39 research outputs found
Multimodality imaging of left ventricular apical pseudoaneurysm after apical approach transcatheter aortic valve replacement
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Utilizing donor lungs after thrombolytic therapy and thrombectomy for acute massive pulmonary embolus
No full textSingle arterial access for Ecpella and jugular venous cannulation provides full mobility on a status 1 heart transplant recipient
No full textConcomitant treatment with veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and Impella may improve outcomes in patients with cardiogenic shock compared with VA‐ECMO alone. Here, we explain a new method to introduce Impella and ECMO through the same arterial access site and jugular venous cannulation to accomplish a mobile patient concept
Donor lung selection criteria and surgical application at University of Pittsburgh
No full textLung transplantation is the standard treatment for patients with end-stage lung disease. Unfortunately scarce source of donor organs, particularly in lungs, limits this selected treatment to very few recipients each year. To decrease waiting list deaths and provide organs to more diverse recipient population, widening selection criteria of donor lungs was offered. Besides expanded criteria in organ selection to increase lung transplant surgery, donation after cardiac death and ex-vivo lung perfusion were introduced to current medicine. University of Pittsburgh in last decade doubled its lung transplant volume by extending the acceptance criteria for donor lungs for which many other centers would decline in first line or some selected centers may try ex-vivo perfusion protocols on these lungs. Nonetheless successful transplant surgery requires successful donor procurement surgery. Based on this practice, we wanted to review the Pittsburgh model of expanding lung donor selection criteria and surgery for donor lung procurement
Minimally invasive double lung transplantation technique (Anteroaxillary approach)
No full textLung transplantation has been performed through several approaches in the past. Sternothoracotomy is the most widely used approach for double lung transplantation. Although bilateral anterolateral thoracotomy for double lung transplantation has been described in the past, this approach has not widely adopted worldwide. The 'anteroaxillary approach' utilizes a limited incision compared to others, preserves sternal anatomy as well as thoracic arteries, and provides an excellent exposure to hilum. We would like to present our standard approach at University of Pittsburgh through anteroaxillary incision
Surgical excision of right ventricular carcinoid tumor in a symptomatic patient without carcinoid valve disease
No full textMultimodality Imaging of Right Ventricular Pseudoaneurysm Caused by Blunt Chest Trauma
No full textRight ventricular pseudoaneurysm is a rare but fatal complication of blunt chest trauma. Different imaging modalities including transthoracic echocardiogram, gated-CT angiography and cardiac MR can provide useful anatomic and functional information that can make the diagnosis and guide management. Surgical treatment is needed to avoid fatal outcome. (Level of Difficulty: Beginner.
