European Journal of Cardio-Thoracic Surgery
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1986 records returned
Re: Bronchiolo-alveolar lung cancer: occurrence, surgical treatment and survival [Letter to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Poullis, M. P., Warwick, R. Tags: Lung - cancer Letter to the Editor Source Type: journals
A fully echo-guided trans-apical aortic valve implantation [Case reports]
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We report the first successful TA-AVI procedure performed solely under trans-oesophageal echocardiogram control, in the absence of contrast medium injections. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ferrari, E., Sulzer, C., Rizzo, E., von Segesser, L. K. Tags: Minimally invasive surgery, Valve disease Case reports Source Type: journals
Delayed dislocation of a transapically implanted aortic bioprosthesis [Case reports]
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We report the case of a delayed upward displacement of a prosthesis after this procedure. It is hypothesised that the asymmetric calcification of the native valve and the presence of a mitral prosthesis caused the dislocation. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Maroto, L. C., Rodriguez, J. E., Cobiella, J., Silva, J. Tags: Minimally invasive surgery, Valve disease Case reports Source Type: journals
A huge aortic arch aneurysm mimicking massive pulmonary artery embolism [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ramoni, E., Da Col, U., Di Bella, I., Ragni, T. Tags: Mediastinum, Cardiac - other, Great vessels Images in cardio-thoracic surgery Source Type: journals
Anomalous partial pulmonary venous drainage [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pryshchepau, M., Gossot, D., Strauss, C., Magdeleinat, P. Tags: Lung - other, Minimally invasive surgery Images in cardio-thoracic surgery Source Type: journals
Single-lung transplantation in patients with previous contralateral pneumonectomy: technical aspects and results [Original articles]
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Conclusions: SLTX after PN is associated with high perioperative morbidity and mortality due to mediastinal shift. Best results are observed in patients undergoing PN for non-cystic fibrosis bronchiectasis and during childhood. Anatomical changes induced by PN must be anticipated to adapt the thoracic approach and cardiopulmonary bypass access. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Le Pimpec-Barthes, F., Thomas, P.-A., Bonnette, P., Mussot, S., DeFrancquen, P., Hernigou, A., Latremouille, C., Riquet, M. Tags: Lung - transplantation Original articles Source Type: journals
The mode of death in the non-heart-beating donor has an impact on lung graft quality [Original articles]
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Conclusion: Pre-mortem agonal phase in the NHBD induces a sympathetic storm leading to capillary leak with pulmonary oedema and reduced oxygenation upon reperfusion. Graft quality appears inferior in NHBD lungs when recovered in controlled (HYP) vs uncontrolled (EXS and FIB) setting. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Van De Wauwer, C., Neyrinck, A. P., Geudens, N., Rega, F. R., Verleden, G. M., Lerut, T. E., Van Raemdonck, D. E.M. Tags: Lung - transplantation Original articles Source Type: journals
Chronic postpneumonic pleural empyema: comparative merits of thoracoscopic versus open decortication [Original articles]
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Conclusions: In the light of our experience, videothoracoscopic decortication appears to be the surgical treatment of choice for chronic postpneumonic pleural empyema even if a multicentric-randomised trial should be performed before videothoracoscopic decortication becomes the gold standard for the treatment of pleural empyema. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Cardillo, G., Carleo, F., Carbone, L., Di Martino, M., Salvadori, L., Petrella, L., Martelli, M. Tags: Pleura Original articles Source Type: journals
Treatment of complicated pulmonary aspergillomas with cavernostomy and muscle flap: interest of concomitant limited thoracoplasty [Original articles]
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Conclusion: Cavernostomy followed by muscle transposition has been reported to provide encouraging results. Combining a limited thoracoplasty during the same operation is a simple, safe and well-tolerated procedure regularly achieving good results, and thus deserving consideration. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Grima, R., Krassas, A., Bagan, P., Badia, A., Le Pimpec Barthes, F., Riquet, M. Tags: Lung - other, Chest wall Original articles Source Type: journals
Fast-track video-assisted bullectomy and pleurectomy for pneumothorax: initial experience and description of technique [Original articles]
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Conclusion: We have shown early discharge with ongoing ambulatory drainage following VATS pleurectomy ± bullectomy in patients with primary pneumothorax to be feasible with paravertebral in the theatre and rapid conversion to oral analgesia. Patients managed intercostal drains at home. Limiting factors such as postoperative nausea and pain control usually can be sufficiently managed in the outpatient. Shorter stays may have a beneficial financial result. Long-term follow-up and a quantification of the patients experience is warranted. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Malik, M., Black, E. A. Tags: Anesthesia, Pleura, Minimally invasive surgery Original articles Source Type: journals
A prospective study of analgesic quality after a thoracotomy: paravertebral block with ropivacaine before and after rib spreading [Original articles]
