The Open Cardiovascular and Thoracic Surgery Journal最新文献_第2页

Utility of Preoperative 3D CT Angiography and Proximal Balloon Occlusion to Minimize Morbidity of Open Repair of a True Subclavian Artery Aneurysm 术前3D CT血管造影和近端球囊闭塞术在减少开放式修复真锁骨下动脉瘤的发病率中的应用

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2012-03-17 DOI: 10.2174/1876533501205010018

S. Scali, A. Beck, T. Huber, Eva M. Rzucidlo

{"title":"Utility of Preoperative 3D CT Angiography and Proximal Balloon Occlusion to Minimize Morbidity of Open Repair of a True Subclavian Artery Aneurysm","authors":"S. Scali, A. Beck, T. Huber, Eva M. Rzucidlo","doi":"10.2174/1876533501205010018","DOIUrl":"https://doi.org/10.2174/1876533501205010018","url":null,"abstract":"This report highlights the utility of three dimensional (3D)-CT angiography, in conjunction with combined endovascular and open surgical management, to treat a degenerative subclavian artery aneurysm. The patient presented with an incidentally discovered right subclavian artery aneurysm and underwent surgical reconstruction without complication. Although a variety of case reports in the literature document repair of various subclavian artery pathologies including those associated with aberrant subclavian artery anatomy (Kommerel's diverticulum), iatrogenic pseudoaneurysm, and thoracic outlet compression with post-stenotic dilatation, post-inflammatory and infectious aneurysms; true fusiform degenerative aneurysms of the subclavian artery remain a rare clinical entity. These lesions present with variable anatomic configurations, which can be clearly defined with pre-operative CT or MR angiography. Defining the anatomy with 3D imaging can facilitate clinical decision- making and allow potential application of hybrid approaches to surgical management.","PeriodicalId":238767,"journal":{"name":"The Open Cardiovascular and Thoracic Surgery Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128978631","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

Can we Make an Early Prediction of who will be Discharged from the Intensive Care Unit the Day After Heart Surgery 我们能否提前预测心脏手术后第二天谁会从重症监护病房出院

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2012-02-22 DOI: 10.2174/1876533501205010011

L. Careddu, G. Barberio, L. Marco, I. Cattabriga, Matilde Santia, G. Frascaroli, A. Leone, R. Bartolomeo, D. Pacini

{"title":"Can we Make an Early Prediction of who will be Discharged from the Intensive Care Unit the Day After Heart Surgery","authors":"L. Careddu, G. Barberio, L. Marco, I. Cattabriga, Matilde Santia, G. Frascaroli, A. Leone, R. Bartolomeo, D. Pacini","doi":"10.2174/1876533501205010011","DOIUrl":"https://doi.org/10.2174/1876533501205010011","url":null,"abstract":"Introduction: Most of the patients undergoing heart operation are discharged from the intensive care unit the day after their operation. The aim of this study was to evaluate preoperative, intraoperative and early postoperative risk factors for prolonged intensive care unit length of stay (intensive care unit stay greater than 1 day) in cardiac surgery patients. Materials and Methodology: This retrospective study examines the determinants of prolonged intensive care unit length of stay in 2182 consecutive surgical patients. Univariate and multivariate analyses have been performed. Results: 46.76% of all patients had a prolonged intensive care unit length of stay. Multivariate analysis revealed the following independent predictors for prolonged intensive care unit length of stay: Preoperative: Age (p = 0.001), chronic obstructive pulmonary disease (p = 0.049), serum creatinine (p = 0.003), serum total bilirubin (p = 0.048), chronic renal failure requiring dialysis (P = 0.040), intravenous infusion of nitrates (p = 0.014), NYHA class � 3 (p = 0.032), left ventricular ejection fraction (p = 0.006). Intraoperative: aortic cross-clamping time (p = 0.04), CPB duration (P < 0.0001), lowest hematocrit on CPB (p < 0.0001), type of operation (p = 0.012), high doses of catecholamine therapy after CPB (p = 0.001). Postoperative: re-exploration (p < 0.0001), massive transfusions (p < 0.0001), arterial pH at ICU admission (p = 0.024). Conclusion: Due to the increasing number of high-risk patients needing cardiac surgery, it is important to identify risk factors for a prolonged intensive care unit length of stay. This can be applied for scheduling patients for cardiac surgery as well as in optimizing intensive care unit resource planning when resources are limited.","PeriodicalId":238767,"journal":{"name":"The Open Cardiovascular and Thoracic Surgery Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126334312","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

Vascular site hemostasis in percutaneous extracorporeal membrane oxygenation therapy. 血管部位止血经皮体外膜氧合治疗。

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2012-02-17 DOI: 10.2174/1876533501205010008

K. Lamb, H. Pitcher, N. Cavarocchi, H. Hirose

引用次数: 9

Reproducibility of Lumen and Vessel Wall Measurements in Carotid Magnetic Resonance Imaging 颈动脉磁共振成像中管腔和血管壁测量的可重复性

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2012-01-24 DOI: 10.2174/1876533501205010001

