The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Feb 2000
Comparative StudyEvaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas.
We evaluated the outcome of different surgical techniques for postintubation tracheoesophageal fistula. ⋯ Postintubation tracheoesophageal fistula is usually best treated with tracheal or laryngotracheal resection and anastomosis with primary esophageal closure even in the absence of tracheal damage.
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J. Thorac. Cardiovasc. Surg. · Feb 2000
Multicenter Study Comparative Study Clinical TrialRevision of previous Fontan connections to total extracardiac cavopulmonary anastomosis: A multicenter experience.
Conversion to total extracardiac cavopulmonary anastomosis is an option for managing patients with dysfunction of a prior Fontan connection. ⋯ Conversion of a failing Fontan connection to extracardiac cavopulmonary connection can be achieved with low morbidity and mortality. Optimally, revision should be undertaken early in symptomatic patients before irreversible ventricular failure ensues.
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J. Thorac. Cardiovasc. Surg. · Feb 2000
Comparative StudyDilation of the pulmonary autograft after the Ross procedure.
Dilation of pulmonary autograft after the Ross procedure is being recognized with increasing frequency. This study was undertaken to examine the extent of this problem and factors that may be associated with it. ⋯ Dilation of the pulmonary autograft after the Ross procedure may occur because of an intrinsic abnormality of the pulmonary root in patients with congenital aortic valve disease. The technique of aortic root replacement is associated with a higher risk of dilation of the sinuses of Valsalva and sinotubular junction than the technique of aortic root inclusion.