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Cardiac surgery in a patient with retroperitoneal fibrosis and heart valvulopathy, both due to pergolide medication for Parkinson's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Retroperitoneal fibrosis is best described as a chronic inflammatory process which may be idiopathic, but can rarely be brought about by medications, such as pergolide, used for treating Parkinson's disease. Pergolide can produce a fibrotic process in heart valves, resulting in valve insufficiency in up to 25 % of cases. Herein we describe the case of a 68-year-old man who received pergolide for 2 years for Parkinson's disease. The patient developed retroperitoneal fibrosis resulting in renal failure from ureteral obstruction necessitating ureteral stenting, as well as significant aortic and mitral valve insufficiency. He ...
Source: Journal of Cardiothoracic Surgery - November 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Efstratios ApostolakisNikolaos BaikoussisDimitrios TselikosIoanna KoniariChristos ProkakisEleftherios FokaeasMenelaos Karanikolas Source Type: journals

Coronary arteriovenous fistulas in the adults: natural history and management strategiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Because of the severe complications that may develop due to coronary arteriovenous fistula, we believe that every coronary artery fistula should be treated invasively by surgery or transcatheter closure. But both treatment modalities still need to be evaluated with randomized multicenter studies for long term survival and effectiveness. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - November 6, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Yusuf AtaTamer TurkMurat BicerMihriban YalcinFiliz AtaSenol Yavuz Source Type: journals

Dose dependent effect of statins on postoperative atrial fibrillation after cardiac surgery among patients treated with beta blockersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Among cardiac surgery patients treated with postoperative beta blockers Statin treatment reduces the incidence of postoperative AF when used at higher dosages (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - November 4, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Salima MithaniMuhammad AkbarDeborah JohnsonMichael KuskowskiKatherine AppleJana Bonawitz-ConlinHerbert WardRosemary KellyEdward McFallsHanna BloomfieldJian-Ming LiSelcuk Adabag Source Type: journals

Serum levels of matrix metalloproteinases -1,-2,-3 and -9 in thoracic aortic diseases and acute myocardial ischemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Matrix metalloproteinases (MMPs) constitute a family of zinc-dependent proteases (endopeptidases) whose catalytic action is the degradation of the extracellular matrix components. In addition, they play the major role in the degradation of collagen and in the process of tissue remodeling. The present clinical study investigated blood serum levels of metalloproteinases- 1, -2, -3 and -9 in patients with acute and chronic aortic dissection, thoracic aortic aneurysm and acute myocardial ischemia compared to healthy individuals. Methods: The blood serum levels of MMP-1, -2, -3 and -9 were calculated in 31 patients ...
Source: Journal of Cardiothoracic Surgery - November 3, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Georgios KarapanagiotidisPolychronis AntonitsisNicholas CharokoposChristophoros ForoulisKyriakos AnastasiadisEfthymia RouskaHelena ArgiriadouKyriakos RammosChristos Papakonstantinou Source Type: journals

Spontaneous bleeding of an Abrikossoff's tumor - a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abrikossoff tumors are a rare tumor entity. The complication of a hemothorax has not been described in the literature so far. A 24-year-old patient presented with repeated hemoptysis and right thoracic pain. The initial CT-scan revealed a solid tumor mass in the right lower bronchus. After further diagnostics, the patient was discharged and surgical intervention was planned. He was readmitted 4 days after discharge with a spontaneous hemothorax.After the right lower lobectomy and an uneventful course the patient recovered well. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - October 28, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Philipp HonigmannAlexander WalzChristian BussmannBruno Lerf Source Type: journals

Chemical injuries of the oesophagus: aetiopathological issues in NigeriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Accidental ingestion of acids is the commonest cause of oesophageal injuries in Nigeria. The incidence of severe strictures necessitating oesophageal substitution could be reduced if early management of corrosive oesophagitis improves in Nigeria. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Martins ThomasEzekiel OgunleyeOladapo Somefun Source Type: journals

