Journal of cardiac surgery
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Comparative Study
The Maze procedure for the treatment of atrial fibrillation: a minimally invasive approach.
The standard Maze procedure has proven to be extremely effective in curing atrial fibrillation in thousands of patients worldwide. Until now it has required a median sternotomy and cardiopulmonary bypass. In order to simplify the standard approach, a minimally invasive technique was developed. We have recently applied this minimally invasive Maze procedure in 72 patients. ⋯ We believe that the minimally invasive Maze procedure is a substantial improvement over the standard approach in terms of patient morbidity while preserving the effectiveness of the Maze procedure in curing atrial fibrillation.
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Comparative Study
N-acetylcysteine reduces lung reperfusion injury after deep hypothermia and total circulatory arrest.
We hypothesized that the use of N-acetylcysteine would ameliorate the lung reperfusion injury observed after deep hypothermia and total circulatory arrest (DHTSA). ⋯ Results represented in our study indicate that addition of NAC into the pump after DHTSA can reduce lung reperfusion injury.
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Transmediastinal gunshot wounds are infrequent but life-threatening injuries. The course of the projectile and the bullet track often is unpredictable. ⋯ We describe a patient with total mediastinal traverse, who presented with right-sided hemopneumothorax. The work-up revealed surprisingly an isolated left internal mammary artery transection with a significant hemorrhage that mandated surgical intervention in left chest.
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In three adult patients with diseased congenital bicuspid aortic valves and aneurysms of the ascending aorta, we performed aortic valve replacements, and combined a proximal and middle vertical reduction aortoplasty with a distal external synthetic wrapping. During a mean follow-up of 23.3 months there is no evidence of compression of the innominate artery by the distal external synthetic wrap, and no redilatation of the ascending aorta.
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Review Comparative Study
Repair of complete atrioventricular septal defect with tetralogy of fallot: our experience and literature review.
The aim of this report is to describe the rationale of our surgical approach, to explore the best management for complete atrioventricular septal defect associated with the tetralogy of Fallot (CAVSD-TOF), and to present our outcome in relation to the previously reported series. ⋯ Complete repair in patients with CAVSD-TOF seems to offer acceptable early and mid-term outcome in terms of mortality, morbidity, and reoperation rate. Palliation prior to complete repair may be reserved in specific cases presenting small pulmonary arteries or severely cyanotic neonates. The RVOT should be managed in the same fashion as for isolated TOF; however, a transatrial transpulmonary approach is our approach of choice.