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OBJECTIVE We evaluated focused training in coronary artery anastomosis with a porcine heart model and portable task station. METHODS At "Boot Camp," 33 first-year cardiothoracic surgical residents participated in 4-hour coronary anastomosis sessions (6-7 attending surgeons per group of 8-9 residents). At beginning, midpoint, and session end, anastomosis(More)
The purpose of this study was to characterize cardiovascular and ventilatory responses to exercise in single lung transplantation (SLT) recipients with nonseptic, severe obstructive lung disease (SLT-OB). We also investigated whether the hyperinflated native lung in SLT-OB recipients could limit normal increases in tidal volume by mechanically constraining(More)
BACKGROUND Tracheobronchial injuries are rare but potentially life threatening. Their successful diagnosis and treatment often require a high level of suspicion and surgical repairs unique to the given injury. METHODS We reviewed our experience with 32 patients with tracheobronchial injuries treated over the past 28 years. RESULTS Forty-one percent(More)
After orthotopic heart-lung transplantation and immunosuppression, a patient developed intractable nausea and vomiting in association with chronic cytomegalovirus infection. Chronic intestinal pseudoobstruction was documented by antroduodenal manometric study. The patient was treated with leuprolide acetate with resolution of symptoms and improvement of(More)
Transthoracic two-dimensional echocardiography has been considered the method of choice for the non-invasive assessment of bioprosthetic valves. Recently, transesophageal echocardiography has provided a better imaging window for detecting valve abnormalities not identified otherwise, but pathologic confirmation is essential to establish the role of new(More)
BACKGROUND Thoracic injury represents a major source of combat morbidity and mortality. The overall killed-in-action rate has decreased, whereas the died-of-wounds rate has increased; the creation of the Joint Theater Trauma Registry allows for improved documentation. This report seeks to provide a realistic contemporary look at thoracic injury sustained by(More)
Heart-lung, double lung, and single lung transplantation have been shown to be effective in the treatment of patients with advanced cardiopulmonary disorders. An overlap in indications occurs for the different procedures, and in many situations the factors that are important in selecting the best operation for a given patient have not been clearly(More)
RATIONALE One of the limitations associated with lung transplantation is the lack of available organs. OBJECTIVE To determine whether a lung donor-management protocol could increase the number of lungs for transplantation without affecting the survival rates of the recipients. METHODS We implemented the San Antonio Lung Transplant protocol for managing(More)