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Condition: Bleeding
Procedure: Tracheostomy

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Total 28 results found since Jan 2013.

Endovascular versus open elephant trunk completion for extensive aortic disease
Objectives: To compare the outcomes between patients undergoing endovascular (EEC) or open (OEC) approaches to second-stage elephant trunk completion (EC).Methods: From 1993 to 2010, 225 patients underwent second-stage EC (EEC, n = 92; OEC, n = 133). Propensity matching was performed for a fair comparison.Results: The EEC patients were older, more likely to have atrial fibrillation, and had a smaller proximal aorta. The 30-day mortality was 6.2% (6.5% EEC vs 6% OEC, P = .88). No difference was found in bleeding (8.8%), stroke (3%), renal failure (4%), or spinal cord injury (4%); however, the OEC patients required tra...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 26, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Eric E. Roselli, Sreekumar Subramanian, Zhiyuan Sun, Jahanzaib Idrees, Edward Nowicki, Eugene H. Blackstone, Roy K. Greenberg, Lars G. Svensson, Bruce W. Lytle Tags: Acquired Cardiovascular Disease Source Type: research

Repair of retrograde ascending dissection after descending stent grafting
Conclusions: Retrograde ascending dissection can present as an early or a late complication after descending stent grafting because of aortic instability or disease progression and has usually been associated with descending dissection or intramural hematoma. It is a life-threatening complication that can be managed safely with early recognition and rapid delivery of open or hybrid repair.
Source: The Journal of Thoracic and Cardiovascular Surgery - October 21, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jahanzaib Idrees, Amr Arafat, Douglas R. Johnston, Lars G. Svensson, Eric E. Roselli Tags: Acquired Cardiovascular Disease Source Type: research

210 * contemporary approach of thoraco-abdominal aortic repair using moderate to deep hypothermia combined with target reconstruction of the adamkiewicz artery
Conclusion: Moderate to deep hypothermia combined with target reconstruction of the Adamkiewicz artery brings satisfactory outcomes in thoraco-abdominal aortic repair, especially for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Oda, T., Itonaga, T., Kobayashi, J. Tags: Thoraco-abdominal aortic repair reloaded Source Type: research

293 * early and late outcome after surgery for acute type a aortic dissection in the elderly
Conclusion: Emergency surgery for ATAAD in elderly patients can be performed with acceptable early mortality and satisfactory intermediate survival. Preoperative acute neurological deficit predicts a worse outcome. Advanced age alone is not a contraindication to ATAAD repair.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Malvindi, P. G., Modi, A., Miskolczi, S., Ohri, S. K., Barlow, C. W., Livesey, S., Tsang, G. M., Velissaris, T. Tags: Outcome in challenging surgery Source Type: research

Recent thoraco-abdominal aortic repair outcomes using moderate-to-deep hypothermia combined with targeted reconstruction of the Adamkiewicz artery
CONCLUSIONS Moderate-to-deep hypothermia combined with targeted reconstruction of the AKA provided satisfactory outcomes with thoraco-abdominal aortic repair, particularly for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Seike, Y., Itonaga, T., Oda, T., Kobayashi, J. Tags: Pericardium Adult Cardiac Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders
Conclusions Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance.
Source: The Annals of Thoracic Surgery - November 4, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders.
CONCLUSIONS: Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance. PMID: 26545624 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Roselli EE, Idrees JJ, Lowry AM, Masabni K, Soltesz EG, Johnston DR, Kalahasti V, Blackstone EH, Sabik JF, Lytle BW, Svensson LG Tags: Ann Thorac Surg Source Type: research

Short and long term outcomes of 200 patients supported by continuous-flow left ventricular assist devices.
CONCLUSION: Short and long term survival for patients on LVAD support are excellent, although outcomes still remain inferior compared to heart transplantation. The incidence of driveline infections, pump thrombosis and pump exchange have declined significantly in recent years. PMID: 26635927 [PubMed - as supplied by publisher]
Source: World Journal of Cardiology - November 26, 2015 Category: Cardiology Authors: Tsiouris A, Paone G, Nemeh HW, Borgi J, Williams CT, Lanfear DE, Morgan JA Tags: World J Cardiol Source Type: research

Central cannulation strategy for extent I thoracoabdominal aneurysm repair of chronic type B aortic dissection
ConclusionsCentral true lumen cannulation through a left thoracotomy incision for repair of extent I TAAA with chronic type B dissection is an acceptable approach with equivalent early and midterm outcomes compared to more standard femoral cannulation techniques. It may provide a safe alternative cannulation site for patients with diseased femoral vessels.
Source: Journal of Cardiac Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Reilly D. Hobbs, Tyler J. Wallen, Caroline M. Komlo, Patrick J. Moeller, Alberto Pochettino, Joseph E. Bavaria, Prashanth Vallabhajosyula Tags: ORIGINAL ARTICLE Source Type: research

Recognition and Management of Life-Threatening Tracheovascular Fistulae and  How to Prevent Them
Formation of a fistula between trachea and a major artery or vein in the root of the neck threatens life quickly from combination of major external bleeding and hemorrhagic shock, and asphyxiation from flooding of the proximal airways with blood. This complication can occur after cervical tracheostomy open or percutaneous, tracheal resection, cervical exentration and anterior mediastinal tracheostomy, and laryngectomy. The recognition of its occurrence is clinical based on a high index of clinical suspicion. The life-saving operation for this complication carries potential risk for ischemic stroke. Impairment of arterial p...
Source: Thoracic Surgery Clinics - July 25, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Jean Deslauriers, Bill Nelems Source Type: research

Outcomes of Repair of Kommerell’s Diverticulum
ConclusionsOpen and endovascular approaches have a high success rate and low mortality risk. Selection of the specific type of intervention should be based on patient’s anatomy, additional needed procedures, and comorbid conditions.
Source: The Annals of Thoracic Surgery - June 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Repair of Kommerell Diverticulum
ConclusionsOpen and endovascular approaches have a high success rate and low mortality risk. Selection of the specific type of intervention should be based on patient anatomy, additional needed procedures, and comorbid conditions.
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Routine presternotomy extracorporeal circulation for redo surgery.
We report our 10-year experience of performing presternotomy ECC for cardiac reoperation and the clinical results. Fifty-seven consecutive cardiac reoperations involving resternotomy were performed between January 2006 and December 2015. ECC was established prior to median sternotomy in all patients. Two patients sustained injury to the right ventricle during sternotomy. Eleven patients sustained injury to the mediastinal structures during dissection (right atrium in 3; superior vena cava in 2; inferior vena cava in 3; left internal thoracic artery in 1; and saphenous vein graft in 2 patients). Longer ECC time and greater ...
Source: Nagoya Journal of Medical Science - December 20, 2019 Category: International Medicine & Public Health Tags: Nagoya J Med Sci Source Type: research

A modified aortic arch "island anastomosis" with stent graft technique for acute type A aortic dissection: a retrospective analysis
CONCLUSIONS: The modified aortic arch island anastomosis with stent graft technique is a feasible and safety surgical strategy for acute type A aortic dissection. Short-term outcomes are satisfactory.PMID:37078983 | DOI:10.23736/S0021-9509.23.12123-9
Source: The Journal of Cardiovascular Surgery - April 20, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Junbo Feng Yuntao Hu Ya-Peng Wang Juntao Li Peng Peng Shenglin Ge Source Type: research