Search Results
Results 201 - 250 of 627
< 1 2 3 4 5 6 7 8 9 10 >
Henderson Dan J - - 2008
External compression is a rare cause of acute lower limb ischemia. Workers required to wear immersion suits during helicopter simulation training are exposed to external compressive forces which can alter the hemodynamics in arterial bypass conduits. Herein a case of arterial thromboembolization to the lower limb following the wearing of ...
Nakayama Mitsuyuki - - 2008
Patients demonstrating critical limb ischemia with a long-distance occlusion of the major arteries are sometimes poor candidates for bypass surgery, because tandem occlusion complicates distal anastomoses and poor run-off causes early occlusion of bypass grafts. In order to resolve these problems, angiogenesis therapy was attempted by subcutaneous injection of granulocyte ...
Kober Benjamin J - - 2008
We report a 67-yr-old male after multiple surgical procedures for treatment of arterial occlusive disease who suffered an anaphylactic reaction after administration of aprotinin (Trasylol) prior to urgent coronary artery bypass surgery. The patient had been treated with aprotinin-containing fibrin sealant in 2004 and in 2007, 2 wk before coronary ...
Huebler Michael - - 2008
In cardiac surgery, the potentially detrimental effects of transfusions on patient outcome are increasingly appreciated. Therefore, at our institution there are continuing efforts to modify our surgical, perfusion, and blood management strategies with the aim of transfusion-free cardiac surgery even in neonates and small children. Stringent improvement of these strategies, ...
Rahman Nasir - - 2008
Coronary perforation is an uncommon complication of percutaneous coronary intervention and the subset of patients developing a subepicardial hematoma without hemopericardium is even rarer. Subepicardial (or intramyocardial) hematomas are often associated with catastrophic events. These hematomas are reported mainly in those with prior coronary artery bypass grafting (CABG). To date, ...
Mehta Yatin - - 2008
Minimally invasive surgery with robotic assistance should elicit minimal pain. Regional analgesic techniques have shown excellent analgesia after thoracotomy. Thus the aim of this study was to compare thoracic epidural analgesia (TEA) technique with paravertebral block (PVB) technique in these patients with regard to quality of analgesia, complications, and haemodynamic ...
Lee Michael S MS Division of Cardiology, University of California, Los Angeles Medical Center, Los Angeles, CA 90095-171715, USA. - - 2008
The ideal revascularization strategy (bypass surgery versus percutaneous coronary intervention [PCI]) for patients with cardiogenic shock in the setting of left main coronary artery disease is unknown. The Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock Trial and Registry included 164 patients with left main disease who underwent revascularization. ...
Verghese Susan - - 2009
Deep sternal wound infections are a rare but severe complication of coronary artery bypass graft (CABG) surgery, with an estimated prevalence of 1%-4%. We report a case of osteomyelitis of the rib and chest wall abscess caused by Aspergillus flavus in a CABG patient, which was treated successfully with voriconazole.
Mehta Yatin - - 2008
OBJECTIVE: To analyze the clinical agreement between the conventional intermittent bolus thermodilution (TD) technique and a new arterial pressure waveform analysis (APCO) technique (FloTrac; Edward Lifesciences, Irvine, CA) for cardiac output (CO) estimation. DESIGN: Prospective observational clinical study. SETTING: Cardiac surgery operating room of a tertiary care cardiac center. PARTICIPANTS: ...
Imanipour Masoomeh - - 2008
AIM: Decreasing mechanical ventilation and early extubation in patients has many clinical and financial benefits. Therefore, an awareness of some variables those are associated with extubation time can help nurses to plan appropriate care aimed at doing an early and safe extubation. In this study, we identified whether any intraoperative ...
Kaddoum Roland N RN Department of Anesthesiology, Wayne State University/The Detroit Medical Center, Room 2901; 2-Hudson, 3990 John R, Detroit, MI 48201, USA. - - 2008
Concomitant coronary artery disease (CAD) and pheochromocytoma are rare. Patients with advanced CAD requiring coronary artery bypass graft (CABG) surgery and clinically active pheochromocytoma present a challenge to anesthesiologists. The risk is much higher if the patient is an anemic Jehovah's Witness because these patients refuse to receive blood or ...
Gunaydin S - - 2008
We compared the clinical efficacy of autologous platelet gel (APG) and gelatine (CONT), including biomaterial evaluation. In a prospective, randomized, controlled trial, 64 patients undergoing complex coronary artery bypass graft (CABG) surgery and/or aortic surgery, in whom the surgeon was able to identify a bleeding site for which conventional means ...
