Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Feb 2009
Sorin Bicarbon bileaflet valve: a 9.8-year experience. Clinical performance of the prosthesis after heart valve replacement in 587 patients.
To determine early and mid-term clinical performance of the Sorin Bicarbon bileaflet prosthesis. ⋯ Sorin Bicarbon prosthesis provides excellent clinical results and mid-term survival with very low complication rates comparable with those of other bileaflet prostheses currently in use.
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Interact Cardiovasc Thorac Surg · Feb 2009
Case ReportsEndovascular stent placement for acute type-B aortic dissection with malperfusion--an intentional surgical delay and a possible 'bridging therapy'.
Acute aortic dissection frequently causes life-threatening organ ischemia. The optimal therapy for acute type-B aortic dissection is still controversial. Early surgery for acute dissections with organ malperfusion is known to carry a high morbidity and mortality. ⋯ It immediately relieved the abdominal and lower limb ischemic symptoms. The advantage of small-sized stent placement is its easiness and being gentle to fragile intima. The small-sized stent placement for patients with acute aortic dissection with visceral organ ischemia may be a promising 'bridging therapy' before they undergo traditional central repair.
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Interact Cardiovasc Thorac Surg · Feb 2009
Case ReportsCardiac arrest as a major complication of bilateral cervico-dorsal sympathectomy.
Severe palmar and/or axillary hyperhidrosis can be socially and psychologically very disturbing. We present a case of a patient who suffered from a 43 s asystolic cardiac arrest the night following a second contralateral thoracoscopic T(2)-T(3) sympathectomy for severe axillary and truncal hyperhidrosis. The cardiovascular effects of cervico-dorsal sympathectomy will be reviewed. Evaluation required to prevent such a serious cardiac complication will also be discussed.