Twenty-nine cases, penetrating wounds to the heart, who were operated in the thoracic and cardiovascular surgery department of our University during January 1995-August 2000 were reevaluated. Twenty nine patients were men and the mean age was 22.6 (min 12, max 45). The cause of injury was stab wounds in 28 cases and gunshot wounds in 1 case. Besides the clinical findings; teleradiography, echocardiography were valuable for the diagnosis. Surgery was applied in emergent conditions for all cases. Interventions were performed 28 anterolateral thoracotomy, 1 bilaterally anterolateral thoracotomy and additionally 4 laparatomy were performed. The most frequent side of injury was right ventricule. Our mortality ratio was 17.2%, morbidity ratio 17.2%. We think that fast transportation, urgent diagnostic study and immediate surgical intervention important parameters which decrease of the mortality.
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Heart Views
January 2025
Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Introduction: In recent years, minimally invasive mitral valve surgery has become a standard procedure all over the world. A simplified and reproducible technique for performing mitral valve surgery through a right minithoracotomy with central aortocaval cannulation from the same incision, utilizing conventional instruments, has been developed. This innovative approach eliminates the requirement for endoscopic assistance, femoral arterial cannulation, and associated complications.
View Article and Find Full Text PDFCardiol Young
February 2025
Pediatric Cardiac Center, Beijing Children's Hospital & Capital Medical University, Beijing, China.
Background: Right anterolateral thoracotomy or left anterolateral thoracotomy applied to partial anomalous pulmonary venous connection correction have been reported to obtain cosmetic and less invasive outcomes as alternative approaches to median sternotomy. However, the application of different approaches is still confusing. We compared the perioperative and mid-term outcomes to seek indications of different approaches and guide surgical treatment of partial anomalous pulmonary venous connection.
View Article and Find Full Text PDFIndian J Thorac Cardiovasc Surg
March 2025
Institute of Chest Surgery, Medanta, Gurugram India.
We report a case of a 73-year-old male, presenting with persistent cough and shortness of breath. He was diagnosed with an anterior mediastinal mass with significant recurrent loculated pleural effusion. The pre-operative biopsy from the mass was inconclusive.
View Article and Find Full Text PDFMultimed Man Cardiothorac Surg
February 2025
University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
The Heart Center Leipzig has implemented an innovative off-pump minimally invasive cardiac surgery-coronary artery bypass grafting approach, focusing on complete arterial revascularization using bilateral mammary arteries through a minimally invasive incision (left anterolateral minithoracotomy). This technique has been successfully incorporated into routine clinical practice at our centre for the past 8 years. The majority of patients are eligible for this procedure.
View Article and Find Full Text PDFEur J Cardiothorac Surg
January 2025
Department of Cardiothoracic Surgery, Odense University Hospital, Odense, Denmark.
Objectives: We previously did a randomized clinical trial of lobectomy by VATS or thoracotomy for early-stage lung cancer and found that patients who underwent VATS had less postoperative pain and better quality of life compared with thoracotomy. VATS has since been regarded the preferred surgical method for early-stage lung cancer. It is assumed that long-term survival is not influenced by surgical approach, but this assumption primarily rests on non-randomized comparative studies.
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