排序方式: 共有16条查询结果,搜索用时 31 毫秒
1.
Tirone E David Tommaso Regesta Gheorghe Gavra Susan Armstrong Manjula D Maganti 《European journal of cardio-thoracic surgery》2007,31(1):43-48
OBJECTIVE: To examine the outcomes of surgery for active infective endocarditis with paravalvular abscess. METHODS: Paravalvular abscess was defined as infective necrosis of the valve annulus that required patch reconstruction before implanting a new valve. Of 383 patients with active infective endocarditis who underwent surgical treatment, 135 (35%) had paravalvular abscess. Patients' mean age was 51+/-16 years and 68% were men. The infected valve was native in 69 patients and prosthetic in 66. The abscess involved the aortic annulus in 73 patients, the mitral annulus in 27, the aortic and mitral annuluses in 33, and the aortic and tricuspid and/or pulmonary annuluses in 2. Surgery consisted of radical resection of the abscess, reconstruction of the annulus with patches and valve replacement. Mean follow-up was 6.2+/-5.2 years and complete. RESULTS: There were 21 (15.5%) operative deaths. Preoperative shock and abscess in the aortic and mitral annuluses were independent predictors of operative death. There were 34 (25%) late deaths. Survival at 15 years was 43+/-6% for all patients, 50+/-8% for native valve endocarditis and 35+/-9% for prosthetic (p=0.41). Age by increments of 5 years and recurrent endocarditis were independent predictors of late death. There were 16 episodes of recurrent endocarditis in 15 patients, and the freedom from recurrent endocarditis was 82+/-4% at 15 years. Fifteen reoperations were performed in 14 patients. Freedom from reoperation was 72+/-9% at 15 years. CONCLUSIONS: Surgery for active endocarditis with paravalvular abscess was associated with high operative mortality, particularly in patients in shock and abscess of both mitral and aortic annuluses. Long-term survival was adversely affected by age and recurrent bouts of endocarditis. 相似文献
2.
3.
Efstathios J. Boviatsis Lampis C. Stavrinou Andreas T. Kouyialis Maria M. Gavra Pantelis C. Stavrinou Marios Themistokleous Panayiotis Selviaridis Damianos E. Sakas 《European spine journal》2008,17(6):831-837
This study is designed based on the retrospective analysis of patients treated in the Neurosurgical Department of two major
hospitals and review of the literature. The aim of this study is to evaluate the efficacy of surgery and address controversial
issues in the treatment of symptomatic lumbar intraspinal synovial cysts. Spinal juxtafacet cysts (synovial and ganglion cysts)
are a rare cause of low back and radicular leg pain. Although the relevant reports in the international literature are increasing,
the controversy about conservative versus surgical treatment and the need for concomitant fusion still exists. Data from seven
patients (age range 58–69 years, mean age 61 years) with low back and radicular leg pain due to a lumbar facet joint cyst
were retrospectively analyzed. Demographic data, cyst level, presence of concomitant local pathology, treatment and results
of treatment were recorded. A follow-up of at least 6 months (range 6–48 months) was conducted and results were noted. All
patients had back pain, while five also experienced unilateral radicular leg pain and one had bilateral leg pain. One patient
had neurogenic claudication. MRI identified the cyst and highlighted underlying pathology in all cases. All patients underwent
surgical cyst excision. No fusion was performed. Post-operatively, all patients showed a total resolution of symptoms with
sustained benefit at final evaluation. Review of the literature revealed a trend towards surgery, as this is correlated to
a more favorable outcome compared with conservative treatment. Fusion should be performed on a case-by-case basis only. Surgery
is a safe and effective treatment choice in this increasingly appearing ailment. A prospective, randomized trial should clarify
issues under debate.
An erratum to this article can be found at 相似文献
4.
Monassier F Mattei C Gavra G Dallemand R Lallemant P Olteane C Semenescu A Durasnel P Monassier JP Bischoff N 《Annales de cardiologie et d'angeiologie》2005,54(6):299-304
A consecutive cohort including 1080 patients undergoing "off-pump" myocardial revascularization was reviewed. An average of 2.22 bypass/patients was performed. The death-rate during the first 30 days after surgery was 0.65%. Four cases needed cross-over to on-pump. The postoperative events were: need of inotropic drugs (2.7%), atrial fibrillation (12.4%), myocardial infarction (6.6%). The extubation was performed before the first postoperative 24 h in 91.9% of cases. The majority of patients was discharged from hospital before 8 days after surgery. Off pump coronary artery bypass surgery exhibit good results for most of the patients even if they present multiple vessel disease and high operating risk. 相似文献
5.
Anna Paisiou Evgenios Goussetis Maria Dimopoulou Vassiliki Kitra Ioulia Peristeri Giorgos Vessalas Maria Gavra Virginia A. Theodorou Stelios Graphakos 《Pediatric transplantation》2013,17(2):E41-E45
ADEM is a rare inflammatory demyelinating disease of the CNS, which usually presents after a viral infection or a vaccination. We report a 15‐yr‐old boy who was diagnosed with ADEM after an HLA‐identical sibling allogeneic BMT for transfusion‐dependent PRCA. His course was complicated with GVHD affecting the skin and lungs. Five months post‐BMT, he developed neurological symptoms including sudden mental status alteration, dysarthria, facial nerve palsy, and acute paraplegia. The MRI revealed multifocal hyperintense lesions mainly in the subcortical white matter of the cerebrum, the brainstem, the basal ganglia, and the thalami. CSF examination was normal. There was no laboratory evidence of infection. The typical MRI findings and an acute monophasic clinical course were consistent with the diagnosis of ADEM. Clinical and radiological improvement was observed after treatment with high‐dose steroids and IVIG. Complete neurologic recovery was achieved six months after the onset of symptoms. We present a rare case of ADEM post‐BMT and review of the literature. 相似文献
6.
7.
Gavra Hadar Tirosh Irit Spielman Shiri Greenberger Shoshana Amarylio Gil Harel Liora Ben-Amitai Dan Avitan-Hersh Emily Yonatan Butbul Aviel 《Clinical rheumatology》2022,41(4):1125-1130
Clinical Rheumatology - Juvenile psoriatic arthritis (JPsA) is a severe inflammatory arthritis, which is associated with psoriasis in most cases. While there are few validated screening tools for... 相似文献
8.
9.
Matei C Gavra G Billaud P Dallemand R Semenescu A Lallemant P Réal P Jacquemin L el Belghiti R Monassier JP Bischoff N 《Annales de cardiologie et d'angeiologie》2002,51(5):261-267
A consecutive series of 746 patients undergoing heart beating myocardial revascularization was reviewed. An average of 2.30 grafts/patients was performed. The rate of mortality in the first 30 postoperative days was 0.28%. Two cases had to be terminated on-pump. We used the inotropic drugs in 0.6% of cases. The postoperative events were: atrial fibrillation (12.6%), myocardial infarction (0.3%). The rate of transfusion was 7.4%. The extubation was performed in the first 24 h postoperatively in 94.7% of cases. The majority of patients (91.3%) left the hospital in the first 8 d postoperatively. Off pump coronary artery bypass grafting gives good result for the most of the patients even for those with multiple vessel disease and high operating risk. 相似文献
10.