American Journal of Cardiovascular and Thoracic Surgery最新文献_第3页

Incidental Finding Of a Massive Cardiac Metastasis in a Boy Treated For a Parameningeal Rhabdomyosarcoma 偶然发现的大量心脏转移在男孩治疗脑膜旁横纹肌肉瘤

American Journal of Cardiovascular and Thoracic Surgery Pub Date : 2018-07-11 DOI: 10.15226/2573-864X/3/3/00144

Belaid Imtinane, H. Rifi, L. Kochbati, F. Ouarda, A. Mezlini

引用次数: 0

What Allow Surgical Residency Training Power? 什么允许外科住院医师培训的权力?

American Journal of Cardiovascular and Thoracic Surgery Pub Date : 2018-06-27 DOI: 10.15226/2573-864x/3/3/00143

Zhongwu Jia, Liang-Liang Fang, Yue Zhou, Chaojun Kong

引用次数: 0

Pregnancy and Heart Transplantation. First Case in Mexico 妊娠和心脏移植。墨西哥首例病例

American Journal of Cardiovascular and Thoracic Surgery Pub Date : 2018-06-12 DOI: 10.15226/2573-864X/3/3/00142

G. Careaga-Reyna, H. Zetina-Tun, R. Grijalva, C. Lezama-Urtecho, José Galván-Díaz

{"title":"Pregnancy and Heart Transplantation. First Case in Mexico","authors":"G. Careaga-Reyna, H. Zetina-Tun, R. Grijalva, C. Lezama-Urtecho, José Galván-Díaz","doi":"10.15226/2573-864X/3/3/00142","DOIUrl":"https://doi.org/10.15226/2573-864X/3/3/00142","url":null,"abstract":"The success of cardiac transplantation has included female recipients of childbearing age. Pregnancy is risky in these patients because of possibility of acute rejection and lost graft, birth defects of the product and complications related to pregnancy. Case report: 35 years old female at time heart transplant 26 months, before she present with pregnancy unscheduled. During the same we switched to azathioprine and eliminated mycophenolate mofetil; tacrolimus was continued as immunosuppressive therapyShe was monitored every 3 months with tacrolimus levels, echocardiography and last two months of pregnancy every 3 weeks, narrow prenatal control. Gestation had a normal evolution, no complications in heart graft, diseases related to pregnancy. Pregnancy finished by cesarean section and a male live product was obtained without congenital malformations. Control graft 3 months post cesarean with LVEF 60%. Conclusion: Pregnancy in recipients of heart transplant can be completed successfully, it is best to suggest prenatal care, and no pregnancy. If recipient want it has to be programmed and one year after cardiac transplantation without periods of severe rejection.","PeriodicalId":362247,"journal":{"name":"American Journal of Cardiovascular and Thoracic Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126176047","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

Following Lung Resection: Does the volume of perioperative fluid affect patient outcomes? 肺切除术后:围手术期积液量是否影响患者预后?

American Journal of Cardiovascular and Thoracic Surgery Pub Date : 2018-06-06 DOI: 10.15226/2573-864X/3/3/00141

