Cardiovascular surgery (London, England)最新文献

{"title":"Which strategy should be chosen for ischemic free wall rupture on-pump or off-pump?","authors":"Y. Misawa","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.2.48-49","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.2.48-49","url":null,"abstract":"In 2017, I reported sutureless repair as a treatment for ischemic heart rupture, and found that an offpump technique using fibrin glue sheets or other materials might contribute to excellent clinical results. In a similar case, Ishii and colleagues reported a patient who underwent sutureless repair with hemostat materials on the bleeding site without cardiopulmonary bypass. Even today, conventional repair under cardiopulmonary bypass leads to unsatisfactory results. A case of a huge pseudoaneurysm after such a repair of left ventricular wall rupture was reported. Although this kind of repair is a simple procedure for ischemic rupture of the left ventricle, clinicians should consider that it carries a potential risk of aneurysmal formation after surgery.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"22 1","pages":"48-49"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038841","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":"Commentary: Transcatheter aortic valve implantation in morphologically complex root-aneurysms.","authors":"B. Winkler, M. Grabenwöger, M. Mach","doi":"10.35841/cardiovascular-surgery.1.2.44-45","DOIUrl":"https://doi.org/10.35841/cardiovascular-surgery.1.2.44-45","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039166","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":"Chest wall desmoid tumor after double lung transplantation","authors":"Matthew P. Fahrenkopf, John P. Kelpin, Edward Murphy, E. Komorowska‐Timek","doi":"10.35841/CARDIOVASCULAR-SURGERY.2.1.1-5","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.2.1.1-5","url":null,"abstract":"Desmoid tumors pose a number of unique challenges to treating physicians. They have an unpredictable clinical course, aggressive nature, and predilection for recurrence after resection. They frequently develop in areas of previous trauma and have also been thought to be sensitive to hormonal stimuli. Conservative management is often recommended as a primary therapeutic option. Surgery becomes necessary for those patients with symptomatic and/or progressively enlarging lesions. Complete resection is often considered the “gold standard”, but surgeons should always consider minimizing morbidity and maximizing function. There are a limited number of reports in the literature describing desmoid tumors after solid organ transplantation. Here, we report a 66-year-old gentleman who was found to have a mass on his right chest wall two years after lung transplantation. The patient was initially monitored with serial radiographic imaging. Rapid growth prompted a tissue biopsy, revealing a desmoid tumor. Continued expansion and invasion of the lesion into the surrounding osteocutaneous structures required surgical intervention. En bloc resection of the mass with immediate chest wall reconstruction was performed. New lesions developing after transplantation must be monitored with scrutiny. Desmoid tumors, though rare, should be considered in this differential diagnosis. Early diagnosis may decrease patient morbidity by reducing the extent of resection.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"2 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039386","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":"Surgery of extensive defects of the anterior wall of the trachea and soft tissues of the neck after laryngo-tracheostomy","authors":"Eshonhodjaev Otabek Djuraevich, Khudaybergenov Shukhrat Nurmatovich, Hayaliev Rustem Yakubovich, Tuhtaev Denis, Mirsidikov Mirabbos, Egamov Faruh","doi":"10.35841/cardiovascular-surgery.1.3.63-70","DOIUrl":"https://doi.org/10.35841/cardiovascular-surgery.1.3.63-70","url":null,"abstract":"The authors present the results of treatment of 103 patients with extensive defects of the trachea and soft tissues of the neck after laringo-tracheostomy or tracheostomy. The article shows a differentiated approach to the plastic of the anterior wall of the trachea depending on the size of the defect. The efficiency of two-stage reconstructive plastic surgery with the installation of T-stent in the stenosis zone with exposure of 6 months to 8 months is proved. Microsurgical aid was needed for patients who had previously undergone multiple interventions on the trachea in other hospitals.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"46 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70039551","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":"Endovascular treatment of a carotid pseudoaneurysm with covered stents: Case report and review of the literature.","authors":"M. A. Hosn","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.1.11-14","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.1.11-14","url":null,"abstract":"Although endovascular placement of covered stent grafts has emerged as the primary treatment modality for arterial aneurysms, pseudoaneurysms and traumatic arterial injuries especially in high risk patients and in those with surgically inaccessible lesions, their use in carotid pseudoaneurysms remains uncommon and is limited to case reports and small case series. We report a successful endovascular treatment of a spontaneous right carotid pseudoaneurysm with a covered stent with no immediate perioperative complication and complete exclusion of the pseudoaneurysm on follow up imaging. We also review the literature on the treatment of carotid pseudoaneurysms with covered stents.