The positioning of the internal thoracic artery extra-pleural and perihilar in coronary artery bypass grafting.

The positioning of the internal thoracic artery extra-pleural and perihilar in coronary artery bypass grafting to avoiding anterior adherences and prevent unnecessary damage arterial.

Pericardium closure after heart operations: a safety option?

Objectives: Primary pericardium closure may reduce the risk of cardiac injury during chest re opening, especially the right ventricle, aorta and coronary bypass grafts. Nevertheless, concern about adverse hemodynamic effects prevents most heart surgeons of closuring the pericardium.

Methods: We evaluated 48 patients undergoing open heart surgery consecutively which the pericardium was closed in 30 patients (group A) and 18 patients, as a control group (group B) in which the pericardium was left open.

Bicuspid aortic valve: theoretical and clinical aspects of concomitant ascending aorta replacement.

Bicuspid aortic valve (BAV) is associated with annuloaortic ectasia, dissection and ascending aortic aneurysm. The high incidence of this congenital malformation and aortic disease suggests a close correlation between the two phenomena. Abnormalities in different phases of cell migration of the neural crest might be responsible for the occurrence of abnormalities in the aortic valve, media layer of the ascending aorta and vessels of the aortic arch.

One-stage management of infected sternotomy wounds using bilateral pectoralis major myocutaneous advancement flap.

Objective: To assess the results of single-stage treatment of infected sternotomy wounds using bilateral pectorals major myocutaneous advancement flaps.

Methods: Between January 2000 and July 2007, 1972 heart surgeries with median transesternal thoracotomy were performed. Thirteen (0.

Myocardial revascularization in anomalous origin of the right coronary artery: case report.

A 21-year-old man with angina-like chest pain and syncope related to ischemic ECG changes due to an anomalous origin of the right coronary artery. The patient was submitted to surgical correction with myocardial revascularization with internal thoracic artery. A literature review of this rare congenital heart disease is presented.