ABSTRACT
We performed a totally endoscopic resection of a left ventricular myxoma using the Heart Port Endoclamp System and conventional endoscopic instruments in a young male patient. It is a feasible and safe procedure with good clinical results and an excellent cosmetic outcome.
Subject(s)
Heart Neoplasms/surgery , Heart Ventricles/surgery , Myxoma/surgery , Thoracoscopy/methods , Adult , Humans , MaleSubject(s)
Thrombophlebitis/diagnosis , Aged , Diagnosis, Differential , Female , Humans , Thrombophlebitis/pathologyABSTRACT
PURPOSE: To compare standard sternal closure techniques with reinforcement longitudinal wire placement in the corpus sterni in high-risk patients undergoing open-heart surgery via median sternotomy. METHODS: The subjects of this study were 71 high-risk patients, 32 (45%) of whom underwent sternal closure by conventional methods (group 1) and 39 (55%) of whom underwent sternal closure with corpus sterni reinforcement. The patients were followed up for a mean period of 90 days. RESULTS: In group 2, none of the patients had sternal dehiscence and no revision was required, but in group 1, five (15.5%) patients had sternal dehiscence. This difference was significant between the groups (P = 0.024), but there were no significant differences in mediastinitis and mortality (P > 0.05). CONCLUSIONS: Our findings suggest that primary sternal closure with longitudinal wire reinforcement on both sides of the corpus sterni will decrease the risk of infection and improve wound-healing in parallel with a decrease in sternal dehiscence.
Subject(s)
Cardiac Surgical Procedures/methods , Sternum/surgery , Thoracotomy/methods , Aged , Bone Wires , Female , Humans , Male , Middle AgedABSTRACT
Although very rare, the fistula development between vena cava inferior and an abdominal aortic aneurysm is a pathology which can deteriorate the clinical status of the patient rapidly. Today, this pathology can be diagnosed very easily with non-invasive tests, and invasive tests can also be used for diagnostic purposes when needed. Especially spiral computed tomography scan with contrast is usually sufficient to diagnose this pathology. A large-diameter aortocaval fistula case, which to our knowledge never presented in the literature before, and its diagnosis and treatment will be presented in this article.