Intramural haematoma of the thoracic aorta: who is to be alerted the cardiologist or the cardiac surgeon?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review article is written so as to present the pathophysiology, the symptomatology and the ways of diagnosis and treatment of a rather rare aortic disease called Intra-Mural Haematoma (IMH). Intramural haematoma is a quite uncommon but potentially lethal aortic disease that can strike as a primary occurance in hypertensive and atherosclerotic patients to whom there is spontaneous bleeding from vasa vasorum into the aortic wall (media) or less frequently, as the evolution of a penetrating atherosclerotic ulcer (PAU). IMH displays a typical of dissection progress, and could be considered as a precursor of classic aortic...
Source: Journal of Cardiothoracic Surgery - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nikolaos BaikoussisEfstratios ApostolakisStavros SiminelakisGeorgios PapadopoulosJohn Goudevenos Source Type: journals

A Long-term Follow-up of a Girl with Dilated Cardiomyopathy after Mitral Valve Replacement and Septal Anterior Ventricular Exclusion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We treated a 10 year 11 month old girl with severe mitral valve regurgitation, stenosis and dilated cardiomyopathy, presented with New York Heart Association (NYHA) functional classification IV. She acutely developed cardiogenic shock with a dyskinetic anterior-septal left ventricle and entered a shock state during our consultation about heart transplantation. Septal-anterior ventricular exclusion and mitral valve replacement were performed emergently. She successfully recovered from cardiogenic shock. Left ventricular end-diastolic diameter and fractional shortening improved from 71.5mm (188.0% of normal) to 62.5mm (144.2...
Source: Journal of Cardiothoracic Surgery - September 22, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Shiro BabaHiraku DoiTadashi IkedaMasashi KomedaTatsutoshi Nakahata Source Type: journals

Beneficial Effect of the Oxygen Free Radical Scavenger Amifostine (WR-2721) on Spinal Cord Ischemia/Reperfusion Injury in rabbitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study we examined the influence of Amifostine, a triphosphate free oxygen scavenger, on oxidative stress of spinal cord ischemia-reperfusion in rabbits. Methods: Eighteen male, New Zealand white rabbits were anesthetized and spinal cord ischemia was induced by temporary occlusion of the descending thoracic aorta by a coronary artery balloon catheter, advanced through the femoral artery. The animals were randomly divided in 3 groups. Group I functioned as control. In group II the descending aorta was occluded for 30 minutes and then reperfused for 75 min. In group III, 500mg Amifostine was infused into the distal ao...
Source: Journal of Cardiothoracic Surgery - September 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fany ChronidouEfstratios ApostolakisIoannis PapapostolouKonstantinos GrintzalisChristos GeorgiouEfstratios KoletsisMenelaos KaranikolasPanagiotis PapathanasopoulosDimitrios Dougenis Source Type: journals

Myocardial ischemia with left ventricular outflow obstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathie (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - September 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Aron PopovChristian BiretaJan SchmittoDieter ZenkerMartin FriedrichKasim CoskunRalf SeipeltGerd HanekopFriedrich Schoendube Source Type: journals

Pulmonary stenosis development and reduction of pulmonary arterial hypertension in atrioventricular septal defect: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 24-year-old patient was admitted for dyspnoea and syncope. He had a previous history of complete atrio-ventricular septal defect and trisomy 21.At the age of 6 months, in 1984, cardiac catheterization revealed a quasi-systemic pulmonary arterial hypertension with a bidirectional shunt corresponding to an Eisenmenger syndrome. Corrective cardiac surgery was not performed at this time because surgical risk was considered too high. Until the age of 20 years old, he showed few symptoms while under medical treatment. But since 2006, his functional status became worse with an increased dyspnoea , syncopes, and severe cyanosis....
Source: Journal of Cardiothoracic Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Emeline BarthHelene BouvaistStephanie MarliereGerard NinetGerald Vanzetto Source Type: journals

Cardiorespiratory effects of venous lipid micro embolization in an experimental model of mediastinal shed blood reinfusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we tested whether retransfusion of blood containing lipid micro-particles on the venous side in a porcine model will give hemodynamic effects. Methods: Seven adult pigs were used. A shed blood surrogate containing 400 ml diluted blood and 5 ml radioactive triolein was produced to generate a lipid embolic load. The shed blood surrogate was rapidly ( (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - September 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Atli EyjolfssonIgnacio PlazaBorm BrondenPelle JohnssonMagnus DenckerHenrik Bjursten Source Type: journals

