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Aorto-Right Ventricular Tunnel: An Uncommon Problem with a Common Solution
Fotios Mitropoulos,Meletios A. Kanakis, M.D., Ph.D.,Andrew Chatzis,Maria Kiaffas,Prodromos Azariades,Aphrodite Tzifa 대한흉부외과학회 2016 Journal of Chest Surgery (J Chest Surg) Vol.49 No.4
Aorto-ventricular tunnel is a rare congenital malformation, and aorto-right ventricular tunnel (ARVT) is an even less common entity. Here, we report the case of a 3-month-old female who underwent successful surgical closure of ARVT. The origin of the right coronary artery was proximal to the ostium of the tunnel.
One-Stage Repair of an Interrupted Aortic Arch with an Aortopulmonary Window in a Premature Neonate
Dimitrios Bobos,Meletios A. Kanakis,Sofia Koulouri,Nicholas M. Giannopoulos 대한흉부외과학회 2015 Journal of Chest Surgery (J Chest Surg) Vol.48 No.6
Interrupted aortic arch with an aortopulmonary window is a rare congenital entity that is associated with high morbidity and mortality, especially in premature low-birth-weight infants, and the proper timing of surgical correction remains a matter of debate. We present the case of a premature infant weighing 1.6 kg who successfully underwent one stage surgical repair to treat interrupted aortic arch with an aortopulmonary window. The therapeutic management of this patient is described below, and a review of the literature is presented.
( George Samanidis ),( Konstantinos Kostopanagiotou ),( Meletios Kanakis ),( Georgios Kourelis ),( Kyriaki Kolovou ),( Georgios Vagenakis ),( Dimitrios Bobos ),( Nicholas Giannopoulos ) 영남대학교 의과대학 2023 Yeungnam University Journal of Medicine Vol.40 No.2
Background: This study aimed to present the short- and midterm outcomes after complete atrioventricular canal defect (CAVC) repair using a single-patch technique. Methods: This study included 30 children who underwent surgical correction of the CAVC using a single-patch technique. Results: The median age of the patients was 5.7 months (interquartile range [IQR], 5.0-7.5 months), and 23 patients (76.7%) had type A CAVC. Fourteen patients (46.7%) were female and 17 (56.7%) had been diagnosed with Down syndrome. The in-hospital mortality rate was 0%. No deaths were observed during a median follow-up of 4 years (IQR, 3.5-5.0 years). Patients without Down syndrome were associated with late moderate mitral regurgitation (MR) (p=0.02). Late MR less than moderate degree was observed in 96.6%, 78.5%, and 50% of patients after 2, 4, and 5 years of follow-up, respectively, while late tricuspid valve regurgitation less than moderate degree was observed in 96.7%, 85.9%, and 59.0% of patients after 2, 4, and 6 years of follow-up, respectively. After a median follow-up of 4 years, only one patient had required surgical repair of a left ventricular outflow tract obstruction, which occurred 26 months after the first operation. Multivariable logistic regression analysis adjusted for the type of CAVC, sex, Down syndrome, age, and weight revealed that the absence of Down syndrome was a risk factor for late moderate MR (MR-2) (odds ratio, 0.05; 95% confidence interval, 0.006-0.50; p=0.01). Conclusion: A single-patch technique for CAVC surgical repair is a safe method with acceptable short- and midterm results.
Sterile Necrosis of the Sternum: A Rare Complication Following Coronary Artery Bypass Surgery
Emmanouel Papadakis,Maria Kalliopi Konstantinidou,Meletios A. Kanakis 대한흉부외과학회 2017 Journal of Chest Surgery (J Chest Surg) Vol.50 No.6
We herein present the unique case of a 68-year-old male diabetic patient who developed sterile necrosis of the sternum 1 month after myocardial revascularization with the use of bilateral internal thoracic artery grafts. The sternum had been closed by the bilateral Robicsek wiring technique. The sternum was removed, and bilateral pectoralis major flaps were used to cover the defect. The patient had an uneventful recovery.
Minimal Invasive Coronary Artery Fistula Ligation
Fotios A Mitropoulos,Andrew Chatzis,Constantinos Contrafouris,Ioanna A. Sofianidou,Achilleas G. Lioulias,Meletios A. Kanakis 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.6
A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass. In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation. It also offers an excellent cosmetic result and shorter hospital stay.
Thirty-Three Years Old Modified Senning Operation
Alkiviadis Michalis,Vassilios Thanopoulos, M.D.,Cleo Laskari, M.D.,Fotios A Mitropoulos, M.D., Ph.D.,Meletios A. Kanakis 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.4
Numerous technical modifications and various complications of the Senning procedure have been described in the literature. We describe the excellent clinical status and anatomic result of a 33-year-old patient who underwent a modified Senning operation using the left atrial appendage for reconstruction more than 30 years prior to presentation.