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Procedure: Thoracotomy

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Total 311 results found since Jan 2013.

Paradoxical Septal Motion after Uncomplicated Cardiac Surgery: A Consequence of Altered Regional Right Ventricular Contractile Patterns
Curr Cardiol Rev. 2022 Jan 6. doi: 10.2174/1573403X18666220106115117. Online ahead of print.ABSTRACTParoxysmal interventricular septal motion (PSM) is the movement of the septum toward the right ventricle (RV) during cardiac systole. It occurs frequently after uncomplicated cardiac surgery (CS), including coronary bypass (on-pump and off-pump), valve repair or replacement, and with all types of incisions (sternotomy or mini-thoracotomy). It sometimes resolves quickly but may persist for months or become permanent. Global RV systolic function, stroke volume and ejection fraction remain normal after uncomplicated CS, but reg...
Source: Current Cardiology Reviews - January 7, 2022 Category: Cardiology Authors: Alfred Stanley Constantine Athanasuleas Source Type: research

Novel concept of routine total arterial coronary bypass grafting through a left anterior approach avoiding sternotomy
We describe a novel, less invasive approach for totally arterial CABG via a small left anterior thoracotomy in a pilot series of 20 unselected patients. From January to March 2020, 20 consecutive patients (mean age 65.9  ± 9.2 years, 100% male, STS-score: 1.6 ± 2) underwent CABG using only arterial conduits via a small left anterior thoracotomy. Patients were operated on cardiopulmonary bypass with peripheral cannulation and transthoracic aortic cross-clamping. Pulling tapes encircling the great vessels, the arrested empty heart was rotated and moved within the pericardium to enable conventional anastomotic tech...
Source: Heart and Vessels - February 5, 2022 Category: Cardiology Source Type: research

Paradoxical Septal Motion after Uncomplicated Cardiac Surgery: A Consequence of Altered Regional Right Ventricular Contractile Patterns
Curr Cardiol Rev. 2022 Jan 6. doi: 10.2174/1573403X18666220106115117. Online ahead of print.ABSTRACTParoxysmal interventricular septal motion (PSM) is the movement of the septum toward the right ventricle (RV) during cardiac systole. It occurs frequently after uncomplicated cardiac surgery (CS), including coronary bypass (on-pump and off-pump), valve repair or replacement, and with all types of incisions (sternotomy or mini-thoracotomy). It sometimes resolves quickly but may persist for months or become permanent. Global RV systolic function, stroke volume and ejection fraction remain normal after uncomplicated CS, but reg...
Source: Current Cardiology Reviews - January 7, 2022 Category: Cardiology Authors: Alfred Stanley Constantine Athanasuleas Source Type: research

Comparative efficacy of eight therapeutic methods in the treatment of left main coronary artery disease: a Bayesian network meta-analysis protocol
Introduction As for coronary artery bypass grafting, although there are many direct comparative studies on different minimally invasive methods and traditional thoracotomy (off-pump/on-pump), there is still a lack of further ranking and summary of the efficacy of all surgical methods for left main coronary artery (LMCA) lesions. Combined with the current controversial views, this study aims to introduce a planned network meta-analysis (NMA) in detail, with a view to comparing the long-term efficacy and safety of multiple therapeutic methods in the treatment of patients with LMCA disease, and finally providing some referenc...
Source: BMJ Open - September 6, 2022 Category: General Medicine Authors: Hou, B., Chen, M., Li, Q., Huang, W., Wang, L. Tags: Open access, Cardiovascular medicine Source Type: research

Endovascular retrieval of bullet fragment from the basilar artery terminus
We present our technique and discuss endovascular options for management of intracranial arterial embolization of bullet fragments.
Source: Journal of NeuroInterventional Surgery - September 14, 2022 Category: Neurosurgery Authors: Ahmed, S. U., Kelly, M. E., Peeling, L. Tags: Ischemic stroke Source Type: research