Gene polymorphisms in APOE, NOS3, and LIPC genes may be risk factors for cardiac adverse events after primary CABGEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Single APOE, LIPC and NOS3 polymorphisms permitted limited prognosis of cardiac adverse events in patients after CABG. Risk profile, in contrast, allowed for risk stratification. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - August 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sandra EifertAstrid RaschAndres Beiras-FernandezGeorg NollertBruno ReichartPeter Lohse Source Type: journals

Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of chylopericardium after ascending aorta and aortic valve replacement, which presented as late tamponade. We discuss the various treatment options in this rare condition which can result in serious morbidity or death. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - August 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sing Yang SoonSharath HosmanePaul Waterworth Source Type: journals

Surgically cured hypoglycemia secondary to pleural solitary fibrous tumour: case report and update review on the Doege-Potter syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a previously unpublished but typical example of this rare occurrence together with a detailed updated literature review of previously published cases of pleural SFT discussing the histopathology of SFT; pathophysiology of the hypoglycemia and finger clubbing; treatment and outcome of pleural SFT. The patient, a 57-year-old African male was admitted at our hospital with recurrent episodes of hypoglycemia. He was found to have digital clubbing and decreased breath sounds in the right lower chest but no other significant clinical findings. His insulin level measured during an episode of hypoglycemia was undetectabl...
Source: Journal of Cardiothoracic Surgery - August 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed KalebiMichelle WongMartin HaleTessa HoffmanJill Murray Source Type: journals

The challenge to detect heart transplant rejection and transplant vasculopathy non-invasively - a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Cardiac allograft rejection and vasculopathy are the main factors limiting long-term survival after heart transplantation.In this pilot study we investigated whether non-invasive methods are beneficial to detect cardiac allograft rejection (Grade 0-3 R) and cardiac allograft vasculopathy. Thus we compared multi-slice computed tomography and magnetic resonance imaging with invasive methods like coronary angiography and left endomyocardial biopsy. Methods: 10 asymptomatic long-term survivors after heart transplantation (8 male, 2 female, mean age 52.1 +/- 12 years, 73 +/- 11 months after transplantation) were inc...
Source: Journal of Cardiothoracic Surgery - August 15, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Engin UstaChristof BurgstahlerHermann AebertStephen SchroederUwe HelberAndreas KoppGerhard Ziemer Source Type: journals

Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 67 year-old patient who presented with worsening chest pain and shortness of breath, four days post acute myocardial infarction. Contrast enhanced computed tomography of the chest ruled out a pulmonary embolus but revealed an unexpected small subepicardial aneurysm (SEA) in the lateral left ventricular wall which was confirmed on cardiac magnetic resonance imaging. Intraoperative palpation of the left lateral wall was guided by the cardiac MRI and CT findings and confirmed the presence of focally thinned and weakened myocardium, covered by epicardial fat. An aneurysmorrhaphy was subsequently perform...
Source: Journal of Cardiothoracic Surgery - August 11, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Jens Vogel-ClaussenJan SkrokElliot FishmanJoao LimaAshish ShahDavid Bluemke Source Type: journals

UK pneumonectomy outcome study (UKPOS): a prospective observational cohort study of pneumonectomy outcomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The 30 day mortality rate was less than 8%, in agreement with the British Thoracic Society guidelines. Pneumonectomy was associated with a high rate of major complications. Age, ASA physical status, DLCO and epidural analgesia appeared collectively most associated with major complications. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ellie PowellAdrian PearceDavid CookPaul DaviesEhab BishayGeoff BowlerFang GaoUkpos Co-ordinators Source Type: journals

Proanthocyanidin to prevent formation of the reexpansion pulmonary edemaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: PC decreased MDA levels. Oxidative stress plays an important role in pathophysiology of RPE and PC treatment was shown to be useful to prevent formation of RPE. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Orhan YucelErgun UcarErgun TozkoparanArmagan GunalCemal AkayMehmet SahinOnur Genc Source Type: journals