Varghese Indu - - 2008
To what extent the unavailability of coronary artery bypass graft (CABG) anatomy complicates the performance of diagnostic coronary angiography has not been studied. The medical and catheterization records and coronary angiograms of 367 consecutive CABG surgery patients who underwent 394 diagnostic coronary angiographic studies from October 1, 2004, to May ...
Trudell Jason - - 2008
The use of antifibrinolytic therapy is commonplace in coronary artery revascularization procedures. Cardiac surgery accounts for more than 700,000 surgeries per year, with approximately 70% of these cases requiring antifibrinolytic therapy for coronary artery bypass graft (CABG) procedures. Two main classes of antifibrinolytics are used in CABG procedures: synthetic lysine ...
Peña-Tapia Pablo Gerardo - - 2008
OBJECT: The objective of this report is to describe a new approach to identify the optimal cortical target point for extracranial-intracranial (EC-IC) bypass surgery, to reliably find suitable recipient vessels for the anastomosis. METHODS: Thirty consecutive patients (17 men and 13 women; mean age 54.6 +/- 11.79 years [+/- standard ...
Pollack Charles V CV - - 2008
The platelet plays a central role in the pathogenesis of coronary thrombosis after atherosclerotic plaque rupture, and its active inhibition forms a cornerstone of the management of acute coronary syndromes (ACS). Early treatment with clopidogrel in addition to aspirin is more effective than aspirin alone in reducing recurrent ischemic events ...
Bergqvist D - - 2008
AIM AND METHOD: to analyze the presentations given at the annual meeting of European Society for Vascular Surgery: topic, geographical distribution, later publication. Three six-year periods from 1989 have been evaluated. RESULTS: case series dominates but randomized trials have increased somewhat. Papers on animal experiments and basic science have decreased. ...
Mayer Jochen - - 2008
The performance of a recently introduced, arterial waveform-based device for measuring cardiac output (CO) without the need of invasive calibration (FloTrac/Vigileo) has been controversial. We designed the present study to assess the validity of an improved version of this monitoring technique compared with intermittent thermodilution CO measurement using a pulmonary ...
Gasparović Hrvoje - - 2008
While the introduction of off-pump myocardial revascularization (OPCAB) has initially shown promise in reducing respiratory complications inherent to conventional coronary surgery, it has failed to eradicate them. Our study focused on quantifying the lactate release from the lungs and the dysfunction at the level of the alveolar-capillary membrane precipitated by ...
Kainuma Satoshi - - 2008
We report the successful treatment of a rare case of chronic expanding intrapericardial hematoma that had slowly developed into a large mass after coronary artery bypass surgery. An 85-year-old man with a history of coronary artery bypass surgery presented with dyspnea on exertion and leg edema in 2006. Chest roentgenograph ...
Sobolev Boris - - 2008
When access to elective surgery is rationed by wait lists, patients requiring coronary artery bypass grafting may have to wait after a decision to operate has been made. The current literature suggests that a long wait for planned surgical revascularization may lead to worsening of symptoms, deterioration in the patient's ...
Tok M - - 2008
We present a patient suffering from homozygous familial hypercholesterolemia, who developed coronary artery disease in the age of 15 treated with three vessels coronary artery bypass grafting (CABG) operation. 7 years after CABG surgery symptomatic bilateral carotid artery stenoses were observed. Both internal carotid arteries were stented. The combination of ...
Popugaev K A - - 2008
INTRODUCTION: Fluid-resistant arterial hypotension can result in hypoperfusion of the brain and other organs. Well-known causes of arterial hypotension in neurosurgical practice include cardiac failure, septic shock, adrenal insufficiency, brainstem, and cervical spinal cord damage. Fluid-resistant arterial hypotension can occur in patients with brain edema without damage to brainstem when ...
Yildiz Cenk Eray - - 2008
Sarcoidosis, a chronic granulomatous disease with unknown etiology and pathogenesis, affects the skin and many other organs and has a course characterized by remissions and relapses. We describe a patient with sarcoidosis, which we diagnosed retrospectively after we had difficulties in harvesting the left internal thoracic artery because of giant ...
van Dijk Diederik - - 2008
BACKGROUND: Patients with coronary artery disease who underwent coronary artery bypass graft surgery have a high risk of cognitive decline 5 years after the procedure. It is conceivable that this is not caused by the operation, but by natural aging. METHODS: Psychologists repeatedly administered a battery of seven neuropsychological tests ...
