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297 articles
October 20265
Erector spinae plane and superficial parasternal intercostal plane blocks vs. control for sternotomy in cardiac surgery: A prospective, randomized trial.
This prospective, randomized controlled trial compared standard therapy with erector spinae plane (ESP) or superficial parasternal intercostal plane blocks in 271 adults undergoing elective sternotomy for cardiac…
Same-day diagnosis and robotic resection of rare primary pulmonary melanoma: a robotic bronchoscopy-guided approach.
A man in his 70s presented with a lingular pulmonary nodule suspicious for non-small cell lung cancer. He underwent robotic navigation bronchoscopy for biopsy, which was followed by robotic-assisted thoracic surgery.
Minimally Invasive Versus Sternotomy in Redo Mitral Valve Surgery: Short- and Long-Term Outcomes with Meta-Regression and Time-to-Event Analysis.
This meta-analysis compared minimally invasive mitral valve surgery (MI-MVS) with sternotomy for redo surgery in adults. It included 15 studies and 3457 patients, pooling perioperative outcomes and reconstructing…
Clostridium septicum aortitis and mediastinitis complicating perforated appendicitis in a patient with chronic myelomonocytic leukemia: A case report.
A 71-year-old man with untreated chronic myelomonocytic leukemia presented with back pain, vomiting, and rigors. CT demonstrated perforated appendicitis, mediastinitis, and aortitis involving the aortic arch and…
The learning curve of robotic pancreatoduodenectomy: a systematic review of learning curve assessment methodologies, proficiency thresholds, training pathways and clinical outcomes.
This systematic review evaluated the learning curve of robotic pancreatoduodenectomy (RPD) across 42 studies, focusing on methodologies, proficiency thresholds, and outcomes.
September 202619
Cardiac intimal sarcoma presenting with pseudo-pulmonary embolism: surgical debulking, RVOT reconstruction and pulmonary valve replacement.
A 27-year-old woman presented with dyspnoea and signs of right-heart failure following delivery. Initial imaging suggested pulmonary embolism, prompting emergency surgery due to haemodynamic instability.
Transverse infundibulotomy for resection of a right ventricular outflow tract myxoma.
A 25-year-old asymptomatic 64 kg female with an incidental heart murmur was found, on echocardiography, to have a 2 cm echogenic mass beneath the pulmonary valve, with a peak gradient of 11 mmHg and mild pulmonic…
Association between surgeon sex and long-term postoperative outcomes: A systematic review and meta-analysis.
This systematic review and random-effects meta-analysis compared long-term postoperative outcomes among patients treated by female versus male surgeons. Four studies included 3,467,096 patients.
Combined mastectomy and beating heart coronary artery bypass grafting: a single-session surgical approach.
A woman in her 70s with papillary ductal carcinoma in situ underwent a combined surgical approach due to severe coronary artery disease.
Segmental sternal resection for metastatic ovarian cancer: surgical technique and clinical outcome.
Isolated sternal recurrence from ovarian cancer is exceptionally rare, and its optimal surgical management remains poorly defined.
Incidence and Predictors of Complications After Transcatheter Aortic Valve Implantation According to VARC-3 Criteria: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis pooled 57 studies involving 73 588 patients undergoing transcatheter aortic valve implantation (TAVI), with complications classified using VARC-3 criteria.
Effectiveness of elastic therapeutic taping in pain management after median sternotomy: A randomized controlled trial.
This randomized controlled trial evaluated the effectiveness of elastic therapeutic taping on postoperative pain and recovery in 195 patients undergoing coronary artery bypass grafting via median sternotomy.
The "Spiked Helmet Sign" on Electrocardiogram Following Left Ventricular Assist Device Implantation: A Case Report.
A 68-year-old male with end-stage ischemic cardiomyopathy underwent left ventricular assist device (LVAD) implantation. Shortly after the procedure, his ECG displayed the 'Spiked Helmet Sign' alongside QTc prolongation.
Heart Donation After Controlled Circulatory Death in Noncardiac Surgery Hospitals With a Mobile Heart Team: A Case Series From an Italian Regional Program and Integrated Review of the Literature.
An Italian regional transplant program used a mobile DCD Heart Team to perform thoracoabdominal normothermic regional perfusion (TA-NRP) at hospitals without onsite cardiac surgery.
Factor V Deficiency and Mechanical Valve Replacement: Challenges in Perioperative Hemostasis and Anticoagulation.
A 30-year-old woman with congenital factor V deficiency (baseline activity 18%) underwent mechanical aortic valve replacement and mitral valve repair due to infective endocarditis.
Cervical aortic arch with severe left ventricular dysfunction in a neonate: successful repair using whole-body perfusion.
A neonate presented with a right cervical aortic arch, coarctation, and significantly reduced left ventricular function. Surgical intervention involved arch repair with aortic uncrossing, utilizing whole-body perfusion…
Left-sided 3D totally endoscopic mitral valve repair guided by left atrial appendage orientation in situs inversus totalis with mirror-image dextrocardia: a case report.
A 39-year-old woman with situs inversus totalis and mirror-image dextrocardia presented with progressive exertional dyspnea due to severe mitral regurgitation from posterior leaflet prolapse.
Clinical Outcomes of Left Atrial Appendage Occlusion During Cardiac Surgery in Patients Without Atrial Fibrillation: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis combined randomized and observational studies comparing surgical left atrial appendage occlusion (LAAO) with no occlusion during cardiac surgery in patients with sinus rhythm and…
Ultrasound-guided vs conventional venous puncture for atrial fibrillation ablation: the ULYSSES trial.
The ULYSSES trial, a multicenter randomized controlled trial, evaluated the efficacy of ultrasound-guided femoral venous puncture versus conventional palpation-guided puncture in patients undergoing atrial fibrillation…
Combined veno-venous ECMO and direct aortic impella 5.5 support enabling emergency mitral valve replacement in acute severe mitral regurgitation with fulminant pulmonary edema.
A 61-year-old man presented with acute severe mitral regurgitation and extreme respiratory failure, requiring emergency mitral valve replacement.
Biliary anastomosis using T-tube versus no T-tube for liver transplantation in adults.
This systematic review and meta-analysis evaluated the impact of T-tube use during biliary anastomosis in liver transplantation among 844 adults.
Concomitant orthotopic heart transplantation and repair of left partial anomalous pulmonary venous return.
A 64-year-old male with non-ischaemic cardiomyopathy and a ventricular septal defect presented in cardiogenic shock and required a microaxial pump.
Double-switch procedure - Mustard atrial switch, arterial switch and ventricular septal defect closure.
The double-switch operation, which combines atrial and arterial switch procedures, provides the best anatomical repair for congenitally corrected transposition of the great arteries [1].
A balloon-like cardiac myxoma mimicking a blood-filled cyst.
A 54-year-old woman presented with exertional dyspnea, chest tightness, and intermittent dizziness. Initial evaluations were unremarkable.
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