Abstract：
:Oesophageal cancer presents as advanced disease; in the majority of patients the symptoms are present for many months prior to diagnosis. Dysphagia has been described as the key to an early diagnosis of oesophageal cancer. This study aims to assess the public perception of the importance of this symptom. Ninety-six patients completed a questionnaire. This evaluated patient understanding of symptoms of dysphagia compared to the finding of a breast lump, haemoptysis, chest pain and loss of weight concerning urgency, probable cause of symptoms and treatment required. Sixty-five patients (71%) would visit their GP within 24 h of finding a breast lump or suffering from haemoptysis (82%) or having chest pain (82%). Forty-seven patients (51%) who experienced dysphagia would seek medical advice after one week and further 18 (19%) after one month (P<0.0001). Only eight patients (10%) associated dysphagia with cancer compared to 53 patients (57%) with the finding of a breast lump (P<0.031). This study concludes that there is poor understanding of the main symptoms of oesophageal cancer. New health campaigns are needed if the cancer is to be detected at an earlier and potentially curable stage.
journal_name
Interact Cardiovasc Thorac Surgjournal_title
Interactive cardiovascular and thoracic surgeryauthors
Tentzeris V,Lake B,Cherian T,Milligan J,Sigurdsson Adoi
10.1510/icvts.2010.247213subject
Has Abstractpub_date
2011-01-01 00:00:00pages
32-4issue
1eissn
1569-9293issn
1569-9285pii
icvts.2010.247213journal_volume
12pub_type
杂志文章abstract：:Cross-clamping the main pulmonary artery (PA) is a risky, stressful procedure for the general thoracic surgeon performing video-assisted thoracic major pulmonary resection (VATS). However, converting VATS to thoracotomy each time PA clamping is planned is a poor tactic. We present a simpler technique for VATS than the...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.246132
更新日期：2010-11-01 00:00:00
abstract：Objectives:The efficacy of anti-calcification treatment of bioprosthetic heart valves remains unclear. The aim of this study was to compare the clinical outcomes between Mitroflow LX valve, without anti-calcification treatment, and the Carpentier-Edwards Perimount Magna (P-Magna), with anti-calcification treatment. Me...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw378
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:Previous work suggests that aortic root and valve prostheses alter blood flow patterns in the ascending aorta, creating aberrant haemodynamics compared with those of healthy volunteers. Various valve designs have been proposed to better restore physiological haemodynamics. In this study, magnetic resonance i...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw173
更新日期：2016-09-01 00:00:00
abstract：:A two coronary system is preferred for correcting anomalous left coronary artery from the pulmonary artery (ALCAPA); however, translocation is not always possible. In countries where neonatal arterial switch operations have not been perfected coronary transfer can be difficult. The purpose of this report is to describ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,多中心研究
doi：10.1510/icvts.2009.208215
更新日期：2009-11-01 00:00:00
abstract：:The role of barotrauma in the exaggeration of plastic bronchitis after Fontan circulation has yet to be examined. We aim to describe a case of a 4-year old post-Fontan circulation girl where barotrauma suffered during commercial air travel played a role in the aetiological cascade of plastic bronchitis. ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivs308
更新日期：2012-10-01 00:00:00
abstract：:The management of the left subclavian artery (LSA) revascularization during aortic arch surgery is controversial and often challenging, especially during an emergency life-saving procedure. We report on a case of a 64-year old man, admitted to our institution with a Type A acute aortic dissection who underwent a froze...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw098
更新日期：2016-07-01 00:00:00
abstract：:Hoarseness of voice due to recurrent laryngeal nerve palsy is an uncommon manifestation of cardiothoracic disease. Ortner's syndrome is hoarseness attributed to mechanical compression of the left recurrent laryngeal nerve in association with several cardiopulmonary disease states. We here describe a rare case of Ortne...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1093/icvts/ivx166
更新日期：2017-10-01 00:00:00
abstract：:Despite technological advances in a newer generation of ventricular assist devices (VAD), complications, such as pump thromboses, remain a significant cause of morbidity and indeed mortality in these patients. We present the case of a 34-year old patient who underwent HeartAssist 5 (HA5) implantation as a bridge to ca...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivt066
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVES:A variety of surgical approaches and techniques are used for isolated coarctation repair. We have retrospectively reviewed our results of isolated repair of coarctation over the last 20 years, to establish whether the approach affects clinical outcome and the need for re-intervention. METHODS:Two hundred an...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivs265
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVES:Few reports on the outcomes of patients treated for Stanford type A acute aortic intramural haematoma (TAAIMH) and retrograde thrombosed type A acute aortic dissection exist. This study aimed to evaluate their long-term results and predictors of adverse outcomes. METHODS:We retrospectively analysed 40 patie...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivz222
更新日期：2020-01-01 00:00:00
abstract：:The secure and haemostatic implantation of the left ventricular assist device (LVAD) apex inflow cannula can sometimes be challenging, especially in the setting of an acute myocardial infarction or significant ventricular wall thinning, when the myocardial tissue may be friable and tissue strength may be compromised. ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.244509
更新日期：2010-10-01 00:00:00
abstract：:To improve our understanding of myxomatous degeneration of the valvar tissue as seen in mitral valve prolapse, we have compared the biosynthetic phenotype of the connective tissue cells in myxomatous segments (n=4) resected during surgery with that of homologous segments of normal valves (n=4) harvested in age-matched...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1016/S1569-9293(03)00107-5
更新日期：2003-09-01 00:00:00
abstract：:Conventional surgical treatment of a ruptured aortic arch aneurysm is a challenging approach with a high rate of adverse outcomes. The midsternotomy can be complicated by total aortic disruption with often fatal massive hemorrhage. A preliminary cardiopulmonary bypass with peripheral cannulation and cooling is often p...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2006.149260
更新日期：2007-06-01 00:00:00
