introduction left ventricular free wall rupture (lvfwr) is a frequent cause of death after acute myocardial infarction, and its repair remains a surgical challenge. conclusions a hemodynamic study was acceptable at a 12-month follow-up, and no complication was seen. case presentation tachosil® is a ready-to-use equine collagen patch which has been successfully used for hemostasis in cardiovascu...

Although sternotomy represents the main surgical access for most cardiac interventions, there are some cases in which alternative surgical approaches may be safer. A re-sternotomy may determine, in patients affected by posterior or very lateral pericardial effusion or mass and in redo-surgery procedures, an increased risk of injury to cardiac structures or previously placed bypass grafts. Moreo...

BACKGROUND The purpose of this study was to evaluate the feasibility and effectiveness of a right video-assisted approach for atrioventricular valve disease after previous cardiac surgery. METHODS AND RESULTS Between December 1st 1997 and May 1st 2006, 80 adults (mean age 65+/-12 years; 56% female) underwent reoperative surgery using a video-assisted approach without rib spreading. Previous c...

When mitral annuloplasty is performed in small children, room for annular growth should be allowed. However, it has not been reported how the valve develops after mitral annuloplasty of the entire posterior annulus. We report a case showing traces of annular growth at redo surgery. A female patient suffering from mitral valve insufficiency due to annular dilatation underwent modified Paneth pla...

BACKGROUND/PURPOSE In Hirschsprung's disease (HD) redo pull-through (PT) is indicated for anastomotic complications and retained aganglionosis after a previous operation. Duhamel or Swenson method is used commonly for redo operations. The pelvic dissection may be difficult, especially in Swenson's type of operation, because of fibrosis resulting from previous surgery or its complications. To ov...

With an aging population, improvement in life expectancy, and significant increase in the use of bioprosthetic valves, structural valve deterioration will become more and more prevalent. The operative mortality for an elective redo aortic valve surgery is reported to range from 2% to 7%, but this percentage can increase to more than 30% in high-risk and nonelective patients. Because transcathet...

INTRODUCTION Redo surgery in failed epispadias presents a great challenge. Our aim was to present a radical approach for correction of penile deformities as well as urethral reconstruction in patients after failed epispadias repair. MATERIALS AND METHODS Between January 2006 and January 2011, 13 patients, aged 13 to 22 years, underwent redo surgery due to failed epispadias repair in childhood...