Günther Laufer M.D

University of Vienna, Vienna, Vienna, Austria

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Publications (2)2.7 Total impact

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    ABSTRACT: Between January 1991 and February 1993,14 patients (11 male, 3 female) between 21 and 79 years of age (median 50 years) underwent reconstruction of the thoracic (n = 7) and thoracoabdominal aorta (n = 7). Four patients had previously undergone operation of the ascending aorta, and In three patients coronary artery bypass grafting had previously been performed. All patients were operated on via a posterolateral thoracotomy using cardiopulmonary bypass wlth continuous blood cardloplegla and hypothermlc circulatory arrest (11 °C naso-pharyngeal temperature, flat-EEG). All patent lower intercostal and lumbar arteries (T3 to L5) were reimplanted. The 30-day mortality after repair of the thoracic aorta was 0%; after replacement of the thoracoabdomlnal aorta, mortality was 28.5% (n = 2). One patient died 70 days after replacement of the thoracic aorta as a consequence of a perioperative stroke. None of the surviving 11 patients developed a permanent neurological deficit or renal or cardiac dysfunction. The average Intensive care stay was 6 days for patients after replacement of the thoracic aorta and 18 days for patients after replacement of the thoracoabdominal aorta. Our results suggest that use of elective hypothermia and circulatory arrest for spinal cord protection is highly effective. We, therefore, recommend this method for complex reconstructions of the thoracoabdominal aorta. (J Card Surg 1994;9:679–684)
    Journal of Cardiac Surgery 07/2007; 9(6):679 - 684. · 1.35 Impact Factor
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    ABSTRACT: Lung transplantation has now become an established form of treatment for end-stage pulmonary parenchymal and vascular diseases. Despite its wide acceptance, technical aspects are still in discussion. We report on the initiation of our own lung transplant program and the technical changes we have performed during our first 1 ½-year experience. During that period of time, we have performed 26 lung transplantations (16 single lung [SLTX] and 10 bilateral lung transplantations [BLTX]). Three-month survival for the whole group was 74% (69% for the SLTX group and 77% for the BLTX group). No instance of bronchial dehiscence was observed; however, there were eight cases of bronchial stenosis: six were managed by silicone stent insertion, one by bronchoplastic correction, and one by retransplantation. Changes in the technique of the bronchial anastomosis together with the addition of prednisone to the immediate postoperative immunosuppressive regime resulted in almost complete avoidance of these problems.
    Journal of Cardiac Surgery 05/1992; 7(2):126 - 133. · 1.35 Impact Factor

Publication Stats

10 Citations
2.70 Total Impact Points

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Institutions

  • 1992
    • University of Vienna
      • Second Surgical Department
      Vienna, Vienna, Austria