CARDIAC SURGERY

Maximizing Vein Conduit for Autogenous Bypass

Aug 7, 2016 by in CARDIAC SURGERY Comments Off on Maximizing Vein Conduit for Autogenous Bypass

■  Ideal conduit diameter is 3.5 mm or greater. ■  Vein should be easily compressible. Thick-walled or noncompressible vein indicates prior superficial venous thrombosis and vein is likely not suitable for bypass….

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Perimalleolar Bypass and Hybrid Techniques

Aug 7, 2016 by in CARDIAC SURGERY Comments Off on Perimalleolar Bypass and Hybrid Techniques

■  Once the history, physical examination, and noninvasive testing are complete, the surgeon must determine the next step in imaging, which may be both diagnostic and therapeutic. The patient’s functional status,…

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Surgery for Portal Hypertension in Children and Adults

Aug 7, 2016 by in CARDIAC SURGERY Comments Off on Surgery for Portal Hypertension in Children and Adults

SPLENECTOMY WITH PROXIMAL SPLENIC ARTERY LIGATION AND ESOPHAGOGASTRIC DEVASCULARIZATION ■  The indications for this procedure include patients with a life-threatening complication from portal hypertension and complex mesenteric veno-occlusive disease or poor…

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Snorkel/Chimney and Periscope Visceral Revascularization during Complex Endovascular Aneurysm Repair

Aug 7, 2016 by in CARDIAC SURGERY Comments Off on Snorkel/Chimney and Periscope Visceral Revascularization during Complex Endovascular Aneurysm Repair

■  Access to a three-dimensional (3-D) workstation/program and familiarity with reconstruction software by the implanting surgeon for manipulation of the images and creating centerline pathways should be mandatory to most accurately…

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Venous and Arterial Thoracic Outlet Syndrome

Aug 7, 2016 by in CARDIAC SURGERY Comments Off on Venous and Arterial Thoracic Outlet Syndrome

■  Arterial thoracic outlet syndrome (aTOS) is the least common presentation of thoracic outlet syndrome and most often involves subclavian artery compression leading to extrinsic compression, poststenotic dilatation, aneurysmal degeneration, and…

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