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Showing papers in "The Annals of Thoracic Surgery in 1991"


Journal ArticleDOI
TL;DR: Postoperative radiotherapy does not seem necessary after removal of encapsulated thymomas, but it is advisable in case of invasive thymoma, regardless of the extent of the resection.

343 citations


Journal ArticleDOI
TL;DR: Overall, 82% of patients had a bronchogenic cyst that was either symptomatic or complicated or both and despite extensive investigations, a positive diagnosis was never made preoperatively even if it was suspected in 57% of Patients.

336 citations


Journal ArticleDOI
TL;DR: At this time, aggressive and complete surgical resection seems to offer the best hope for palliation and survival in an otherwise fatal disease.

303 citations


Journal ArticleDOI
TL;DR: Mitral valve tumors were more likely than aortic valve tumors to produce serious neurological symptoms or sudden death, and they were also more likely to be benign than fibroelastomas.

297 citations


Journal ArticleDOI
TL;DR: The significantly better survival of group A and the satisfactory prognosis in the patients with positive cervical lymph nodes demonstrates the effectiveness of neck lymph node dissection in radical operation for thoracic esophageal carcinoma.

264 citations


Journal ArticleDOI
TL;DR: This new technique of retrograde continuous warm blood cardioplegia is a simple, safe, and reliable method of myocardial protection that may change the way the heart intraoperatively is protected.

245 citations


Journal ArticleDOI
TL;DR: It is hypothesized that lung tissue likely remains viable for a sufficient period of time to allow for safe postmortem retrieval of lungs for transplantation, and retrieval of lungs from cadavers whose hearts are not beating may prove to be a safe and effective method to increase the pulmonary donor pool.

244 citations


Journal ArticleDOI
TL;DR: The article in this issue by Gu and colleagues on the T protective effects of the membrane oxygenator on pulmonary injury during cardiopulmonary bypass (CPB) represents another important piece of the complex puzzle relating CPB to its deleterious effects on organ function.

230 citations


Journal ArticleDOI
TL;DR: This study indicates that cerebral emboli in open heart procedures are most likely to occur during the redistribution of blood from the heart-lung machine to the patient when the heart is beginning to eject actively, despite careful standard deairing procedures.

220 citations


Journal ArticleDOI
TL;DR: Two stages of reconstructive surgical management are detailed and the anatomy and physiology dictate therapy in the newborn period are detailed.

196 citations


Journal ArticleDOI
TL;DR: Results indicate that cardiopulmonary bypass simulates the "euthyroid sick syndrome" as seen in severely burned patients and critically ill patients, which is characterized by depression of T3 and free T3 concentrations with a concomitant increase in reverse T3 levels and normal concentrations of thyroid-stimulating hormone, thyroxine, and free Thyroxine.

Journal ArticleDOI
TL;DR: Prophylactic magnesium administration seems to lessen the incidence of cardiac arrhythmias after elective coronary artery bypass grafting and the number of episodes of atrial fibrillation in the group receiving magnesium therapy.

Journal ArticleDOI
TL;DR: Patients treated with radiation therapy and esophageal bypass had a significantly prolonged survival compared with patients treated with the other modalities.

Journal ArticleDOI
TL;DR: Results show that, in the few patients who do not benefit from optimal medical therapy, pulmonary embolectomy remains an acceptable procedure in view of the long-term results, and that cardiac arrest and associated cardiopulmonary disease were independent predictors of operative death.

Journal ArticleDOI
TL;DR: The extended vertical transatrial septal approach provides good mitral valve exposure without inherent complications and was used in 34 consecutive patients.

Journal ArticleDOI
TL;DR: Complications were high, with bronchopleural fistula most commonly occurring after right pneumonectomy in patients infected with Mycobacterium avium with superimposed infection with nonmycobacterial pathogens.

Journal ArticleDOI
TL;DR: Acquired, nonmalignant tracheoesophageal fistula is an uncommon and difficult problem to manage and a conservative approach is used until patients are weaned from ventilation.

Journal ArticleDOI
TL;DR: An alternative technique of total orthotopic heart transplantation is described, where complete excision of the recipient's atria is undertaken.

Journal ArticleDOI
TL;DR: A series of 75 cardiac tumors in 74 patients operated on at La Pitie Hospital between 1972 and 1989 survived operation, although 4 died in the early postoperative period; hence, prognosis remained unchanged.

Journal ArticleDOI
TL;DR: The partial Fontan with an adjustable ASD may increase the safety of the Fontan procedure for high-risk groups such as those with increased pulmonary vascular resistance, pulmonary hypertension, and impaired left ventricular function and for infants, who tolerate venous hypertension poorly.

Journal ArticleDOI
TL;DR: It is concluded that patients surviving treatment of primary lung cancers require lifelong screening for multiple primary lung carcinoma, and complete resection is recommended whenever possible.

Journal ArticleDOI
TL;DR: Ischemic mitral insufficiency is an uncommon cause of mitral valve disease that is amenable to repair in the majority of cases of both acute and chronic onset, and operation is associated with superior survival in patients with valve prolapse.

Journal ArticleDOI
TL;DR: Long-term results support surgical resection in benign lesions and an aggressive multimodality approach to malignant lesions in patients with primary cysts and tumors of the mediastinum.

Journal ArticleDOI
TL;DR: Fifty-eight consecutive patients with pulmonary atresia, ventricular septal defect, hypoplastic pulmonary arteries with arborization defects, and major aortopulmonary collaterals were entered into a program for staged surgical repair between January 1979 and July 1989.

Journal ArticleDOI
TL;DR: An aggressive attitude toward surgical treatment was taken in patients with N2 non-small cell lung cancer in the past 10 years and can be advocated for patients withN2 disease on the basis of the present results.

Journal ArticleDOI
TL;DR: Aggressive treatment, including emergency room thoracotomy, is justified for lifeless and deteriorating cardiac injury victims.

Journal ArticleDOI
TL;DR: The case presented is unusual in the use of serratus anterior muscle for repair of the fistula, with a 76% survival rate and a review of the literature and an illustrative case report are presented.

Journal ArticleDOI
TL;DR: In this article, the Masaoka staging revealed stage I disease in 45 (53%), stage II in 23 (27), stage III in 14 (16), and stage IVa in 3 (4%).

Journal ArticleDOI
TL;DR: Thoracoscopic debridement and irrigation used routinely as a first-line measure in empyema thoracis is a safe and relatively atraumatic procedure, does not exclude the use of any subsequent surgical measure, and provides valuable time to improve the condition of debilitated patients so that they may tolerate more aggressive surgical procedures.

Journal ArticleDOI
TL;DR: One hundred consecutive patients with the Marfan syndrome underwent composite graft repair of an ascending aortic aneurysm between September 1976 and June 1989, with low hospital and late mortality.