European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · May 2004
Comparative StudyRepair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction.
This study was undertaken to compare the outcomes of the Lecompte procedure and Rastelli repair in the transposition of the great arteries (TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) and to determine the risk factors associated with unfavorable events. ⋯ The Lecompte procedure and Rastelli repair provide satisfactory early and late results. However, substantial late morbidity is more associated with conduit obstruction, and LVOTO in Rastelli repair rather than Lecompte procedure.
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Eur J Cardiothorac Surg · May 2004
Comparative StudyAcute aortic dissection versus aortic root aneurysm: comparison of indications for valve sparing aortic root reconstruction.
To prove whether different indications for valve sparing aortic root reconstruction may have an impact on the outcome and longevity of the repair. ⋯ Regardless of the underlying indication, the aortic valve preserving reimplantation technique can be performed with favourable functional results.
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Eur J Cardiothorac Surg · May 2004
Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients.
Spontaneous pneumomediastinum (SPM) is an uncommon, benign, self-limited disorder that usually occurs in young adults without any apparent precipitating factor or disease. The purpose of this study was to review our experience in dealing with this entity and detail a reasonable course of assessment and management. ⋯ SPM follows alveolar rupture in the pulmonary interstitium. It shows a rising incidence in young drug users. It has a wide range of clinical features necessitating a high index of suspicion. Chest X-ray and CT scan should be always performed. Hospitalization and aggressive approach should be limited. SPM responds well to conservative treatment and follows a benign natural course.
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Eur J Cardiothorac Surg · May 2004
Introduction of adjuncts and their influence on changing results in 402 consecutive thoracoabdominal aortic aneurysm repairs.
To assess the influence of adjuncts, cerebrospinal fluid drainage (CSFD) and evoked potentials, on morbidity and mortality after thoracoabdominal aortic aneurysm (TAAA) repair and to update our experience. ⋯ The use of different adjuncts introduced over the years clearly influenced our results in a positive way.
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Eur J Cardiothorac Surg · May 2004
Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung.
A chest tube is usually placed in the pleural cavity after wedge resection of the lung, even after thoracoscopic procedures. The aim of this study was to determine the validity and safety of postoperative management without chest tube placement for patients undergoing thoracoscopic wedge resection of the lung. ⋯ Avoiding the chest tube placement did not increase postoperative morbidity if carefully selected criteria are met.