The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Tae-gook Jun - One of the best experts on this subject based on the ideXlab platform.
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Video-assisted thoracoscopic division of vascular rings.
The Korean Journal of Thoracic and Cardiovascular Surgery, 2015Co-Authors: Jung Hee Lee, Ji-hyuk Yang, Tae-gook JunAbstract:This study reports our early experience with thoracoscopic division of vascular rings. Three patients were reviewed; their ages at surgery were 25 months, 4 years, and 57 years. All patients were suffering from complete vascular rings involving combinations of the right aortic arch, left Ligamentum arteriosum, Kommerell’s diverticulum, and retroesophageal left subclavian artery. The median surgical time was 180.5 minutes, and the patients showed immediate recovery. Three complications, namely chylothorax, transient supraventricular tachycardia, and left vocal cord palsy, were observed. Our early experience indicates that thoracoscopic division of a vascular ring may provide early recovery and could be a promising operative choice.
Milton A Meier - One of the best experts on this subject based on the ideXlab platform.
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minimally invasive thoracotomy muscle sparing thoracotomy for occlusion of Ligamentum arteriosum ductus arteriosus in preterm infants
Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular, 2007Co-Authors: Andrey Jose De Oliveira Monteiro, Leonardo Secchin Canale, Rosie Vivian Rosa, Alexandre Siciliano Colafranceschi, Divino F Pinto, Marcia Baldanza, Rosa Celia Barbosa, Milton A MeierAbstract:AbstractObjectives: To analyze the feasibility, the safety, and theprimary outcomes of a minimally invasive thoracotomy forthe occlusion of ductus arteriosus (Ligamentum arteriosum)in preterm infants.Methods: Between October 1991 and June 2003, 273preterm infants and very low birth weight preterm infantswere submitted to a surgical occlusion of the ductusarteriosus (Ligamentum arteriosum) through muscle-sparingthoracotomy under general anesthesia in the neonatal ICU.Pre-operative demographic data, mortality outcomes, andadverse events were retrospectively analyzed throughmedical records research.Results: There were no deaths related to surgery, and234 (86%) patients were discharged from hospital. Thirty-nine deaths have occurred between the 1 st and the 51 st days.The cause of death was sepsis (14 patients); intracranialbleeding (11 patients); and necrotizing enterocolitis (ninepatients). All causes of death wer e related to pr ematurity. Infive patients the cause of death was not established or couldnot be found in the medical records. The most frequentadverse events related to the surgery were: pneumothorax:3.3% (nine patients), bleeding: 1.4% (four patients).Conclusions: The minimally invasive thoracotomytechnique for the occlusion of the ductus arteriosus(Ligamentum arteriosum) when performed in preterminfants and very low birth weight infants is feasible, safe,efficient, related to low morbidity, and not dependent ofhospital resources.Descriptors: Ductus arteriosus, Patent, surgery. Ductusarteriosus. Infant. Infant, Very Low Birth W eight.Thoracotomy.
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Toracotomia minimamente invasiva (miopreservadora) para ligadura do canal arterial em prematuros Minimally invasive thoracotomy (muscle-sparing thoracotomy) for occlusion of ductus arteriosus in preterm infants
Sociedade Brasileira de Cirurgia Cardiovascular, 2007Co-Authors: Andrey Jose De Oliveira Monteiro, Leonardo Secchin Canale, Rosie Vivian Rosa, Alexandre Siciliano Colafranceschi, Divino F Pinto, Marcia Baldanza, Rosa Celia Barbosa, Milton A MeierAbstract:OBJETIVO: Avaliar a aplicabilidade, segurança e resultados iniciais da toracotomia minimamente invasiva para ligadura do canal arterial em prematuros. MÉTODO: Entre outubro de 1991 e julho de 2003, 273 prematuros e prematuros extremos foram submetidos à ligadura cirúrgica do canal arterial por toracotomia miopreservadora, com anestesia geral, em UTI neonatal. Os dados demográficos pré-operatórios e os desfechos de mortalidade e eventos adversos foram, retrospectivamente, avaliados por meio de consulta aos prontuários. RESULTADOS: Não houve óbito relacionado com o ato operatório e 234 (86%) pacientes tiveram alta hospitalar. Os 39 óbitos ocorreram entre o 1º e o 51º dias e foram atribuídos à sepse (14 pacientes), hemorragia intracraniana (11 pacientes) e enterocolite necrotizante (nove pacientes), todas causas inerentes à prematuridade. Em cinco pacientes, a causa não foi adequadamente estabelecida. As complicações mais freqüentes relacionadas ao procedimento foram: pneumotórax 3,3% (nove pacientes) e hemorragia 1,4% (quatro pacientes). CONCLUSÕES: A técnica de toracotomia minimamente invasiva para a ligadura do canal arterial quando realizada em prematuros e prematuros extremos é aplicável, segura, eficaz, relacionada à baixa morbidade e não depende