The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Apr 2008
Comparative StudyCardiac surgery in patients on chronic hemodialysis: short and long-term survival.
Open-heart surgery carries a high risk for hemodialysis patients. This study focuses on the short and long-term outcomes of hemodialysis patients undergoing heart surgery. ⋯ Patients on dialysis have a high risk of perioperative mortality and poor long-term survival rates. Mortality is higher and survival is worse after combined CABG and valve-related procedures or multiple valve surgery than after isolated CABG and AVR.
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Thorac Cardiovasc Surg · Apr 2008
Comparative StudyThoracoscopic lobectomy with systemic lymph node dissection for lymph node positive non-small cell lung cancer--is thoracoscopic lymph node dissection feasible?
The impact of thoracoscopic systemic lymph node dissection (LND) on loco-regional control of non-small cell lung cancer (NSCLC) with positive lymph node metastasis was investigated. ⋯ In general, thoracoscopic lobectomy for c-stage I disease may have no survival disadvantage over open procedures. It might, however, increase the risk of local recurrence when used to treat pathologically node-positive disease. Caution should be used when treating those cases with thoracoscopic surgery.
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Thorac Cardiovasc Surg · Mar 2008
Comparative StudyImpact of different pacing modes on left ventricular function following cardiopulmonary bypass.
Patients with severely impaired left ventricular (LV) function often demonstrate prolonged inter- and intraventricular conduction. This prospective study investigates hemodynamic effects and outcomes of perioperative temporary biventricular pacing in patients with heart failure undergoing heart surgery. ⋯ In the majority of patients with reduced LV function, temporary biventricular pacing improves CO and arterial blood pressure after surgery, especially when LV dilatation is present.
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Thorac Cardiovasc Surg · Mar 2008
Case ReportsDelayed pericardial tamponade, mitral insufficiency and VSD after stab wound to the heart.
We report a case of delayed pericardial tamponade and presentation of a mitral insufficiency and traumatic ventricular septal defect (VSD) after a cardiac stab wound in an attempted suicide. Delayed tamponade in combination with a VSD and mitral valve injury is a rare complication after a stab wound to the heart. Normal echocardiographic findings, no murmur at admission and relatively benign clinical conditions may be misleading after cardiac trauma. The presented case links the rapid deterioration of the clinical condition and the development of a pericardial effusion to a Valsalva maneuver.