Repair of primary or complicated aortic coarctation in the adult with cardiopulmonary bypass and hypothermic circulatory arrest.

Objective: Patients with primary aortic coarctation or complications of a previous coarctation repair may seek treatment as adults. Management options include open, endovascular, hybrid, and extra-anatomic repairs. We evaluated the results of open direct repair with total cardiopulmonary bypass and hypothermic circulatory arrest.

Traumatic diaphragmatic injuries.

Although numerous articles have been written over the past two decades with regard to the treatment of traumatic diaphragmatic hernia, little has actually changed during that time. The ability to make the diagnosis has somewhat improved because of the technologic advances in CT; however, it remains true that the best tool to guide the clinician toward the appropriate diagnosis is a high index of suspicion in patients with blunt or appropriate penetrating trauma. Although laparoscopic or thoracoscopic management of such patients may become prevalent with increasing experience, at present the open approach and simple repair remain the mainstays of management.

Ischemic colitis: spectrum of disease and outcome.

Background: The aim of this study was to identify risk factors, clinical characteristics, and outcome of patients with colon ischemia.

Methods: A 10-year (1992-2002) retrospective study was undertaken. Patients were identified from computerized hospital discharge information.