European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Jan 2006
Case ReportsA technique to reposition sinotubular junction in aortic valve reimplantation procedures with the De Paulis Valsalva graft.
Sinotubular junction reconstruction in reimplantation type of valve-sparing aortic procedure can present some problem when a Valsalva graft is used. Since in the Valsalva graft the sinotubular junction height is predetermined, correct matching with native commissures height can be difficult. We propose a method by which it is possible to create a new sinotubular junction in Valsalva graft without altering its original configuration.
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Pneumonectomy for complex aspergilloma is associated with high morbidity rates. This study aimed to improve the outcomes of this high-risk procedure by preventing postoperative complications. ⋯ Pneumonectomy for symptomatic complex aspergilloma can be performed with no mortality and low morbidity. The favorable results of this potentially deleterious procedure hinge on the efforts to prevent postoperative complications.
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Eur J Cardiothorac Surg · Jan 2006
Nuss procedure improves the quality of life in young male adults with pectus excavatum deformity.
The Nuss procedure is a minimally invasive pectus repair. This study represents an attempt towards exploring the changes in quality of life and overall satisfaction in young male adults who underwent a Nuss procedure. ⋯ The Nuss procedure has already been shown to have a positive impact on both the physical and psychosocial well-being of children who are suffering from pectus excavatum deformity. We have shown a similar positive impact in young male adults, in the short term.
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Eur J Cardiothorac Surg · Jan 2006
Short-term and long-term cognitive function and cerebral perfusion in off-pump and on-pump coronary artery bypass patients.
The aim of this study was to evaluate cognitive function, as measured by serial neuropsychological testing, and cerebral perfusion, as measured by brain SPECT scanning in patients with coronary artery diseases (CAD) following off-pump and on-pump coronary artery bypass graft surgery. Besides, the relationship between cerebral blood flow, cognitive functions, surgery parameters, and cardiac function in these patients were estimated. Also, brain-protective effects of instenon were studied. ⋯ The coronary revascularization on beating heart or preventive administration of instenon in CPB patients helps significantly to diminish the risk of cerebrovascular complication.
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Eur J Cardiothorac Surg · Jan 2006
A canine experimental study to assess the potential of unilateral double lobar lung transplantation.
We recently reported a technique of unilateral double lobar lung transplantation (UDLLT) in a canine model that was associated with satisfactory early pulmonary function. The purpose of the present experimental study was to assess the quality of bronchial healing, complication rates, survival rates and long-term pulmonary function of this new transplantation technique. ⋯ This procedure was associated with a high complication incidence in the non-anatomically positioned graft. However, a precise surgical technique could decrease these complications. This technically demanding procedure provided excellent pulmonary function and good bronchial healing.