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Revascularization after minimally invasive coronary artery bypass grafting in 566 patients: Is it a problem?
J Thorac Cardiovasc Surg
November 2024
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address:
Objectives: Minimally invasive coronary artery bypass grafting (MICS CABG) allows visualization and revascularization of all myocardial territories through a small anterolateral thoracotomy, with or without cardiopulmonary bypass. It is increasing in popularity as a safe and effective alternative to sternotomy CABG. In this study, we examined the correlates and long-term outcomes of repeat revascularization (RR) in patients who undergo MICS CABG.
View Article and Find Full Text PDFPatient Experience of Pain Management Following Cardiac Surgery: A Mixed Methods Study.
Pain Manag Nurs
November 2024
Institute of Health Transformation, Centre for Quality and Patient Safety Research, Epworth HealthCare Partnership, Deakin University Geelong, Victoria, Australia.
Purpose: Recovery following cardiac surgery via sternotomy involves weaning from invasive mechanical ventilation, maintaining hemodynamic stability, and preventing complications. In the early postoperative period, a key priority is adequate pain control to allow patients to actively participate in exercise. The purpose of this study was to (i) describe analgesic prescribing and administration practices following cardiac surgery via sternotomy and (ii) explore patients' pain experience and how this impacted participation in early postoperative care.
View Article and Find Full Text PDFCO2 delivery techniques in mini-sternotomy surgery and neurological events: a multicentric study.
BMC Cardiovasc Disord
October 2024
Heart Surgery Unit, San Giovanni Battista Hospital - Molinette, Turin, Italy.
Article Synopsis
- A study evaluated the effectiveness of a commercial sponge diffuser versus a custom-made cannula and no CO2 in preventing neurological events after aortic valve replacement surgery.
- Three patient groups were compared based on their CO2 delivery method, with a focus on outcomes like stroke, dizziness, and mechanical ventilation duration.
- Results showed that the sponge diffuser group had a significantly lower duration of mechanical ventilation, decreased 30-day mortality, and fewer neurological events compared to the other methods.
Sanguineous cardiopulmonary bypass prime accelerates the inflammatory response during pediatric cardiac surgery.
Perfusion
October 2024
Division of Cardiac Surgery, Dalhousie University, Halifax, NS, Canada.
Background: The inflammatory response to cardiopulmonary bypass (CPB) in pediatric patients remains an unresolved challenge. Sanguineous CPB prime, composed of allogenic blood products, is one potentially important stimulus. This study aims to identify specific inflammatory mediators active in sanguineous CPB prime and their impact on the inflammatory response at CPB initiation.
View Article and Find Full Text PDFPrimary Ewing's Sarcoma of the Sternum in an Adult Male: A Rare Case Report.
J Investig Med High Impact Case Rep
October 2024
Makassed Hospital, Jerusalem, Palestine.
Article Synopsis
- * A 34-year-old man experienced chest pain misdiagnosed as muscular spasm, later discovered to have a sternal mass confirmed as Ewing's sarcoma, alongside a metastasis in his tibia.
- * The patient underwent chemotherapy followed by surgery, resulting in significant shrinkage of the tumors, and follow-up scans showed no signs of the disease, highlighting the need for prompt diagnosis and treatment of rare cancer types.
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