A Dedicated Stitch to Allow Early Safe Mobilization Avoiding Drain-Induced Heart Injury
Abstract Placement of a mediastinal drain is a routine procedure following heart surgery. Postoperative bed rest is often imposed due to the fear of potential risk of drain displacement and cardiac injury. We developed an encapsulating stitch as a feasible, effective and low-cost technique, which does not require advanced surgical skills for placement. This simple, novel approach compartmentalizes the drain allowing for safe early mobilization following cardiac surgery. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Why Use the Radial Artery? The Saphenous Vein is the Second Graft of Choice for CABG in Brazil
Abstract The saphenous vein (SV) is the most commonly used conduit for coronary artery bypass surgery (CABG) and the second conduit of choice in Brazil and many other countries. The radial artery (RA) is suggested, by some, to be superior to SV grafts, although its use in the USA declined over a 10 year period. The patency of SV grafts (SVG) is improved when the vein is harvested with minimal trauma using the no-touch (NT) technique. This improved performance is due to the preservation of the outer pedicle surrounding the SV and reduction in vascular damage that occurs when using conventional techniques (CT) of harvesting....
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Annuloaortic Ectasia and Arteritis: Clinical Features, Treatments of Choice, and Causative Relations
This study was designed to highlight the clinical features of AAE, the treatments of choice, and the causative relations between aortitis and AAE. The morphology of the aortic valve leaflets was normal in half of the patients, while the valves were thin and overstretched in the other half. Most patients had an aortic aneurysm. Half of the patients had severe aortic valve insufficiency, and one-quarter of them had dilation of the sinuses of Valsalva. Takayasu arteritis was prone to develop coronary artery lesions, whereas giant cell arteritis were not. Aortic branch lesions in Takayasu arteritis were stenotic or occlusive i...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Could Cerebrospinal Fluid Biomarkers Offer Better Predictive Value for Spinal Cord Ischaemia Than Current Neuromonitoring Techniques During Thoracoabdominal Aortic Aneurysm Repair - A Systematic Review
Conclusions: Although there is significant interest in this topic, there still remains a significant lack of high-quality st udies investigating CSF biomarkers during TAAR to detect SCI. A large and multicentre study is required to identify the significant role of each biomarker. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lead Removal Without Extraction Tools: A Single-Center Experience
Conclusion: This article suggests that lead extraction by simple manual traction can still be performed effectively in countries with economic diffi-culties as a first attempt, leaving auxiliary tools for a second attempt in case of failure or contraindications to the simple manual traction technique. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research