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The AustralAsian Journal of Cardiac and Thoracic Surgery最新文献

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High early patency rate following free internal mammary artery grafting 游离乳腺内动脉移植术后早期通畅率高
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90007-D
Yasunobu Haruta MD, Tadashi Tashiro MD, Ko Tanaka MD, Masahiko Nagat MD, Masanao Nakamura MD, Kageshige Todo MD
{"title":"High early patency rate following free internal mammary artery grafting","authors":"Yasunobu Haruta MD,&nbsp;Tadashi Tashiro MD,&nbsp;Ko Tanaka MD,&nbsp;Masahiko Nagat MD,&nbsp;Masanao Nakamura MD,&nbsp;Kageshige Todo MD","doi":"10.1016/1037-2091(92)90007-D","DOIUrl":"10.1016/1037-2091(92)90007-D","url":null,"abstract":"<div><p>We performed 28 coronary artery bypass procedures using the free internal mammary artery (IMA) from 1988–1991. An average of 3.6 coronary artery bypass grafts per patient were constructed, with 1.5 distal anastomoses per patient with each free IMA graft. We constructed proximal anastomoses between the ascending aorta and the free IMA. There was one operative death (3.6%). Early graft patency, 42 days as assessed by angiography, was 97.3%. The clinical and patency results (97%) obtained in our series confirm that the free internal mammary artery can be successfully employed instead of the saphenous vein in situations where the in-situ internal mammary artery graft is too short.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 23-24"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90007-D","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74504317","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
Repair of ventricular septal defect in infants without ventriculotomy 未行脑室切开术的婴儿室间隔缺损的修复
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90009-F
Shu-Min Kuo , Pei-Leun Kang , Jyuhn-Jung Lyu , Kwok-Dei Cheng , Kai-Sheng Hsieh
{"title":"Repair of ventricular septal defect in infants without ventriculotomy","authors":"Shu-Min Kuo ,&nbsp;Pei-Leun Kang ,&nbsp;Jyuhn-Jung Lyu ,&nbsp;Kwok-Dei Cheng ,&nbsp;Kai-Sheng Hsieh","doi":"10.1016/1037-2091(92)90009-F","DOIUrl":"10.1016/1037-2091(92)90009-F","url":null,"abstract":"<div><p>Eighty-nine infants with clinical evidence of a large ventricular septal defect (VSD), refractory to conventional medical treatment, underwent surgical closure within the first 12 months of life from August 1987 to December 1991. There were 54 males and 35 females. The ages of the patients ranged from 2 to 12 months, with a mean age of 6.4 months. The mean body weight of the patients was 5.2 kg (range 2.3 to 10 kg). Surgery was performed because of intractable heart failure in 38 infants (43%), failure to thrive in 49 (55%), repeated pneumonia in 53 (60%) and prolonged endotracheal intubation in 10 (11%). There were 27 patients with a supracristal VSD (30%), and 62 patients with perimembranous VSD (70%). Eleven patients (12%) had pre-operative cardiac catheterization. Transatrial repair of perimembranous VSDs and transpulmonary repair of supracristal VSDs was used exclusively without ventriculotomy in our institution. Surgically induced heart block did not occur in any of the patients. Only 2 patients (2.2%) died during the early post-operative period. Diagnosis in most cases was confirmed by the present advanced integrated colour Doppler echocardiographic technology which is widely used by paediatric cardiologists. There is no need to perform cardiac catheterization in most patients with VSD. The morbidity and mortality were low. We strongly suggest that transatrial or transpulmonary primary repair without ventriculotomy can be successfully accomplished in almost all infants with a large VSD. Key words: ventricular septal defect, infant, surgery.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 27-30"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90009-F","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90254096","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
Initial Australian experience with the Thoratec ventricular assist device 最初在澳大利亚使用Thoratec心室辅助装置的经验
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90012-F
Julian A. Smith MS, FRACS , Marc Rabinov PhD, FRACS , James Anderson Msc, ccP , Mark R. Buckland FFARACS , Franklin L. Rosenfeldt MD, FRACS , Robert F. Salamonsen MD, FFARACS , Donald S. Esmore FRACS
{"title":"Initial Australian experience with the Thoratec ventricular assist device","authors":"Julian A. Smith MS, FRACS ,&nbsp;Marc Rabinov PhD, FRACS ,&nbsp;James Anderson Msc, ccP ,&nbsp;Mark R. Buckland FFARACS ,&nbsp;Franklin L. Rosenfeldt MD, FRACS ,&nbsp;Robert F. Salamonsen MD, FFARACS ,&nbsp;Donald S. Esmore FRACS","doi":"10.1016/1037-2091(92)90012-F","DOIUrl":"10.1016/1037-2091(92)90012-F","url":null,"abstract":"<div><p>The Thoratec ventricular assist device consists of a polyurethane prosthetic ventricle with a 65 mL pumping chamber, dedicated atrial or ventricular inflow cannulae, an arterial outflow conduit and a pneumatic drive console. Since July 1990, this device has been used in 9 patients with cardiogenic shock. Of these, 6 were implanted as a bridge to transplantation or retransplantation, 2 were implanted to allow recovery of the native heart following coronary artery surgery and acute myocardial infarction, and 1 for primary cardiac allograft dysfunction soon after transplantation. Left ventricular assist alone was used in 7 patients and biventricular assist in the remaining 2 patients. Flow rates of 3.5 to 5.0 L/min were achieved. Support was maintained for an average of 17 days (range 6 hours to 61 days), with a total support experience of 154 days. Of the 6 bridge-to-transplantation patients, 4 subsequently underwent cardiac transplantation or retransplantation, 3 of whom are alive and well at a follow-up of 5 to 14 months. The remaining 3 of the 9 patients supported developed major morbidity from thromboembolism, sepsis or lower-limb ischaemia while being successfully supported and had support withdrawn. The Thoratec ventricular assist device is capable of chronically supporting the circulation of the critically ill patient in a preterminal state despite maximal medical therapy.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 37-43"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90012-F","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84550294","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: 1
The relationship between the Royal Colleges of Surgeons and the Society of Cardiothoracic Surgeons in the British Isles 不列颠群岛皇家外科学院和心胸外科学会之间的关系