V. Thai, Megumi Asai, Andres X. Samayoa, C. Hodge, H. Pak, O. Kirton

{"title":"Following Lung Resection: Does the volume of perioperative fluid affect patient outcomes?","authors":"V. Thai, Megumi Asai, Andres X. Samayoa, C. Hodge, H. Pak, O. Kirton","doi":"10.15226/2573-864X/3/3/00141","DOIUrl":"https://doi.org/10.15226/2573-864X/3/3/00141","url":null,"abstract":"Introduction: Appropriate amount of intraoperative intravenous (IV) fluid has been controversial in thoracic surgery. In our study, we investigated outcome measures associated with patients undergoing lung resection for non-small cell lung cancer (NSCLC) and the correlation with perioperative IV fluids. Methods: A retrospective review of consecutive patients undergoing open lobectomy and bilobectomy for primary NSCLC between January 2010 and June 2016 was performed. Patient were divided into those receiving intraoperative IV fluid less than 7 cc/ kg/hr, 7 to 10 cc/kg/hr, and equal to or greater than 10 cc/kg/hr. Postoperative IV fluid was also recorded. We compared this against patient’s demographics, intraoperative parameters and complication rate. Results: 142 patients with the mean age of 66.5 years were identified. There was no significant difference in the hospital or ICU stay between any of the groups. Patients who received greater than 10 cc/kg/hr intraoperative IV fluids have higher rate of one or more complications and reoperation rate. Patients who had greater than 1.5 cc/kg/hr perioperative fluid have significantly higher duration of chest tube in-situ and pulmonary complication rate. Patients receiving less than 7 cc/kg/hr intraoperative IV fluids have no benefits compare to the group receiving larger IV fluid. Conclusions: In our study, giving high amounts of intraoperative and perioperative IV fluid has adverse effects on postoperative complications. Giving less (< 7 cc/kg/hr) intraoperative IV fluid has no additional benefits. We propose the optimal amount of intraoperative and perioperative IV fluid given should be in between these two extremes.","PeriodicalId":362247,"journal":{"name":"American Journal of Cardiovascular and Thoracic Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127486390","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

Comparative Study between the Use of the Radial Artery and the Saphenous Vein in Coronary Artery Bypass Surgery 桡动脉与隐静脉在冠状动脉搭桥术中应用的比较研究

American Journal of Cardiovascular and Thoracic Surgery Pub Date : 2018-05-31 DOI: 10.15226/2573-864X/3/2/00140

Hany M. Elrakhawy, M. Saffan, A. Ghonim, M. Rizk, Ashraf Elnahhas, Mahmoud Elshafea, E. Fawzy, A. Sobhi, M. Ghalwash, T. Khattab, A. Elsebaeyshousha, Marwan Sadek, Mohamed A Alassal

{"title":"Comparative Study between the Use of the Radial Artery and the Saphenous Vein in Coronary Artery Bypass Surgery","authors":"Hany M. Elrakhawy, M. Saffan, A. Ghonim, M. Rizk, Ashraf Elnahhas, Mahmoud Elshafea, E. Fawzy, A. Sobhi, M. Ghalwash, T. Khattab, A. Elsebaeyshousha, Marwan Sadek, Mohamed A Alassal","doi":"10.15226/2573-864X/3/2/00140","DOIUrl":"https://doi.org/10.15226/2573-864X/3/2/00140","url":null,"abstract":"Background: This study was done to compare between the use of the radial artery and the great saphenous vein when they are used as conduits for the obtuse marginal artery during coronary artery bypass surgery. Methods: 60 patients in need for coronary artery bypass surgery were included in this study (CABG). The left internal thoracic artery (LITA) was used regularly as a conduit for the left anterior descending artery (LAD) in all of them. The radial artery (RA) was used as a conduit for the obtuse marginal artery (OM) in 30 patients, and in the other 30 patients the great saphenous vein (SVG) was used to graft the obtuse marginal artery. Both of them (the radial artery and the great saphenous vein) were used as aortocoronary bypass. All the patients were assessed for the primary outcomes as postoperative bleeding, reopening, arrhythmia, low cardiac output, angina, myocardial infarction, ICU stay, wound complications, hospital stay and death. Electrocardiogram and echo was done for all patients 2 weeks, 3 months and 6 months after surgery. Results: There is no myocardial infarction, angina, and postoperative electrocardiogram and echo abnormalities in both groups. Postoperative bleeding was more common in the radial artery group, and leg wound infection was more common in saphenous vein group. Conclusion: Short term results of both (the radial artery and SVG) are the same when they are used as conduits to bypass lesions in the obtuse marginal artery during cardiopulmonary bypass surgery. More studies are needed to assess the long term results.","PeriodicalId":362247,"journal":{"name":"American Journal of Cardiovascular and Thoracic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131184533","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