The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi
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Jpn. J. Thorac. Cardiovasc. Surg. · Nov 2004
Quality of life in elderly patients following thoracic aortic surgery.
While early outcomes following thoracic aortic surgery are improving, the long-term quality of life in elderly patients following this procedure remains uncharacterized. Thus, the goal of this retrospective study was to investigate quality of life in elderly patients following thoracic aortic surgery in regard to age, urgency of operation, operative procedures, skin incision, selective cerebral perfusion (SCP) time, and cardiopulmonary bypass time. ⋯ Physical and mental quality of life was significantly lower in elderly patients undergoing thoracic aortic surgery. Prolonged SCP time (>120 minutes) was a negative factor for long-term QOL. We advocate discussing the data with patients when obtaining informed consent for this procedure.
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Jpn. J. Thorac. Cardiovasc. Surg. · Nov 2004
Convenient training method for aortic cannulation: glove- and-peel method.
Aortic cannulation is a difficult technique for young cardiovascular surgeons. A convenient training method for this procedure is introduced in this paper. After two gloves are worn on a hand, they are removed together, then a piece of mandarin-orange peel is inserted between the gloves. ⋯ Purse-string stitches are placed on the orange peel. After the center of the purse string is incised with a number 11 blade, a cannula is introduced. This "glove-and-peel method" will help young cardiovascular surgeons to become accustomed to aortic cannulation.