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Christopher Young of St Thomas’ Hospital in London, UK, reviews clinical trials on sutureless aortic valve implantation.
July 1, 2008
Patient Selection
June 30, 2008
Several surgical approaches have been described for the management of adult patients with acquired heart disease and paraductal coarctation of the aorta. Options are a staged procedure using median sternotomy and left thoracotomy, a catheter-based intervention of the coarctation combined with sternotomy, and single-stage simultaneous correction of lesions via sternotomy.
June 29, 2008
Stainless steel wires are currently used for median sternotomy closure in cardiac and general thoracic surgery; this method is safe, effective, and fast. However, the wires can damage and cut bone during respiratory and chest motion. A novel sternal reinforcement device has been designed to prevent wires cutting into the bone.
June 17, 2008
Unilateral diaphragmatic agenesis is a rare diagnosis typically made early in infancy and generally associated with other genetic anomalies. We present an unusual case of adult onset progressive shortness of breath and peripartum hepatic herniation into the chest, which on intraoperative exploration revealed diaphragmatic agenesis.
June 16, 2008
Patient Selection Currently, only patients with preexisting, paroxysmal atrial fibrillation undergoing OPCAB have been offered an adjuvant off-pump Maze procedure.
June 15, 2008
Surgical stapling devices have been used in Thoracic surgery for over 20 years and have proven as reliable as suturing for the bronchus, pulmonary artery, pulmonary vein or lung parenchyma. They have allowed for the widespread application of thoracoscopy to complex procedures within the chest.
June 15, 2008
Various diathermy techniques have been proposed to reduce intraoperative blood loss in surgery. In particular, standard bipolar technology is able to coagulate small vessels, with a diameter ranging from 1 mm to 3 mm, but it has some disadvantages, including sticking, charring, and significant thermal spread [1,2].