Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 1982"

TL;DR: The physical size of the patient, including coronary artery diameter, helps predict operative mortality even after adjusting for differences in risk predicted by the basic variables and gender, and the patient's sex is not statistically significantly related to the risk of surgical death given the information available from clinical and angiographic variables.

TL;DR: A highly selected subset of patients with presumably operable lung cancer who had ipsilateral superior mediastinal metastases identified by mediastinoscopy, and in whom a curative resection was deemed possible, are selected for thoracotomy.

TL;DR: It is concluded that supplementing hypothermic cardioplegia solution with enzymes gave protection which was significantly better than that obtained with the other interventions, with values of these indicators not significantly different from those of nonischemic perfused controls.

TL;DR: It is concluded that many complex congenital cardiac anomalies can be effectively treated without a prosthetic conduit.

TL;DR: It is concluded that resection is definitely indicated in patients with T1 N0 M0 lesions and probably indicated in those with T 1 N1 M0 or T2 N0M0 lesions, and primary surgical resections is contraindicated in Patients with any other TNM category.

TL;DR: It is suggested that those patients with more precarious heart function, a more protracted operation, and/or increased metabolic disturbances are especially prone to neuropsychological dysfunction following cardiac operations.

TL;DR: The findings underscore the need for clinicians and investigators studying neuropsychological dysfunction following cardiac operations to take concurrent emotional and physical states into account, and to make repeated measures well separated in time, before interpreting the presence or absence of residual Neuropsychological problems.

TL;DR: Cardiac transplantation can be considered "reasonable and therapeutic treatment to extend life" in selected individuals.

TL;DR: It is concluded that warm induction followed by prolonged cold multidose blood cardioplegic arrest enhances aerobic metabolism, results in normal left ventricular performance, and improves tolerance of aortic clamping in energy-depleted hearts.

TL;DR: The effects of cardiopulmonary bypass with bubble and membrane oxygenator systems on platelet function were studied in 26 patients who had elective coronary arterial bypass grafts and bleeding times increased postoperatively.

TL;DR: The ability of the omentum to rapidly revascularize the bronchus may be of value in potentially ischemic bronchial anastomoses such as in lung transplantation.

TL;DR: The anatomic and functional characteristics of 310 consecutive patients undergoing repair of atrioventricular (AV) septal defects were studied and it is found that actuarial survival at 12 1/2 years postoperatively is 95% when preoperative AV valve incompetence is absent or mild and 88% when it is more severe (Grade 3, 4, or 5).

TL;DR: When the survival probability of patients treated operatively was compared with that of patientstreated nonoperatively, the operative group demonstrated a significantly higher survival probability.

TL;DR: The experience indicates that profound total body hypothermia with circulatory arrest is a safe and effective method for elective surgical treatment of enlarging aneurysms of the aortic arch and for emergency treatment of acute dissections if the intimal tear is located in the aORTic arch.

TL;DR: A method of treatment with an intraluminal prosthesis that requires no end-to-end anastomosis has been developed and provides a safe and simple way to repair dissecting aneurysms of the thoracic aorta and has provided long-term reliability.

TL;DR: Fibrin adhesive was applied 413 times in a group of 340 patients undergoing extracorporeal circulation whenever conventional suturing appeared impossible, difficult, or dangerous, with a success rate of 95%.

TL;DR: The data show that bypass of the obstructed superior vena cava with a spiral vein graft relieves inferior vena caval syndrome and demonstrate long-term patency of the graft.

TL;DR: The routine use of Hancock porcine heterografts for cardiac valve replacement in children in favor of mechanical prostheses is discontinued on the basis of these data and other reports of early failure in the literature.

TL;DR: It is suggested that short-term antithrombotic therapy deserves further assessment in prevention of vein graft occlusion in the first year or two following a CABG operation, and must be evaluated in the context of the recognized bleeding complications of warfarin therapy.

TL;DR: During cardiopulmonary bypass cerebral blood flow, autoregulation seems present at 20 degrees C, and the data set indicates that flows of about 1.2 may be adequate despite limited reserves.

TL;DR: A bifurcated silicone rubber stent initially designed to preserve patency of the airways in a patient after severe and diffuse scalding injury is described, which has since been used to provide relief from airway obstruction by tracheal or mediastinal tumors below the thoracic inlet.

TL;DR: Analysis of angiograms prior to repeat CABG can identify patients at increased risk who have severe graft atherosclerosis as opposed to myointimal hyperplasia and advocate ligation of the vein graft at the level of the distal anastomosis as early as possible during dissection on reopening the chest.

TL;DR: Experiments have shown that repeated injections of calcium gluconate in the postoperative period, high calcium diet, and drying out of the leaflet tissue during implantation led to early and severe calcification.

TL;DR: It is demonstrated that protamine-induced hypotension is primarily the result of peripheral vasodilatation only partically compensated by an increase in cardiac index, which is associated with a small decline in myocardial contractile state.

TL;DR: A composite spiral vein graft was placed between the left jugular--subclavian vein and the right atrium to bypass the completely occluded SVC, providing effective treatment for SVC obstruction with immediate and long-term relief of SVC syndrome.

TL;DR: Despite the poor prognosis in malignant mesothelioma, better survival was achieved when the treatment included operation combined with radiation and chemotherapy.

TL;DR: Staged jejunal interposition can be accomplished reliably and safely in children with excellent long-term functional results and a minimum of late complications and should be considered as an alternative to colon and gastric tubes for total esophageal replacement in children.

TL;DR: Pulsatile flow significantly alters prostacyclin and thromboxane profiles during cardiopulmonary bypass and favors production of the coronary vasodilator and platelet disaggregant prostacy Clin.

TL;DR: In order to assess the effect of the omentum on early neovascularization of bronchial anastomoses, left lung autotransplantation in dogs was performed and the bronchials were wrapped circumferentially with a viable pedicled omental flap raised from the abdomen.