The dissection of the iliac artery aneurysm is considerably rare, with limited documentation in the existing literature. Iliac artery dissection can be attributed to several causative factors, including trauma… Read More
Month: June 2025
Stentless balloon angioplasty preserving growth in adolescent congenital focal abdominal aortic coarctation: a case report
Congenital focal abdominal aortic coarctation (CAAC) is a rare vascular malformation frequently misdiagnosed as mid-aortic syndrome (MAS). A significant challenge in managing CAAC, particularly in young indivi… Read More
Blood cardioplegia or custodiol for myocardial protection during valvular or aortic surgery: a propensity score adjusted comparison
There is no solid evidence on the clinical benefits of blood cardioplegia or Custodiol™ in procedures other than coronary artery bypass grafting. We aimed to compare mortality and the risk of major cardiovascu… Read More
The bidirectional regulatory effect of TXNRD2 methylation in patients with chronic heart failure and its nonlinear dose-response relationship with key clinical parameters
The research focused on examining CpG methylation within the TXNRD2 promoter area in chronic heart failure (CHF) patients, aiming to correlate methylation levels with clinical indexes to guide CHF treatment.
Outcomes following inferior vena cava reconstruction at an advanced surgical unit
Eur J Surg Oncol. 2025 Mar 3;51(7):109740. doi: 10.1016/j.ejso.2025.109740. Online ahead of print.
ABSTRACT
BACKGROUND: Inferior vena cava (IVC) resection and reconstruction is a viable option for managing complex intra-abdominal tumours. This study evaluates the impact of surgical approach to IVC reconstruction on early oncological, post-operative and short-term survival outcomes.
METHODS: This retrospective cohort study included patients who underwent IVC reconstruction between January 2015 and June 2024 for any indication, at two tertiary referral hospitals in Sydney, Australia. Data extracted included demographics, anticoagulation, histopathological findings, post-operative complications and short-term survival. Outcomes were compared among patients who received an interposition graft, patch graft or primary repair (non-graft) using nonparametric statistical tests.
RESULTS: Seventy-one IVC reconstructions were performed with median age 59 years (IQR 48-69). A bovine pericardium (BP) graft was used in 86% of procedures (n=61). The most common indications for surgery were soft tissue sarcoma (n=17) and renal cell carcinoma (n=16). Post-operatively, there were seven cases of pulmonary embolism (PE), nine cases of graft thrombosis and one case of graft infection. 30-day survival was 99% and 12-month survival was 78%. Tumour size was greater in the interposition graft group (p=0.004), however no differences in post-operative complications or survival were observed between interposition graft, patch graft or primary repairs.
CONCLUSIONS: IVC reconstruction, particularly using BP, is feasible across a range of tumour types and offers favourable post-operative and short-term survival outcomes, independent of reconstruction technique. BP interposition graft facilitates resection of more extensive disease with similar outcomes to less extensive disease managed with primary repair or patch graft.
PMID:40088724 | DOI:10.1016/j.ejso.2025.109740
Kawashima procedure in single ventricle palliation: the factors affecting clinical outcomes
The superior cavopulmonary anastomosis (SCPA) is a standard second stage procedure in single ventricle palliation. Exact timing in most single ventricle patients depends on clinical status, age, weight and in … Read More
Race-over time: a critical case of acute myocardial infarction and ventricular tachycardia following blunt chest trauma
Blunt chest trauma resulting in cardiac injury is a significant cause of mortality in trauma patients. Among the most critical sequelae, acute myocardial infarction (AMI) and ventricular tachycardia (VT) requi… Read More