Shigeki Taniguchi MD, David K.C. Cooper PhD, FRCS, FACS
{"title":"The potential role of thyroid hormone substitutes in cardiac surgery and transplantation","authors":"Shigeki Taniguchi MD, David K.C. Cooper PhD, FRCS, FACS","doi":"10.1016/S1324-2881(96)90013-1","DOIUrl":"10.1016/S1324-2881(96)90013-1","url":null,"abstract":"<div><p>In the “euthyroid sick syndrome” high endogenous catecholamine levels may stimulate preferential tissue conversion of thyroxine (T4) to the non-active reverse triiodothyronine (rT3) rather than to the active free triiodothyronine (rT3). Plasma T3 levels, therefore, drop precipitously. There is evidence that low T3 states occur during cardiopulmonary bypass and in the brain-dead organ donor, and that both lead to depletion of myocardial energy stores with deterioration of cardiac function. Therapy with T3 reactivates the mitochondria and stimulates aerobic metabolism, leading to replacement of myocardial energy stores and improved cardiac function. Although this therapeutic concept remains controversial, T3 therapy may prove beneficial in patients with impaired cardiac function following open heart surgery, particularly those undergoing heart transplantation.</p></div>","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Pages 40-46"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90013-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78059626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advances in quality of care and efficiency in the management of cardiac surgery patients","authors":"J. Tatoulis, J. Peirce, J. Wayland","doi":"10.1016/S1324-2881(96)90040-4","DOIUrl":"https://doi.org/10.1016/S1324-2881(96)90040-4","url":null,"abstract":"","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Page 55"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90040-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91597475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mediastinal staging of suspected non small cell lung cancer comparing FDG PET and computed tomography with histology","authors":"A.G. Royse, S.R. Knight, C.P. Clarke, S.U. Bedangien, A.M. Scott, O. Poinlon, D.L. Thomas, G. O'Keefe, J.G. Chan, G.F. Egan, H.J. Tochon-Danguy, W.J. Mckay","doi":"10.1016/S1324-2881(96)90028-3","DOIUrl":"10.1016/S1324-2881(96)90028-3","url":null,"abstract":"","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Page 52"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90028-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86904992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"10 years of internal mammary artery to coronary artery bypass grafting","authors":"J. Tatoulis, B. Buxton, J. Fuller","doi":"10.1016/S1324-2881(96)90022-2","DOIUrl":"10.1016/S1324-2881(96)90022-2","url":null,"abstract":"","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Page 50"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90022-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82896385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew D. Cochrane FRACS , Peter L. Wallis FRCPA , Michael Mullerworth FRACS
{"title":"Synchronous lung carcinomas of different histology within the same lobe","authors":"Andrew D. Cochrane FRACS , Peter L. Wallis FRCPA , Michael Mullerworth FRACS","doi":"10.1016/S1324-2881(96)90012-X","DOIUrl":"10.1016/S1324-2881(96)90012-X","url":null,"abstract":"<div><p>Synchronous carcinomas were found at thoracotomy. Both tumours were within the same lobe of the lung but of different histology. There was a central squamous carcinoma with bronchial involvement and a peripheral adenocarcinoma but no evidence of lymph node or distant spread. This is an uncommon but probably under-reported finding. The literature suggests that the long-term prognosis in the documented cases of synchronous lung carcinoma is no worse than after resection of a single malignant lesion. The finding of 2 lesions on preoperative investigation or at operation does not necessarily indicate that the tumours are inoperable and should not preclude successful resection in selected patients.</p></div>","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Pages 37-39"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90012-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86310928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trans-septal approach to the mitral valve","authors":"M.A. Cheema FRCS, Anjum Jalal MBBS","doi":"10.1016/S1324-2881(96)90007-6","DOIUrl":"10.1016/S1324-2881(96)90007-6","url":null,"abstract":"<div><p>The right atrial trans-septal approach is one approach to the mitral valve. We used this approach in 25 patients from October 1990 to May 1993. Fourteen patients were in NYHA class II, 10 in class III and 1 in class IV. All had gross cardiomegaly with a left atrial dimension of 58±14 mm. The majority had advanced rheumatic heart disease involving more than 1 valve and therefore needed double or triple valve repair or replacement. A total of 49 operative procedures were performed, that is, about 2 per patient. The procedures for the mitral valve included open mitral valvotomy in 3 patients, valve repair in 12 patients and valve replacement in 10 patients. The average cross-clamp time was 84±14 min. No patient died while in hospital. Each heart maintained its preoperative rhythm (sinus in 13 cases and atrial fibrillation in 12 cases). None developed iatrogenic arrhythmia or conduction defect. There was no residual atrial septal defect. This approach is useful, safe and convenient.</p></div>","PeriodicalId":101219,"journal":{"name":"The Asia Pacific Journal of Thoracic & Cardiovascular Surgery","volume":"5 1","pages":"Pages 25-27"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1324-2881(96)90007-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82074778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}