European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Dec 2012
Prognostic significance of cardiac troponin I on admission for surgical treatment of acute pulmonary embolism: a single-centre experience over more than 10 years.
Cardiac troponin I (cTnI) is a highly sensitive, specific marker for myocardial cell injury. We sought to determine whether cTnI on admission may help to identify patients with increased risk of open surgical embolectomy with acute pulmonary embolism (PE). ⋯ cTnI on admission may improve risk assessment of patients undergoing open surgical embolectomy due to acute PE.
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Eur J Cardiothorac Surg · Dec 2012
Comparative Study Clinical TrialComparison between homografts and Freestyle® bioprosthesis for right ventricular outflow tract replacement in Ross procedures.
Although data from large series indicate the satisfactory performance of bioprosthetic valves in the right ventricular outflow tract (RVOT), replacement of the pulmonary valve in adult patients undergoing the Ross procedure is usually performed with pulmonary allografts. We evaluated the outcomes of homografts vs. bioprosthetic RVOT replacement after the Ross procedure in adults. ⋯ Patients with bioprostheses in the RVOT position after the Ross procedure showed a significantly higher risk of reintervention or pulmonary valve dysfunction. The main problem, early development of a stricture at the proximal suture line, has to be solved to achieve satisfactory bioprosthetic function in the RVOT.
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Eur J Cardiothorac Surg · Dec 2012
Randomized Controlled TrialSelective pulmonary pulsatile perfusion with oxygenated blood during cardiopulmonary bypass attenuates lung tissue inflammation but does not affect circulating cytokine levels.
Improved respiratory outcome has been shown after selective pulsatile pulmonary perfusion (sPPP) during cardiopulmonary bypass (CPB). No contemporary study has analysed the impact of sPPP on alveolar and systemic inflammatory response in humans. ⋯ sPPP attenuates alveolar inflammation, as demonstrated by the lower neutrophilic/lymphocytic alveolar infiltration, and the secretion of anti-inflammatory rather than proinflammatory mediators.
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Eur J Cardiothorac Surg · Dec 2012
Case ReportsSingle-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy.
Video-assisted thoracoscopic surgery (VATS) segmentectomies are usually more complex procedures than lobectomies. With the gained experience in the field of thoracoscopic surgery, many thoracic surgery departments have progressively adopted this technique to preserve lung parenchyma, especially in cases of metastasis or benign conditions. The majority of surgeons use three incisions but the procedure can be performed by only one port. We report the first anatomic segmentectomy performed by uniportal VATS with no rib spreading.
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Eur J Cardiothorac Surg · Dec 2012
Controlled Clinical TrialThoracoscopic closure of ventricular septal defect in young children: technical challenges and solutions.
To investigate the feasibility and safety of totally thoracoscopic repair of ventricular septal defects (VSDs) in young children. ⋯ Thoracoscopic closure of VSDs in young children appears feasible and safe.