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The AustralAsian Journal of Cardiac and Thoracic Surgery最新文献

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Modified method of early repair of postinfarction ventricular septal defect using fibrin sealant 改良纤维蛋白封闭剂早期修复梗死后室间隔缺损的方法
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-11-01 DOI: 10.1016/1037-2091(93)90032-Y
S.H. Skotnicki MD, J. Vincent MD, L.K. Lacquet MD
{"title":"Modified method of early repair of postinfarction ventricular septal defect using fibrin sealant","authors":"S.H. Skotnicki MD,&nbsp;J. Vincent MD,&nbsp;L.K. Lacquet MD","doi":"10.1016/1037-2091(93)90032-Y","DOIUrl":"10.1016/1037-2091(93)90032-Y","url":null,"abstract":"<div><p>Postinfarction ventricular septal defect is a serious complication of acute myocardial infarction. Early surgical repair is the treatment of choice. Closure of the septal rupture is a demanding technical problem. We describe our experience with a modified technique to close the defect using a dacron patch, fibrin sealing, and a continuous suture in the undamaged septum. Of 7 patients, five survived. One patient had a small residual VSD. These initial results are encouraging.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 3","pages":"Pages 127-129"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90032-Y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75919787","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}
引用次数: 0
Reconstruction following dehiscence of median sternotomy 胸骨正中切开术破裂后重建
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-11-01 DOI: 10.1016/1037-2091(93)90031-X
M.J. Quinn FRACS, T. Papadopoulos MB, BS, D.G. Pennington FRACS, K.K. Lee FRACS, H.S. Stern FRACS
{"title":"Reconstruction following dehiscence of median sternotomy","authors":"M.J. Quinn FRACS,&nbsp;T. Papadopoulos MB, BS,&nbsp;D.G. Pennington FRACS,&nbsp;K.K. Lee FRACS,&nbsp;H.S. Stern FRACS","doi":"10.1016/1037-2091(93)90031-X","DOIUrl":"10.1016/1037-2091(93)90031-X","url":null,"abstract":"<div><p>Dehiscence of a median sternotomy wound results in significant morbidity and mortality. These wounds are classified into 3 types according to the time of presentation from the original cardiac procedure and the appearance of the wound. The classification gives an indication of the degree of debridement necessary and whether flap reconstruction is required. We describe a series of 54 flaps in 41 patients. These included 27 pectoralis major myocutaneous advancement flaps, 12 pectoralis muscle turnover flaps, 6 rectus abdominus muscle flaps and 9 omental flaps. There was partial loss of one flap. The mortality rate of 8.6% compares favourably with the alternative procedures of open debridement and packing, or closed irrigation.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 3","pages":"Pages 123-126"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90031-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89542460","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}
引用次数: 3
Pericardial window using video assisted thoracoscopy 心包窗使用视频胸腔镜
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-11-01 DOI: 10.1016/1037-2091(93)90033-Z
Peter P. McKeown FRACS, Patricia A. Conant MS, David S. Hubbell FACS
{"title":"Pericardial window using video assisted thoracoscopy","authors":"Peter P. McKeown FRACS,&nbsp;Patricia A. Conant MS,&nbsp;David S. Hubbell FACS","doi":"10.1016/1037-2091(93)90033-Z","DOIUrl":"10.1016/1037-2091(93)90033-Z","url":null,"abstract":"<div><p>Creation of a pericardial window using video assisted thoracoscopy (VAT) was successful in 7 of 8 adult patients. Advanced VAT techniques offer an alternative approach for surgical treatment of significant pericardial effusion. In appropriately selected patients, it provides an alternative to standard surgical techniques.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 3","pages":"Pages 130-132"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90033-Z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89896671","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}
引用次数: 0
Renal failure after cardiac surgery: Pathophysiology, prevention and treatment 心脏手术后肾功能衰竭:病理生理学、预防与治疗
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-11-01 DOI: 10.1016/1037-2091(93)90036-4
Paul S. Myles FANZCA , Carlos Scheinkestel FRACP