Evaluation of preoperative intra-aortic balloon pump in coronary patients with severe left ventricular dysfunction undergoing OPCAB surgery: early and mid-term outcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The purpose of the present study was to evaluate the safety and the cost-effectiveness of using preoperative IABP as support compared with postoperative IABP treatment in coronary patients with severe left ventricular dysfunction (SLVD) who is undergoing off-pump coronary artery bypass surgery (OPCAB), including early outcomes, hospital mortality and morbidity, and mid-term follow-up outcomes. Methods: Between March 2000 and December 2008, we prospectively and randomly studied the insertion of preoperative IABP in 115 (7.4%) and postoperative IABP in 106 (6.8%) of the 1560 consecutive patients. Group A is preop...
Source: Journal of Cardiothoracic Surgery - July 26, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Zhibing QiuXin ChenMing XuYingshuo JiangLiqiong XiaoLele LiuLiming Wang Source Type: journals

Omentoplasty and Thoracoplasty for treating postpneumonectomy bronchopleural fistula in a patient previously submitted to aortic prosthesis implantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bronchopleural fistula following pneumonectomy is a serious and frightening complication in chest surgery with a high mortality rate. The possibility of curing this complication using a conservative treatment is extremely poor. Below we describe a case of a patient affected by left pleural empyema due to a postpneumonectomy bronchopleural fistula. The patient had previously undergone an aortic prosthesis implantation. He was successfully treated using omental pedicle in order to cover the bronchial stump, to fill the pleural space and to protect the aortic prosthesis. He also underwent thoracoplasty to collapse the residua...
Source: Journal of Cardiothoracic Surgery - July 23, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mario NosottiUgo CioffiMatilde De SimonePaolo MedogniAlessandro PalleschiLorenzo RossoMichele CiullaMaurizio GallieraLuigi Santambrogio Source Type: journals

BioGlue and Peri-strips in lung volume reduction surgery: pilot randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study demonstrates comparable efficacy of BioGlue and Peri-strips, however there is a trend favouring the BioGlue treated side in terms of reduction in air-leak, chest drainage volumes, duration of chest drainage and significant absence of complications. A larger sample size is needed to validate this result. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sridhar RathinamBabu NaiduPrakash NanjaiahMahmoud LoubaniManinder KalkatPala Rajesh Source Type: journals

Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Timely diagnosis, proper antibiotic treatment and early surgical intervention including aggressive debridement should improve the outcome of this high-risk disease. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 15, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Tadashi KitamuraJames EdwardsSuchi KhuranaRobert Stuklis Source Type: journals

The role of a pseudocapsula in thymic epithelial tumors: outcome and correlation with established prognostic parameters. Results of a 20-year single center retrospective analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Intraoperative presence of an encapsulated tumor is a good technical marker for the surgeon to evaluate resectability and estimate prognosis. Although the presence of a capsula is of strong significance in the univariate analysis, it failed in the multivariate analysis due to its correlation with clinical Masaoka stage. Masaoka stage has a stronger relevance than WHO classification to determinate long-term outcome. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sebastian DangoBernward PasslickUlf ThiemannGian KayserChristian Stremmel Source Type: journals

Methods of estimation of mitral valve regurgitation for the cardiac surgeonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mitral valve regurgitation is a relatively common and important heart valve lesion in clinical practice and adequate assessment is fundamental to decision on management, repair or replacement. Disease localised to the posterior mitral valve leaflet or focal involvement of the anterior mitral valve leaflet is most amenable to mitral valve repair, whereas patients with extensive involvement of the anterior leaflet or incomplete closure of the valve are more suitable for valve replacement.Echocardiography is the recognized investigation of choice for heart valve disease evaluation and assessment. However, the technique is dep...
Source: Journal of Cardiothoracic Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Efstratios ApostolakisNikolaos Baikoussis Source Type: journals

The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is not appropriate for withholding surgery in high-risk patients with aortic stenosis: a retrospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Actual operative mortality in patients undergoing AVR is significantly lower than that predicted by the logistic EuroSCORE. Additionally, medium-term survival following AVR is acceptable in high-risk patients with EuroSCORE > 20. More accurate risk prediction models are needed for risk-stratifying patients with severe aortic stenosis. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Dimitri KalavrouziotisDebbie LiKaren ButhJean-Francois Legare Source Type: journals

