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Oz Bilgehan SavaƟ - - 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, ...
de Laat Erik - - 2007
AIMS AND OBJECTIVES: We investigated whether: (i) Early postoperative lateral position after coronary artery bypass surgery may have a negative influence on the cardiac output and (ii) Whether turning procedures cause practical problems. BACKGROUND: Directly following surgery, coronary artery bypass patients are not receiving routine turning every two hours to ...
Jonassen A A - - 2007
BACKGROUND AND OBJECTIVE: Tissue Doppler echocardiography is proposed to be a relatively preload independent tool for assessment of diastolic function. No data exist on anaesthetized patients in whom myocardial contractility, vascular tone and baroreceptor reflexes are depressed. The aim of this study was to evaluate the effects of preload alterations ...
Mayer J - - 2007
Thermodilution technique using a pulmonary artery catheter (PAC) is a widely used method to determine cardiac output (CO). It is increasingly criticized because of its invasiveness and its unclear risk-benefit ratio. Thus, less invasive techniques for measuring CO are highly desirable. We compared a new, semi-invasive device (FloTrac/Vigileo) using arterial ...
Schiller Wolfgang - - 2007
BACKGROUND: In coronary artery bypass surgery the detection of the target vessels can be difficult due to their intramural location, coverage by adipose tissue, calcification, or fibrous tissue formation. Their identification is especially critical during off-pump coronary artery bypass (OPCAB) and minimally invasive direct coronary artery bypass (MIDCAB) surgeries. Our ...
Lau Kelvin - - 2007
Coronary artery bypass grafting (CABG) today results in what may be regarded as acceptable levels of blood loss with many institutions avoiding allogeneic red cell transfusion in over 60% of their patients. The majority of cardiac surgeons employ cardiotomy suction to preserve autologous blood during on-pump coronary artery bypass surgery; ...
Isbir Selim C - - 2007
The concomitant presence of myeloproliferative disorders and the need for coronary artery bypass surgery is a surgical dilemma. Thrombosis and hemorrhage can cause difficult problems and might require different approaches during and after surgery. We report a patient who had idiopathic myelofibrosis and underwent a successful coronary artery bypass surgery.
Biancari Fausto - - 2007
OBJECTIVE: The value of off-pump over conventional coronary artery bypass surgery in reducing the risk of postoperative stroke is controversial. This issue has been evaluated in light of our recent clinical experience. METHODS: Off-pump coronary artery bypass surgery was performed in 557 patients, and conventional coronary artery bypass surgery was ...
Jacobs Stephan - - 2007
Surgical telemanipulators are obviously used in cardiac surgery to provide the surgeon in a confined space the same stereoscopic vision, full dexterity, unimpaired hand-eye alignment and tactile feedback as in open surgery. This is the basic concept that enables the controlled fine soft tissue manipulation that is needed in bypass ...
Santilli Steven M - - 2006
A high percentage of patients requiring elective vascular surgery also has indications for coronary artery revascularization, leading to varied opinions as to whether to undertake coronary artery revascularization first, to use risk stratification, or to do no coronary intervention before elective vascular surgery. The Coronary Artery Revascularization Prophylaxis (CARP) Trial ...
Aydin M D - - 2006
BACKGROUND: Although it is well known that electric current can be hazardous for living tissues, facet denervation (FD) has been largely used in spine surgery. In spite of the fact that vascular structures are protected during the operation, some neurovascular disorders may develop after surgery. In this study, we investigated ...
Lucet Jean-Christophe - - 2006
We report the results of a 2-year, 7-center program of surveillance of deep sternal wound infection (DSWI) after cardiac surgery. DSWI was defined as the need for reoperation. Stratification data were abstracted from computerized files. The incidence of DSWI was 2.2% (198 of 8,816 cardiac surgery procedures). The risk factors ...
Hashimoto Masaki - - 2006
An 88-year-old woman developed an acute massive pulmonary embolism after off-pump coronary artery bypass surgery. She experienced dyspnea while walking on the sixth day after operation. Her chest radiograph showed pleural effusion. Initially, she was treated for heart failure due to bypass graft occlusion. A repeat echocardiogram revealed enlargement of ...
