Journal Of Cardio-thoracic Surgery Research Articles

Reply

Journal Article Reply Get access European Journal of Cardio-Thoracic Surgery, Volume 8, Issue 2, February 1994, Page 112, https://doi.org/10.1016/1010-7940(94)90106-6 Published: 01 February 1994

Announcement

Journal Article Rules for Francis Fontan Prize Get access European Journal of Cardio-Thoracic Surgery, Volume 8, Issue 11, November 1994, Page 624, https://doi.org/10.1016/1010-7940(94)90050-7 Published: 01 November 1994

Contents of volume 8

Journal Article Contents of volume 8 Get access European Journal of Cardio-Thoracic Surgery, Volume 8, Issue 12, December 1994, Pages III–IX, https://doi.org/10.1016/S1010-7940(05)80198-8 Published: 01 December 1994

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 8, Issue 4, April 1994, Page 226, https://doi.org/10.1016/1010-7940(94)90122-8 Published: 01 April 1994

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 6, June 1993, Page A15, https://doi.org/10.1016/1010-7940(93)90179-F Published: 01 June 1993

The development of heart and heart-lung transplantation at Stanford *1Honored guest's lecture

Transplantation of the heart is now accepted and perhaps even routine therapy for patients near death from heart disease. Better, more specific, less toxic molecules are under investigation for the control of rejection. The Holy Grail of tolerance is not beyond the realm of possibility. The mini-chimera concept almost certainly raises the specter of potentially successful xenografts. If not in this decade, certainly in this generation. Transplantation of the heart and both lungs constituted the first successful lung transplant of any kind. The ultimate division of indications for single lung, sequential bilateral lung, or heart-lung transplantation will be settled only by the accumulation of more clinical data. With respect to pulmonary transplantation, a few technical points have become clear. First, the double lung transplant with a tracheal anastomosis has been abandoned owing to the complications of tracheal stenosis and tracheal dehiscence. Second, there is no need to wrap the bronchial anastomosis with omentum; there is no need to "telescope" the donor bronchus. Finally, simple, continuous polypropylene suture technique should be used for any tracheal (heart-lung transplantation) or bronchial anastomosis.

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 10, October 1993, Page 562, https://doi.org/10.1016/1010-7940(93)90061-F Published: 01 October 1993

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 11, November 1993, Page 620, https://doi.org/10.1016/1010-7940(93)90252-7 Published: 01 November 1993

Reply

Journal Article Reply Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 1, January 1993, Page 53, https://doi.org/10.1016/1010-7940(93)90153-3 Published: 01 January 1993

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 9, September 1993, Page 503, https://doi.org/10.1016/1010-7940(93)90284-I Published: 01 September 1993

Subject index

Journal Article Subject index Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 12, December 1993, Pages 672–675, https://doi.org/10.1016/1010-7940(93)90270-L Published: 01 December 1993

Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent

The authors report a case of tracheo-innominate artery fistula secondary to tracheal perforation in an 18-year-old patient who is tetraplegic following cervical trauma. The patient had a very long tracheal stenosis, secondary to tracheostomy, which was managed by laser resection and a Gianturco stent. One of the anterior struts of the stent had eroded the trachea and the posterior wall of the innominate artery. Surgical management consisted of arterial resection, a longitudinal tracheal split incision to withdraw the stent and placement of a Montgomery T-tube. The patient has no respiratory discomfort 7 months after surgery.

Salvage of postoperative pulmonary hypertensive crisis using ECMO via cervical cannulation in a case of truncus arteriosus

The survival of patients with truncus arteriosus beyond one year of age is rare without surgical treatment [3 . Early surgery may be associated with a mortality but is still preferable, as the risks of established pulmonary hypertensive disease complicate delayed surgery [2]. We report the successful salvage of a pulmonary hypertensive crisis 24 h after corrective surgery in a late presenting patient using extracorporeal membrane oxygenation (ECMO) via cervical cannulation. Post-operative pulmonary hypertensive crises may present a difficult management problem. Extracorporeal membrane oxygenation is therapeutic in these circumstances in addition to providing life support. Cervical cannulation remains the method of choice in the postoperative cardiac patient.

