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Brüls S, Tchana-Sato V, Lavigne JP, Durieux R, Sakalihasan N, Radermecker MA, Désiron Q, Creemers E, D'Orio V, Nelessen E, D'Orio V, Ancion A, Lancellotti P, Hans G, Lagny M, Blaffart F, Defraigne JO. [Heart transplantation, indications and results at the University Hospital of Liege]. Rev Med Liege 2020; 75:29-36. [PMID: 31920041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Heart transplantation remains undoubtedly the most effective treatment for end-stage heart failure, whatever its cause. Last decade has witnessed significant improvements in terms of morbidity and mortality following heart transplant. The 5-year survival rate is now beyond 70 %. However, the shortage of potential donors limits its use and requires strict criteria before listing a candidate for heart transplantation. Herein, we present a review of current indications and results of the heart transplantation program at the University hospital of Liège.
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Affiliation(s)
- S Brüls
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - V Tchana-Sato
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - J P Lavigne
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - R Durieux
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - N Sakalihasan
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - M A Radermecker
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - Q Désiron
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - E Creemers
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - V D'Orio
- Service de Cardiologie, CHU Liège, Belgique
| | - E Nelessen
- Service de Cardiologie CHPLT, Verviers, Belgique
| | - V D'Orio
- Service de Cardiologie, CHU Liège, Belgique
| | - A Ancion
- Service de Cardiologie, CHU Liège, Belgique
| | | | - G Hans
- Service d'Anesthésie-Réanimation, CHU Liège, Belgique
| | - M Lagny
- Secteur perfusion, CHU Liège, Belgique
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Brüls S, Lavigne JP, Durieux R, Tchana-Sato V, Radermecker MA, Desiron Q, Defraigne JO. [Minimally invasive aortic valve replacement through right anterior minithoracotomy: early experience at the University Hospital of Liege]. Rev Med Liege 2019; 74:637-641. [PMID: 31833273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Aortic valve replacement is nowadays a safe procedure with low morbidity and mortality. However, the evolution of surgery requires the development of less invasive techniques. Aortic valve replacement through a right mini-thoracotomy, technically more complicated, offers a lower rate of complications including less postoperative pain and less blood loss and transfusion, with a faster recovery. We report our early experience of aortic valve replacement through a right anterior mini-thoracotomy.
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Affiliation(s)
- S Brüls
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - J P Lavigne
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - R Durieux
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - V Tchana-Sato
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - M A Radermecker
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - Q Desiron
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
| | - J O Defraigne
- Service de Chirurgie Cardiovasculaire et Thoracique, CHU Liège, Belgique
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Brüls S, Goffin P, Sakalihasan N, Bonnet P, Defraigne JO. [TRAUMATIC RUPTURE OF THE AORTIC ISTHMUS: MODERN PERSPECTIVES]. Rev Med Liege 2015; 70:415-422. [PMID: 26638441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Traumatic aortic rupture of the thoracic aorta (usually at the isthmus) is frequently associated with concomitant life-threatening injuries. Historically, the conventional care consisted of surgical repair of the lesion performed as soon as possible. However, in spite of constant technical improvements the morbi-mortality remains high because of these associated lesions. In addition, their management can have priority and delay aortic surgery. The endovascular approach has been shown to be a feasible and efficient technique and currently represents a valuable alternative to open surgery for patients with multiple traumas. We report a patient presenting with a traumatic aortic rupture of the aortic isthmus, which was successfully treated by delayed combined endovascular (thoracic aortic stentgrafting) and open approach (hemiaortic arch debranching).
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