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Conclusions: Post-thoracotomy analgesia combining PVC and a non-steroidal anti-inflammatory drug is a safe and effective practice. VAS values are acceptable (only 11.6% of patients required meperidine). It prevents the risk of side effects related to epidural analgesia. Patients submitted to AT experienced less pain than those with PT (4.0 vs 5.6; p
< 0.01). PVB with ropivacaine before RS got similar VAS values than the block after RS (4.8 vs 4.6; p
> 0.05). The moment of the insertion of the PVC does not seem to affect postoperative pain levels. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fibla, J. J., Molins, L., Mier, J. M., Sierra, A., Vidal, G. Tags: Anesthesia, Lung - cancer, Chest wall Original articles Source Type: journals
A short 4-cm oesophageal myotomy relieves the obstructive symptoms of achalasia [Original articles]
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Conclusions: When treating achalasia, the myotomy, despite being shortened in length, reduces the LOS gradient, relieves obstructive symptoms and improves oesophageal emptying. The LOS relaxation is improved. Complete coverage of the myotomysed zone by the fundus prevents diverticular formation. Oesophageal mucosal damage from reflux is significant despite the partial fundoplication. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Almarhabi, Y., D'Journo, X. B., Chen, L.-Q., Martin, J., Ferraro, P., Duranceau, A. Tags: Esophagus - other Original articles Source Type: journals
Laparoscopic ischaemic conditioning of the stomach may reduce gastric-conduit morbidity following total minimally invasive oesophagectomy [Original articles]
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Conclusion: In this non-randomised clinical setting, our results suggest that ischaemic conditioning of the stomach prior to MIO is safe. There is a trend to reduced morbidity related to gastric-conduit ischaemia, which was demonstrated by a CUSUM analysis. A randomised trial is needed before ligation of the left gastric artery can be routinely recommended. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Berrisford, R. G., Veeramootoo, D., Parameswaran, R., Krishnadas, R., Wajed, S. A. Tags: Esophagus - cancer, Esophagus - other Original articles Source Type: journals
Diaphragmmatic eventration: long-term follow-up and results of open-chest plicature [Original articles]
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Conclusion: Plication of the diaphragm is a safe and efficient procedure. Most patients experienced significant clinical improvement with enhancement of the FEV1 and VC. Chronic surgical pain still remains a potential problem with the classical approach. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Calvinho, P., Bastos, C., Bernardo, J. E., Eugenio, L., Antunes, M. J. Tags: Diaphragm Original articles Source Type: journals
Leucocyte filtration of salvaged blood during cardiac surgery: effect on red blood cell function in concentrated blood compared with diluted blood [Original articles]
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Conclusions: Leucocyte filtration of the diluted salvaged blood during cardiac surgery does not affect RBC function, but it tends to deplete the ATP content of RBCs as the salvaged blood has been concentrated prior to filtration. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gu, Y. J., de Vries, A. J., Hagenaars, J. A. M., van Oeveren, W. Tags: Extracorporeal circulation Original articles Source Type: journals
Editorial comment [Original articles]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T., Englberger, L. Tags: Original articles Source Type: journals
Aprotinin in cardiac surgery patients: is the risk worth the benefit? [Original articles]
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Conclusion: Aprotinin decreases the rate of postoperative blood transfusion and haemorrhage-related re-exploration, but increases the risk of in-hospital cardiac arrest and late mortality after cardiac surgery when compared to EACA. Cumulative evidence suggests that the risk associated with aprotinin may not be worth the haemostatic benefit. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Stamou, S. C., Reames, M. K., Skipper, E., Stiegel, R. M., Nussbaum, M., Geller, R., Robicsek, F., Lobdell, K. W. Tags: Cardiac - physiology, Cardiac - other, Valve disease Original articles Source Type: journals
Use of aprotinin in cardiac surgery: effectiveness and safety in a population-based study [Original articles]
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Conclusions: Aprotinin treatment was associated with an increased use of plasma and platelet transfusion and an increased risk for postoperative dialysis, but not with other adverse outcomes, including short-term mortality. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Jakobsen, C.-J., Sondergaard, F., Hjortdal, V. E., Johnsen, S. P. Tags: Cardiac - pharmacology, Cardiac - other Original articles Source Type: journals
Postoperative blood loss in patients undergoing coronary artery bypass surgery after preoperative treatment with clopidogrel. A prospective randomised controlled study [Original articles]
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Conclusions: Continuation of clopidogrel until the day of surgery induces significantly more postoperative blood loss and increases significantly the total requirements of homologous blood products and FFP transfusion after surgery. The blood loss and the use of blood products in the group that stopped at 3 days preoperatively were similar to that of the group that stopped at 5 days preoperatively. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Firanescu, C. E., Martens, E. J., Schonberger, J. P.A.M., Soliman Hamad, M. A., van Straten, A. H.M. Tags: Cardiac - other, Coronary disease, Extracorporeal circulation, Myocardial infarction Original articles Source Type: journals