Oh Albert K - - 2006
Poststernotomy mediastinitis is a relatively rare, but potentially fatal complication of cardiac surgery. Although the vast majority of cases present within 1 month of median sternotomy, there are some reports of presentations beyond 1 year. We report a rare case of mediastinitis presenting 15 years after coronary artery bypass grafting.
Akdur Hülya - - 2006
OBJECTIVE AND BACKGROUND: Various studies have suggested that body size and in-hospital mortality are related. However, only a few analysed the effects of obesity on pulmonary complications following coronary artery bypass graft surgery (CABG). The purpose of the present study was to assess early changes in lung volumes, respiratory complications ...
Tharpe Carter - - 2006
Off-pump coronary bypass surgery is an alternative to conventional bypass surgery and has the potential to reduce perioperative morbidity. Current techniques of snaring or inserting a shunt into the coronary artery to occlude flow and allow for anastomotic construction carry the risk of vessel trauma and subsequent graft failure. We ...
Izawa Hideo - - 2006
BACKGROUND: Despite recent improvements in the treatments of coronary artery disease (CAD), there are a considerable number of patients who can not receive complete revascularization because of severe or total arterial occlusion. Intramyocardial injection of autologous bone marrow mononuclear cells (ABMMCs) has been shown to induce neovascularization of ischemic myocardium. ...
Dupuis Gilles - - 2006
BACKGROUND: Some studies have indicated a decline in patients' cognitive performance after coronary artery bypass graft surgery. OBJECTIVE: To evaluate cognitive performance before and after coronary artery bypass graft surgery. METHODS: Patients' cognitive performance before and after coronary artery bypass graft surgery was evaluated in a prospective observational multicenter study ...
Lahtinen Jarmo - - 2006
BACKGROUND: The incidence of pulmonary embolism (PE) after coronary artery bypass surgery is ill defined. METHODS: Twenty-four patients undergoing off-pump coronary artery bypass surgery were enrolled in a prospective randomized study evaluating a new proximal aortic anastomotic device. Computed tomography was performed postoperatively about 1 week after surgery. RESULTS: Computed ...
Royse Alistair - - 2006
The aim of this study was to describe a standardised intraoperative ultrasound examination of the aorta and proximal coronary arteries for use in cardiac surgery using a handheld probe, to be used in conjunction with intraoperative transoesophageal echocardiography. Most cardiac surgery operations involving the use of cardiopulmonary bypass will result ...
Jones Catherine M - - 2006
Multi-slice computed tomography technology is emerging as a realistic investigation in patients with suspected disease in native, stented or grafted coronary arteries. A non-invasive diagnostic tool is desirable as these patients are at high risk for complications of invasive angiography. A 64-slice CT may achieve the desired diagnostic accuracy, and ...
de Klerk Jacoba E - - 2006
In addition to exacerbating morbidity in male coronary artery bypass surgery (CABS) patients, their plight can also impose considerable strain on their female spouses' mood states, resulting in compromised quality of life. The current study was aimed at determining the impact of pre postoperative hypnotherapeutic ego strengthening (HES) on anxiety ...
Townsend Mark D - - 2006
We report the first known closure of an aortic conduit with the Amplatzer plug device. The device was used in the case of a 20-year-old male who presented with an aortic conduit that had thrombosed and had formed a pseudo-aneurysm. A 14-mm plug and a 16-mm plug were used to ...
Stanger Olaf - - 2006
Coronary artery bypass grafting has had a significant impact on the treatment of angina, and has been the 'gold standard' since 1969. Its use and efficacy has been increased by revascularization in cardiac arrest and the use of the internal mammary artery. In parallel, catheter techniques have evolved by means ...
Rafanelli Chiara - - 2006
A few studies have investigated the role of psychosocial variables on clinical outcomes in coronary artery bypass grafting patients. The aims of this prospective study were 1) to assess clinical and subclinical distress in a consecutive sample of patients who underwent coronary artery bypass grafting surgery at both a 1-month ...
Takahashi Kenji - - 2006
BACKGROUND: In multiple bypass surgery, when the ascending aorta cannot be used as an inflow, it is sometimes necessary to use an abdominal artery. This technique is useful when a re-median sternotomy might damage a patent graft in patients undergoing reoperations or when the gastroepiploic artery is unsuitable for use ...