{"title":"Renal failure after cardiac surgery: Pathophysiology, prevention and treatment","authors":"Paul S. Myles FANZCA ,&nbsp;Carlos Scheinkestel FRACP","doi":"10.1016/1037-2091(93)90036-4","DOIUrl":"10.1016/1037-2091(93)90036-4","url":null,"abstract":"<div><p>Acute renal failure is common after cardiac surgery and is associated with a high mortality. There are many causes, but renal ischaemia associated with low cardiac output and hypotension, nephrotoxins and sepsis are the most common. Most patients who develop renal failure continue to pass an adequate volume of urine, so urine output is a poor indicator of renal function. Prevention should be based on maintaining circulating blood volume, which requires close haemodynamic monitoring and optimisation of renal oxygen delivery by maintaining an adequate arterial oxygen saturation, haemoglobin concentration, cardiac output and perfusion pressure. Nephrotoxic agents such as gentamicin, vancomycin and indomethacin should be avoided, particularly in patients at increased risk of renal failure. Sepsis must be detected early and treated appropriately. Renal failure requires aggressive nutritional support and careful fluid, electrolyte and acid-base management. This is best done with a continuous form of renal replacement therapy such as venovenous haemofiltration.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 3","pages":"Pages 140-144"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90036-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83039733","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}
引用次数: 3
Quadricuspid aortic valve: Incompetence requiring replacement 四尖瓣主动脉瓣:功能不全，需要更换
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-11-01 DOI: 10.1016/1037-2091(93)90039-7
Erik R. La Hei MB, BS, Duncan S. Thomson FRACS
{"title":"Quadricuspid aortic valve: Incompetence requiring replacement","authors":"Erik R. La Hei MB, BS,&nbsp;Duncan S. Thomson FRACS","doi":"10.1016/1037-2091(93)90039-7","DOIUrl":"10.1016/1037-2091(93)90039-7","url":null,"abstract":"<div><p>Quadricuspid aortic valve is a rare congenital anomaly in isolated form, not generally associated with any functional abnormality. A case report is presented of a patient with severe aortic incompetence and a history of rheumatoid arthritis who was found at surgery to have a quadricuspid aortic valve.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 3","pages":"Pages 150-151"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90039-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91474532","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}
引用次数: 0
Cardiothoracic surgery at the Alfred hospital: past, present and future 阿尔弗雷德医院的心胸外科:过去，现在和未来
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90045-6
George Stirling FRACS
{"title":"Cardiothoracic surgery at the Alfred hospital: past, present and future","authors":"George Stirling FRACS","doi":"10.1016/1037-2091(93)90045-6","DOIUrl":"https://doi.org/10.1016/1037-2091(93)90045-6","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 2","pages":"Pages 59-63"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90045-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92127769","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}
引用次数: 0
Viewpoint of a trainee: Surgeon or technician? 实习生的观点:外科医生还是技术人员?
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90059-D
Marc Rabinov PhD, FRACS
{"title":"Viewpoint of a trainee: Surgeon or technician?","authors":"Marc Rabinov PhD, FRACS","doi":"10.1016/1037-2091(93)90059-D","DOIUrl":"10.1016/1037-2091(93)90059-D","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 2","pages":"Page 91"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90059-D","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75899067","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}
引用次数: 0
Participants at the George Stirling Festschrift 参加乔治·斯特林艺术节的人
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90049-A
{"title":"Participants at the George Stirling Festschrift","authors":"","doi":"10.1016/1037-2091(93)90049-A","DOIUrl":"https://doi.org/10.1016/1037-2091(93)90049-A","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 2","pages":"Page 72"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90049-A","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92027042","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}
引用次数: 0
The Dutch approach to cardiothoracic training 荷兰人的心胸训练方法
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90054-8
Hans Huysmans MD
{"title":"The Dutch approach to cardiothoracic training","authors":"Hans Huysmans MD","doi":"10.1016/1037-2091(93)90054-8","DOIUrl":"https://doi.org/10.1016/1037-2091(93)90054-8","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 2","pages":"Page 84"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90054-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92127768","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}
引用次数: 0
Acute ascending aortic dissection the experience at Green Lane hospital 急性升主动脉夹层在格林巷医院的治疗体会
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90060-H
A.R. Kerr FRACS
{"title":"Acute ascending aortic dissection the experience at Green Lane hospital","authors":"A.R. Kerr FRACS","doi":"10.1016/1037-2091(93)90060-H","DOIUrl":"https://doi.org/10.1016/1037-2091(93)90060-H","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 2","pages":"Page 92"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90060-H","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92006581","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}
引用次数: 0
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