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
Comparative StudyThe free radical spin trap alpha-phenyl-tert-butyl nitrone attenuates the cerebral response to deep hypothermic ischemia.
The aim of this study was to assess the role of reactive oxygen species in the impairment of cerebral recovery that follows deep hypothermic circulatory arrest. ⋯ Reactive oxygen species contribute to the impairment of cerebral recovery that follows deep hypothermic circulatory arrest. The use of alpha-phenyl-tert -butyl nitrone before the arrest period attenuates the normal response to ischemia and improves recovery by affording protection from free radical-mediated 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.