The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Malperfusion Syndrome in Patients Undergoing Repair for Acute Type A Aortic Dissection: Presentation, Mortality and Utility of the Penn Classification.
The current study aims to report the presentation of the malperfusion syndrome in patients with acute Type A aortic dissection admitted to surgery and its impact on mortality. ⋯ Nearly half of the examined cohort presented with signs of malperfusion syndrome predominantly due to local involvement. More than one-third of patients with local malperfusion syndrome had a multivessel involvement. Furthermore, different levels of Penn classification can be used only as a first tool for preliminary stratification of early mortality risk.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
A Randomized Study of Cryoablation of Intercostal Nerves in Patients Undergoing Minimally Invasive Thoracic Surgery.
Minimally invasive thoracic surgery can cause significant pain, and optimizing pain control after surgery is highly desirable. We examined pain control after intercostal nerve block with or without cryo-ablation of the intercostal nerves. ⋯ In this randomized study, cryo-analgesia did not decrease postoperative pain or narcotic requirements. Cryo-analgesia increased neuropathic pain two weeks after surgery.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Current outcomes of systemic-to-pulmonary artery shunt in patients with biventricular circulation.
This study investigated the outcomes after systemic-to-pulmonary artery shunt (SPS) in patients with biventricular circulation. ⋯ In the current era, SPS is a safe and useful option for patients with biventricular circulation. In patients with risk factors for in-hospital MASE, meticulous efforts should be directed towards preventing pulmonary overcirculation to further enhance outcomes.