Interactive cardiovascular and thoracic surgery
-
Interact Cardiovasc Thorac Surg · Aug 2010
Effectiveness and prognosis of initial pericardiocentesis in the primary management of malignant pericardial effusion.
We retrospectively reviewed the records of 100 patients with malignant disease and symptomatic pericardial effusion initially treated with pericardiocentesis at the National Cancer Institute of Mexico between 1985 and 2009. We analyzed predictive factors for recurrence of pericardial effusion by bi- and multivariate analyses. The group comprised 74 women and 26 men. ⋯ For OS, multivariate analysis yielded that female gender and presence of pericardial effusion at time of primary malignancy diagnosis were associated with higher life expectancy. Initial pericardiocentesis can provide successful management of patients with a control rate of 67%. In spite of the high effectiveness of the primary management of pericardial effusion with pericardiocentesis in oncologic patients, it might be considered for initial treatment, especially those with poor prognosis, leaving pericardial window as a secondary strategy for recurrence.
-
Interact Cardiovasc Thorac Surg · Aug 2010
Case ReportsSuccessful aortic reimplantation in a three-year-old child with Marfan syndrome.
Aortic root dilatation is rare in children, and is often secondary to Marfan syndrome (MFS). We experienced a case of a three-year-old boy (92 cm, 12 kg) with MFS presenting with progressive dilatation of aortic root. ⋯ Although the patient required a mitral valve repair due to infective endocarditis postoperatively, the recovery from the second surgery was uneventful. This case is one of the youngest children of valve-sparing aortic root replacement in the literature.
-
Interact Cardiovasc Thorac Surg · Aug 2010
Early complications after pneumonectomy: retrospective study of 168 patients.
The purpose of this study was to assess the mortality and risk factors of complications after pneumonectomy for lung cancer. Between 1996 and 2001, we reviewed and analysed the demographic, clinical, functional, and surgical variables of 168 patients to identify risk factors of postoperative complications by univariate and multivariate analyses with Medlog software system. The mean age was 60+/-10 years, overall mortality and morbidity rates were 4.17% and 41.6%, respectively. ⋯ Complications after pneumonectomy are associated with high mortality. Careful attention must be paid to patients with advanced age and heart disease. Chest physiotherapy is paramount to have uneventful outcomes.
-
Interact Cardiovasc Thorac Surg · Aug 2010
Thimble type knot pusher: bioprosthesis stents no longer interfere with tying.
When a stented bioprosthetic valve is used for aortic valve replacement, the valve stents protruding to the aortic side can interfere with suture tying. To resolve this problem, we developed a novel knot pusher for use on the index finger. This device has a short push rod appropriate for replacing bioprosthetic aortic valve. Surgeons can complete the tying procedure without the help of an assistant.
-
Interact Cardiovasc Thorac Surg · Aug 2010
Case ReportsSuperior vena cava syndrome secondary to chronic dissecting aortic aneurysm after aortic valve replacement.
Ascending aortic aneurysm is a rare cause of superior vena cava syndrome. Herein, we describe a case of superior vena cava syndrome caused by a chronic dissecting aortic aneurysm after aortic valve replacement. A successful replacement of the aortic root and ascending aorta led to an improvement of edema of the face and bilateral upper limbs caused by superior vena cava syndrome.