An initial evaluation of post-cardiopulmonary bypass acute kidney injury in swine [Original articles]
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Conclusions: The porcine model of post-CPB AKI shows significant homology to AKI in cardiac surgical patients. It links functional, urinary and histological measures of kidney injury and may offer novel insights into the mechanisms underlying post-CPB AKI. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Murphy, G. J., Lin, H., Coward, R. J., Toth, T., Holmes, R., Hall, D., Angelini, G. D. Tags: Extracorporeal circulation Original articles Source Type: journals
Minimised versus conventional cardiopulmonary bypass: outcome of high-risk patients [Original articles]
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Discussion: MECC is a safe alternative for CABG surgery. A lower 30-day mortality, lower transfusion requirements and less renal and myocardial damage encourage the use of MECC systems, especially in high-risk patients. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Haneya, A., Philipp, A., Schmid, C., Diez, C., Kobuch, R., Hirt, S., Zink, W., Puehler, T. Tags: Congestive Heart Failure, Coronary disease, Extracorporeal circulation, Transplantation - heart Original articles Source Type: journals
Risk factors of atrial fibrillation following off-pump coronary artery bypass graft surgery: predictive value of C-reactive protein and transfusion requirement [Original articles]
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Conclusions: Prophylactic strategies aimed at AF reduction may also be considered especially in patients with increased transfusion requirement, which showed highest predictive value for postoperative AF. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Choi, Y. S., Shim, J. K., Hong, S. W., Kim, D. H., Kim, J. C., Kwak, Y. L. Tags: Coronary disease, Electrophysiology - arrhythmias Original articles Source Type: journals
Increased number of cerebral emboli during percutaneous endocardial pulmonary vein isolation versus a thoracoscopic epicardial approach [Original articles]
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Conclusions: Cerebral micro-emboli during epicardial ablation are almost absent when compared to the thousands of emboli measured during percutaneous endocardial ablation. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sauren, L. D., la Meir, M., de Roy, L., Pison, L., van der Veen, F. H., Mess, W. H., Crijns, H. J., Maessen, J. G. Tags: Cerebral protection, Electrophysiology - arrhythmias, Minimally invasive surgery Original articles Source Type: journals
Releasable annuloplasty ring insertion -- a novel experimental implantation model [Original articles]
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Conclusions: This novel releasable AR implantation method is feasible and permits in vivo assessment of AR effects in the same heart. The new technique should facilitate experimental AR testing and promote the development of ARs based on physical criteria. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bothe, W., Chang, P. A., Swanson, J. C., Itoh, A., Arata, K., Ingels, N. B., Miller, D. C. Tags: Cardiac - other, Valve disease Original articles Source Type: journals
Is tricuspid valve replacement a catastrophic operation? [Original articles]
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Conclusions: TVR can be performed and low operative mortality can be achieved thorough optimal perioperative management in the current era. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sung, K., Park, P. W., Park, K.-H., Jun, T.-G., Lee, Y. T., Yang, J.-H., Kim, W. S., Hwang, J. Tags: Valve disease Original articles Source Type: journals
Mitroflow aortic pericardial bioprosthesis -- clinical performance [Original articles]
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Conclusions: The Mitroflow external mounted, pericardial aortic bioprosthesis with documented excellent haemodynamics (especially for the small aortic root), demonstrates that prosthesis–patient mismatch in moderate and severe categories can essentially be eliminated, with durability performance comparable to other heterograft (porcine and pericardial) bioprostheses. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Jamieson, W. R. E., Koerfer, R., Yankah, C. A., Zittermann, A., Hayden, R. I., Ling, H., Hetzer, R., Dolman, W. B. Tags: Valve disease Original articles Source Type: journals
Transapical implantation of a self-expanding aortic valve bioprosthesis -- animal feasibility study [Original articles]
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Conclusion: This study demonstrates the acute safety and feasibility of the CoreValve TranzapTM delivery system for the transapical implantation of the CoreValve self-expanding aortic valve bioprosthesis in a porcine animal model. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kappetein, A.-P., Piazza, N., Laborde, J.-C., de Jaegere, P. P., Serruys, P. W. Tags: Minimally invasive surgery, Valve disease Original articles Source Type: journals
The left axillary artery -- a new approach for transcatheter aortic valve implantation [Original articles]
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Conclusions: TAVI can be performed through a left axillary artery approach. This is a technically simple procedure and, in this small initial clinical experience, was performed with encouraging results. It is a realistic option in patients in whom neither the trans-femoral or trans-apical approaches are optimal. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: De Robertis, F., Asgar, A., Davies, S., Delahunty, N., Kelleher, A., Trimlett, R., Mullen, M., Moat, N. Tags: Minimally invasive surgery, Valve disease Original articles Source Type: journals
