The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Dec 2008
Comparative StudyLack of correlation between smoking status and early postoperative outcome following valve surgery.
We sought to assess the effect of smoking on early outcome following valve surgery. ⋯ Smoking does not seem to be associated with an increased early postoperative risk in patients undergoing valve surgery. However, because of the known effect of smoking on the risk of cardiovascular disease and because the effect of smoking on long-term survival in patients undergoing valve surgery remains unknown, patients should still be encouraged to quit smoking.
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Thorac Cardiovasc Surg · Oct 2008
Can dantrolene protect spinal cord against ischemia/reperfusion injury? An experimental study.
The aim of this experimental study was to investigate the possible protective effect of dantrolene on neuronal injury induced by aortic ischemia/reperfusion (I/R). ⋯ It was concluded that dantrolene applied after ischemia might help protect the spinal cord against ischemia/reperfusion injury.
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Thorac Cardiovasc Surg · Oct 2008
A staged approach towards interventional aortic valve implantation with a sutureless valve: initial human implants.
Percutaneous implantable aortic valves may become an alternative to conventional approaches. The purpose of this study was to assess a new sutureless aortic valve (Perceval Sorin). As a first step, an open approach using cardiopulmonary bypass (CPB) was chosen to evaluate the feasibility of implantation. ⋯ The new approach as described here is a technically simple alternative to conventional aortic valve replacement in high-risk patients and offers the potential of less invasive approaches. It appears especially useful in patients with severe calcification of the aortic root. CPB and cross-clamping times were markedly reduced compared with patients who underwent conventional operations.
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Thorac Cardiovasc Surg · Oct 2008
Early and late results of permanent atrial fibrillation ablation surgery in aortic valve and CABG patients.
The study investigates the early and late results of permanent atrial fibrillation (AF) ablation surgery concomitant to coronary artery bypass grafting (CABG) and/or aortic valve (AV) surgery. ⋯ Preoperative permanent AF duration time and larger LA size are useful variables to predict the success rate of concomitant ablation surgery in CABG and/or AV patients. Further it could be demonstrated that established SR remained stable over time.
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Thorac Cardiovasc Surg · Oct 2008
Case ReportsCongenital aberrant vessel as a source of massive hemothorax in blunt trauma.
A congenital aberrant vessel in the pleural cavity has rarely been described in the literature. It has been known to be a source of bleeding in spontaneous hemopneumothorax. As a result of the lack of pleural adhesions around the vessel, a congenital aberrant vessel is prone to deceleration injury. This is a case of massive hemothorax caused by a ruptured aberrant congenital vessel in a blunt trauma victim who sustained a two meter fall.