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  1. Article: Surgical treatment of atrial fibrillation-what have we learned?

    Stulak, John M

    Journal of thoracic disease

    2015  Volume 7, Issue 8, Page(s) E237–8

    Language English
    Publishing date 2015-09-16
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.3978/j.issn.2072-1439.2015.08.12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Giant Mushroom-like Neglected Basal Cell Carcinoma of the Shoulder with Spontaneous Bleeding: A Successful Surgical Approach.

    Oliveira, Nikhil / Tchernev, Georgi / Kandathil, Lorraine Joseph

    European journal of case reports in internal medicine

    2021  Volume 8, Issue 12, Page(s) 3089

    Abstract: ... aggressive surgical intervention may be the best strategy for successful treatment and to prevent recurrence. ... mass on his back. He had a medical history of chronic heart failure and atrial fibrillation, which were ... of the pedunculated lesion and led to spontaneous heavy haemorrhaging. Treatment for such giant lesions can be complex ...

    Abstract Introduction: Giant basal cell carcinomas (GBCCs) are extremely rare and typically more aggressive than their predecessor subtype. GBCCs with mushroom-like morphology have rarely been reported, with only one other case identified in the literature. Here we present a unique case of a neglected giant mushroom-like BCC that was treated successfully.
    Case description: An 81-year-old male patient presented with a large ulcerative mass on his back. He had a medical history of chronic heart failure and atrial fibrillation, which were controlled with heart medication. During a routine visit to change the dressing of the lesion, the central pedunculated stalk underwent spontaneous haemorrhaging which led to massive blood loss. The patient was treated for shock and the lesion was completely excised under emergency surgery. The tumour was sent for histopathological assessment after complete surgical removal. Recovery was successful with good postoperative results and no recurrence was reported in the 12 months following discharge.
    Discussion: The patient was under long-standing anticoagulant therapy that contributed to the untimely rupture of the pedunculated lesion and led to spontaneous heavy haemorrhaging. Treatment for such giant lesions can be complex, especially in patients with co-morbid conditions. Careful assessment and early treatment are paramount for successful results.
    Conclusion: Complete removal of such lesions is very successful for treating GBCCs.
    Learning points: Giant mushroom-like basal cell carcinoma is a rare phenomenon that may only occur as a result of patient neglect and failure to seek early medical intervention.Patients with such lesions require special attention as multiple co-morbidities can play a role in disease progression.Early aggressive surgical intervention may be the best strategy for successful treatment and to prevent recurrence.
    Language English
    Publishing date 2021-12-22
    Publishing country Italy
    Document type Journal Article
    ISSN 2284-2594
    ISSN (online) 2284-2594
    DOI 10.12890/2021_003089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Concerns about the long-term outcome of transseptal cardiac resynchronization therapy: what we have learned from surgical experience.

    Kassai, Imre / Szili-Torok, Tamas

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2008  Volume 10, Issue 1, Page(s) 121–2; author reply 122–3

    MeSH term(s) Atrial Fibrillation/surgery ; Atrial Septum/surgery ; Cardiac Pacing, Artificial/adverse effects ; Cardiac Pacing, Artificial/methods ; Endocarditis, Bacterial/etiology ; Heart Atria/surgery ; Heart Ventricles/surgery ; Humans ; Pacemaker, Artificial/microbiology ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2008-01
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/eum255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5434: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: Chirurgische Therapie bei Vorhofflimmern : Vermeidung von Komplikationen.

    Diegeler, A

    Herzschrittmachertherapie & Elektrophysiologie

    2007  Volume 18, Issue 2, Page(s) 77–82

    Abstract: ... of the MAZE procedure, an increasing number of surgical approaches have been implemented for the treatment ... thorough evaluations; in that course technical systems have been re-designed and surgical approaches were ... complications using surgical ablation therapy. In this report we have focused on different energy sources, time ...

    Title translation Surgical ablation therapy - lessons learned.
    Abstract Atrial fibrillation (AF) is the most frequent sustained arrhythmia affecting more than 5% of the population above 65 years resulting in loss in quality of life and life expectancy. Since the introduction of the MAZE procedure, an increasing number of surgical approaches have been implemented for the treatment of AF. During past years a variety of devices such as application of unipolar and bipolar radiofrequency, cryothermal therapy, microwave, laser and ultrasound have been described. All new methods have undergone thorough evaluations; in that course technical systems have been re-designed and surgical approaches were modified. Before reaching a widespread clinical application a thorough analysis in terms of therapeutic benefit and possible complications is required. Several reports have reported success rates leading to reinstitution of atrial rhythm in 60 to 80% of the patients treated. However, there is no overview on possible complications using surgical ablation therapy. In this report we have focused on different energy sources, time of occurrence of postoperative arrhythmias, patient's symptoms and related diagnostic processes. Various published reports of surgical ablation therapy were evaluated with regard to complications that have occurred. In addition, our own extensive experience was considered as well.
    MeSH term(s) Atrial Fibrillation/surgery ; Cardiovascular Surgical Procedures/adverse effects ; Humans ; Outcome Assessment (Health Care) ; Risk Assessment ; Risk Factors ; Ventricular Dysfunction, Left/etiology
    Language German
    Publishing date 2007-06
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 1082953-2
    ISSN 1435-1544 ; 0938-7412
    ISSN (online) 1435-1544
    ISSN 0938-7412
    DOI 10.1007/s00399-007-0568-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3286: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
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  5. Article ; Online: A biophysical model of atrial fibrillation ablation: what can a surgeon learn from a computer model?

    Ruchat, Patrick / Virag, Nathalie / Dang, Lam / Schlaepfer, Jürg / Pruvot, Etienne / Kappenberger, Lukas

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2007  Volume 9 Suppl 6, Page(s) vi71–6

    Abstract: Aims: Surgical ablation procedures for treating atrial fibrillation have been shown to be highly ... isthmus line, and appendage line. Success rates and the presence of residual atrial flutter were ... isthmus line was found to be essential for avoiding uncommon left atrial flutter.: Conclusion ...

    Abstract Aims: Surgical ablation procedures for treating atrial fibrillation have been shown to be highly successful. However, the ideal ablation pattern still remains to be determined. This article reports on a systematic study of the effectiveness of the performance of different ablation line patterns.
    Methods and results: This study of ablation line patterns was performed in a biophysical model of human atria by combining basic lines: (i) in the right atrium: isthmus line, line between vena cavae and appendage line and (ii) in the left atrium: several versions of pulmonary vein isolation, connection of pulmonary veins, isthmus line, and appendage line. Success rates and the presence of residual atrial flutter were documented. Basic patterns yielded conversion rates of only 10-25 and 10-55% in the right and the left atria, respectively. The best result for pulmonary vein isolation was obtained when a single closed line encompassed all veins (55%). Combination of lines in the right/left atrium only led to a success rate of 65/80%. Higher rates, up to 90-100%, could be obtained if right and left lines were combined. The inclusion of a left isthmus line was found to be essential for avoiding uncommon left atrial flutter.
    Conclusion: Some patterns studied achieved a high conversion rate, although using a smaller number of lines than those of the Maze III procedure. The biophysical atrial model is shown to be effective in the search for promising alternative ablation strategies.
    MeSH term(s) Atrial Fibrillation/pathology ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Atrial Flutter/prevention & control ; Biophysical Phenomena ; Biophysics ; Catheter Ablation/methods ; Heart Conduction System/pathology ; Heart Conduction System/physiopathology ; Heart Conduction System/surgery ; Humans ; Models, Cardiovascular ; Treatment Outcome
    Language English
    Publishing date 2007-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/eum209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5434: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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