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Journal and News Scan
The worst case of heartburn ever: Norwegian doctors accidentally set fire to patient undergoing cardiac surgery Victim wakes up during the operation after suffering third-degree burns Surgeons ignited alcoholic disinfectant while using an electrical scalpel
ISLAMABAD: Pakistan's former military ruler Pervez Musharraf wants to travel abroad for heart surgery requiring special equipment not available at home, legal sources said Friday quoting from a new medical report. Musharraf faces treason charges dating back to his 1999-2008 rule. But has not shown up for any hearings of a special tribunal due to security fears and lately a heart complaint. The 70-year-old former army chief has been in a military hospital since falling ill while travelling to the tribunal on January 2. An earlier diagnosis from the Armed Forces Institute of Cardiology, where Musharraf is being treated, said he was suffering coronary artery disease and his lawyers have suggested he should be treated abroad. The full report was not released but a legal source who has read it shared some of its contents with reporters. The source said that in the report, Musharraf said he needed "special equipment for his heart surgery which is only available abroad".
This is a video from the EACTS/STS AORTIC SESSION Martin Czerny, Joseph Coselli, Bill Brinkman, and Martin Grabenwöger discuss the differences and common issues between the US and Europe in current practice in aortic surgery.
The authors report on patients with a small aortic annulus who underwent aortic root replacement using self-assembled valve composite grafts with prosthesis larger than aortic annulus. This technique resulted in excellent haemodynamic and good neo-root durability at long-term follow-up.
The authors removed chest tubes after video-assisted thoracic surgery (VATS) lobectomy with serous fluid production up to 500 ml/day in 622 patients. Of them, 17 (2,8%) needed reinterventions due to recurrent pleural effusion. There was no association to the postoperative day of tube removal.
According to a study on 22 patients after repair of tetralogy of Fallot, ejection fraction of the right ventricular sinus and the extent of akinesia of the right ventricular outflow tract predict exercise capacity better than global right ventricular function.
A new endoscopic standardized grading system for macroscopic central airway complications following lung transplantation is suggested by a group of French bronchoscopy experts. It considers macroscopic appearance, diameters and sutures of the bronchial anastomoses.
January 23, 2014
Submitted by: Marcelo Jimenez
Using data from the 3 US cohorts in the After Breast Cancer Pooling Project (ABCPP) with information about duration and smoking exposure in 10000 breast cancer survivor, researchers analyzed the association between smoking and breast cancer survival. Exposition expressed in pack-year increase risks of recurrence and breast cancer mortality and all-cause mortality.
January 23, 2014
Submitted by: Benjamin Bidstrup
In this single centre retrospective review, the authors in a multivariable analysis determined the surgeon was a predictor of blood loss after cardiac surgery. Despite much research, bleeding and blood use remains an issue after cardiac surgery. Each surgeon should examine their own techniques to minimise bleeding risk. IMA use and CPB time were other factors that were significant.
January 19, 2014
Submitted by: J. Rafael Sadaba
Significant carotid artery disease is not uncommon in patients undergoing open heart surgery (OHS). Whether to treat both conditions in a staged or combined procedure remains an unresolved matter. In this retrospective study, the authors compared outcomes in three groups of patients according to treatment strategies: staged carotid endarterectomy (CEA) followed by OHS (CEA-OHS), combined CEA-OHS (i.e. concomitant CEA and OHS under a single anesthesia), and staged carotid stenting (CAS) followed by OHS (CAS-OHS) No significant difference in the primary composit endpoint(all-cause death, stroke, and myocardial infarction) was found between staged CAS-OHS and combined CEA-OHS in the short term. However, beyond 12 months, the staged CAS-OHS option appears to be a better choice. Staged CEA-OHS has the highest risk during both early and late phases. These findings were consistent regardless of multiple adjustments using propensity score and propensity matching.