Eckstein H-H - - 2006
OBJECTIVES: Due to the progress vascular medicine has made in conventional vascular surgery, endovascular procedures, and conservative therapy close, interdisciplinary cooperation is required. In order to assure the contextual and structural quality of vascular centers, the German Society for Vascular Surgery established a list of criteria for certification of each ...
Dinesh D - - 2006
Paroxysmal nocturnal haemoglobinuria (PNH) is a rare acquired haemolytic anaemia. Cardiac bypass surgery in patients with PNH may be complicated by aggravation of haemolysis in addition to increased risk of infection, renal failure, bleeding and thrombosis. We describe a case of uncomplicated cardiopulmonary bypass surgery for aortic valve replacement and ...
Caimmi Philippe-Primo - - 2006
Two patients underwent combined heart and lung surgery performed through a limited left anterior thoracotomy. Good exposure of the left pulmonary hilum and the left anterior descending artery was obtained, allowing left upper lobectomy combined with off-pump coronary bypass grafting. This approach avoids potential complications due to sternotomy, staged operations, ...
Asherson Andrew P - - 2006
OBJECTIVE: To describe a rare complication of minimally invasive coronary artery bypass surgery. METHOD: Case report. RESULTS: We present a 72-year-old patient with a left anterior descending artery stenosis who underwent elective minimally invasive direct coronary artery bypass (MIDCAB) surgery. Three months post-operatively he developed an anterior chest wall haematoma ...
Gomes Walter J - - 2006
The introduction of percutaneous coronary interventions (PCI) with stent implant has substantially shifted the treatment of coronary artery disease. The current approach to coronary artery disease treatment includes first-choice PCI in selected subgroups; and once this therapy fails, frequently the patient is referred for coronary artery bypass graft surgery. However, ...
Kuroki Kazuhiko - - 2006
A 41-year-old man developed hyperperfusion 24 hours after undergoing successful clipping surgery for an unruptured middle cerebral artery aneurysm with temporary occlusion for 7 minutes. The patient exhibited motor aphasia 24 hours after surgery. Single photon emission computed tomography revealed hyperperfusion. The patient was sedated for 72 hours using propofol, ...
Kanemitsu Shinji - - 2006
It is necessary to use side clamps to construct proximal anastomoses in off-pump coronary artery bypass, and this can be related to neurologic complications. Recently a new device, the HEARTSTRING device, was developed. We present a 78-year-old man who underwent emergent bypass surgery using the HEARTSTRING device to avoid a ...
Samra Shivpreet S - - 2006
A 56-year-old man complained of dyspnea and cough 9 days after coronary artery bypass grafting. Chest radiography showed opacity and left lung collapse. Following removal of clots from the pleural cavity by videothoracoscopy, he recovered without further incident. Video-assisted thoracic surgery is a feasible and safe option in the management ...
Sloffer Chris A - - 2006
On December 12, 1785, the famous British surgeon John Hunter ligated an artery that was feeding a popliteal aneurysm. During the procedure he ligated only the proximal side of the artery and left the aneurysm sac untouched. This is frequently viewed as a landmark event in the history of surgery. ...
Harmoinen Aimo - - 2006
OBJECTIVE: To evaluate whether off-pump surgery attenuates microalbuminuria and other markers of systemic inflammatory response to coronary artery bypass surgery as compared to surgery performed using cardiopulmonary bypass. DESIGN: Forty-three adult patients undergoing elective coronary artery bypass grafting surgery were operated on with or without cardiopulmonary bypass (CPB). Microalbuminuria, serum ...
Mack M J - - 2006
Cardiac surgery has been the last of the surgical specialties to embrace the principles of minimal invasiveness. The complexity and invasiveness of the procedures have presented both a problem and an opportunity to make the procedures less invasive. Beginning with initial attempts at coronary artery bypass surgery through limited access ...
Ishikawa Susumu - - 2006
Two episodes of hypotension caused by oral beraprost sodium administration following cardiac surgery are described. The first case was a 67-year-old female who underwent concomitant surgery for mitral valve replacement, tricuspid annuloplasty, and a radiofrequency maze procedure for atrial fibrillation. The second case was a 45-year-old female who underwent 4-vessel ...
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