General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Nov 2019
Preoperative frailty is associated with progression of postoperative cardiac rehabilitation in patients undergoing cardiovascular surgery.
Preoperative frailty affects the progression of cardiac rehabilitation (CR) after cardiovascular surgery. Different frailty assessment measures are available. However, it remains unclear which tool most likely predicts the progress of CR. Our aim was to evaluate preoperative frailty using different methods and to identify the predictors in the progress of postoperative CR. ⋯ Among the various tools for assessing frailty, the Kaigo-Yobo Check-List was most likely to predict the progress of postoperative CR after elective cardiovascular surgery.
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Gen Thorac Cardiovasc Surg · Oct 2019
Review"De-airing" in open heart surgery: report from the CVSAP nation-wide survey and literature review.
Since the beginning of cardiac surgery, retained intracardiac air has been an important problem. While transesophageal echocardiography enabled to visualize the air and de-airing procedures have been routinely done, they appear to vary much among institutions not necessarily based on firm scientific evidence. Thus, "de-airing" was chosen as the theme of 2016 CVSAP (cardiovascular surgery and anesthesia and perfusion) symposium and a nation-wide questionnaire survey was carried out prior to it. ⋯ They also expect that clinical engineers understand "de-airing" better and operate the extracorporeal circulation system appropriately to avoid an occurrence of undesirable event. Some surgeons anticipated a convenient device for de-airing. Furthermore, some questions to be solved in the future were raised, including how meticulously the bubbles should be removed or how efficient carbon dioxide insufflation is.
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Gen Thorac Cardiovasc Surg · Sep 2019
Case ReportsDelayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures.
A delayed hemothorax requiring surgical treatment is considered a rare minor thoracic injury. We experienced four cases of delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures. ⋯ Emergency surgical treatment was performed, and intraoperative findings revealed a diaphragmatic laceration with oozing due to injury caused by the edge of a fractured rib. After the operation, all patients were successfully discharged.
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Gen Thorac Cardiovasc Surg · Sep 2019
Case ReportsAssociation of G472A allele of membrane bound catechol-O-methyltransferase gene with chronic post-sternotomy pain.
Chronic persistent surgical pain (CPSP) is a complex disease with strong genetic component. The studies on revealed association of mutations in membrane bound catechol-O-methyltransferase gene with CPSP were reported indifferent ethnic populations across the globe. We identify that one out of four patients who underwent sternotomy procedure showed CPSP even after 3 months of surgery. ⋯ In this study 25% (1/4) showed presence G472A allele correlating with CPSP. Further the study suggested that evaluation of G472A allele of Mb. COMT gene in the patients undergoing sternotomy for monitoring pain in pre and post-surgical events.
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Gen Thorac Cardiovasc Surg · Jul 2019
Multicenter StudyMitral valve repair in infective endocarditis is not inferior to valve replacement: results from a Spanish nationwide prospective registry.
Infective endocarditis (IE) still carries high morbidity and mortality and frequently requires surgery. The benefit of mitral valve repair (MVr) in the setting of IE is yet to be proven. The goal of this study was to assess the results of MVr in patients with IE after a minimum follow-up of 1 year. ⋯ MVr is an attractive option for specific patients with IE and does not seem to negatively impact on relapses.