single-stage or a two-stage procedure using hybrid techniques. Aortic valve replacement 2 weeks after stent implantation to the coarctation has been reported [21]. This technique necessitates an additional general anaesthetic procedure and lengthens the hospital stay. We performed a hybrid technique in three patients with coarctation and accompanying cardiac lesions. After stent deployment, we ...

introduction patients with palliated congenital heart disease may present later in life for major, non-cardiac surgical procedures. although alternative surgical techniques are now available for the treatment of the transposition of the great arteries (tga), an atrial level baffle (mustard or senning procedure) was previously performed. long-term adverse effects of the atrial level switch inclu...

BACKGROUND : Multidetector computed tomography (MDCT) is emerging as a powerful noninvasive diagnostic tool. The appropriate role of this technique in the preoperative evaluation of cardiovascular disease has yet to be fully defined. Atrial fibrillation is the most common sustained cardiac arrhythmia, and novel minimally invasive surgical techniques have been developed to treat this condition b...

AIMS We evaluated echo-guided pericardiocentesis with contrast study in cardiac tamponade management. PATIENTS AND METHODS From 1982 to 1998 we performed pericardiocentesis in 110 patients (56 +/- 14 years old). Subxiphoid approach was used in 109. Cardiac tamponade was idiopathic (n = 16), secondary to malignant disease (n = 50) and miscellaneous disorders (n = 44). RESULTS Pericardial flu...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...