The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Jun 2013
Comparative StudyClosure of perimembranous ventricular septal defects with intraoperative device technique: another safe alternative to surgical repair.
This study aims at assessing the safety and feasibility of intraoperative device closure of the perimembranous ventricular septal defect (VSD). ⋯ Minimally invasive transthoracic device closure of the perimembranous VSD with an asymmetric or a symmetric domestically made device without cardiopulmonary bypass is safe and feasible. It should be considered an acceptable alternative to surgery in selected subgroups. However, it is necessary to evaluate the long-term results.
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Thorac Cardiovasc Surg · Jun 2013
Quantification of morbidity associated with congenital heart surgery.
The objective of this study was to estimate the morbidity according to observed complications after congenital heart surgery over 1-year period. ⋯ Quantification of morbidity indicates the length of ICU stay and the duration of mechanical ventilation as the best surrogates for morbidity. Such benchmarking and scoring of observed postoperative complications paves the way for an accurate assessment and improvement of quality care in congenital heart surgery.
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Thorac Cardiovasc Surg · Jun 2013
Case ReportsContribution of giant aneurysm of a membranous ventricular septal defect to right ventricular outflow tract obstruction.
Perimembranous defects are the most common types of ventricular septal defects (VSDs). In many cases, an aneurysm accompanies this defect. ⋯ However, it also has numerous complications that are frequently encountered in clinical practice. In this case, we describe a patient with a membranous VSD with giant aneurysm formation contributing to subpulmonic severe obstruction.
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Thorac Cardiovasc Surg · Jun 2013
Case ReportsEndograft failure in an adult patient with coarctation and bicuspid aortic valve.
A 25-year-old man presented with associated bicuspid aortic valve and coarctation of the aorta. Following aortic valve replacement, he underwent endovascular stenting of his native coarctation. We describe early failure of the latter procedure that necessitated definitive surgical correction.
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Thorac Cardiovasc Surg · Apr 2013
Comparative StudyChronic poststernotomy pain after cardiac surgery: correlation of computed tomography findings on sternal healing with postoperative chest pain.
The aim of this study was to correlate CT findings on sternal healing to late postoperative chest pain after median sternotomy. ⋯ In general, there is only a weak correlation between late postoperative chest pain and quality of sternal reunion. However, with an extent of failed sternal reunion over a width of 3 mm and the presence of imperfect ossification in more than one segment of the sternum, a significant increase of pain intensity in the regions of chest and shoulder was observed.