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"01 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038520","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":"Survival analysis and postoperative complications after ventricular assist device implantation; prognostic value of INTERMACS scale","authors":"Ahmed Ahmed, Pizanis Nikolaus, Koch Achim, Carstens Henning, Rassaf Tienush, Ludike Peter, Kamler Markus","doi":"10.35841/cardiovascular-surgery.1.1.15-23","DOIUrl":"https://doi.org/10.35841/cardiovascular-surgery.1.1.15-23","url":null,"abstract":"Background: Ventricular assist devices (VADs) improve survival and quality of life in patients with refractory heart failure. This study retrospectively evaluates patients’ profiles, clinical outcome in patients who underwent LVAD implantation in regard to their INTERMACS level. Methods: In a single center analysis, data of 104 patients after LVAD implantation between August 2010 and March 2015 were analyzed retrospectively. According to INTERMACS level, 3 groups were compared: Group A (INTERMCAS level 1, n=27 patients), group B (INTERMACS level 2/3, n=47) and group C (INTERMACS level 4-6, n=30). Preoperative parameters and postoperative outcome were compared between groups. Results: Mortality was higher in group A compared to group B (p=0.017) and group C (p=0.017). Sepsis was the most common post-operative complication after LVAD implantation. Conclusion: INTERMACS level was related to outcome after LVAD implantation. Optimization of preoperative volume status, preload and sepsis management are recommended to lower mortality in these patients.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"01 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038532","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":"Commentary: Shone complex.","authors":"Jaffar S. Shehatha","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.2.46-47","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.2.46-47","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038782","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":"Innovative mirror image transatrial techniques for biventricular repair in inverted dextrocardia","authors":"G. Salve, Shreepal Jain, Manglesh S Nimbalkar, ip S Katkade, Jeril Kurien, Himanshu Choudhury, B. Dalvi, R. Kumar, K. Shivaprakash","doi":"10.35841/CARDIOVASCULAR-SURGERY.1.2.30-38","DOIUrl":"https://doi.org/10.35841/CARDIOVASCULAR-SURGERY.1.2.30-38","url":null,"abstract":"Background: Correction of hearts with situs inversus dextrocardia represent technical challenges due to mirror image anatomy and altered conduction pathway. Ventriculotomy has been the traditional approach for biventricular repair. We report our experience of trans-atrial approach in these patients employing an easily reproducible preoperative delineation of the anatomy. In addition we also discuss our way of surgical execution for these complex subsets. Methods and Findings: 15 patients (M:F=7:8) with situs inversus dextrocardia with diverse congenital cardiac anomalies underwent biventricular repair through our trans-atrial approach from left side of patient with detailed pre-operative evaluation of the anomalies. Orientation of intra-cardiac anatomy was obtained pre-operatively by rendering standard illustrations in reversed and inverted way. Median age and weight were 12 months (4.5 months-31 years) and 5.8 kg (3.4-59 kg) respectively. The surgical spectrum included closure of ventricular septal defects (n=6), repair of double outlet right ventricle (n=3), repair of tetralogy of Fallot (n=5) and double switch operation for congenitally corrected transposition of great arteries, routable ventricular septal defect and pulmonary stenosis. Tricuspid valve leaflet detachment was performed frequently to aid the repair (n=7). Mean hospital stay was 12.4 ± 2.6 days with no hospital mortality. On follow-up, all patients remained in sinus rhythm and in New York Heart Association class I. One patient had a small residual ventricular septal defect with insignificant shunt. Another patient with tetralogy of Fallot correction underwent right pulmonary artery balloon plasty. Patient with double switch operation needed re-admission for supraventricular tachycardia and medical management. Another patient of tetralogy of Fallot re-developed infundibular gradient, awaiting intervention. Conclusions: Trans-atrial biventricular repair is feasible and reproducible in these subsets. The inverted illustrations facilitate in enabling successful repairs while avoiding heart blocks and ventriculotomy. Short-term results are satisfactory.","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":"30-38"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70038965","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":"Experiences in robotically enhanced IMA-preparation as initial step towards totally endoscopic coronary artery bypass grafting","authors":"O Reuthebuch,&nbsp;M Comber,&nbsp;J Grünenfelder,&nbsp;G Zünd,&nbsp;M Turina","doi":"10.1016/S0967-2109(03)00114-5","DOIUrl":"10.1016/S0967-2109(03)00114-5","url":null,"abstract":"<div><p><em>Aim</em><span>: To evaluate the feasibility of robotically enhanced preparation of internal mammary arteries (IMA).</span></p><p><em>Method</em>: Via three trocars in left thoracic wall the left, right or both IMA were skeletonized under CO₂<span> insufflation and single lung ventilation<span> using electrocautery.</span></span></p><p><em>Results</em>: In 12 months, 26 LIMA, five BIMA and one RIMA were dissected. In five patients, the procedure had to be determined (IMA injury (two), respiratory insufficiency (two), and heart penetration (one)). Mean intrathoracic pressure was 9.7±1.5 mmHg. Mean time for LIMA and RIMA dissection was 66.7±21.1 and 99.2±8.7 min, respectively. In 10 patients, pericardium was incised and course of LAD assessed. However, in two patients, this coronary did not correlate with LAD. Time for instrument change depended on type of tool (cautery blade: 24.9±13.1 s, clip applier 72.8±28.4 s).</p><p><em>Conclusion</em><span>: Robotic dissection of IMA is reasonable. However, life-threatening complications can barely be managed due to inadequate tools and excessive time for instrument change. Incorrect determination of coronaries can result in misplaced anastomoses.</span></p></div>","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 6","pages":"Pages 483-487"},"PeriodicalIF":0.0,"publicationDate":"2003-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00114-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24084906","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":"Cardiovascular surgery: A reflection","authors":"James S.T Yao","doi":"10.1016/j.cardiosur.2003.10.001","DOIUrl":"10.1016/j.cardiosur.2003.10.001","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 6","pages":"Pages 439-443"},"PeriodicalIF":0.0,"publicationDate":"2003-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cardiosur.2003.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24085609","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}