abstract：:Coronary artery bypass grafting surgery may be needed in children and young adults for significant premature coronary artery occlusive disease. We report a case series of seven patients who underwent surgical revascularization in their second and third decade of life for significant multivessel coronary artery occlusi...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw295
更新日期：2017-01-01 00:00:00
abstract：:Early graft failure (EGF) is a dreaded complication after heart transplantation (HT). Despite several improvements, no effective therapy has been developed and the prognosis is poor. We evaluated the risk factors and clinical impact of EGF. In a consecutive series of 317 HTs performed at a single institution between J...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivs113
更新日期：2012-07-01 00:00:00
abstract：:We investigated the pro-apoptotic potential of pericardial fluids from patients with different clinical conditions on cultured neonatal rat cardiomyocytes. Pericardial fluids were obtained during open heart surgery from 88 patients with ischemic heart disease (n=44), valvular heart disease (n=32), or aortic disease (n...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1016/j.icvts.2004.01.019
更新日期：2004-06-01 00:00:00
abstract：Objectives:Lung segmental resection is a better treatment option than lobectomy for patients with prenatally diagnosed congenital lung malformations (CLMs). However, data are lacking on the effects of this procedure in prenatally diagnosed CLM patients. In this study, we explored whether parenchyma-saving resection was...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw408
更新日期：2017-03-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'In patients undergoing video-assisted thoracoscopic surgery (VATS) excision, what is the best way to locate a subcentimetre solitary pulmonary nodule (PN) in order to achieve successful excision?' Altog...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1093/icvts/ivs068
更新日期：2012-08-01 00:00:00
abstract：:The rotary blood pump (the HeartWare® Ventricular Assist Device) from HeartWare® (Medtronic) is an established left ventricular assist device and usually implanted via sternotomy. To reduce the invasiveness of the implant procedure and to optimize the position of the inflow cannula, we propose an alternative implant t...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivy183
更新日期：2018-12-01 00:00:00
abstract：:We report a case of an 18-year old female patient with symptomatic extralobar pulmonary sequestration. The initial symptom was sudden-onset right lateral abdominal pain. Enhanced computed tomography showed a 5 cm in diameter, spindle-shaped mass located in the costophrenic sinus with no aberrant artery. Exploratory th...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivu103
更新日期：2014-08-01 00:00:00
abstract：:The surgical management of the aortic arch pathologies is controversial. Primary anastomosis and patch aortoplasties combined with end-to-end anastomosis have some complications like recurrence and aneurysm formation. Surgical repair of apical muscular (Swiss-cheese) defects is also still under debate. A 6-year-old pa...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1016/S1569-9293(03)00260-3
更新日期：2004-03-01 00:00:00
abstract：:We describe our experience with extracorporeal cardiopulmonary resuscitation (CPR) using extracorporeal membrane oxygenation (ECMO) in children with refractory cardiac arrest, and determine predictors for mortality. ECMO support was instituted on 42 children, median age 0.7 years (1 day-17.8 years), median weight 7.05...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.254193
更新日期：2011-06-01 00:00:00
abstract：:Safe and rapid repositioning of a displaced tracheostomy tube is vital to protect the airway and to avoid a potentially life threatening situation. This article describes a simple bail-out technique to avert prolonged airway compromise. This is particularly useful in patients with obesity, large goitre or maxillofacia...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2007.173781
更新日期：2008-12-01 00:00:00
abstract：:In order to determine anticoagulation strategies in OPCAB a questionnaire survey among 750 European cardio-thoracic surgeons was performed. Questions addressed volume of OPCAB procedures performed, intra- and perioperative heparinization and antiplatelet therapy, as well as perioperative management. A total of 325 (43...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,多中心研究
doi：10.1510/icvts.2007.169086
更新日期：2008-05-01 00:00:00
abstract：:This study aimed to analyze surgeons' learning curve for thymoma resection with video-assisted thoracoscopic surgery (VATS). Two hundred and eleven myasthenia gravis patients had VATS thymic resections, including 25 patients with a thymoma. Three groups of surgeries, according to the order of operations, were analyzed...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.254599
更新日期：2011-02-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the 'mini-bypass technique' can give a reduction in complications after cardiac surgery compared to the conventional cardiopulmonary bypass circuit. Altogether 144 papers were found using the rep...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1510/icvts.2008.200857
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVES:Owing to the great absorption capability of the pleura for transudates, the protein content of draining pleural fluid may be considered as a more adequate determinant than its daily draining amount in the decision-making for earlier chest tube removal. In an a priori pilot study, we observed that the initial...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1093/icvts/ivu207
更新日期：2014-10-01 00:00:00
abstract：:The objective of this study was to determine the current status of training in cardio-thoracic surgery in Europe and the residents' perception of the effects of the full implementation of the European Working Time Directive (EWTD) on training. We conducted a web-based survey of trainees registered with the European As...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.238048
更新日期：2010-09-01 00:00:00
abstract：:Flexible fiberoptic bronchoscopy is an indispensable tool for optimal management of intensive care unit patients. However, the acquisition of sufficient training in bronchoscopy is not straightforward during residency, because of technical and ethical problems. Moreover, the use of commercial simulators is limited by ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2007.153601
更新日期：2007-08-01 00:00:00
abstract：:A 6-year-old boy with pulmonary regurgitation after complete repair of congenital heart disease underwent an alternative surgical repair for pulmonary valve replacement. Trileaflet pulmonary valve reconstruction using expanded polytetrafluoroethylene membrane is a clinically feasible technique for pulmonary regurgitat...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivy196
更新日期：2018-12-01 00:00:00