Current role of surgery in small cell lung carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Small cell lung carcinoma represents 15-20% of lung cancer. Is is characterized by rapid growth and early disseminated disease with poor outcome. For many years surgery was considered a contraindication in Small Cell Lung Cancer (SCLC) since radiotherapy and chemoradiotherapy were found to be more efficient in the management of these patients. Never the less some surgeons continue to be in favor of surgery as part of a combined modality treatment in patients with SCLC. The revaluation of the role of surgery in this group of patients is based on clinical data indicating a much better prognosis in selected patients with limi...
Source: Journal of Cardiothoracic Surgery - July 8, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Efstratios KoletsisChristos ProkakisMenelaos KaranikolasEfstratios ApostolakisDimitrios Dougenis Source Type: journals

Possible roles of Epstein-Barr virus in Castleman diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There is a strong association between Castleman disease and Epstein-Barr virus. EBV may have a potential role in angiogenesis of Castleman disease. For smaller lesion with high activity of angiogenesis but not amenable for curative resection, anti-angiogenesis medications may have a potential role to control the disease. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 8, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Chih-Hao ChenHung-Chang LiuTzu-Ti HungTsang-Pai Liu Source Type: journals

Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively - a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: A high degree of suspicion is needed for early recognition and aggressive management of this rare but serious complication. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - July 1, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sybille GruberChoi-Keung NgChristian SchwarzJohann Auer Source Type: journals

Papillary fibroelastoma of the left atrial wall: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present a case of papillary fibroelastoma located on the left atrial wall, presenting with symptoms of cerebral ischemia. The patient was treated surgically for the prevention of further embolic complications. Pertinent literature is also reviewed for this rare and benign cardiac tumor. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Murat BicerMustafa CikirikciogluErman PektokHajo MullerSarah DettwilerAfksendiyos Kalangos Source Type: journals

"How I do it: utilization of high-pressure sealants in aortic reconstruction"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In major aortic reconstructive procedures the need for anastomotic sealing performance, reinforcement of friable tissues, and adhesion prevention should not be underrated. High-pressure surgical sealants represent an important surgical adjunct, and the author has found the use of both PEG sealant and BSAG glue advantageous in aortic reconstruction and repair. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 25, 2009 Category: Cardiovascular & Thoracic Surgery Authors: John Elefteriades Source Type: journals

Bilateral sternobronchial fistula after coronary surgery - are the retained epicardial pacing wires responsible? a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Reported complications of retained epicardial pacing wires are unusual. We present this case in order to include it to the potential complications of the epicardial pacing wires. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 23, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Timothy SakellaridisMichalis ArgiriouVictor PanagiotakopoulosChristos Charitos Source Type: journals

Can local application of Tranexamic acid reduce post- coronary bypass surgery blood loss? A randomized controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Topical application of tranexamic acid in patients undergoing primary coronary artery bypass grafting led to a significant reduction in postoperative blood loss without adding extra risk to the patient. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hosam FawzyElsayed ElmistekawyDaniel BonneauDavid LatterLee Errett Source Type: journals

Predictors of inotrope use in patients undergoing concomitant coronary artery bypass graft (CABG) and aortic valve replacement (AVR) surgeries at separation from cardiopulmonary bypass (CPB)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We identified four independent risk factors for postoperative use of inotropic support in patients undergoing concomitant coronary artery bypass graft and arotic valve replacement surgeries at separation from cardiopulmonary bypass. The study results will be helpful to prospectively identify patients who will likely to require inotropic support at separation from cardiopulmonary bypass. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 11, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Imdad AhmedChad HouseWilliam Nelson Source Type: journals

Tracheal replacement by autogenous aortaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Aortic graft is preferable to other substitutes because of less antigenicity, less vascularity, and no mucous secretions or peristalsis (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - June 9, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Farhad AnooshHossain HodjatiSeifollah DehghaniNader TanidehPerikala Kumar Source Type: journals

