Journal Of Cardio-thoracic Surgery Research Articles

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 1, January 1993, Page 55, https://doi.org/10.1016/1010-7940(93)90154-4 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 8, August 1993, Page A13, https://doi.org/10.1016/1010-7940(93)90014-3 Published: 01 August 1993

Evaluation of left ventricular function utilizing transesophageal echocardiography during and after thoracic aortic aneurysm repair.

This study was designed to evaluate left ventricular (LV) function during aortic cross-clamping (ACC) by comparing left heart bypass (LHB) with a centrifugal pump and simple aortic cross-clamping (SC). The end-diastolic volume index (EDVI), ejection fraction (EF), fractional shortening (FS) and end-systolic meridional stress (ESS) were measured by transesophageal echocardiography. The measurements were performed 1) before ACC, 2) 2 min after ACC, 3) 20 min after ACC, 4) 2 min after unclamping and 5) 1 h after unclamping. With cross-clamping, a significant decrease was observed in both EDVI (108 vs 83 ml/m2) and EF (73 vs 67%) in patients with LHB. Patients utilizing SC showed a sustained increase in ESS (43 vs 64 10(3) dyne/cm2). The systolic blood pressure did not vary during LHB, but a transient increase occurred in patients with SC. With release of the cross-clamping, EDV and EF returned to the baseline values in patients with LHB. A significant decrease occurred in EDVI (101 vs 71 ml/m2) and ESS (61 vs 36 10(3) dyne/cm2) in the SC group. We conclude that circulatory support with LHB may offer greater stability of the LV function during thoracic aortic cross-clamping than SC because of the lower preload and afterload.

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 5, May 1993, Page 279, https://doi.org/10.1016/1010-7940(93)90221-V Published: 01 May 1993

Is lung cancer resection justified in patients aged over 70 years?

From January 1980 through January 1985, 452 consecutive patients underwent pulmonary resection for primary non-small cell bronchogenic cancer. Forty-seven patients (10.4%) were 70 years old or older: there were 45 men and 2 women, with a mean age of 72.4 years (S.D.: 2.6; range: 70-79). This population was comparable to the 405 younger patients with respect to the type of resection, histology and TNM staging. Whereas the non-fatal complication rate was similar in both groups (25.5% versus 29.9%), the in-hospital mortality rate was significantly higher in the older patients (12.8% versus 4.7%; P < or = 0.05). The mortality rate after extended resections was significantly higher among the older patients (33.3% versus 6%, P < or = 0.01). The cause of death was myocardial infarction in half the cases; the underlying coronary disease was unrecognized preoperatively in one-third. Five-year survival was comparable in both groups: 29.8% and 33%, respectively. We conclude that pulmonary resection for bronchogenic cancer is justified in patients over 70 years; a careful preoperative assessment ought to be performed and standard resections should be preferred.

Invited comment

Journal Article Invited comment Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 3, March 1993, Page 163, https://doi.org/10.1016/1010-7940(93)90041-9 Published: 01 March 1993

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 2, February 1993, Page 112, https://doi.org/10.1016/1010-7940(93)90194-G Published: 01 February 1993

Reply

Journal Article Reply Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 5, May 1993, Page 278, https://doi.org/10.1016/1010-7940(93)90220-6 Published: 01 May 1993

Reply

Journal Article Reply Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 2, February 1993, Pages 110–111, https://doi.org/10.1016/1010-7940(93)90193-F Published: 01 February 1993

Intercostal nerve block, interpleural analgesia, thoracic epidural block or systemic opioid application for pain relief after thoracotomy?

Journal Article Intercostal nerve block, interpleural analgesia, thoracic epiduralblock or systemic opioid application for pain relief after thoracotomy? Get access European Journal of Cardio-Thoracic Surgery, Volume 7, Issue 10, October 1993, Page 561, https://doi.org/10.1016/1010-7940(93)90060-O Published: 01 October 1993

Twelve year experience with the modified Blalock-Taussig shunt in neonates.

Between 1978 and 1990, 53 consecutive modified Blalock-Taussig (MBT) shunts were performed on 51 neonates with cyanotic congenital heart disease using 3 mm-5 mm Gore-Tex grafts. Only 4 of these children had uncomplicated tetralogy of Fallot. The remainder had more complicated pathology requiring urgent intervention. Retrospective analysis of the acute and long term results was performed with 100% follow-up, ranging from 1 month to 12 years (mean 3 years). There were 3 (6%) early deaths (within 30 days of operation) and 17 (33%) late deaths. Of the late deaths, 2 died after further palliation, 2 died after total correction and 13 died suddenly at home. Post mortem examination of the 13 sudden deaths revealed blocked shunts in only 3. Actuarial survival at 2 years was 58%. Shunt patency at 12 months was 87% and at 2 years, 62%. No patient used their initial MBT shunt for more than 40 months. Although this shunt provides good initial palliation, there is a high incidence of late sudden death. We are also concerned about the limited life span of the shunt which partly (3/13) explains the sudden deaths. Therefore we have adopted an aggressive approach to re-study by angiography within 3 months of surgery.

Invited comment

Journal Article Invited comment Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 11, November 1992, Page 624, https://doi.org/10.1016/1010-7940(92)90138-N Published: 01 November 1992

Forthcoming meetings and events

Journal Article Pericarditis constrictiva after aortic valve replacement simulating tricuspid stenosis Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 2, February 1992, Page 111, https://doi.org/10.1016/1010-7940(92)90087-E Published: 01 February 1992

Subject index

Journal Article Subject index Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 12, December 1992, Pages 679–682, https://doi.org/10.1016/1010-7940(92)90197-6 Published: 01 December 1992

Forthming meeting and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 9, September 1992, Page A10, https://doi.org/10.1016/1010-7940(92)90239-T Published: 01 September 1992

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 5, May 1992, Page A15, https://doi.org/10.1016/1010-7940(92)90114-D Published: 01 May 1992

Editor's comment

Journal Article Editor's comment Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 7, July 1992, Page 394, https://doi.org/10.1016/1010-7940(92)90181-V Published: 01 July 1992

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 4, April 1992, Page A15, https://doi.org/10.1016/1010-7940(92)90224-L Published: 01 April 1992

Surgical treatment of acute purulent mediastinitis.

During the last 15 years we have treated 147 patients with acute purulent mediastinitis (APM). According to the aetiology of the disease, 2 major groups were defined. The first group included the cases of oesophageal origin--112 patients (dilatation--38 patients, foreign body extraction--29 patients, lye injuries--11 patients, oesophagoscopy--8 patients, sharp foreign body--6 patients). The second group consisted of patients with mediastinitis of non-oesophageal origin--35 patients (tracheo-bronchial disease--21 patients, tooth infection--8 patients, cervical infection). Symptoms of the mediastinal infection were typical; nevertheless, early diagnosis (within first 12 h) was obtained in only 43.5% of cases. Therapy for all patients included general stabilisation, broad spectrum antibiotics and immunotherapy. In 86 patients, mediastinal drainage was performed with additional suture of the oesophageal wall or plication with a gastric or diaphragmatic patch in 9 cases. Oesophagectomy and delayed colon transplant was the method used in 61 patients. Mortality included 21 patients (14.3%). The cause was broncho-pneumonia in 9 patients, endotoxic shock in 7 and renal failure in 3 patients.

Forthcoming meetings and events

Journal Article Forthcoming meetings and events Get access European Journal of Cardio-Thoracic Surgery, Volume 6, Issue 10, October 1992, Page 573, https://doi.org/10.1016/1010-7940(92)90013-N Published: 01 October 1992