The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Jan 2013
Comparative StudyInfluence of gender on postoperative outcome after intra-aortic balloon counter-pulsation and cardiac surgery.
Female gender is an established risk factor for worse outcomes after cardiac surgery, and women are more likely to experience postoperative complications. Our aim was to analyze the influence of gender on outcome and postoperative complications after the use of intra-aortic balloon counter-pulsation (IABP) in cardiac surgery patients. ⋯ Women have a worse outcome after the use of IABP, including LOS at the ICU, postoperative renal failure, and inhospital mortality, despite higher EF, when compared with men.
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Thorac Cardiovasc Surg · Jan 2013
Comparative StudyGender does matter: gender-specific outcome analysis of 67,855 heart transplants.
Gender differences between donor and recipient might have an impact on the outcome after heart transplantation (HT). Data of more than 67,000 patients registered at the International Society of Heart Lung Transplantation (ISHLT) were reviewed focusing on the influence of gender differences on short- and long-term outcome after HT. ⋯ The combination male recipient/female donor carries a higher risk for early mortality, whereas female recipients/male donor reveals favorable short-term results. Gender-matched HT would be ideal, but not suitable in practice because of the shortage of organs.
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Thorac Cardiovasc Surg · Jan 2013
Comparative StudyGender-dependent differences in patients undergoing tricuspid valve surgery.
The proportion of women in tricuspid valve (TV) surgery is almost 60% and above, especially in redo surgery. Is there a different epidemiology for male or female patients regarding the incidence of TV regurgitation? Are there differences in the peri- and postoperative outcome in male and female patients? In these questions, we were interested in and investigated our database of patients with isolated TV surgery. ⋯ We were not able to find significant gender-dependent differences in the postoperative outcome after isolated TV surgery, but there seem to be demographic gender-dependent differences regarding the reasons for TV surgery, which could influence the treatment of patients.
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Thorac Cardiovasc Surg · Dec 2012
Case ReportsA rare pattern of acute type A aortic dissection: circumferential intimal invagination.
A 59-year-old patient with chest pain was transferred to our emergency unit. Computed tomography depicted a dissection membrane limited to the aortic root and a seemingly normal ascending aorta. ⋯ Ascending aortic and hemiarch replacement was performed. This rare case should raise the surgeons' awareness that preoperative imaging can differ considerably from intraoperative findings.