Myocardial injury in critically ill patients admitted with noncardiac diagnoses
In the critically ill, the incidence of raised cardiac troponin T (cTnT) levels is high. Although the mechanisms of myocardial injury are not well understood, raised cTnT levels are associated with increased mortality. The aim of our study was to determine the incidence, prevalence and outcome of silent myocardial injury as determined by raised cTnT levels and concomitant ECG changes in critically ill patients admitted for noncardiac reasons.
The authors present a clinical case report and review of literature concerning treatment of extremely complicated pathology - thoracoabdominal aortic aneurysm, also reflecting the most difficult problems and complications of classical surgical treatment. A successful clinical example showed advantages of a new, less invasive approach, i.e., hybrid surgery. Based on analysing literature sources, the authors describe controversial points of carrying out a hybrid operation and its results. Accumulating experience in and improving technology of the hybrid operation would make it possible to further improve therapeutic outcomes.