The Journal of thoracic and cardiovascular surgery.
Publisher:
Mosby. St. Louis, MO : Mosby
Frequency: Monthly
Country: United States
Language: English
Author(s):
American Association for Thoracic Surgery.
Start Year:1959 -
ISSN:
0022-5223 (Print)
1097-685X (Electronic)
0022-5223 (Linking)
1097-685X (Electronic)
0022-5223 (Linking)
Impact Factor
6
2022
| NLM ID: | 0376343 |
| (DNLM): | J40340000(s) |
| (OCoLC): | 01754847 |
| Coden: | JTCSAQ |
| LCCN: | sn 78005116 |
| Classification: | W1 JO966I |
Repeat sternotomy after reconstruction of the pericardial sac with glutaraldehyde-preserved equine pericardium. The risk of repeat sternotomy is higher than that of the initial sternotomy, especially if the pericardial sac was left open at the first intervention. In 200 consecutive patients with a pericardial defect after open heart operations, the pericardium was closed with a glutaraldehyde-preserved equine pericardial patch. Precardiac adhesions at reoperation were assessed in four groups of patients on a scale of 6, ranging from 0 (no adhesions) to 5 (calcified or ossified adhesions). Group I comprised 13 patients in whom the pericardium was left open at the first operation and an equine pericardial...
Prevention of retrosternal adhesions after pericardiotomy. Because repeat sternotomies are becoming much more prevalent with repeat coronary bypass operations, prevention of direct adhesions of the heart and grafts to the back of the sternum by use of synthetic or xenograft material to close the pericardiotomy has become a matter for investigation. In this study bovine and equine glutaraldehyde-processed xenografts were implanted bilaterally in dogs for implant intervals of 6 weeks and 3, 6, 9, and 12 months. The bovine and equine xenografts both performed well in resisting the adhesion of the heart to their inner surfaces and less well in resisting a...
Prolonged perfusion with a membrane oxygenator in awake ponies. Prolonged extracorporeal membrane oxygenation (PEMO) was performed in 6 adult ponies with the membrane oxygenator in vein-to-artery bypass circuit. A flow rate equal to 46 per cent of control cardiac output was diverted through the PEMO circuit of 10 to 24 hours. Three of the 6 ponies were perfused for at least 20 hours and developed no complications. Immediately following initiation of PEMO, left ventricular output decreased; however, in the interval between 6 and 24 hours, left ventricular output was increased above control levels. Aortic pressure and left ventricular work were markedly elev...