European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
-
Eur J Cardiothorac Surg · Sep 1999
Case ReportsBlunt trauma with flail chest and penetrating aortic injury.
Blunt chest trauma with flail chest is common. The mortality attributes initially to the associated pulmonary contusion, massive hemothorax and later to the occurrence of adult respiratory distress syndrome. ⋯ The final diagnosis of the penetrating aortic injury by detached rib fragment was appreciated by aortogram. Unfortunately, active aortic hemorrhage made prompt thoracotomy in vain for life salvage.
-
Eur J Cardiothorac Surg · Sep 1999
Comparative Study Clinical TrialLocal control of disease and survival following bronchoplastic lobectomy for non-small cell lung cancer.
This study was designed to determine whether bronchoplastic resection could be an alternative to pneumonectomy in patients with operable primary lung cancer. ⋯ Bronchoplastic resections achieve local control and long-term survival comparable to standard resections in patients with stage I or II disease, and may be considered as a valuable alternative to pneumonectomy.
-
Eur J Cardiothorac Surg · Sep 1999
Clinical TrialOff-pump arterial grafting: 125 cases using the Medtronic-Utrecht Octopus.
The use of arterial grafts in coronary bypass surgery requires a high degree of cardiac stabilization, traditionally achieved with cardiopulmonary bypass and cardioplegic arrest. The Medtronic-Utrecht Octopus has recently been developed as an advanced cardiac stabilization device, based on its unique suction method for regional epicardial immobilization and retraction. The objective of this study was to investigate the feasibility of using this device to enable total arterial revascularization on the beating, working heart. ⋯ The Octopus maintains excellent local cardiac immobilization--enabling the routine use of arterial grafts in off-pump coronary surgery. It allows easy access to anterior wall vessels on the heart, and relatively straightforward access to the posterior wall. Circumflex branches are graftable with careful case selection and adjunctive technical maneuvers.
-
Eur J Cardiothorac Surg · Aug 1999
Comparative Study Clinical TrialClosure of bronchopleural fistula after pneumonectomy with a pedicled intercostal muscle flap.
The value of the pedicled intercostal muscle flap for the closure of postpneumonectomy bronchopleural fistulas was studied retrospectively. ⋯ The use of the pedicled intercostal muscular flap is an efficient method for the closure of bronchopleural fistula after pneumonectomy.