Showing papers in "The Annals of Thoracic Surgery in 1989"

TL;DR: Of the 2,585 patients treated for aortic aneurysm during the past 8 1/2 years, 22 patients had disease conforming to this definition, and 19 (86%) were early survivors, and all are still alive 3 months to 8 years postoperatively.

TL;DR: A slide tracheoplasty is described, with a brief review of other methods of repair, and two cases that demonstrate the operability of congenital funnel-shaped trachea in infancy are reported.

TL;DR: An implantable left ventricular assist system (LVAS) utilizing an electromechanically driven dual pusher-plate blood pump has been employed in a multiinstitutional trial as a bridge to cardiac transplantation.

TL;DR: A total of 197 consecutive patients undergoing pneumonectomy at the M.D. Anderson Cancer Center from 1982 to 1987 were reviewed, and Xenon 133 regional pulmonary function studies are useful in predicting the risks of pneum onectomy.

TL;DR: The use of silicone stents provides an important tool in the management of complicated airway problems, and it is anticipated their increased use in the future.

TL;DR: In spite of old age and advanced heart disease, the patients who received the St. Jude Medical prosthesis had very good results over a 10-year period, and New York Heart Association functional class improved significantly.

TL;DR: Pain and vomiting were the only common historical events suggesting the diagnosis of Boerhaave's syndrome, and Prompt surgical repair, regardless of time after onset, appears to be the indicated therapy.

TL;DR: In 28 Dorsett sheep, ligation of the distal homonymous and second diagonal coronary arteries produced a constant transmural infarct of 22.9% +/- 2.5% of the left ventricular mass, which indicated that adjacent noninfarcted myocardium participates in the formation of the aneurysm.

TL;DR: Transannular patching was a risk factor for reoperation for pulmonary regurgitation late postoperatively, but only a 7% incidence within 20 years is predicted when mild residual stenoses are beyond the patch: the incidence rises to about 20% with important distal stenoses.

TL;DR: Preoperative simultaneous chemotherapy and irradiation is feasible with acceptable toxicity and operative mortality in patients with clinical stage III non-small cell lung cancer and etoposide was added because of its synergy with cisplatin.

TL;DR: The operative risk and late survival obtained after mitral valve reconstruction were at least equivalent to those obtained after MVR, and patients receiving mitrals valve reconstruction had less valve-related combined morbidity than patients receiving valve replacement, thus making mitral valves reconstruction preferable in some patients with mitral insufficiency.

TL;DR: Patients with a flexible annuloplasty ring have better left ventricular systolic function than patients with a rigid annulplasty ring 2 to 3 months after mitral valve reconstruction for chronic mitral regurgitation secondary to degenerative disease of the mitral valves.

TL;DR: The surgical technique that is developed to biomechanically assist severe and irreversible ventricular failure is described.

TL;DR: Experience with 39 patients undergoing coronary artery bypass grafting with the right gastroepiploic artery (RGEA) is reported, and there are several disadvantages to the RGEA grafts: the abdominal cavity must be entered, and the graft is not available after a gastric operation.

TL;DR: Nine of the 16 resections were sleeve resections, high-lighting the importance of conservative lung-sparing procedures in these central airway tumors.

TL;DR: Biopsy forceps and the rigid bronchoscope are used to "core out" 56 patients with obstructing airway neoplasms, finding this time-honored method superior to use of the laser.

TL;DR: Percutaneous CPB appears to be beneficial in resuscitating patients with refractory cardiac arrest or other forms of circulatory collapse except trauma, and limited use for brief periods in high-risk patients having elective angioplasty might be applicable.

TL;DR: It remains the most important component of myocardial preservation, and has made possible the delay needed for transportation between the harvesting and the transplantation of organs.

TL;DR: It is confirmed that surgical thoracoscopy is a useful procedure in the diagnosis of pleural processes in patients diagnosed as having a malignant process.

TL;DR: It is concluded that GIK is both safe and effective in the treatment of refractory left ventricular failure after aortocoronary bypass grafting and the exact mechanism for the beneficial effect of GIK on myocardial contractility remains to be elucidated.

TL;DR: It is concluded that Esophagectomy provides the most reliable treatment of esophageal obstruction, pulmonary complications, and potential late development of carcinoma in the patient with a megaesophagus of achalasia or a failed prior esophagomyotomy and that it is a far better option in these patients than esophgomyotomy, cardioplasty procedures, or limited esphageal resection.

TL;DR: Intraoperative ultrasonography accurately identifies patients with atherosclerotic disease of the ascending aorta which allows the surgeon to modify cannulation, perfusion, and operative techniques to reduce the risk of perioperative stroke due to the embolization of atherosclerosis from the ascendingAorta.

TL;DR: The improvement in oxygen saturation and overall clinical condition of these patients, together with the low mortality and morbidity, is encouraging, but long-term follow-up is mandatory for a comprehensive evaluation of this surgical approach as definitive palliation or as a first stage for a Fontan operation.

TL;DR: The antioxidants Trolox and ascorbic acid effectively reduced myocardial necrosis after ischemia and reduced the area of infarction within the area at risk.

TL;DR: It is concluded that surgical procedures that successfully decompress the right ventricle will usually result in biventricular circulation in and long-term survival of patients with pulmonary atresia with intact ventricular septum not complicated by Ebstein's anomaly or extensive ventriculocoronary connections.

TL;DR: Transsternal radical thymectomy is effective therapy for myasthenia gravis and sustained improvement is obtained in patients with moderate and advanced disease, while the majority of patients with ocular disease do not benefit from operation.

TL;DR: Filtration of unwashed SMB may confuse the interpretation of tests for disseminated intravascular coagulation or fibrinolysis, which could lead to unnecessary blood component use and is preventable by washing before infusion, and it is recommended that the routine infusion of unwASH SMB no longer be employed.

TL;DR: Pleuroperitoneal shunting is a safe, simple, and effective treatment of chylothorax in infants and children and is recommend early shunting before the development of nutritional or immunological depletion.

TL;DR: Reduced production of endothelium-derived relaxing factor, a potent vasodilator and inhibitor of platelet adhesion and aggregation, may be implicated in the etiology of early vein graft thrombosis.

TL;DR: Twenty-seven patients underwent reoperation because of thrombotic obstruction of a disc-type cardiac valve prosthesis, and the importance of considering the diagnosis ofThrombosed heart valves in patients with mechanical heart valves who are seen with nonspecific symptoms is emphasized.