2004
DOI: 10.1055/s-2004-821154 View full text |Buy / Rent full text
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Abstract: A 58-year-old man who had been undergoing treatment for chronic pericarditis for 15 months was found to have a calcified mediastinal mass shadow on a chest X-ray and was referred to us for further study and treatment. Chest computed tomography and magnetic resonance imaging showed an anterior mediastinal multilocular tumor with rim calcification. Tumor markers were within normal limits. The patient was preoperatively diagnosed as having a calcified mediastinal cyst, and median sternotomy was performed to remov… Show more

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“…However, survival curves do not separate until several years postoperatively, which has been a consistent finding [15, 88, 89; Figure]. The demonstrated clinical advantages of BIMA grafting strategies include prolonged survival and reduced need for coronary reintervention on the basis of recurrent myocardial ischemia, including freedom from the need for coronary reintervention [15,88,90] which hold true for women as well as for men, where it has been demonstrated that use of BIMA had 3-fold improved cardiacrelated survival compared with patients who did not receive an IMA graft [91]. Reported rates of BIMA use in CABG range from 4.0% to nearly 50% depending upon several factors including the contributing authors' practice preferences and the particular patient cohort treated [19][20][21][22]92].…”
Section: Bilateral Internal Mammary Artery Conduitssupporting
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“…However, survival curves do not separate until several years postoperatively, which has been a consistent finding [15, 88, 89; Figure]. The demonstrated clinical advantages of BIMA grafting strategies include prolonged survival and reduced need for coronary reintervention on the basis of recurrent myocardial ischemia, including freedom from the need for coronary reintervention [15,88,90] which hold true for women as well as for men, where it has been demonstrated that use of BIMA had 3-fold improved cardiacrelated survival compared with patients who did not receive an IMA graft [91]. Reported rates of BIMA use in CABG range from 4.0% to nearly 50% depending upon several factors including the contributing authors' practice preferences and the particular patient cohort treated [19][20][21][22]92].…”
Section: Bilateral Internal Mammary Artery Conduitssupporting
“…Hypotheses include the smaller luminal diameter of coronary arteries (independent of body size) in women, which can increase the difficulty of revascularisation, and the less frequent use of left internal mammary artery grafts and bilateral internal mammary grafts. 26–30 Other hypotheses include women's more extensive microvascular dysfunction (which the epicardial revascularisation performed in CABG does little to address 28 ), their more frequent need for postoperative inotropic support and periprocedural blood transfusions, and longer lengths of hospital stay—all of which influence perioperative complications and can therefore affect short-term mortality. 28 31 32 In our study cohort, a significantly greater proportion of women than men underwent off-pump CABG—a technique which previous research has suggested ‘disproportionately’ benefits women and helps narrow the sex gap inoperative mortality.…”
Section: Discussionmentioning