The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Aug 2013
Characterizing peritoneal dialysis catheter use in pediatric patients after cardiac surgery.
Children who undergo cardiac surgery are at high risk for renal insufficiency and abdominal compartment syndrome. Peritoneal dialysis catheter (PDC) implantation is used in this population for abdominal decompression and access for dialysis. However, there is no consensus regarding PDC use, and the practice varies widely. This study was undertaken to assess associated factors, outcomes, and variability in the use of PDC in patients who have undergone cardiac surgery. ⋯ Patients receiving PDC after cardiac surgery had 20% mortality, which remained 12% after excluding patients with acute renal failure. Given the variability in PDC use and poor outcomes, further research is needed to assess the possible benefit of earlier intervention for peritoneal access in this high-risk cohort.
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J. Thorac. Cardiovasc. Surg. · Aug 2013
Randomized Controlled Trial Comparative StudyIs there any benefit in using awake anesthesia with thoracic epidural in thoracoscopic talc pleurodesis?
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J. Thorac. Cardiovasc. Surg. · Aug 2013
Annulus upsizing for mitral valve re-replacement in children.
Mitral valve replacement remains the last resort for treatment of congenital mitral valve disease. Enlarging the mitral annulus at the time of mitral valve replacement may allow implantation of a larger prosthesis in children. ⋯ In children undergoing mitral valve replacement, various techniques can be used to upsize the mitral annulus and allow implantation of a larger prosthesis. There is a nontrivial risk of heart block with annulus upsizing, which deserves further study.
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J. Thorac. Cardiovasc. Surg. · Aug 2013
Hourglass-shaped resection technique for repair of tall mitral valve posterior leaflet prolapse.
We developed a repair technique for an excessively high posterior leaflet of the mitral valve. This is an improvement of the folding plasty. ⋯ The short-term results of our strategy for posterior leaflet repair appear promising.