N-Butyl cyanoacrylate embolization of an extremely rare variant of sequestration complex — a high-flow left-to-left shunt between systemic artery and pulmonary vein
AbstractA 19-year-old female presented with hemoptysis. Computed tomography (CT) pulmonary angiography revealed aberrant vessels from descending thoracic aorta, draining into pulmonary veins (left-to-left shunt). She was managed by transcatheter embolization of the aberrant vessels using N-butyl cyanoacrylate (NBCA) with balloon occlusion. A systemic artery to pulmonary vein fistula is one of the least common congenital anomalies. Most of the reported cases have been managed by surgery. Only a few patients have been treated by transcatheter embolization, using coils or vascular plugs as the embolizing agents. To our knowle...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 26, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
Resuscitative thoracotomy
This article provides a detailed review of the relevant pathophysiology, indications and contraindications, necessary equipment and techniques, and factors influencing patient outcomes. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - April 25, 2024 Category: Surgery Authors: Karl Foster, Laura J. Watson, Peter Coyne Tags: Surgery for major incidents Source Type: research
Risk Factors for Empyema Following Penetrating Diaphragmatic Injuries
Am Surg. 2024 Apr 20:31348241248700. doi: 10.1177/00031348241248700. Online ahead of print.ABSTRACTEmpyema resulting as a complication of penetrating diaphragmatic injuries is a subject that requires further investigation, and the aim of this study was to determine the risk factors associated with empyema in patients with penetrating trauma. Consecutive adult trauma patients from a level 1 trauma center were searched for penetrating diaphragm injuries. Data were collected on patient demographics, pre-existing conditions, injury type and severity, hospital interventions, in-hospital complications, and outcomes. Patients wer...
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Lydia C Rewerts Lance E Stuke John P Hunt Alan B Marr Jonathan E Schoen Patrick Greiffenstein Alison A Smith Source Type: research
Feasibility of an animal model for long-term mechanical circulatory support with Impella 5.5 implanted through carotid artery access in sheep
This study aimed to evaluate the feasibility of an animal model for long-term support with Impella 5.5 implanted through carotid artery access in sheep.Impella 5.5 was implanted in four sheep through the proximal region of the left carotid artery without a thoracotomy, and myocardial injuries were induced by coronary microembolization. Support by Impella 5.5 was maintained for 4 weeks, and the animals were observed. The position of Impella 5.5 and cardiac function was evaluated using cardiac computer tomography at 2 and 4 weeks after implantation.All four animals completed the 4-week study without major complications. The ...
Source: Journal of Artificial Organs - April 20, 2024 Category: Transplant Surgery Source Type: research
Nd-YAG laser –assisted pulmonary metastasectomy: initial experience from a tertiary care cancer center in India
ConclusionLAS of pulmonary metastatic lesions addresses more lesions in a single sitting; the bilateral lung lesions can be operated and has parenchyma preserving and good sealant properties. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 19, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
Discussion to: Implantation of the HeartMate 3 left ventricular assist device using a thoracotomy-based implant technique: Multicenter HeartMate 3 SWIFT study
Presenter: Dr Igor Gosev (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 18, 2024 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research
Clinical Impact of the Endo-aortic Clamp for Redo Mitral Valve Surgery
AbstractAim of this study was to compare redo MV surgery patients undergoing right mini-thoracotomy and EAC with redo MV patients undergoing surgery through other approaches. Redo MV patients from 7 European centers were analyzed. Primary endpoint was 30-day mortality; secondary endpoints were stroke, re-exploration, low cardiac output syndrome (LCOS), respiratory failure, and intensive care unit (ICU) and in-hospital length-of-stay. Forty-nine patients underwent right mini-thoracotomy and EAC (22.7%), and 167 (77.3%) underwent surgery through other approaches (112 sternotomy, 40 unclamped mini-thoracotomies, and 15 mini-t...
Source: Journal of Cardiovascular Translational Research - April 17, 2024 Category: Cardiology Source Type: research
Bleeding sites and treatment strategies for cardiac tamponade by catheter ablation requiring thoracotomy: risks of catheter ablation in patients with left atrial diverticulum
There is insufficient information regarding the bleeding sites and surgical strategies of cardiac tamponade during catheter ablation for atrial fibrillation (AF). (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - April 17, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Atsuyuki Mitsuishi, Yujiro Miura, Yoshinori Nomura, Takayoshi Hirota, Naoki Arima, Hiroaki Kitaoka, Hiroki Tateiwa and Yoshifumi Katsumata Tags: Case Report Source Type: research
Clinical Impact of the Endo-aortic Clamp for Redo Mitral Valve Surgery
AbstractAim of this study was to compare redo MV surgery patients undergoing right mini-thoracotomy and EAC with redo MV patients undergoing surgery through other approaches. Redo MV patients from 7 European centers were analyzed. Primary endpoint was 30-day mortality; secondary endpoints were stroke, re-exploration, low cardiac output syndrome (LCOS), respiratory failure, and intensive care unit (ICU) and in-hospital length-of-stay. Forty-nine patients underwent right mini-thoracotomy and EAC (22.7%), and 167 (77.3%) underwent surgery through other approaches (112 sternotomy, 40 unclamped mini-thoracotomies, and 15 mini-t...
Source: Journal of Cardiovascular Translational Research - April 17, 2024 Category: Cardiology Source Type: research
Post-ductal coarctation of aorta aneurysm repair in adult via left antero-axillary thoracotomy with antegrade cerebral perfusion —a case series
We describe our experience in managing three such patients through antero-lateral thoracotomy with antegrade cerebral perfusion. We have found this technique helpful in treating aneurysms of the distal aortic arch or proximal descending thoracic aorta. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 16, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
The chest X-ray score baseline in predicting continuous oxygen therapy failure in low-risk aged patients after thoracic surgery
CONCLUSIONS: The RALE score predict the risk of COT failure in elderly, low-risk thoracic patients better than the Brixia score. This simple, cheap, and noninvasive method helps evaluate postoperative lung damage, monitor treatment response, and provide early warning for oxygen therapy escalation. Further studies are required to confirm the validity and applicability of this model in different settings and populations.PMID:38617782 | PMC:PMC11009605 | DOI:10.21037/jtd-23-1786 (Source: Journal of Thoracic Disease)
Source: Journal of Thoracic Disease - April 15, 2024 Category: Respiratory Medicine Authors: Tongxin Li Weina Li Fengxi Chen Qianfeng Xu Gaoli Du Yong Fu Lihui Yuan Sha Zhang Wei Wu Ping He Mei Xia Source Type: research
Physical activity in patients with non-small cell lung cancer after lung resection
Clin Biomech (Bristol, Avon). 2024 Apr 13;115:106249. doi: 10.1016/j.clinbiomech.2024.106249. Online ahead of print.ABSTRACTBACKGROUND: Lung resection is the standard of care for patients with clinical stage I/II non-small cell lung cancer. This surgery reduces both the duration and quality of patients' daily ambulatory activities 1 month after surgery. However, little is known about physical activity after lung resection in patients with lung cancer. To evaluate the recovery process of physical activity with pulmonary rehabilitation in patients after lung resection and examine whether physical activity is affected by age....
Source: Clinical Lung Cancer - April 14, 2024 Category: Cancer & Oncology Authors: Yorihide Yanagita Shinichi Arizono Yuichi Tawara Masaki Oomagari Hikaru Machiguchi Masayuki Tanahashi Norimasa Katagiri Yuki Iida Ryo Kozu Source Type: research
