Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Mar 2010
Traumatic fracture of nitinol thermoreactive sternal clips.
Median sternotomy can be associated with significant morbidity, including non-union, dehiscence and mediastinitis. The use of flexible thermoreactive sternal clips has been introduced recently as an alternative method of sternal closure and is advocated in patients at increased risk of sternal breakdown. It is associated with a decreased incidence of sternal complications as well as allowing faster sternal closure and easy removal on resternotomy. This report describes the case of a fractured thermoreactive clip following trauma, resulting in sternal dehiscence necessitating sternal rewiring.
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Interact Cardiovasc Thorac Surg · Mar 2010
Case ReportsIntraoperative fluorescence imaging during surgery for coronary artery fistula.
A 45-year-old man had a history of myocardial infarction at one month prior to admission. Coronary angiography revealed a dilated fistula originating from the left anterior descending coronary artery to the pulmonary artery. Two orifices of the draining artery were closed through pulmonary arteriotomy. ⋯ Before and after the cardiopulmonary bypass, fluorescent dye angiography was performed with indocyanine green. Fluorescence imaging revealed complete closure of the fistula and no residual shunt flow. Postoperative coronary angiography revealed neither a residual fistula nor injury to the coronary artery.
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Interact Cardiovasc Thorac Surg · Mar 2010
Case ReportsThe rupture of descending thoracic aorta due to the necrosis of aortic intimal sarcoma.
Aortic intimal sarcoma is rare and the prognosis is very poor. We experienced a case of ruptured aortic intimal sarcoma in the descending aorta. A 69-year-old man underwent an emergency operation for the rupture of descending aorta. ⋯ The histological examination of aortic wall showed aortic intimal sarcoma. The patient developed a local recurrence and abdominal dissemination of the tumor three months after surgery. We report the case and discuss about the diagnosis and treatment of thoracic aortic intimal sarcoma.
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Interact Cardiovasc Thorac Surg · Mar 2010
Editorial Comment Historical ArticleThe evolution of aortic root surgery for Marfan syndrome.