Paraesophageal hernia repair followed by cardiac tamponade caused by ProTacks.

We describe a case of cardiac tamponade caused by ProTacks Autosuture used for mesh fixation during a laparoscopic Nissen operation with giant paraesophageal hernia repair. Perforations of the posterior descendent artery and epicardial vein of the right ventricle were caused by ProTacks used for Parietex Composite Mesh fixation. Protruding ProTacks were secured from inside the pericardiac sac with a synthetic vascular patch during emergency sternotomy.

[Intraoperative thermography--temperature range on the heart surface during cold cardioplegia].

The paper presents the temperature analysis of the myocardial surface at the cohort of 11 patients with coronary artery disease, who underwent coronary artery bypass grafting with cardiopulmonary bypass. Left and right ventricle temperature changes were registered with Agema Thermovision 900 SW/TE system during cold cardioplegia infusion. Cardioplegia was delivered by the coronary sinus and by the aortic root.

[Evaluation of bypass patency in the radial artery with intermediate term observation].

After an initial learning experience in the early 70's, radial artery is now used as the second arterial graft of choice (after both ITAs). The aim of the study was to compare patency rates of venous and arterial grafts--especially radial artery--in mid-term follow up period. 19 patients with stable angina and 11 with unstable angina underwent coronary artery bypass grafting with CPB.

[Thermographic monitoring of of the left anterior descending coronary artery bypass without extracorporeal circulation, but using stabilizing procedures. Case report].

During the coronary artery bypass off pump procedure thermal angiography was evaluated for the intraoperative assessment of the patency and the flow in the left internal mammary to the left anterior descendens. Our observation confirms that thermal angiography may be used as an intraoperative method which improves graft quality control during coronary bypass procedures.