Bronchial stump reinforcement with an azygous vein flapEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we describe an easy-to-adopt approach to azygous vein bronchial reinforcement. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - May 28, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Faisal Al-MufarrejMarc MargolisEric StrotherBarbara TempestaFarid Gharagozloo Source Type: journals

Successful management of an aortoesophageal fistula caused by a fish bone - case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of aortoesophageal fistula (AEF) caused by a fish bone that had a successful outcome. Aortoesophageal fistula is a rare complication of foreign body ingestion from which few patients survive. Over one hundred cases of AEF secondary to foreign body ingestion have been documented but only seven, including our case, have survived over 12 months. Treatment involved stabilising the patient with a Sengstaken-Blakemore tube and insertion of a thoracic aortic endovascular stent-graft. Unfortunately the stent became infected and definitive open surgical repair involved removing the stent, replacing the aorta with a...
Source: Journal of Cardiothoracic Surgery - May 8, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Stephen L Kelly, Paul Peters, Murray J Ogg, Alan Li and Bernard M Smithers Source Type: journals

Predictors of packed red cell transfusion after isolated primary coronary artery bypass grafting - The experience of a single cardiac center: A prospective observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The predictors of PRBC transfusion after primary isolated CABG are use of CPB, hematocrit < 40%, weight < 70 Kg, and serum creatinine > 100 mmol/L. This leads to better utilization of blood bank resources and cost-efficient targeted use of expensive blood conservation modalities. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - May 7, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Elsayed M Elmistekawy, Lee Errett and Hosam F Fawzy Source Type: journals

Aortic Root Surgery in Septuagenarians: impact of different surgical techniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our data indicate that valve sparing aortic root Reimplantation is safe and effective in septuagenarians, and is associated with low early and late morbidity and mortality. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - April 21, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nawid Khaladj, Rainer Leyh, Malakh Shrestha, Sven Peterss, Axel Haverich and Christian Hagl Source Type: journals

Torsion of right middle lobe after a right upper lobectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lobar torsion after lung resection is a quite rare complication. A 50-year-old woman presented typical features on chest radiographs and CT(computed tomography) scan of lobar torsion after a right upper lobectomy. After emergency lobectomy of right middle lobe, the patient recovered well and discharged 10 days after the second operation. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - April 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Chih-Hao Chen, Tzu-Ti Hung, Tung-Ying Chen and Hung-Chang Liu Source Type: journals

Spontaneous left main coronary artery dissection complicated by pseudoaneurysm formation in pregnancy: role of CT coronary angiographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially managed conservatively by a multidisciplinary team including heart failure specialists, obstetricians, and cardiovascular surgeons. 4 days after admission, her left main coronary artery was imaged by dual-source 64 slice Cardiac computed tomography, coronary dissection was identi...
Source: Journal of Cardiothoracic Surgery - April 1, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Shahid Rahman, Mohammed Abdul-Waheed, Tarek Helmy, Lynn C Huffman, Vipin Koshal, Julian Guitron, Walter H Merrill, David F Lewis, Stephanie Dunlap, Yukitaka Shizukuda, Neal L Weintraub, Christopher Meyer and Mehmet Cilingiroglu Source Type: journals

Aortic distensibility and coronary artery bypass graft patencyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In this study we failed to show association of angiographically determined aortic distensibility with coronary bypass graft patency in consecutive 53 patients with coronary artery bypass graft surgery (CABG). (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - March 26, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bulent Ozdemir, Murat Bicer, Levent Ozdemir, Ibrahim Baran, Tunay Senturk, Ali Emul, Zeynel A Yetgin, Aysel A Kaderli, Sumeyye Gullulu and Ali Aydinlar Source Type: journals

Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a patient with a true aneurysm, initially diagnosed as pseudo-aneurysm at our institution; we have reviewed the literature on this difficult diagnosis and outlined characteristic findings of each clinical entity. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - February 24, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Giampaolo Zoffoli, Domenico Mangino, Andrea Venturini, Alberto Terrini, Angiolino Asta, Chiara Zanchettin and Elvio Polesel Source Type: journals