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90015-I
James D. Wisheart MCh, FRCS
{"title":"The relationship between the Royal Colleges of Surgeons and the Society of Cardiothoracic Surgeons in the British Isles","authors":"James D. Wisheart MCh, FRCS","doi":"10.1016/1037-2091(92)90015-I","DOIUrl":"10.1016/1037-2091(92)90015-I","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Page 53"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90015-I","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106801961","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
Surgical treatment of postinfarction ventricular septal rupture 梗死后室间隔破裂的外科治疗
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90002-8
Tirone E. David MD
{"title":"Surgical treatment of postinfarction ventricular septal rupture","authors":"Tirone E. David MD","doi":"10.1016/1037-2091(92)90002-8","DOIUrl":"10.1016/1037-2091(92)90002-8","url":null,"abstract":"<div><p>A novel operative technique for the treatment of postinfarction ventricular septal rupture is described. It consists of excluding rather than excising the necrotic septum and ventricular wall. This is accomplished with a single patch of bovine pericardium secured to healthy endocardium of the left ventricle with a continuous 4-0 polypropylene suture. Nineteen patients have been operated on with only one operative death. There has been no patch aneurysm or recurrence of the septal defect.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 7-10"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90002-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80463009","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: 9
Aortic arch repair — Report of experiences with deep hypothermic circulatory arrest and with retrograde cerebral perfusion 主动脉弓修复-深低温循环停止和逆行脑灌注的经验报告
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90010-N
George Matalanis FRACS, Brian Buxton FRACS
{"title":"Aortic arch repair — Report of experiences with deep hypothermic circulatory arrest and with retrograde cerebral perfusion","authors":"George Matalanis FRACS,&nbsp;Brian Buxton FRACS","doi":"10.1016/1037-2091(92)90010-N","DOIUrl":"10.1016/1037-2091(92)90010-N","url":null,"abstract":"<div><p>Aortic arch surgery poses a number of technical problems not the least of which are cerebral preservation and haemostasis. Traditional approaches using bypass shunts or arch-vessel perfusion are cumbersome and have a significant cerebral morbidity. Deep hypothermia and circulatory arrest provide ideal conditions for up to one hour to allow repair of the arch. This technique was used in 12 patients being operated on for aneurysms and dissections of the aortic arch in 1991. There were three deaths in the early post-operative period. Deep hypothermia and circulatory arrest was found to be particularly useful for acute Type A dissection, re-operative aortic surgery and aneurysms of the distal arch not amenable to the routine cross-clamp technique. In two cases retrograde cerebral perfusion was used.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 31-36"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90010-N","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88343349","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
Pulmonary embolectomy in the management of massive pulmonary embolism 肺栓塞切除术在治疗大面积肺栓塞中的应用
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90008-E
Elie Khoury MBBS, Marc Rabinov PhD, FRACS, Bruce B. Davis FRACS, George R. Stirling FRACS
{"title":"Pulmonary embolectomy in the management of massive pulmonary embolism","authors":"Elie Khoury MBBS,&nbsp;Marc Rabinov PhD, FRACS,&nbsp;Bruce B. Davis FRACS,&nbsp;George R. Stirling FRACS","doi":"10.1016/1037-2091(92)90008-E","DOIUrl":"10.1016/1037-2091(92)90008-E","url":null,"abstract":"<div><p>This paper reports the Alfred Hospital experience with pulmonary embolectomy in the management of 61 patients with massive pulmonary embolism over a 26-year period. All operations were performed on cardiopulmonary bypass. Mortality was 16% in patients who had not sustained a cardiac arrest preoperatively (n=44), and 59% in those who had arrested (n=17). Pulmonary embolectomy for massive pulmonary embolism can be performed safely and may be the treatment of choice in the patient with circulatory instability. In the patient who has sustained a cardiac arrest from pulmonary embolism, embolectomy offers the only hope in a desperate situation.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 25-26"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90008-E","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79775009","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: 1
A simple method of preserving the chordae during mitral valve replacement 二尖瓣置换术中保留索索的简单方法
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90013-G
Andrew Hodge FRACS
{"title":"A simple method of preserving the chordae during mitral valve replacement","authors":"Andrew Hodge FRACS","doi":"10.1016/1037-2091(92)90013-G","DOIUrl":"10.1016/1037-2091(92)90013-G","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 44-45"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90013-G","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90278865","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
Establishment of Australasian registry of mechanical circulatory support devices 澳大利亚机械循环支持装置注册的建立
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90011-E
{"title":"Establishment of Australasian registry of mechanical circulatory support devices","authors":"","doi":"10.1016/1037-2091(92)90011-E","DOIUrl":"https://doi.org/10.1016/1037-2091(92)90011-E","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Page 36"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90011-E","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137228354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Southampton experience of ventricular septal defect repair 南安普顿室间隔缺损修复的经验
The AustralAsian Journal of Cardiac and Thoracic Surgery Pub Date : 1992-08-01 Epub Date: 2004-04-21 DOI: 10.1016/1037-2091(92)90004-A
Peter D. Skillington FRACS
{"title":"Southampton experience of ventricular septal defect repair","authors":"Peter D. Skillington FRACS","doi":"10.1016/1037-2091(92)90004-A","DOIUrl":"10.1016/1037-2091(92)90004-A","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Page 12"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90004-A","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82540571","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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