Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Dec 2008
Case ReportsA rapid bail-out technique for reinsertion of a displaced tracheostomy tube in difficult situations.
Safe and rapid repositioning of a displaced tracheostomy tube is vital to protect the airway and to avoid a potentially life threatening situation. This article describes a simple bail-out technique to avert prolonged airway compromise. This is particularly useful in patients with obesity, large goitre or maxillofacial injuries.
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Interact Cardiovasc Thorac Surg · Dec 2008
Case ReportsIsolated absence of the right pulmonary artery as a cause of massive hemoptysis.
Isolated absence of a pulmonary artery is a rare cause of massive hemoptysis. We report a case of unilateral absence of the right pulmonary artery in an adult without any other cardiovascular anomalies. The patient presented massive hemoptysis, which was successfully treated with a right pneumonectomy.
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Interact Cardiovasc Thorac Surg · Dec 2008
Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation.
There is no agreement at present as to which is the optimal site for artery cannulation for cardiopulmonary bypass in repair of acute aortic dissection (AAD). We have employed right axillary artery cannulation (RAAC) in combination with femoral artery cannulation to overcome the drawbacks of single cannulation. From January 2000 to August 2006, 88 patients underwent emergency surgical repair of the aortic arch (mean age 65+/-13 years, 37 men) for AAD. ⋯ The perioperative stroke rate was 5.7% (5 of 88). The hospital mortality rate of the 25 patients with preoperative malperfusion was 4.0% (1 of 25); the fatal case had coronary malperfusion. Our approach for AAD was associated with a low mortality even in patients with malperfusion.