Bhojraj Shilpa - - 2008
Patients suffering with significant coronary artery disease undergoing elective noncardiac surgery may benefit by revascularisation prior to noncardiac surgery with high or intermediate risks. Alternatively, combined procedures can be performed. We describe the management of an anaesthetic patient suffering with significant coronary artery disease with left ventricular dysfunction and tumour ...
Bagheri Jamshid - - 2008
BACKGROUND: Postoperative blindness has been mentioned as a rare complication of heart surgery. The majority of reported cases are caused by retinal artery occlusion or ischemic optic neuropathy. We report a case of transient visual loss due to cortical ischemia after coronary artery bypass grafting (CABG). CASE REPORT: A 52-year-old ...
Akbari Hamed - - 2008
BACKGROUND: One of the most important difficulties in laparoscopic surgery is intraoperative blood vessel detection. An accidental injury to a blood vessel may cause serious complications and could result in changing from a laparoscopic procedure to open surgery. Moreover, differentiating arteries from veins is necessary in all surgical cases. In ...
Selnes Ola A - - 2007
BACKGROUND: Cardiopulmonary bypass has been implicated in the late cognitive decline that has been reported after coronary artery bypass graft (CABG) surgery. Because most studies did not include a control group, a causal link of such decline with the use of cardiopulmonary bypass has not been established. METHODS: We compared ...
Hernandez Felix F - - 2007
BACKGROUND: Preliminary reports have documented the safety of off-pump coronary artery bypass graft compared with conventional coronary artery bypass graft surgery. Whereas off-pump coronary artery bypass graft surgery may be associated with improvement in some short-term outcomes, longer-term outcomes and influence on neurocognitive function have not been fully assessed. We ...
Myles Paul S - - 2008
BACKGROUND: Despite some concern that recent aspirin ingestion increases blood loss after coronary artery surgery, there is some evidence that this may reduce thrombotic complications. In contrast, antifibrinolytic drugs can reduce blood loss in this setting, but there is concern that they may increase thrombotic complications. Published guidelines are limited ...
Anderson Curtis A - - 2007
PURPOSE OF REVIEW: The purpose of this review is to assess the current state of robotics in coronary revascularization and to consider what advances may be forthcoming. RECENT FINDINGS: Several groups have been able to utilize robotic telemanipulation to perform coronary revascularization via limited access. Although the patients are highly ...
Eyileten Zeynep - - 2007
The case of coronary artery bypass graft surgery in a 51-year-old woman with a heterozygous form of factor V Leiden, prothrombin mutation G20210A and tumour necrosis factor-alpha -308 G-A associated with high lipoprotein(a) and homocysteinemia levels, as well as elevated factors VIIIc and IX, is presented. She suffered from recurrent ...
Huebler Michael - - 2007
Intraoperative stent implantation into a stenotic left pulmonary artery branch and surgical creation of a bidirectional Glenn anastomosis resulted in avoidance of aortic cross-clamping and transection of the aorta for surgical patching of the pulmonary artery. The hybrid approach thereby reduced the complexity of the surgical procedure, facilitated the use ...
Calles-Vázquez Maria Carmen - - 2007
BACKGROUND/PURPOSE: Lack of growth after surgery is still an unsolved issue in growing vessels. Aortic surgery is an integral part of vascular pediatric surgery. As an alternative to address this lack of growth in this scenario, we propose the use of titanium clips for vascular anastomosis. METHODS: Thirty-two domestic swine ...
Mohammadi Siamak - - 2007
Papillary fibroelastomas have been increasingly described since the widespread use of cardiac echocardiography. Most often diagnosed incidentally, papillary fibroelastomas may embolize, mainly to the cerebral circulation. The aortic valve is predominantly affected. The left ventricle is the most frequent nonvalvular location. We present a case of a 59-year-old man who ...
Devbhandari Mohan P - - 2007
A 76-year-old man who had undergone a routine coronary artery bypass grafting operation developed severe haemodynamic instability in the early postoperative period in spite of multiple inotropic supports. Due to persistent instability of haemodynamics and worsening acidosis his chest was re-explored with detection of no obvious abnormality. An intra-aortic balloon ...
Oz Bilgehan Savaş - - 2007
Polycythemia vera is a myeloproliferative disorder associated with the thromboembolic events. Normalization of the hematocrit and elevated platelet counts is obligatory to reduce the thrombotic risk of patients with PV. Therapeutic strategies include phlebotomy, myelosuppressive agents, and, more recently, interferon-alpha. In addition, appropriate antiplatelet therapy should be administered to prevent ...
