less incidence of STEMI with less prominent surge of cardiac biomarkers. However, there was no significant difference in mortality during hospitalization, at 30 days and at one year between ACS patients with and without prior CABG. The reasons for this 'risk-mortality' paradox need to be further evaluated. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474411 Mon, 05 Dec 2011 05:00:00 +0100 5474411 http://www.medworm.com/index.php?rid=5474410&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F610%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474410 Mon, 05 Dec 2011 05:00:00 +0100 5474410 http://www.medworm.com/index.php?rid=5474409&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F606%3Frss%3D1 Conclusion: Aortic valve replacement with 17 mm SJMR or 19 mm SJMR prostheses appear to provide satisfactory clinical and hemodynamic results at rest and under DSE, even in those patients with BSA of 1.8±0.11 m2 where it was not possible to enlarge the aortic annulus. Prosthesis-patient mismatch is not associated with lesser regression of left ventricular mass. Dobutamine stress echocardiography should be a useful and effective means for evaluating prosthesis hemodynamic aspects. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474409 Mon, 05 Dec 2011 05:00:00 +0100 5474409 http://www.medworm.com/index.php?rid=5474408&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F605%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474408 Mon, 05 Dec 2011 05:00:00 +0100 5474408 http://www.medworm.com/index.php?rid=5474407&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F601%3Frss%3D1 Conclusions: The six-year results for GA using remifentanil conscious sedation were very satisfactory and highlighted the advantages of both GA (hemodynamic stability and excellent control of ventilation) and local anesthesia (ease of evaluation of neurological status) in a calm and relaxed environment for both patient and surgeon. (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474407 Mon, 05 Dec 2011 05:00:00 +0100 5474407 http://www.medworm.com/index.php?rid=5474406&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F600-a%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474406 Mon, 05 Dec 2011 05:00:00 +0100 5474406 http://www.medworm.com/index.php?rid=5474405&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F600%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474405 Mon, 05 Dec 2011 05:00:00 +0100 5474405 http://www.medworm.com/index.php?rid=5474404&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F597%3Frss%3D1 Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. We review our experience with 41 patients who underwent surgical intervention for cardiac myxoma between 1994 and 2011. All patients’ preoperative, intraoperative and postoperative characteristics were recorded. They all had a standard sternotomy and cardiopulmonary bypass with cardioplegic cardiac arrest and were followed up with clinical examination and echocardiography. The surgical goal was to remove not only the tumor but the whole area of attachment to prevent recurrence. Biatrial approach facilitated the complete excision of the tumor. Surgical excision of cardiac myxoma carries a low-operative risk and give... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474404 Mon, 05 Dec 2011 05:00:00 +0100 5474404 http://www.medworm.com/index.php?rid=5474403&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F591%3Frss%3D1 Current membrane oxygenators are constructed for patients with a body surface under 2.2 m2. If the body surface exceeds 2.5 m2, commercially available devices may not allow adequate oxygenation during cardiopulmonary bypass. To address this, a hollow-fiber oxygenator with an enlarged contact surface of 1.81 m2 was tested. In an experimental set-up, six calves of mean weight 85.4±3 kg were connected to cardiopulmonary bypass. They were randomly assigned to a standard oxygenator (n=3; ADMIRAL, Euroset, Medola, Italy) with a surface of 1.35 m2 or to an enlarged surface oxygenator (n=3; AMG, Euroset). Blood samples were taken before bypass, after 10 min on bypass, and after 1, 2, 5 and 6 h of perfusion. Analysis of variance was used for repeated measur... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474403 Mon, 05 Dec 2011 05:00:00 +0100 5474403 http://www.medworm.com/index.php?rid=5474402&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F589%3Frss%3D1 (Source: Interactive CardioVascular and Thoracic Surgery) Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474402 Mon, 05 Dec 2011 05:00:00 +0100 5474402 http://www.medworm.com/index.php?rid=5474401&cid=s_32942_157_f&fid=32942&url=http%3A%2F%2Ficvts.ctsnetjournals.org%2Fcgi%2Fcontent%2Fshort%2F13%2F6%2F585%3Frss%3D1 Endothelin (ET-1) is a potent vasoconstrictor. We compared patterns of ET-1 in percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and correlated it with markers of inflammation. Patients with multivessel disease were enrolled in a prospective randomized study of PCI vs. on-pump CABG. Procedural myocardial injury was assessed biochemically (CK-MB) and with new late gadolinium enhancement (LGE) on magnetic resonance imaging (MRI) one week postprocedure. ET-1 was measured at baseline, 1 h, 6 h, 12 h, 24 h and one week postprocedure. Log ET-1 values were compared between PCI and CABG and between patients without significant myocardial injury. Measurement of ET-1 values was performed in 36 PCI and 31 CABG patients. Baseline ET-1 values were si... Interactive CardioVascular and Thoracic Surgery journals http://www.medworm.com/rss/comments.php?id=5474401 Mon, 05 Dec 2011 05:00:00 +0100 5474401