J. Roberts, Seong-Eun Kim, H. Yoon, J. McNally, J. Hadley, L. Findeiss, G. Treiman, D. Parker

{"title":"Reproducibility of Lumen and Vessel Wall Measurements in Carotid Magnetic Resonance Imaging","authors":"J. Roberts, Seong-Eun Kim, H. Yoon, J. McNally, J. Hadley, L. Findeiss, G. Treiman, D. Parker","doi":"10.2174/1876533501205010001","DOIUrl":"https://doi.org/10.2174/1876533501205010001","url":null,"abstract":"Atherosclerotic carotid artery disease is estimated to represent the etiology for one quarter of all strokes. Carotid magnetic resonance imaging and magnetic resonance angiography are promising tools in the evaluation of carotid atherosclerotic vascular disease. In this study, we evaluate the reliability of high resolution carotid wall magnetic resonance (MR) imaging by investigating the inter-observer, intra-observer, and inter-scan variability in measurements of carotid vessel total lumen area and mean wall thickness. This HIPAA compliant study received IRB approval and all subjects gave written informed consent. Nineteen subjects were imaged on a 3T MRI scanner with custom-built 4-element receive-only phased-array coils optimized for carotid anatomy. Three observers manually drew regions of interest around the lumen and outer wall for both left and right carotid arteries. Intraclass correlation coefficients (ICC) showed excellent agreement between Observer 1 and the others (>0.92). A two- way analysis of variance (ANOVA) found no significant difference between observers (p>0.05). Intra-observer variability for Observer 1 was measured by coefficient of variation (CV) with 0.03 for total lumen area and 0.03 for mean wall thickness. Similarly, the inter-scan variability of Observer 1 was found by CV to be 0.05±0.02 for total lumen area and 0.04±0.03 for mean wall thickness. Our results demonstrate that the MR measurements of total lumen area and mean wall thickness are highly reproducible and provide a reliable foundation for the evaluation of carotid atherosclerotic vascular disease.","PeriodicalId":238767,"journal":{"name":"The Open Cardiovascular and Thoracic Surgery Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123935959","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

Awake Aortic Surgery in a Tetraparetic Patient 四瘫患者的清醒主动脉手术

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2011-02-07 DOI: 10.2174/1876533501104010001

L. Gramaglia, P. Brustia, U. Massazza

引用次数: 0

Temporary Prosthetic Shunt to Permanent Aortic Prosthesis in a Patient with an Infected Thoracoabdominal Aneurysm to Shorten Ischemia Time 感染胸腹动脉瘤患者临时假体转永久性主动脉假体以缩短缺血时间

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2010-07-27 DOI: 10.2174/1876533501003010006

E. Dregelid, A. Algaard

{"title":"Temporary Prosthetic Shunt to Permanent Aortic Prosthesis in a Patient with an Infected Thoracoabdominal Aneurysm to Shorten Ischemia Time","authors":"E. Dregelid, A. Algaard","doi":"10.2174/1876533501003010006","DOIUrl":"https://doi.org/10.2174/1876533501003010006","url":null,"abstract":"High operative mortality of infected thoracoabdominal aortic aneurysms (ITAA) is partly attributable to ischemic injury during aortic clamping. We report a 62-year-old man with biliary cirrhosis, who developed a rapidly enlarging ITAA secondary to thoracolumbar osteomyelitis. Additional infectious foci were found in the pubic and ischial bones and in the left lung. Blood cultures gave growth of streptococcus pneumoniae. The aneurysm was repaired through a thoracoabdominal incision with a Dacron prosthesis. Prior to aneurysm repair, a prosthetic shunt was anastomosed end - to- side to the aortic prosthesis and to the descending aorta using a side-biting clamp. The shunt allowed perfusion of the lower body and of renal and visceral vessels after 45 minutes, the time needed to resect infected tissue and complete the distal anastomosis. The proximal anastomosis and orthopedic treatment of the spinal osteomyelitis could be performed, while the lower body and visceral organs were perfused. Postoperatively, the patient developed hypotension and increasing lactacidosis. Laparotomy revealed intestinal infarction, and gut resection was performed. Following a temporary improvement, he developed multiorgan failure and candida sepsis and died after 32 days. No atheroemboli were found in arteries of resected intestines. Portal hypertension most likely was present and it could be calculated that minimum intestinal perfusion pressure the night after the operation could have been in the range of 30-37 mm Hg, which probably was not enough to maintain aerobic metabolism. In the presence of aortic atheromas it may be advisable to divert blood to the shunt from an axillary artery.","PeriodicalId":238767,"journal":{"name":"The Open Cardiovascular and Thoracic Surgery Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133412889","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

Myocardial Alterations in Adrenoreceptors After Ventricular Unloading with a Pulsatile vs a Nonpulsatile Device~!2010-02-15~!2010-05-06~!2010-06-10~! 脉动装置与非脉动装置卸心室后肾上腺素受体的心肌改变2010-02-15 2010-05-06 2010-06-10

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2010-06-10 DOI: 10.2174/1876533501003010001

R. Bick, B. Poindexter, P. M. Evans, C. Gemmato, O. Frazier

引用次数: 1

An Experimental Canine Model to Study Left Ventricular Function 研究犬左心室功能的实验模型

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2009-12-15 DOI: 10.2174/1876533500902010045

S. Miandoab, Gus Valahakes

引用次数: 0

Intraoperative Monopolar Radiofrequency Ablation in Chronic Atrial Flutter with Concomitant Pulmonary Stenosis 术中单极射频消融治疗伴肺狭窄的慢性心房扑动

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2009-10-15 DOI: 10.2174/1876533500902010043

I. Kashima, Y. Inoue, K. Hashizume, R. Takahashi

引用次数: 0

Heart Injuries - Still a Challenge for Cardiac Surgery 心脏损伤——心脏外科的一个挑战

The Open Cardiovascular and Thoracic Surgery Journal Pub Date : 2009-08-18 DOI: 10.2174/1876533500902010038

M. Velinovic, D. Velimirović, M. Vranes, P. Djukić, A. Mikic, S. Putnik, D. Savić, B. Nikolić

引用次数: 9