Showing papers in "The Annals of Thoracic Surgery in 1990"

TL;DR: Of 6,504 consecutive patients who underwent isolated coronary bypass grafting in 1985 to 1987, 72 (1.1%) patients experienced sternal wound complications, and ten patients with wound complications died of multi-system failure.

TL;DR: Comparison of length of survival of patients with squamous cell carcinoma and adenoid cystic carcinoma who are alive without disease with those who died with carcinoma supports surgical treatment (usually followed by irradiation); positive lymph nodes or invasive disease at resection margins appear to have an adverse effect on cure of squamouscell carcinoma.

TL;DR: A simpler procedure for replacing both lungs that can be more easily mastered and widely applied is developed and its initial clinical application in 3 patients having emphysema, cystic fibrosis, and bronchiolitis obliterans following previous double-lung transplantation is described.

TL;DR: Although use of one internal mammary artery for coronary artery bypass grafting does not appear to be associated with increased risk, the results with both IMAs are less certain; the potential for a higher incidence of sternal wound infection as a result of devascularization of the sternum is a major concern.

TL;DR: The results support the use of bilateral internal thoracic artery grafting in selected patients and suggest improved freedom from coronary artery interventional therapy (percutaneous transluminal coronary angioplasty and reoperation) when two ITA grafts were used.

TL;DR: In addition to cervical drainage, aggressive, early mediastinal exploration--debridement and drainage through a subxiphoid incision or thoracotomy--is advocated to salvage the patient with descending necrotizing mediastinitis.

TL;DR: An aggressive surgical approach is advocated, especially in patients with benign tumors, who can expect an excellent outcome and for patients with malignant or metastatic disease, palliation and cure are also possible if aggressive surgical actions are taken.

TL;DR: Although cancer recurrences decreased with survival, new lung cancer occurrences increased, and the probability of malignant disease appearing more than 60 months after operation for T1 N0 non-small cell lung cancer dictates continued patient surveillance.

TL;DR: It is proposed that the ratio of observed to expected mortality is a better measure of quality of care than unadjusted mortality.

TL;DR: It is concluded that valve repair in acute endocarditis is possible and effective in most instances and mean follow-up of 30 months was achieved in all survivors.

TL;DR: The records of 64 patients with esophageal perforation treated since 1958 were reviewed and 28 patients in the thoracic group survived, compared with 25 patients treated beyond 24 hours with 12 survivors; hence 28 (64%) of the 44 patients in that group survived.

TL;DR: Tracheobronchial disruption is one of the less common injuries associated with blunt thoracic trauma and failure to diagnose it early can lead to disastrous acute or delayed complications.

TL;DR: The results suggest that the T1 N0 M0 category is not uniform, and lesions that communicated with a bronchus were more malignant than those that did not, and patients with lesions less than 2 cm in diameter did better.

TL;DR: Patients with Barrett's esophagus who have undergone a successful antireflux operation with symptomatic relief and evidence of improvement in lower esophageal sphincter pressures rarely show regression of Barrett's mucosa and may still be at risk for development of carcinoma.

TL;DR: Although several risk factors may have been interrelated, male sex and the presence of pulmonary disease were statistically independent predictors of sternal wound infection.

TL;DR: Of the 121 patients who underwent complete resection and were followed up for 5 years, 41% had recurrence, 8% with local recurrence and 33% with distant metastasis, therefore, it is important to do as complete a resection as possible together with mediastinal lymphadenectomy.

TL;DR: It is concluded that failure of the native circulation during periods other than cardiopulmonary bypass rather than the flows and pressures considered here is the major cause of renal and clinically apparent central nervous system dysfunction after cardiac operations.

TL;DR: The Hemopump, a catheter-mounted, temporary ventricular assist device, which does not require a major surgical procedure for insertion, provides effective, temporary circulatory support in patients with potentially reversible cardiac failure.

TL;DR: Twenty-four adults with intrathoracic esophageal perforations underwent esophagectomy and 19 of the 21 survivors were able to swallow comfortably until the time of death or latest follow-up.

TL;DR: Regular daily low-dose aspirin therapy produces significant increases in postoperative blood loss, resulting in a substantial increase in blood transfusion and hemostatic pack requirements, but does not prolong postoperative hospital stay.

TL;DR: It is suggested that thymic carcinoids have a biological behavior distinct from thymoma in terms of cell origin, associated syndromes, neoplastic behavior, and prognosis.

TL;DR: Although the overall late functional status of patients undergoing repair in the first decade of life was very good, these patients need continued follow-up to assess the severity of pulmonary regurgitation and the need of possible intervention.

TL;DR: Postoperative infection of the ascending aorta and aortic arch in 40 patients was treated by antibiotic therapy alone or by operation and lifelong suppressive antibiotic therapy and 28 patients were alive and well at last follow-up 4 months to 6 years after operation.

TL;DR: A model of clinicopathological staging, based on both clinical stage and histological type, in which three major prognostic groups are considered is proposed, and it is thought that it represents a prognostically valuable approach to the problem of management of thymoma.

TL;DR: Diaphragmatic plication is a safe and effective procedure for adult patients with dyspnea due to unilateral diaphragm paralysis; furthermore, the initial improvement is maintained.

TL;DR: In this paper, lung volumes, expiratory flow rates, diffusing capacity, and blood gases were determined before operation, at discharge (8.7 +/- 1.9 days), and at 3 months postoperatively.

TL;DR: It is concluded that coronary sinus perfusion is a safe and effective means of delivering cardioplegia in aortic valve operations and offers distinct advantages, in particular, the avoidance of perfusion-related coronary artery complications and the opportunity to repeat cardioplgia administration without interrupting the procedure.

TL;DR: A portable cardiopulmonary bypass system that can be rapidly deployed in a nonsurgical setting using nursing staff was used in 38 patients with cardiovascular collapse refractory to ACLS protocol, and 18 of 36 patients cannulated were successfully weaned from cardiopULmonary support.

TL;DR: Prostaglandin E1 appears to prevent both neutrophil and platelet alterations in a simulated extracorporeal circuit to help define blood cell changes during clinical cardiopulmonary bypass.

TL;DR: It appears that even patients with compromised right ventricular performance can be supported long term with a left ventricular assist device, and in no patient did bacterial infection develop during support or after transplantation.