J Cardiovasc Surg
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It is thought there is an increased incidence of incisional herniation after the repair of an abdominal aortic aneurysm. We sought to assess this premise by reviewing 281 patients who had undergone abdominal aortic aneurysm repair over the preceding eight years at Concord Hospital. Incisional hernias were found in fourteen patients. ⋯ Six of the fourteen patients with a hernia had needed an urgent repair of an abdominal aortic aneurysm. We conclude from this study, that there is no evidence of an increased incidence of incisional hernias associated with aneurysmal disease itself. Rather, the factors causing such hernias are common to all laparotomies for major disease in sick, elderly patients, in the absence of intra-abdominal sepsis.
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The Swan-Ganz catheter complications are infrequent, the most typical one being cardiac arrhythmias. The breaking and embolization of a catheter fragment into the pulmonary vascular system are exceptional and, in any case, benign. We present a patient with severe pulmonary hypertension to the embolization of a Swan-Ganz catheter fragment into the right pulmonary artery which disappeared with the movements of the fragment to the lung periphery.
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Case Reports
Open cardiac massage and periresuscitative cardiopulmonary bypass for cardiac arrest following cardiac surgery.
Three postcardiac surgical patients sustained prolonged cardiac arrest from noncardiac failure causes. They were resuscitated employing open-chest cardiac massage and periresuscitative cardiopulmonary bypass without long-term myocardial or neurological injuries.
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Two rare cases of organic outlet obstruction of intrathoracic stomach following Ivor Lewis oesophagectomy are presented. Aetiology and the management of the same is discussed.