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OBJECTIVE The perioperative risk of an acute venous thromboembolism (VTE) event after inferior vena cava (IVC) reconstruction is unknown. We sought to describe VTE outcomes of our 15-year IVC reconstruction experience. METHODS We performed a retrospective institutional review of all patients who underwent IVC reconstruction (September 1999-October 2014)… (More)
OBJECTIVE Arterial resection (AR) during pancreatic tumor resection is controversial. We examined the safety and efficacy of AR during pancreatectomy. METHODS We used a prospective institutional database that includes 6522 patients who underwent pancreatectomy from 1970 to 2014; 35 had AR. We performed a 2:1 propensity match for patients without and with… (More)
OBJECTIVE Vascular reconstruction can facilitate pancreas tumor resection, but optimal methods of reconstruction are not well studied. We report our results for portal vein reconstruction (PVR) for pancreatic resection and determinants of postoperative patency. METHODS We identified 173 patients with PVR in a prospective database of 6522 patients who… (More)
Clinical, biochemical and pathological studies in patients with the Rett syndrome (RS) are presented. The neuropathological changes and alterations in neurotransmitter markers are particularly interesting and provide valuable information that may be helpful in understanding the behavior and neurological phenotype of RS.
This article describes the management of a patient with a complex symptomatic thoracoabdominal aneurysm and discusses the branched graft approach to surgical repair of complex aortic aneurysms. The case highlights the importance of a team approach during a complex, high-risk surgery and the perioperative period.
BACKGROUND The safety and effectiveness of using venovenous and cardiopulmonary bypass for resection of the inferior vena cava (IVC) is not well studied. The goal of this study was to compare outcomes following IVC resection with and without bypass support. METHODS We analyzed all patients undergoing IVC resection at our institution (September 1999 to… (More)