Superior mediastinal tumour excision through upper partial sternotomy and chamberlain incision

Superior mediastinal mass excision can be performed by various approaches such as partial sternotomy, mini trapdoor incision, anterior cervical transsternal approach and lateral thoracotomies. However, adequate exposure especially of superior surface seems to be difficult. Total four patients of superior mediastinal mass were admitted in the department of cardiothoracic and vascular surgery, Safdarjung hospital, New Delhi between June 2019 to May 2021. All of them were operated by upper partial sternotomy with right or left chamberlain extension of incision. It is safe and effective in terms of exposure with early recovery as well as cosmesis. Hence, we advocate the use of upper partial sternotomy with left or right chamberlain incision which provides good exposure in addition to ease of patient position, vascular control and emergency institution of cardiopulmonary bypass.

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Faculty Opinions recommendation of Statin use is associated with early recovery of kidney injury after vascular surgery and improved long-term outcome.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1387975.861079 ◽

2010 ◽

Author(s):

John Augoustides ◽

Nina Singh

Keyword(s):

Vascular Surgery ◽

Kidney Injury ◽

Early Recovery ◽

Term Outcome ◽

Long Term Outcome ◽

Statin Use

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Sutureless Aortic Valve Replacement via Partial Sternotomy

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e3181cdf6b1 ◽

2010 ◽

Vol 5 (1) ◽

pp. 12-15 ◽

Cited By ~ 11

Author(s):

Sven Martens ◽

Andreas Zierer ◽

Anja Ploss ◽

Sami Sirat ◽

Aleksandra Miskovic ◽

...

Keyword(s):

Cardiopulmonary Bypass ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Elderly Patients ◽

Valve Replacement ◽

Minimal Invasive ◽

Partial Sternotomy ◽

Sutureless Valve ◽

Valve Implantation

Objective For elderly patients with symptomatic aortic valve stenosis, aortic valve replacement with tissue valves is still the treatment of choice. Stentless valves were introduced to clinical practice for better hemodynamic features as compared with stented tissue valves. However, the implantation is more complex and time demanding, especially in minimal invasive aortic valve replacement. We present our clinical data on 22 patients having received a sutureless ATS 3f Enable aortic bioprosthesis via partial upper sternotomy. Methods The procedure was performed using CPB with cardioplegic arrest. After resection of the stenotic aortic valve and debridement of the annulus, the valve was inserted and released. Mean age was 79 years, and mean logistic Euroscore was 13. Subvalvular myectomy was performed in two patients. Prosthetic valve sizes were 19 mm (n = 1), 21 mm (n = 7), 23 mm (n = 6), 25 mm (n = 6), and 27 mm (n = 2). Results Implantation of the valve required 10 ± 6 minutes. Cardiopulmonary bypass and aortic crossclamp time were 87 ± 16 and 55 ± 11 minutes, respectively. Early mortality (<90 days) was 9% (2 patients). No paravalvular leakage was detected intraoperatively or in follow-up echocardiography. The mean transvalvular gradients were 9 ± 6 mm Hg at discharge and 8 ± 2 mm Hg at 1-year follow-up. Conclusions Sutureless valve implantation via partial sternotomy is feasible and safe with the ATS 3f Enable bioprosthesis. Reduction of cardiopulmonary bypass and aortic crossclamp time seems possible with increasing experience. Hemodynamic data are very promising with low gradients at discharge and after 12 month. Sutureless valve implantation via minimal invasive access may be an alternative treatment option for elderly patients with high comorbidity.

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Antioxidant nanomaterials in advanced diagnoses and treatments of ischemia reperfusion injuries

Journal of Materials Chemistry B ◽

10.1039/c7tb01689a ◽

2017 ◽

Vol 5 (48) ◽

pp. 9452-9476 ◽

Cited By ~ 50

Author(s):

Hamed Amani ◽

Rouhollah Habibey ◽

S. J. Hajmiresmail ◽

Shahrzad Latifi ◽

Hamidreza Pazoki-Toroudi ◽

...

Keyword(s):

Myocardial Infarction ◽

Renal Failure ◽

Cardiopulmonary Bypass ◽

Vascular Surgery ◽

Surgical Procedures ◽

Oxygen Supply ◽

Ischemia Reperfusion ◽

Free Tissue Transfer ◽

Limb Ischemia ◽

Clinical Conditions

The effects of antioxidant nanomaterials on organ ischemia with inadequate oxygen supply followed by reperfusion occured in different clinical conditions and surgical procedures including stroke, myocardial infarction, limb ischemia, renal failure, organ transplantation, free-tissue-transfer, cardiopulmonary bypass, and vascular surgery.

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