We report a case of a patient with chest trauma (TT) complicated with severe acute respiratory distress syndrome (ARDS) who required extracorporeal membrane oxygenation (ECMO) as ventilatory support. Clinical case: A 48-year-old man, with no relevant history, after a high-energy vehicle collision admitted with severe TT. He evolved with respiratory failure that required intubation and connection to mechanical ventilation (MV).
View Article and Find Full Text PDFBackground: Long-term outcomes of Off-Pump Coronary Artery Bypass Grafting (OPCAB) as an alternative to the traditional Coronary Artery Bypass Grafting (CABG) technique with cardiopulmonary bypass (CPB) are not well defined.
Aim: To compare 10-year survival of isolated OPCAB versus CABG with CPB.
Material And Methods: Analysis of information obtained from databases, clinical records and surgical protocols of patients treated with isolated CABG between January 2006 and November 2008 at a Regional Hospital.
Introduction: Several factors intervene in the evolution of the characteristics of Coronary artery bypass grafting (CABG), such as demographic changes, surgical technique, and perioperative care. Our objective was to analyze the evolution of the characteristics of coronary artery disease in patients treated with CABG and its immediate results.
Methods: In an analytical study, we analyzed a cohort of patients with isolated CABG from January 2006 to December 2008 and from January 2016 to December 2018 in Hospital Clínico Regional Concepción, Chile.
Background: Coronary artery bypass grafting (CABG) is the treatment of choice for a broad spectrum of patients with coronary disease.
Aim: To describe global survival and factors associated with lower long-term survival in patients operated with isolated CABG.
Material And Methods: Analysis of a cohort of patients who underwent CABG between January 2006 and December 2008 at a public hospital.
Background: Lung cancer is the world's leading cause of cancer death.
Aim: To describe the clinical, staging and survival characteristics of lung cancer in a public Chilean regional hospital.
Material And Methods: Analysis of a prospective database of a thoracic surgery service, retrieving histologically confirmed lung cancer cases from January 2010 to December 2019 and reviewing their medical records.
Prosthetic valve replacement is the standard treatment for aortic valvulopathy. Due to the structural valve deterioration of biological prosthesis and the anticoagulation requirements of mechanical valves, the repair of aortic valve disease is receiving more attention in recent years. The Ozaki technique consists in the reconstruction of a trileaflet valve using autologous pericardium.
View Article and Find Full Text PDFBackground: Lungs are the second location in frequency of hydatidosis or cystic echinococcosis.
Aim: To characterize the clinical manifestations, diagnosis, findings and treatment of patients hospitalized for a pulmonary hydatid cyst (PHC).
Materials And Methods: Review of databases, medical records, operation notes and death certificates of patients admitted to a Chilean regional hospital with a PHC.
Background: Primary cardiac tumors have a low incidence, and their presentation form and clinical course are not well known.
Aim: To describe the characteristics, treatment, follow up and survival of patients with primary cardiac tumors (PCT).
Material And Methods: Review of all surgical procedures for PCT performed between 1984 and 2019 in a regional general hospital.
Embolic stroke secondary to cardiac tumors is uncommon. However, 25-30% of cardiac tumors may cause systemic emboli. We report a 29-year-old male consulting for a sudden episode of aphasia and right hemiparesis, compatible with infarct of the left middle cerebral artery territory.
View Article and Find Full Text PDFBackground: Coronary artery bypass grafting (CABG) is the best treatment for a large group of patients with coronary artery disease.
Aim: To describe early and late results of patients treated with CABG at our Center.
Patients And Methods: Revision of data bases, surgical protocols and clinical registers of patients operated between January 2006 and December 2008.
Background: Trauma is the leading cause of death in young patients and thoracic trauma (TT) is responsible for 25-35% of trauma deaths.
Aim: To describe and compare features, trauma severity indexes and morbidity of patients admitted for TT in the past three decades.
Material And Methods: Review of a TT database, operative notes and medical records of patients.
Background: Thymectomy improves clinical outcomes and decreases the need for medical treatment in patients with myasthenia gravis (MG).
Aim: To describe the immediate and long-term results of extended transsternal thymectomy (ETT) in patients with MG.
Material And Methods: A review of databases, surgical protocols, clinical records and interviews of patients subjected to extended transsternal thymectomy for MG between 1990 and 2016.
Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization.
Aim: To report the early results and 4 years follow up of the first 220 cases operated with this technique.
Patients And Methods: Descriptive study of 220 patients aged 60.
Doege-Potter syndrome is characterized for hypoglycemia associated with solitary pleural fibrous tumors. We report a 38-year-old woman with a history of weight loss, malaise and edema. After an episode of symptomatic hypoglycemia, she was admitted to the hospital, where she had new episodes of hypoglycemia.
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