Mitral valve surgery via repeat median sternotomy versus right mini ‐thoracotomy: A systematic review and meta‐analysis of clinical outcomes
ConclusionRight MT is a safe alternative to the traditional re-sternotomy for patients who have had previous cardiac surgery. The approach offers a reduced length of hospital stay, ICU stay, and a lower risk of new-onset renal failure requiring dialysis. This review calls for robust trials in the field to further strengthen the evidence.
Source: Journal of Cardiac Surgery - November 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Manasi Mahesh Shirke, Nidhruv Ravikumar, Tan Jia Xiang Shawn, Nyasha Mutsonziwa, Vernie Soh, Amer Harky Tags: ORIGINAL ARTICLE Source Type: research

Impact of Early Ambulation on the Prognosis of Coronary Artery Bypass Grafting Patients
CONCLUSIONS: In isolated CABG patients, delayed ambulation was associated with poor outcomes, even in the long-term period. The results support the current guideline recommending early ambulation protocol after cardiac surgery.PMID:36351594 | DOI:10.1253/circj.CJ-22-0416
Source: Circulation Journal - November 9, 2022 Category: Cardiology Authors: Yohei Tsuchikawa Yoshiyuki Tokuda Hideki Ito Miho Shimizu Shinya Tanaka Kazuki Nishida Daichi Takagi Akimasa Fukuta Natsuki Takeda Hiromasa Yamamoto Masaya Hori Yoshihiro Nishida Masato Mutsuga Source Type: research

Early Results of Total Coronary Revascularization via Left Anterior Thoracotomy
Conclusion This novel surgical technique allows complete coronary revascularization in the broad majority of multivessel disease patients without sternotomy. TCRAT can be introduced into clinical routine safely. Long-term results remain to be investigated. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - November 11, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Sellin, Christian Asch, Silke Belmenai, Ahmed Mourad, Fanar Voss, Meinolf D örge, Hilmar Tags: Original Cardiovascular Source Type: research

Impact of Early Ambulation on the Prognosis of Coronary Artery Bypass Grafting Patients
CONCLUSIONS: In isolated CABG patients, delayed ambulation was associated with poor outcomes, even in the long-term period. The results support the current guideline recommending early ambulation protocol after cardiac surgery.PMID:36351594 | DOI:10.1253/circj.CJ-22-0416
Source: Circulation Journal - November 9, 2022 Category: Cardiology Authors: Yohei Tsuchikawa Yoshiyuki Tokuda Hideki Ito Miho Shimizu Shinya Tanaka Kazuki Nishida Daichi Takagi Akimasa Fukuta Natsuki Takeda Hiromasa Yamamoto Masaya Hori Yoshihiro Nishida Masato Mutsuga Source Type: research

Early Results of Total Coronary Revascularization via Left Anterior Thoracotomy
CONCLUSION: This novel surgical technique allows complete coronary revascularization in the broad majority of multivessel disease patients without sternotomy. TCRAT can be introduced into clinical routine safely. Long-term results remain to be investigated.PMID:36368676 | DOI:10.1055/s-0042-1758149
Source: The Thoracic and Cardiovascular Surgeon - November 11, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Christian Sellin Silke Asch Ahmed Belmenai Fanar Mourad Meinolf Voss Hilmar D örge Source Type: research

Impact of Early Ambulation on the Prognosis of Coronary Artery Bypass Grafting Patients
CONCLUSIONS: In isolated CABG patients, delayed ambulation was associated with poor outcomes, even in the long-term period. The results support the current guideline recommending early ambulation protocol after cardiac surgery.PMID:36351594 | DOI:10.1253/circj.CJ-22-0416
Source: Circulation Journal - November 9, 2022 Category: Cardiology Authors: Yohei Tsuchikawa Yoshiyuki Tokuda Hideki Ito Miho Shimizu Shinya Tanaka Kazuki Nishida Daichi Takagi Akimasa Fukuta Natsuki Takeda Hiromasa Yamamoto Masaya Hori Yoshihiro Nishida Masato Mutsuga Source Type: research

Early Results of Total Coronary Revascularization via Left Anterior Thoracotomy
CONCLUSION: This novel surgical technique allows complete coronary revascularization in the broad majority of multivessel disease patients without sternotomy. TCRAT can be introduced into clinical routine safely. Long-term results remain to be investigated.PMID:36368676 | DOI:10.1055/s-0042-1758149
Source: The Thoracic and Cardiovascular Surgeon - November 11, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Christian Sellin Silke Asch Ahmed Belmenai Fanar Mourad Meinolf Voss Hilmar D örge Source Type: research