"Acute pseudo-pericardial tamponade": the compression of the thoracal inferior vena cava – a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of 68-year-old woman which was admitted to our hospital for mitral valve replacement (MVR), in whom acute compresion of the vena cava inferior developed after repair of lacerated atrio-caval junction with hemostatic tissue sealant, biologic glue (BioGlue, Cryolife, ınc, Kennesaw, Ga). Removal of the BioGlue relieved the unexpected problem. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - February 24, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Raif Cavolli, Kaan Kaya and Altay Omer Elalmis Source Type: journals

Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 59 year old man underwent mechanical tricuspid valve replacement and removal of pacemaker generator along with 4 pacemaker leads for pacemaker endocarditis and superior vena cava obstruction after an earlier percutaneous extraction had to be abandoned, 13 years ago, due to cardiac arrest, accompanied by silent, unsuspected right atrial perforation and exteriorisation of lead. Postoperative course was complicated by tricuspid valve thrombosis and secondary pulmonary embolism requiring TPA thrombolysis which was instantly successful. A review of literature of pacemaker endocarditis and tricuspid thrombosis along with the r...
Source: Journal of Cardiothoracic Surgery - February 24, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pankaj Kaul, Krishna Adluri, Kalyana Javangula and Wasir Baig Source Type: journals

Video-assisted thoracic surgery (VATS) as a safe alternative for the resection of pulmonary metastases: a retrospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In cases of pulmonary metastases, VATS is an acceptable alternative that is both safe and efficacious. Non-inferiority analysis of 5-year overall survival demonstrates that VATS is equivalent to thoracotomy. VATS patients also have a longer recurrence free survival. Based on our experience, it is permissible to use VATS resection in these circumstances: small tumor, fewer nodules, single lesion, age [less than or equal to]53, unilateral, tumor size amenable to wedge resection, and non-recurrent disease. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - February 24, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Marilee Carballo, Mary S Maish, Dawn E Jaroszewski and Carmack E Holmes Source Type: journals

Successful management of multiple permanent pacemaker complications - infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 59 year old man underwent mechanical tricuspid valve replacement and removal of pacemaker generator along with 4 pacemaker leads for pacemaker endocarditis and superior vena cava obstruction after an earlier percutaneous extraction had to be abandoned, 13 years ago, due to cardiac arrest, accompanied by silent, unsuspected right atrial perforation and exteriorisation of lead. Postoperative course was complicated by tricuspid valve thrombosis and secondary pulmonary embolism requiring TPA thrombolysis which was instantly successful. A review of literature of pacemaker endocarditis and tricuspid thrombosis along with the r...
Source: Journal of Cardiothoracic Surgery - February 24, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pankaj Kaul, Krishna Adluri, Kalyana Javangula and Wasir Baig Source Type: journals

Coronary artery bypass grafting and concomitant excision of chest wall chondrosarcomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report is unusual on account of a) being the first reported case in world literature of concomitant excision of chondrosarcoma and coronary artery bypass grafting and b) the conservative management of the incidentally discovered chondrosarcoma by wide excision rather than chest wall resection with no local recurrence to date. Pathology of chondrosarcoma, in particular, and various management strategies when coronary artery disease and cancer coexist, in general, are discussed. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - February 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pankaj Kaul, David JR Duthie, Somsekhar Ganti and Radhika Ramnath Source Type: journals

Retention of work capacity after coronary artery bypass grafting. A 10-year follow-up studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Patients who have successfully returned to work also tend to continue. Besides younger age, prevention and treatment of postoperative cardiac problems and diabetic burden as well as activation to various social and physical activities might influence CABG patients' staying at work positively. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - January 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ville Hällberg, Matti Kataja, Matti Tarkka, Ari Palomäki and the Working after CABG study group Source Type: journals

The concept of negative pressure wound therapy (NPWT) after poststernotomy mediastinitis – a single center experience with 54 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report about our experiences and complications using this therapy in a set of 54 patients out of 3668 patients undergoing cardiac surgery in our institution between January 2005 and April 2007. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - January 12, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ina C Ennker, Anita Malkoc, Detlef Pietrowski, Peter M Vogt, Juergen Ennker and Alexander Albert Source Type: journals