Papers by Christophe Jayle
Interactive Cardiovascular and Thoracic Surgery, Nov 1, 2010
Cardiopulmonary bypass during pregnancy is associated with a high fetal and maternal mortality. W... more Cardiopulmonary bypass during pregnancy is associated with a high fetal and maternal mortality. We report a successful pulmonary embolectomy in a woman at the 27th week of pregnancy; we performed surgical pulmonary embolectomy under cardiopulmonary bypass to restore adequate hemodynamic stability and to relieve right ventricle strain. We discuss the decision made for the preferred anticoagulation drug in the setting of heparin-induced thrombocytopenia in the gravida. The pregnancy was carried to term and she delivered a healthy boy at 38 weeks of gestation.
Interactive Cardiovascular and Thoracic Surgery, Sep 18, 2012
European Journal of Cardio-Thoracic Surgery, Oct 24, 2012
The Journal of Thoracic and Cardiovascular Surgery, Apr 1, 2010
Heart Lung and Circulation, May 1, 2013
Background: Sternoturnover is a surgical procedure for pectus excavatum. Cardiac surgery in patie... more Background: Sternoturnover is a surgical procedure for pectus excavatum. Cardiac surgery in patients with a history of sternoturnover has been rarely reported and is a surgical challenge because it is unknown how median sternotomy or the use of a sternal retractor affects the postoperative stability of the thorax and respiratory function. We report a successful coronary artery bypass grafting through left thoracotomy in a patient treated with sternoturnover for pectus excavatum. Case presentation: A 53-year-old man, who underwent sternoturnover in his childhood, was diagnosed with acute myocardial infarction, and percutaneous coronary intervention was performed as the acute treatment of the culprit lesion. Because residual lesions were present, he was referred to our department for coronary artery bypass grafting. Enhanced computed tomography revealed bilateral occlusions of the internal thoracic arteries and a small fragile sternum after fixation. Considering postoperative respiratory dysfunction associated with instability of the thorax following median sternotomy, we selected left thoracotomy for coronary artery bypass grafting. Convalescence was uneventful without any respiratory complications. Conclusion: Left thoracotomy is useful for coronary artery bypass grafting in patients previously treated with sternoturnover for pectus excavatum because it can avoid respiratory dysfunction associated with median sternotomy.
The Journal of Thoracic and Cardiovascular Surgery, Nov 1, 2012
Case Reports, Feb 18, 2009
Interactive Cardiovascular and Thoracic Surgery, Mar 15, 2013
suffered an intracranial haemorrhage as a result of septic embolism to the brain. After approxima... more suffered an intracranial haemorrhage as a result of septic embolism to the brain. After approximately 4 weeks of recovery from endocarditis and haemiparesis, follow-up echocardiography revealed a newly formed pseudoaneurysm. Although coronary angiogram was normal at this point, early septic embolism to a coronary artery and subsequent myocardial infarction [2] was the most probable mechanism for pseudoaneurysm formation in this patient. Late gadolinium enhancement MRI [2] of the heart to visualize infarction was not performed due to reduced renal function. He underwent uneventful left ventricular repair and was discharged in good condition.
Interactive Cardiovascular and Thoracic Surgery, Dec 17, 2012
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Papers by Christophe Jayle