Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Nov 2019
Case ReportsPlatypnoea-orthodeoxia syndrome after pulmonary lobectomy: a rare entity with a difficult diagnosis.
Platypnoea-orthodeoxia syndrome (POS) is a rare clinical entity. It is characterized by position-dependent dyspnoea and oxygen desaturation in the upright position with orthodeoxia resolving in the supine position, and is mainly associated with cardiac defects. Only 9 cases of post-lobectomy POS have been reported in the literature. We describe a case of POS in a woman who underwent a lobectomy and in whom POS was diagnosed and treated.
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Interact Cardiovasc Thorac Surg · Nov 2019
Multicenter StudyVenoarterial extracorporeal membrane oxygenation with or without simultaneous intra-aortic balloon pump support as a direct bridge to heart transplantation: results from a nationwide Spanish registry.
To investigate the potential clinical benefit of an intra-aortic balloon pump (IABP) in patients supported with venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge to heart transplantation (HT). ⋯ In our study, simultaneous IABP therapy in transplant candidates under VA-ECMO support did not significantly reduce morbidity or mortality.
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Interact Cardiovasc Thorac Surg · Nov 2019
Multicenter Study Comparative Study Observational StudyUniportal and three-portal video-assisted thoracic surgery lobectomy: analysis of the Italian video-assisted thoracic surgery group database.
This study compares the uniportal with the 3-portal video-assisted thoracic surgery (VATS) by examining the data collected in the Italian VATS Group Database. The primary end point was early postoperative pain; secondary end points were intraoperative and postoperative complications, surgical time, number of dissected lymph nodes and length of stay. ⋯ Data from the Italian VATS Group Database showed that in clinical practice uniportal lobectomy seems to entail a higher risk of moderate/severe pain on second and third postoperative days.
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Interact Cardiovasc Thorac Surg · Nov 2019
Early and mid-term outcomes of total arch replacement with the frozen elephant trunk technique for type A acute aortic dissection.
The aim of this study was to evaluate the outcomes of the frozen elephant trunk (FET) technique, using the J Graft FROZENIX for Stanford type A acute aortic dissection, in comparison with the unfrozen elephant trunk technique. ⋯ Total arch replacement with the FET technique in Stanford type A acute aortic dissection carries a risk of distinct complications; however, with thorough advance planning, it should be possible to safely institute this treatment. Further randomization, with a comparison of each technique, is required to provide clear conclusions whether the FET is useful for acute Stanford type A aortic dissection.
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Interact Cardiovasc Thorac Surg · Oct 2019
Case ReportsValve-sparing root reimplantation in anomalous right coronary origin.
Anomalous origin of coronary artery is a rare anomaly. Performing valve-sparing root reimplantation for aortic root pathology in these patients is challenging. There are modified techniques for performing valve-sparing procedures in this rare subset of patients. Herein, we present a case of anomalous right coronary origin from left ostium managed by conventional valve-sparing root reimplantation.