OBJECTIVE In patients with calcification of the ascending aorta, postoperative stroke and mortality rates remain high after conventional aortic valve replacement, but the results of trans-apical aortic valve implantation in these patients are not known. We evaluate the outcome of trans-apical aortic valve implantation in patients with severely calcified ascending aorta in a single center with e...

We report on the case of a 68-year-old male patient with the history of right pneumonectomy due to bronchial carcinoma, who was referred for aortic valve replacement due to severe calcified aortic stenosis. Pre-operative chest X-ray and computed tomography (CT) revealed an unusually pronounced mediastinal shift to the right. Despite this unusual anatomy, we decided to perform surgery using the ...

AIMS The purpose of this retrospective study was to assess the risk factors for the early and late outcome of the surgical treatment of acute type A aortic dissection, in terms of mortality and morbidity. METHODS AND RESULTS From 1976 to 2003, 487 patients with acute type A aortic dissection treated surgically were enrolled. Twenty-five pre-operative and intra-operative variables were analyse...

INTRODUCTION Acute aortic dissection (AAD) is a serious disease of the aorta with high mortality and morbidity, which requires emergency surgical treatment in order to close the site of the dissection and direct blood flow into the true lumen. Improvements in surgical technique have led to better management of patients with reduced operative mortality, although it still remains high. The aim of...

in this paper, we discuss the present situation of laparoscopy in gynecology. there is no doubt that hospital stay, postoperative pain and convalescence are less when it is possible to treat gynecologic disease via laparoscopy. however, for reaching the final conclusion about the other effects of this kind of surgery, e.g., adhesion formation after operation, pregnancy rate, etc., a series of p...

Abstract Post-operative chyle leak is a rare but recognised complication after abdominal surgeries particularly those involving dissection adjacent to the retroperitoneal lymph nodes and/or lymphatic systems. There are limited cases of post-operative associated with adrenal surgery reported in literature no consensus on its management. Lymphatics gland drain into thoracic duct via regional or d...

Surgery of the descending and thoracoabdominal aorta has been associated with post-operative paraparesis or paraplegia. Different strategies, which can be operative or non-operative, have been developed to minimise the incidence of neurological complications after aortic surgery. This review serves to summarise the current practice of spinal cord protection during surgery of the descending thor...

OBJECTIVES We hypothesized that the extent of aortic atheroma of the entire thoracic aorta, determined by pre-operative multidetector-row computed tomographic angiography (MDCTA), is associated with long-term mortality following nonaortic cardiothoracic surgery. BACKGROUND In patients evaluated for cardiothoracic surgery, presence of severe aortic atheroma is associated with adverse short- an...

Reports have shown the antioxidant, hypotensive, hypolipidemic and vasodilatory effects of grape (Vitis vinifera L.) seed extract. We have recently shown the relaxatory effect of grape leaf extract on rat uterus and reduction of frog heart rate and contractility. The aim of the present study was to investigate the relaxant effect of Vitis vinifera leaf hydroalcoholic extract (VLHE) on rat thora...

estrogen replacement therapy (ert) in postmenopausal women may decrease the risk of coronary artery diseases (cad). we hypothesized that nitric oxide (no) releasing due to ert may be the essential factor by which endothelial permeability decreases. four groups of ovariectomized rabbits were under investigation for five weeks. groups 1 & 4 received high cholesterol diet and other two groups (2 &...