da estrutura hospitalar local.OBJECTIVES: To analyze the feasibility, the safety, and the primary outcomes of a minimally invasive thoracotomy for the occlusion of Ligamentum arteriosum (ductus arteriosus) in preterm infants. METHODS: Between October 1991 and June 2003, 273 preterm infants and very low birth weight preterm infants were submitted to a surgical occlusion of the Ligamentum arteriosum (ductus arteriosus) through muscle-sparing thoracotomy under general anesthesia in the neonatal ICU. Pre-operative demographic data, mortality outcomes, and adverse events were retrospectively analyzed through medical records consultation. RESULTS:There were no deaths related to surgery, and 234 (86%) patients were discharged from hospital. Thirty-nine deaths have occurred between the 1st and the 51st days. The cause of death was sepsis (14 patients); intracranial bleeding (11 patients); and necrotizing enterocolitis (9 patients). All causes were related to prematurity. In five patients the cause of death was not established or could not be found in the medical records. The most frequent adverse events related to the surgery were: pneumothorax: 3.3% (9 patients), bleeding: 1.4% (4 patients). CONCLUSIONS: The minimally invasive thoracotomy technique for the occlusion of the Ligamentum arteriosum (ductus arteriosus) when performed in preterm infants and very low birth weight infants is feasible, safe, efficient, related to low morbidity, and not dependent of hospital resources
Jung Hee Lee - One of the best experts on this subject based on the ideXlab platform.
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Video-assisted thoracoscopic division of vascular rings.
The Korean Journal of Thoracic and Cardiovascular Surgery, 2015Co-Authors: Jung Hee Lee, Ji-hyuk Yang, Tae-gook JunAbstract:This study reports our early experience with thoracoscopic division of vascular rings. Three patients were reviewed; their ages at surgery were 25 months, 4 years, and 57 years. All patients were suffering from complete vascular rings involving combinations of the right aortic arch, left Ligamentum arteriosum, Kommerell’s diverticulum, and retroesophageal left subclavian artery. The median surgical time was 180.5 minutes, and the patients showed immediate recovery. Three complications, namely chylothorax, transient supraventricular tachycardia, and left vocal cord palsy, were observed. Our early experience indicates that thoracoscopic division of a vascular ring may provide early recovery and could be a promising operative choice.
Chohsei Maeda - One of the best experts on this subject based on the ideXlab platform.
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the surgical management of vascular ring formed by right aortic arch with aberrant left subclavian artery and left Ligamentum arteriosum a case presentation
Vascular Surgery, 1993Co-Authors: Tomizo Hiekata, Hiroshi Takei, Teruyuki Koyama, Shinichi Endo, Tohko Kashimura, Chohsei MaedaAbstract:Reports on the surgical management of the vascular ring formed by the right aortic arch with aberrant retroesophageal left subclavian artery and ligamen tum arteriosum are relatively few. The authors present a case of a forty-four- year-old woman who had dysphagia lusoria caused by this abnormality. Surgical management, which was performed through a left posterolateral thoracotomy, included division of the Ligamentum arteriosum and of the aber rant left subclavian artery, reanastomosis to the left common carotid artery, and resection of the Kommerell's diverticulum.Complete surgical management should include all of these procedures when the Kommerell's diverticulum causes an additional compression to the esopha gus. Only 2 such cases have been reported so far, including the presented case. The authors' experiences have proved that the posterolateral left thoracotomy provides a sufficient view for performing the complete surgical management of this abnormality.
Ji-hyuk Yang - One of the best experts on this subject based on the ideXlab platform.
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Video-assisted thoracoscopic division of vascular rings.
The Korean Journal of Thoracic and Cardiovascular Surgery, 2015Co-Authors: Jung Hee Lee, Ji-hyuk Yang, Tae-gook JunAbstract:This study reports our early experience with thoracoscopic division of vascular rings. Three patients were reviewed; their ages at surgery were 25 months, 4 years, and 57 years. All patients were suffering from complete vascular rings involving combinations of the right aortic arch, left Ligamentum arteriosum, Kommerell’s diverticulum, and retroesophageal left subclavian artery. The median surgical time was 180.5 minutes, and the patients showed immediate recovery. Three complications, namely chylothorax, transient supraventricular tachycardia, and left vocal cord palsy, were observed. Our early experience indicates that thoracoscopic division of a vascular ring may provide early recovery and could be a promising operative choice.