Editorial comment: What to do with EuroSCORE in 2009? [Original articles]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nashef, S. A.M. Tags: Original articles Source Type: journals
Is it possible to improve the accuracy of EuroSCORE? [Original articles]
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Conclusion: EuroSCORE still performs well in identifying high-risk patients, but significantly overestimates the immediate postoperative mortality. This study shows that the score's accuracy and clinical relevance can be significantly improved by modifying a few of its variables. This institutionally derived risk-scoring method represents a modification and simplification of the EuroSCORE and, likely, it would provide a more realistic estimation of the mortality risk after adult cardiac surgery. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nissinen, J., Biancari, F., Wistbacka, J.-O., Loponen, P., Teittinen, K., Tarkiainen, P., Koivisto, S.-P., Tarkka, M. Tags: Cardiac - other Original articles Source Type: journals
Editorial comment: Predicting operative risk: a worthy task -- an elusive goal [Original articles]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Dewey, T. M., Herbert, M. A. Tags: Original articles Source Type: journals
An adjusted EuroSCORE model for high-risk cardiac patients [Original articles]
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Conclusions: Recalibration of the logistic EuroSCORE in high-risk patients is needed due to its tendency to overestimate the mortality risk. The application of a variable correction factor results in a better performance, increased precision, with unaltered balanced accuracy. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ranucci, M., Castelvecchio, S., Menicanti, L. A., Scolletta, S., Biagioli, B., Giomarelli, P. Tags: Cardiac - other Original articles Source Type: journals
Cooks and recipes [Editorial]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Manasse, E. Tags: Cardiac - other Editorial Source Type: journals
Reply to Charokopos et al. [Letters to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Winearls, J. R., Lee, J. C., Fraser, J. F. Tags: Valve disease Letters to the Editor Source Type: journals
Fatal rupture of splenic artery mycotic aneurysm after mitral valve replacement for infective endocarditis [Letters to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Charokopos, N. A., Foroulis, C. N., Rouska, E. G., Papakonstantinou, C. Tags: Valve disease Letters to the Editor Source Type: journals
Reply to Sakurai. Brain injury in cardiopulmonary bypass surgery [Letters to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pastuszko, P., Greeley, W. J., Wilson, D. F., Pastuszko, A. Tags: Cerebral protection Letters to the Editor Source Type: journals
Which cell does apoptosis induce? [Letters to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sakurai, M. Tags: Cerebral protection Letters to the Editor Source Type: journals
Mortality manifesto: a meta-analysis of aprotinin and tranexamic acid mortality [Letters to the Editor]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Brown, J. R. Tags: Cardiac - pharmacology Letters to the Editor Source Type: journals
Titanium plates support for chest wall reconstruction with Gore-Tex(R) dual mesh after sternochondral resection [Case reports]
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We present a case of chest wall reconstruction after sternochondral resection for sternal metastasis of breast origin. We used three transverse titanium plates to stabilise the chest wall and provide support for a polytetrafluoroethylene dual mesh, which was used to cover the chest wall defect. The pectoralis muscles flaps were approximated in the midline to cover the dual mesh. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hamad, A.-M., Marulli, G., Bulf, R., Rea, F. Tags: Mediastinum, Chest wall Case reports Source Type: journals
Intra-atrial implantation of a mitral valve prosthesis in a heavily calcified mitral annulus [Case reports]
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Extensive annular calcification of the mitral valve can make anatomic implantation of a prosthesis extremely difficult and challenging. We herein describe a surgical technique of mitral valve replacement in a 78-year-old man with multiple medical co-morbidities suffering from severe mitral regurgitation with extensive circumferential calcification of the mitral annulus. The pertinent literature is reviewed and the technical steps and clinical presentation are discussed. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Atoui, R., Lash, V., Mohammadi, S., Cecere, R. Tags: Coronary disease, Valve disease Case reports Source Type: journals
Editorial comment: Access to the heart by a trans-umbilical incision [How-to-do-it]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Marty, B., Egger, B. Tags: How-to-do-it Source Type: journals
Towards no-scar cardiac surgery -- minimally invasive access through umbilicus for aortic valve replacement [How-to-do-it]
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There is an ever-growing trend towards less-invasive procedures in all fields of medicine. We designed an animal study to prove the concept that trans-apical aortic valve replacement from an incision within the umbilicus through a single channel for instruments is feasible, which would be a major leap towards no-scar cardiac surgery. In three adult pigs, after creating a single 3-cm incision at a place where the human umbilicus would be, we introduced a 30F sheath through a tunnel created by an endoscopic vein-harvesting device up to the cardiac apex, through it and up to the left ventricle simulating the approach for tran...
