General thoracic and cardiovascular surgery
-
Gen Thorac Cardiovasc Surg · Jun 2012
Case ReportsBidirectional Glenn procedure for an infected modified Blalock-Taussig shunt.
A 1-month-old girl underwent right modified Blalock-Taussig shunt (mBTS) for pulmonary atresia with hypoplastic right ventricle. Five months after palliation, she suffered from sepsis and progressive desaturation following otitis media. ⋯ Her condition improved, and she was discharged on the 17th day after surgery. When parameters for the partial right heart bypass should permit, the BDG procedure can be a beneficial recovery procedure for the cases of infected pseudoaneurysm after mBTS in Fontan candidates.
-
Gen Thorac Cardiovasc Surg · Jun 2012
Pulmonary valve replacement long after repair of tetralogy of Fallot.
Pulmonary valve replacement long after repair of tetralogy of Fallot can improve cardiac function, functional status, and arrhythmia propensity. This has not been reported in Japan. We aim to evaluate the effects of pulmonary valve replacement in repaired tetralogy of Fallot. ⋯ Pulmonary valve replacement long after repair of previous tetralogy of Fallot had clinical benefits with low mortality. We recommend bioprosthesis for pulmonary valve replacement when adult-sized valve can be accommodated.
-
Gen Thorac Cardiovasc Surg · May 2012
Case ReportsComplete atrioventricular block subsequent to thrombosed-type acute aortic dissection.
We report a case of complete atrioventricular block subsequent to thrombosed-type acute aortic dissection. An 81-year-old woman with thrombosed-type acute aortic dissection experienced cardiopulmonary arrest and complete atrioventricular block 6 days after aortic dissection. ⋯ Atrioventricular conductivity disorders that result in complete atrioventricular block are rare complications developing after aortic dissection, especially thrombosed-type aortic dissection. We discuss the cause of atrioventricular block subsequent to aortic dissection.
-
Gen Thorac Cardiovasc Surg · May 2012
Induction chemotherapy, extrapleural pneumonectomy, and adjuvant radiotherapy for malignant pleural mesothelioma: experience of Guy's and St Thomas' hospitals.
The treatment of malignant pleural mesothelioma (MPM) remains controversial. We present a prospective study of patients treated at our institution with neoadjuvant chemotherapy, extrapleural pneumonectomy (EPP), and radical radiotherapy. ⋯ Despite recent advances in chemotherapy, surgery, and radiotherapy, survival rates remain low for patients with MPM completing multimodality therapy including EPP.
-
Gen Thorac Cardiovasc Surg · May 2012
Short-term and long-term outcomes of postinfarction ventricular septal perforation.
Ventricular septal perforation represents a serious complication after acute myocardial infarction. This study aimed to evaluate the short-term and longterm outcomes of postinfarction ventricular septal perforation (VSP). ⋯ The long-term survival outcome of VSP patients during the postoperative period was comparatively good, but the prognosis of VSP patients with multivessel disease was not satisfactory because of congestive heart failure or ventricular arrhythmia. We believe that postoperative medical treatment for preventing cardiac remodeling is important for improving long-term survival outcomes in such patients.