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This video documents the emergency treatment of a patient with an acute aortic intramural hematoma.
June 30, 2008
Several surgical approaches have been described for the management of
adult patients with acquired heart disease and paraductal coarctation
of the aorta. Options are a staged procedure using median sternotomy
and left thoracotomy, a catheter-based intervention of the coarctation
combined with sternotomy, and single-stage simultaneous correction of
lesions via sternotomy.
June 16, 2008
Patient Selection
Currently, only patients with preexisting, paroxysmal atrial fibrillation undergoing OPCAB have been offered an adjuvant off-pump Maze procedure.
May 24, 2008
Patients are selected for bilateral closed chest pulmonary vein (PV) isolation, left atrial appendage excision, directed partial cardiac denervation, and PV electrocardiograms (MiniMAZE-Wolf technique), based on the following criteria...
May 24, 2008
Operative Steps
Incision
A midline sternotomy is generally employed
A minimal approach using a lower ½ sternotomy may also be employed.
Cardiopulmonary bypass
May 24, 2008
Operative Steps
Modified Subcoronary Implantation
May 24, 2008
Patient Selection
Editor's Note