The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jun 2019
Results of staged repair of aortic disease in patients with Marfan syndrome.
We present our open surgical strategies for staged replacement of the thoracic and thoracoabdominal aorta in patients with Marfan syndrome. ⋯ Our strategies for staged replacement of the thoracic and thoracoabdominal aorta in patients with Marfan syndrome resulted in excellent early- and long-term outcomes.
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J. Thorac. Cardiovasc. Surg. · Jun 2019
Resection of retrocrural germ cell tumor metastases: Two surgical approaches.
The goals of retrocrural metastasectomy are complete resection with preservation of the diaphragmatic function while avoiding phrenic nerve injury and spinal cord ischemia. We describe 2 approaches for metastasectomy depending on the pattern of metastases. ⋯ Depending on the pattern of metastases, a complete retrocrural metastasectomy with low morbidity and without mortality by thoracic or abdominal approach is possible. Both approaches preserve diaphragmatic function. Furthermore, the lateral abdominal approach provides a good view and might lead to less tension at the spinal arteries and therefore might reduce the risk of paresis. Good long-term survival is achievable. These patients should be operated on in specialized centers.
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J. Thorac. Cardiovasc. Surg. · Jun 2019
Editorial Historical ArticleAn old off-pump coronary artery bypass surgeon's reflections: A retrospective.