共查询到20条相似文献，搜索用时 0 毫秒
1.
Azahara Fernández-Carbonell Enrique Rodríguez-Guerrero Carlos Merino-Cejas María Teresa Conejero-Jurado Rafael Villalba-Montoro María del Carmen Romero-Morales Pedro Alados-Arboledas Jaime Casares-Mediavilla Marta Fernández-Carbonell Pedro López-Cillero José Rafael Caro-Barrera 《The Annals of thoracic surgery》2021,111(4):1338-1344
- Download : Download high-res image (143KB)
- Download : Download full-size image
2.
3.
4.
5.
6.
7.
A case is described of a palmar dislocation of the proximal interphalangeal joint that required open reduction because of interposition of the central extensor tendon. 相似文献
8.
Tomas A. Salerno Ian R. Neilson Edward J.P. Charrette R. Beverley Lynn 《The Annals of thoracic surgery》1981,31(4):300-304
A 25-year experience with 139 patients undergoing closed mitral commissurotomy is reviewed. The primary indication for closed mitral commissurotomy was mitral stenosis, but 24 patients also had other less important valvular defects. Preoperatively, all patients were in New York Heart Association (NYHA) Functional Class III or IV. Average age was 46 years (range, 18 to 77 years). There were 24 men and 115 women. No further operation after initial closed mitral commissurotomy was required in 68% of the patients (95 patients), and NYHA Functional Classification was improved in 93%. Postoperative complications occurred in 3%, and operative mortality was 2.0%. Follow-up revealed restenosis in 6% of the patients, mitral regurgitation in 14%, complications in 7%, and late deaths in 3%. Reoperation, required in 32% (44 of 139 patients), included a second closed mitral commissurotomy (21 patients), open mitral commissurotomy (3), mitral valve replacement (MVR) (18), and MVR after a second closed mitral commissurotomy (2). Improvement in NYHA classification was found in 82% of these patients. Operative mortality was 9.5% for patients having a second closed mitral commissurotomy and 20% for those having MVR. 相似文献
9.
10.
11.
12.
13.
14.
F. Martínez-Soba E. Miñambres L. Martínez-Camarero M. Arlabán-Carpintero J.A. Moreno-Ortigosa V. Calleja-Muñoz M.A. Ballesteros 《Transplantation proceedings》2019,51(2):299-302
A program of intensive care to facilitate organ donation (ICOD) represents one of the ways to increase donation rate following brain death (BD).
Objectives
To analyze the impact and cost-effectiveness of setting up an ICOD strategy.Method
Retrospective cases of BD donors from the Spanish region La Rioja were included, after implementation of an ICOD program (2011–2016). This was activated in cases of devastating neurologic injury where treatment had been rejected following therapeutic futility criteria. Follow-up of kidney and liver transplant patients with the obtained grafts was carried out.Results
A total of 134 potential donors were admitted to intensive care unit (ICU), of whom 106 were selected under the ICOD strategy. BD was diagnosed in 108 cases (25 conventional donors, 83 ICOD donors). A total of 21.6% of potential ICOD donors did not evolve to BD, subsequently dying in the ICU. ICOD cases accounted for more than 50% of donors each year. This cohort had an average stay of 2.4 days in the ICU and accounted for a small proportion of total ICU admissions. A total of 68 (81.9%) ICOD donors were finally effective and 146 grafts were extracted, the majority being abdominal organs (liver and kidney). Probability of survival 1 year after liver transplant (ICOD donor) was 90.9%, with 1 case of primary graft failure. Survival 1 year after kidney transplant (ICOD donor) was 92.7%. No differences were detected in survival rates of kidney and liver transplant patients regarding donor type (ICOD vs conventional).Conclusions
Implementation of an ICOD program allows an increase in the pool of valid and quality grafts for transplant as well as implying a minimum consumption of intensive medicine resources. The results in transplant patients support this strategy. 相似文献15.
16.
17.
18.
19.
20.
J. Kenneth Koster Lawrence H. Cohn Roger B.B. Mee John J. Collins 《The Annals of thoracic surgery》1978,26(5):461-467
Since July, 1970, 8 patients with acute dissecting aneurysms of the ascending aorta producing aortic insufficiency have undergone immediate operation employing a technique in which the origin of the dissection is resected, the dissected base of the aorta is lined with nondistensible prosthetic cloth for support, and the native aortic valve is resuspended. Aortic continuity is then reestablished with end-to-end anastomosis or use of a short segment of woven graft (not necessarily circumferential).There were no operative deaths. Mean follow-up has been 60 months (range, 25 to 82 months). One late death has occurred (cerebral hemorrage at 48 months); of the remaining 7 patients, 2 have faint murmurs of aortic insufficiency, but all are in New York Heart Association Functional Class I.This technique of aortic reconstruction in acute ascending dissections allows preservation of the native aortic valve while preventing late aortic root dilatation or major valve insufficiency. 相似文献