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kalejs, M., Ferrari, E., von Segesser, L. K. Tags: Minimally invasive surgery, Valve disease How-to-do-it Source Type: journals
Aortic valve replacement in Behcet's disease: surgical modification to prevent valve detachment [How-to-do-it]
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Aortic valve replacement (AVR) for aortic regurgitation due to Behcet's disease is often complicated with valve detachment. In our institute, between 1981 and 2006, five consecutive patients with aortic regurgitation secondary to Behcet's disease underwent valve detachment after initial surgery. A novel modification of AVR termed ‘subannular ring reinforcement technique’ was introduced to prevent valve detachment. We performed AVR with this new manoeuvre in three patients. No prosthetic valve detachment was noted after a mean period of 3 ± 1.8 years (range: 1.5–5.1 years). In this technique, we put...
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Azuma, T., Yamazaki, K., Saito, S., Kurosawa, H. Tags: Valve disease How-to-do-it Source Type: journals
Double-arterial cannulation for aortic valve replacement with porcelain aorta [How-to-do-it]
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We describe a new technique of aortic valve replacement (AVR) in patients with porcelain aorta. Three patients (mean age 75 years) were treated. The cardiopulmonary bypass (CPB) was established after side-graft right axillary artery and direct femoral artery cannulation. Venous drainage was obtained by atrio-caval cannulation. The procedures were performed in mild hypothermia (30 °C). Cerebral perfusion was carried out by clamping the innominate artery and all epiaortic vessels. The aorta was endoclamped by a Foley balloon inserted into the isthmus. The aorta was then opened longitudinally for 10 cm to expose and repla...
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: De Paulis, R., Maselli, D., Scaffa, R., Nardella, S. Tags: Cerebral protection, Great vessels, Valve disease How-to-do-it Source Type: journals
Anomalous position of the right coronary ostium associated with aneurysm of the ascending aorta [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Venturini, A., Mangino, D., Terrini, A., Polesel, E. Tags: Cardiac - other, Coronary disease, Great vessels, Valve disease Images in cardio-thoracic surgery Source Type: journals
Spontaneous coronary dissection due to isolated eosinophilic arteritis as a cause of urgent heart transplantation [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ceresa, F., Sansone, F., Attisani, M., Rinaldi, M. Tags: Cardiac - other, Myocardial infarction Images in cardio-thoracic surgery Source Type: journals
Obstructive mass in pulmonary artery [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nielsen, L. A. G., Kabbani, Z., de la Llana Ducros, R., Llorens, R. Tags: Great vessels, Valve disease Images in cardio-thoracic surgery Source Type: journals
Left atrial myxoma with tumour vascularity: three-dimensional images with multi-slice computed tomography [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Goto, T., Enmoto, T., Keira, N., Akimoto, K. Tags: Cardiac - other Images in cardio-thoracic surgery Source Type: journals
Identification of a hypertrophied bronchial artery using three-dimensional computed tomography [Images in cardio-thoracic surgery]
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(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Anguille, S., Salgado, R., Daineffe, S., Parizel, P. M. Tags: Lung - other, Trachea and bronchi, Great vessels Images in cardio-thoracic surgery Source Type: journals
Is malignant pleural mesothelioma a surgical disease? A review of 83 consecutive extra-pleural pneumonectomies [Original articles]
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Conclusions: These results concur with the published data of the most experienced centre with regards to the mortality and morbidity after EPP for MPM. In line with the biggest series reported in the past, the observed 5-year survival rate of almost 15% is disappointing. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - September 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Trousse, D. S., Avaro, J.-P., D'Journo, X. B., Doddoli, C., Astoul, P., Giudicelli, R., Fuentes, P. A., Thomas, P. A. Tags: Pleura Original articles Source Type: journals
