The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi
-
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.
-
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.
-
Jpn. J. Thorac. Cardiovasc. Surg. · Aug 2004
New application method of fibrin glue for more effective hemostasis in cardiovascular surgery: rub-and-spray method.
This study was performed to determine the most effective application method of fibrin glue as a hemostatic sealant in cardiovascular surgery. ⋯ The rub-and-spray method of fibrin glue application revealed the strongest sealing and hemostatic effects, and can be safely and effectively used for hemostasis in cardiovascular surgery that requires systemic heparinization or prolonged extracorporeal circulation.
-
We prospectively evaluated the efficacy of water seal in the management of air leak after pulmonary resection. ⋯ These results show that water seal is a safe and effective management option for air leak during the early postoperative period.
-
Jpn. J. Thorac. Cardiovasc. Surg. · May 2004
Case ReportsRupture of infectious aneurysm of the thoracic aorta into the lung after radical esophageal cancer surgery.
A 60-year-old male underwent radical operation for esophageal cancer 45 days prior to complaining of several incidents of hemoptysis. The hemoptysis was found to be caused by infectious aneurysm of the descending thoracic aorta penetrating the lung. The aneurysm was resected and the aortic wall was sutured directly under percutaneous circulatory pulmonary support system. ⋯ Angiography was reveal no arterial lesions, so emergency left lower lobectomy was performed on suspicion of lung vessel rupture. Immediately after the lower lobectomy, recurrence of the aortic wall rupture caused uncontrollable bleeding. The patient died intraoperatively.