Otawara Yasunari - - 2007
BACKGROUND: The effect of revascularization surgery for a patient with moyamoya disease remains controversial. CASE DESCRIPTION: A 60-year-old man presented with bleeding from asymptomatic moyamoya vessels 10 years after prophylactic revascularization surgery. Cerebral angiography 10 years after the surgery demonstrated that the bilateral direct anastomoses remained effective and a small ...
Sulemanji D S - - 2007
BACKGROUND: In the present study, we aimed to determine whether during coronary artery bypass grafting (CABG) surgery, dexmedetomidine has protective effects against cerebral ischemic injury. METHOD: Twenty-four patients, aged 50-70 years, undergoing CABG surgery were randomized into two groups of 12 patients each: those receiving dexmedetomidine (group D) and those ...
Rukosujew Andreas - - 2007
BACKGROUND: Off-pump operations (OPCAB) are growingly used for patients with coronary artery disease (CAD) and may be associated with improved outcomes when compared with coronary artery bypass grafting (CABG) using extracorporeal circulation (ECC), especially in patients with comorbidities. The aim of this study is to compare the intra- and postoperative ...
Lamont S N J - - 2007
A 63-year-old female with known empty sella syndrome underwent coronary artery bypass grafting surgery. She became hypotensive immediately postoperatively and this did not respond to fluid resuscitation and inotropic therapy. Surgical re-exploration was undertaken and did not reveal any surgical cause. Pulmonary artery catheterisation confirmed a profound vasodilatory component to ...
Maddox Thomas M - - 2007
Health-related quality of life (HRQL) is the discrepancy between the actual and desired functioning for a given patient, and is a fundamental component of patient-centered healthcare. HRQL assessment regarding coronary artery bypass graft (CABG) surgery is an active area of investigation, since HRQL improvement is an increasingly important indication for ...
Halvorsen P S - - 2007
BACKGROUND: No gold standard method exists for monitoring continuous cardiac output (CO). In this study, the agreement between the two most frequently used methods, PiCCO pulse-contour analysis (PCCO) and STAT pulmonary artery thermodilution (STAT-CO), was assessed during multiple-vessel off-pump coronary artery bypass (OPCAB) surgery. METHODS: Thirty patients were enrolled in ...
Saxena Pankaj - - 2009
Redo cardiac surgery is commonly performed in the current era. We describe a clinical scenario in a patient with a patent left internal thoracic artery to left anterior descending artery graft, requiring replacement of ascending aortic aneurysm with previous coronary artery bypass operation complicated by mediastinitis. A pre-operative 64 slice ...
Arora Dheeraj - - 2007
The present study compares the cardiac output (CO) estimated by a new, non-invsive continuous Doppler device (Ultrasonic cardiac output monitor-USCOM) with that by bolus thermodilution technique (TD). Thirty post off-pump coronary artery bypass graft surgery patients were studied in this prospective nonrandomized study. Right heart CO estimation by USCOM and ...
Glance Laurent G - - 2007
OBJECTIVE: Complications are associated with increased risk of death. The objective of this study is to quantify the increased odds of dying from complications after isolated coronary artery bypass grafting surgery. METHODS: We conducted a retrospective cohort study using the New York State Coronary Artery Bypass Grafting Surgery Reporting System ...
Sezai Yukiyasu - - 2007
This report is focused on the status and outcome of coronary artery surgery performed in Japan, from January 1 to December 31, 2005. A total of 12,207 cases underwent coronary artery bypass grafting (CABG), as an isolated or concomitant procedure. Isolated CABG was performed in 9,827 patients. The operative mortality ...
Singhal P - - 2008
We present a rare case of organised intrapericardial haematoma after three years of coronary artery bypass grafting. Delayed cardiac tamponade after open heart surgery usually occurs within first few weeks of surgery. Intrapericardial organised haematoma causing localised compression of cardiac chambers after three years of open heart surgery is very ...
Lorsomradee Suraphong - - 2007
OBJECTIVE: To compare an arterial pressure-derived cardiac output (APCO) (Vigileo software version 1.07; Edwards Lifesciences, Irvine, CA) and a thermodilution cardiac output (CCO) as methods for measuring cardiac output under different pathologic and experimental conditions that induce changes in arterial waveform morphology. DESIGN: A prospective study. SETTING: A university hospital, ...
< 1 2 3 4 5 6 7 8 9 10 >