INTRODUCTION Remote access is a prerequisite for endoscopic cardiac surgery on the arrested heart. Despite careful patient selection, technical problems and complications occur with the use of this sophisticated technique, and we aim to describe these problems and suggest solutions. PATIENTS AND METHODS From 2001 to 2004 remote access cardiopulmonary bypass (CPB) was installed in 70 patients,...

Assessment of the left internal mammary artery (LIMA) graft patency currently requires invasive investigation through coronary angiography. In the last years the successful application of noninvasive Doppler spectrum analysis has been reported for patency assessment of the LIMA graft after myocardial revascularization. Echocardiography is considered to be a sensitive noninvasive screening modal...

Henriete S. Vieira, Jacqueline A. Takahashi, Alaíde B. de Oliveira, Egler Chiari and Maria Amélia D. Boaventura* Departamento de Química, Instituto de Ciências Exatas, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, 31270-901, Belo Horizonte MG, Brazil Departamento de Produtos Farmacêuticos, Faculdade de Farmácia , Universidade Federal de Minas Gerais, Av. Olegário Maciel, 2360,...

Hoeflea phototrophica Biebl et al. 2006 is a member of the family Phyllobacteriaceae in the order Rhizobiales, which is thus far only partially characterized at the genome level. This marine bacterium contains the photosynthesis reaction-center genes pufL and pufM and is of interest because it lives in close association with toxic dinoflagellates such as Prorocentrum lima. The 4,467,792 bp geno...

conclusions cpaa provided not only better functional results than scaa, but also improved quality of life, thus may be the better choice. background the tendency towards sphincter preserving for low rectal cancers with low anterior resection, has led to the technique of straight coloanal anastomosis (scaa) or colonic j-pouch anal anastomosis (cpaa). objectives the aim of our study was to compar...

Introduction: Esophageal cancer is a common gastro intestinal malignancy. One of the most common techniques of surgery in esophageal cancer is transhiatal esophagectomy with esophagogastric anastomosis in the neck. This technique is accompanied by complications like chronic gastero-esophegeal reflux and late stenosis. This study was designed to compare the risk of complications after two surgic...

OBJECTIVES Internal mammary arteries graft failure in coronary artery bypass grafting (CABG) is mostly considered to be a result of competitive flow (CF) from the native coronary artery, which significantly limits future revascularization options. METHODS With the left internal mammary artery (LIMA) anastomosed to the left anterior descending (LAD) coronary artery using an off-pump technique,...

Spontaneous left internal mammary artery (LIMA) dissection is an extremely rare condition. It generally occurs as a complication of interventional manipulation in the early post-operative period. Here we present a case of spontaneous LIMA dissection nine years after surgery seemed to be chronic deforming jetflow secondary to kinking segment of LIMA. Kinking of LIMA usually occurs in the intraop...

outweigh students’ right to an education? The on-going ethical dilemma in Peru Rodrigo M. Carrillo-Larco*, Álvaro Taype-Rondán and Reneé Pereyra-Elı́as Sociedad Cientı́fica de Estudiantes de Medicina Cayetano Heredia (SOCEMCH), Lima, Perú; Sociedad Cientı́fica de Estudiantes de Medicina de la Universidad de San Martı́n de Porres (SOCIEM-USMP), Lima, Perú; Escuela de Medicina, Universidad Peruana de...

Left internal mammary artery (LIMA) is the most commonly used graft during coronary bypass surgery. LIMA side branches are clipped during surgery in order to prevent coronary steal. In cases of patent LIMA side branches, there are differingapproaches. Herein, we report a case with patent thoracic side branch of LIMA graft, occlusion of this side branch by Amplatzer Vascular Plug because of docu...