The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jul 2011
Comparative StudyHealth-related quality of life in patients with congenitally corrected transposition of the great arteries.
The study's objectives were to survey the quality of life in patients with congenitally corrected transposition of the great arteries and to compare the responses of those who have undergone anatomic repair with those who have a systemic right ventricle. ⋯ Patients in the anatomic repair group had similar quality of life compared with patients in the non-anatomic group, except in the domain of school functioning. Prolonged hospital stay and need for a pacemaker after anatomic repair may be risk factors for lower quality of life.
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J. Thorac. Cardiovasc. Surg. · Jul 2011
Intraoperative direct measurement of left ventricular outflow tract gradients to guide surgical myectomy for hypertrophic cardiomyopathy.
We sought to summarize our recent experience with intraoperative monitoring for management of patients undergoing surgical myectomy for hypertrophic obstructive cardiomyopathy with emphasis on dynamic left ventricular outflow tract obstruction. We also analyzed the impact of these data on surgical decision-making and adequacy of septal myectomy. ⋯ Direct intraoperative measurement of pressures in the left ventricle and aorta provides important hemodynamic data in addition to intraoperative transesophageal echocardiography findings. This information assists the surgeon in defining the extent of myectomy.
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J. Thorac. Cardiovasc. Surg. · Jul 2011
Endovascular fenestration in aortic dissection with acute malperfusion syndrome: immediate and late follow-up.
To evaluate the immediate and long-term results of fenestration in aortic dissection with acute malperfusion syndrome. ⋯ In emergencies, fenestration saved 69% of the patients with acute malperfusion syndrome in complicated aortic dissection. During the follow-up period, the aortic diameter remained stable in most of the surviving patients.