A unusual case of right lung and right atrio-inferiocaval injury caused by stabbing

PubMedID: 19670127Penetrating thoracic injuries can damage more than one intrathoracic structure and frequently require urgent surgical intervention due to life-threatening consequences. These injuries demand extreme awareness and emergency measures. This paper reports on an unusual case with right lung and right atrio-inferiocaval junction injury caused by a knife penetrating through the right paravertebral region of the thorax. The patient was treated by immediate surgical repair under partial cardiopulmonary bypass and discharged successfully. This case emphasizes the fact that right chest paravertebral penetrating injuries may require cardiopulmonary bypass, although this zone has less risk for cardiac injury. © Georg Thieme Verlag KG Stuttgart - New York

Early results of peripheral arterial performed using shelhigh no-react treated internal mammary arteries

In 30 cases at our clinic, bovine internal mammary arterial grafts, were used for femoro-popliteal arterial bypass on patients to be re-operated due to obstruction. All patients had previously gone through coronary bypass in the period 2009-2011, and subsequently had no saphenous veins or whose saphenous vein quality and diameter was inadequate where a Dacron® synthetic graft, autologous saphenous vein or PTFE were used. Alongside of the peripheral arterial bypass, aortabifemoral bypass with a Dacron® graft was performed on six patients. After the operation, all patients were monitored at week 1, week 4 and week 8 by arterial colored Doppler ultrasoundography, and MR angiography was performed at week 12 and MR angiography was performed at year 1. Early period check-ups (postoperative, week 12) and medium term follow-ups (postoperative year 1), no obstruction was detected except in 4 patient. The No-React® treated Shelhigh internal mammary artery graft may be an alternative to saphenous vein and inorganic tubular grafts for femoro-popliteal arterial bypass operations in cases where autologous veins are not available. As evidenced by the patient cohort and early period results, this alternative may be particularly useful for patients which 1) are to be reoperated due to obstruction; 2) who had gone through coronary bypass and have no saphenous veins; or 3) whose saphenous vein quality and/or diameter are inadequate where Dacron® saphenous vein or PTFE were used

Successful One Stage Surgical Removal of Intravenous Leiomyomatosis with On Pump Beating Heart Technique

PubMedID: 26847505An intravenous leiomyomatoma is a rare benign smooth muscle tumour originating from myometrial veins. Surgical resection is the best treatment for intracardiac extension of intravenous leiomyoma. Here we present a very rare case of intravascular and intracardiac leiomyomatosis. We successfully performed one-stage surgery to remove the leiomyomatosis with beating heart under cardiopulmonary bypass. © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)

A novel approach for off-pump atrial septostomy applications

PubMedID: 17921132Atrial septostomy or septectomy are required to enable atrial mixture in various congenital cardiac lesions. The aim of this article was to introduce a technique where atrial septostomy application could be employed off-pump with the aid of a new device. To our knowledge this is the first report for this technique in the literature. We report the results of 7 patients for whom we employed our technique succesfully using a new combined device as an alternative to traditional methods. The major advantage of our approach was avoiding detrimental effects of cardiopulmonary bypass applications. © 2007 Forum Multimedia Publishing, LLC

Systemic pulmonary shunt performed with Shelhigh internal mammary artery: Early results

PubMedID: 18270142Objective. The purpose of this study was to evaluate early findings for aortopulmonary shunts using bovine internal mammary artery grafting. Methods. Bovine internal mammary artery grafts biomodified with glutaraldehyde and the Shelhigh No-React process were used between May 2005 and April 2006 in our clinic for 20 cases of aorta-pulmonary artery shunts. We implanted 2 sizes of grafts, either a graft with 4-mm proximal and 5-mm distal diameters or a graft with 5-mm proximal and 6-mm distal diameters. Patients were between 20 days and 7 years of age, and the sex distribution was 55% female and 45% male. A Blalock-Taussig shunt with left thoracotomy was performed in patients 2 years of age and older, and a central shunt with sternotomy was performed for patients younger than 2 years. Eight patients underwent operation under emergency conditions. Nine patients had tetralogy of Fallot and/or pulmonary atresia (PA); 3 had transposition of the great arteries, ventricular septal defect, and pulmonary stenosis (PS); 3 had tricuspid atresia; 3 had PS and double-inlet left ventricle; and 2 had PA. Results. After the operation, immediate recovery of oxygen saturation and partial oxygen pressure was observed in all patients. Pulse oximetry measurements showed patient oxygen saturation to be between 84% and 100%. One patient underwent reoperation at the third postoperative hour because of bleeding. Two patients died from causes unrelated to the graft. The hospitalization period was between 7 and 29 days. Echocardiography evaluations showed no shunt obstruction for the early (first postoperative week) or middle (postoperative week 24) period. Conclusion. With this study, we assessed the use of the Shelhigh internal mammary artery graft instead of synthetic (polytetrafluoroethylene) tubular grafts in shunt operations for congenital heart diseases with decreased pulmonary blood flow and no evidence of calcification. Further investigation involving a larger number of cases and longer-term results for patency are needed to confirm our findings

Organic Acids, Sugars, and Anthocyanins Contents in Juices of Tunisian Pomegranate Fruits

peer reviewedJuices made from fruits of 30 Tunisian accessions of pomegranate were studied for their organic acids, sugars, and anthocyanin contents, using high performance liquid chromatography. Among the detected organic acids, malic acid was the major one (>50%) followed by citric acid (>22%), while among sugars, fructose and glucose were most present in pomegranate juice contributing 53.9 and 43.4% of the total sugar content, respectively. The total anthocyanin content ranged from 9-115 mg per litre of juice with the following ranges of the six compounds found: cyanidin-3,5-diglucoside (3.1-74.4 mg/L), delphinidin-3-glucoside (0.7-22.0 mg/L), cyanidin-3-glucoside (0.8-21.0 mg/L), pelargonidin-3-glucoside (0.5-16.1 mg/L), pelargonidin-3,5-diglucoside (0.0-11.8 mg/L), and delphinidin-3,5-diglucoside (0.0-5.4 mg/L). Based on the analyzed parameters, cluster analysis allowed grouping cultivars into two main clusters. One was made of sour cultivars and the second of the sweet ones. Principle component and cluster analyses suggested that the composition of the pomegranate fruits is determined by cultivar rather than cultivation location