Reply

Journal Article Reply Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 4, April 1993, Pages 223–224, https://doi.org/10.1016/1010-7940(93)90166-9 Published: 01 April 1993

Surgical treatment of congenital bronchopulmonary disease in children

From 1987 to 1992, 22 children (age 0 days-14 years) were operated for congenital bronchopulmonary disease. One patient had a hamartoma. Four children had a bronchogenic cyst, in 1 patient combined with an esophageal duplication. Intrapulmonary sequestration was diagnosed in 3 children; one of whom had an esophageal duplication as well. Four children had localized emphysema. In 1 patient histology showed rhabdomyosarcoma. A lobectomy was performed following chemotherapy but recurrence was not resectable at a third thoracotomy. Ten patients had cystic adenomatoid malformation, 6 were dependent on artificial ventilation before surgery. Three patients with cystic adenomatoid malformation died in hospital: 2 after pneumonectomy who were shown to have bilateral disease and 1 died after bilobectomy and was shown to have a hypoplastic contralateral lung. Hospital morbidity involved 1 patient with recurrent pneumothorax, 2 with atelectasis of the operated lung and 3 with prolonged artificial ventilation. Late mortality involved 1 patient due to pulmonary rhabdomyosarcoma. After 1-26 months of follow-up there were no late complications. Adequate multidisciplinary treatment allows acceptable mortality and low morbidity in surgery for congenital bronchopulmonary disease in children.

Contents of volume 7

Journal Article Contents of volume 7 Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 12, December 1993, Pages III–IX, https://doi.org/10.1016/1010-7940(93)90271-C Published: 01 December 1993

Magnetic resonance imaging of vascular rings

Journal Article Magnetic resonance imaging of vascular rings Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 4, April 1993, Page 223, https://doi.org/10.1016/1010-7940(93)90165-8 Published: 01 April 1993

Alterations of cell-mediated immune response following cardiac surgery

Nosocomial infections in patients following cardiac surgery are frequently associated with opportunistic microorganisms indicating a dysregulation of cell-mediated immune response. The objective of this prospective randomized trial, therefore, was to investigate the mechanisms of dysregulation and the counterregulatory effects of immunomodulation. Twenty patients underwent conventional postoperative therapy, another 20 patients received indomethacin, which inhibits synthesis of the down-regulating mediator prostaglandin E2, and a further 20 patients were given thymopentin in addition to indomethacin, thereby augmenting activation and differentiation of the T-lymphocytes. The immunologic parameters studied included T-lymphocytes and monocytes as well as interleucin (IL)-1 and IL-6 synthesis by monocytes, and IL-2 and IL-6 synthesis by T-lymphocytes. Following cardiac surgery a significant, persistent reduction of T-lymphocytes and IL-2 synthesis as well as significant monocytosis could be observed. Indomethacin treatment resulted in a normalization of the cellular imbalance at the end of the first postoperative week, but IL-2 synthesis remained significantly reduced during the entire observation period. Conversely, with combined indomethacin and thymopentin treatment restoration of cellular distribution as well as protection of IL-2 synthesis could be achieved. These results indicate a quantitative and functional impairment of the forward regulation of cell-mediated immunity. It was shown for the first time that combined indomethacin and thymopentin treatment could successfully counteract these immunomechanistic alterations.

Systolic sequential flow velocity profiles in four currently used bileaflet heart valve prostheses

Journal Article Systolic sequential flow velocity profiles in four currently usedbileaflet heart valve prostheses Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 2, February 1993, Pages 107–108, https://doi.org/10.1016/1010-7940(93)90191-D Published: 01 February 1993

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 3, March 1993, Page 168, https://doi.org/10.1016/1010-7940(93)90044-C Published: 01 March 1993