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Asian Cardiovascular & Thoracic Annals

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https://www.readbyqxmd.com/read/27920230/troubleshooting-for-bleeding-in-thoracoscopic-anatomic-pulmonary-resection
#1
Hitoshi Igai, Mitsuhiro Kamiyoshihara, Takashi Ibe, Natsuko Kawatani, Fumi Osawa, Ryohei Yoshikawa
INTRODUCTION: The objective of this study was to evaluate intraoperative vessel injury and assess troubleshooting during thoracoscopic anatomic pulmonary resection. METHODS: Between April 2012 and March 2016, 240 patients underwent thoracoscopic anatomic lung resection, 26 of whom were identified as having massive bleeding intraoperatively. We analyzed the injured vessel and the hemostatic procedure employed, then compared the perioperative outcomes in patients with (n = 26) and without (n = 214) vessel injury...
December 5, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27920229/octreotide-use-in-post-cardiac-surgery-chylothorax-a-12-year-perspective
#2
Abdulrazaq Sheikh Aljazairi, Tauhid Ahmed Bhuiyan, Abdullah Hasan Alwadai, Rayd Abdulaziz Almehizia
BACKGROUND: Chylothorax following cardiothoracic surgery is a rare condition in pediatric patients with significant morbidity and mortality. Pharmacological management with octreotide suggests possible efficacy; however, current evidence is inadequate. The objective of this study was to assess the safety and efficacy of octreotide as a therapeutic option in this clinical setting. METHODS: This was a 12-year single-center retrospective cohort study of all patients (birth to 18-years old) who received octreotide for management of post-cardiac surgery chylothorax between January 2003 to August 2015...
December 5, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27913738/extracorporeal-membrane-oxygenation-in-transcatheter-aortic-valve-replacement
#3
Elena Dolmatova, Kasra Moazzami, Thomas P Cocke, Elie Elmann, Pranay Vaidya, Arthur F Ng, Kumar Satya, Rajeev L Narayan
BACKGROUND: Patients undergoing transcatheter aortic valve replacement can experience severe perioperative complications leading to hemodynamic instability and death. Venoarterial extracorporeal membrane oxygenation can be used to provide cardiorespiratory support during this time. METHODS: From 2012 to 2015, of 247 patients who underwent transcatheter aortic valve replacement, 6 (2.42%) required extracorporeal membrane oxygenation support. Their mean age was 82 ± 7...
December 2, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27913737/postinfarction-ventricular-septal-rupture-closure-without-ventriculotomy
#4
Dai Kawashima, Satoru Maeba, Masahiro Saito, Minoru Ono
Postinfarction ventricular septal rupture is a life-threatening complication of acute myocardial infarction. Although some novel techniques of ventricular septal rupture closure have been introduced, they involve ventriculotomy, a procedure that can cause a degree of impairment of the incised ventricle. We describe a case in which we closed a ventricular septal rupture through the tricuspid valve, without ventriculotomy.
December 2, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27913736/additional-effects-of-topical-tranexamic-acid-in-on-pump-cardiac-surgery
#5
Noppon Taksaudom, Sophon Siwachat, Apichat Tantraworasin
OBJECTIVE: Postoperative bleeding after cardiac surgery is commonly associated with hyperfibrinolysis. This study was designed to evaluate the efficacy of topical tranexamic acid in addition to intravenous tranexamic acid in reducing bleeding in cardiac surgery cases. METHODS: From July 1, 2014 to September 30, 2015, 82 patients who underwent elective on-pump cardiac surgery were randomized into a tranexamic acid group and a placebo group. In the tranexamic acid group, 1 g of tranexamic acid dissolved in 100 mL of normal saline solution was poured into the pericardium during sternal closure; the placebo group had 100 mL of saline only...
December 2, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27913735/preoperative-pulmonary-rehabilitation-for-marginal-function-lung-cancer-patients
#6
Asra Hashmi, Frank A Baciewicz, Ayman O Soubani, Shirish M Gadgeel
BACKGROUND: This study aimed to evaluate the impact of preoperative pulmonary rehabilitation in lung cancer patients undergoing pulmonary resection surgery with marginal lung function. METHODS: Short-term outcomes of 42 patients with forced expiratory volume in 1 s < 1.6 L who underwent lung resection between 01/2006 and 12/2010 were reviewed retrospectively. They were divided into group A (no preoperative pulmonary rehabilitation) and group B (receiving pulmonary rehabilitation)...
December 2, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27899430/prophylactic-middle-lobe-fixation-for-postoperative-pulmonary-torsion
#7
Masahiko Higashiyama, Toshiteru Tokunaga, Takashi Kusu, Hiroto Ishida, Jiro Okami, Ken Kodama
BACKGROUND: To prevent postoperative middle lobe torsion after a right upper lobectomy, we introduced a novel technique of interlobar fixation using collagen fleece coated with fibrin. In this study, the prophylactic effects of this method on the incidence of postoperative pulmonary torsion were analyzed. METHODS: Between April 2001 and December 2015, 3786 pulmonary resection procedures (excluding total pneumonectomy) were performed in our institution, and prophylactic interlobar fixation was selectively applied when intraoperative examination indicated that the patient was at high risk of postoperative pulmonary lobe torsion...
November 29, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27837012/successful-endovascular-repair-of-spontaneous-aortic-rupture-early-postpartum
#8
Tomokuni Furukawa, Naomichi Uchida
Endovascular repair of pregnancy-associated aortic disease is controversial because the long-term result is still unclear. We report a rare case of early postpartum spontaneous aortic rupture that was successfully treated by endovascular repair, with a good midterm result. Multiangle thin-slice images of contrast-enhanced computed tomography revealed a very small rupture point. It was successfully repaired by minimally invasive treatment.
November 11, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27793981/eosinophilic-granulomatosis-with-polyangiitis-and-bronchogenic-cyst
#9
Burcu Kılıç, Ezel Erşen, Kamil Kaynak
No abstract text is available yet for this article.
October 28, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27784819/resternotomy-a-single-center-experience
#10
Mehrdad Salehi, Ali Reza Bakhshandeh, Kianoush Saberi, Mahmood Alemohammad, Keivan Sobhanian, Maziar Karamnezhad
BACKGROUND: Reoperations are technically more difficult because of the risks associated with reentry in a heart with more advanced pathology, little reserve, and more frequent comorbidities. Routine peripheral cannulation before resternotomy is inadvisable, time-consuming, and has no noticeable role in decreasing the risks of reentry. We present our experience of resternotomy without routine peripheral cannulation. METHODS: This was a retrospective study on 237 consecutive patients who underwent resternotomy between June 2011 and July 2013...
October 26, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27777368/mycotic-aneurysm-of-the-ascending-aorta-in-a-child-with-bicuspid-aortic-valve
#11
Shotaro Higa, Tai Fuchigami, Nobuhiro Nagata
No abstract text is available yet for this article.
October 24, 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27926467/pulmonary-artery-intramural-leiomyosarcoma-mimicking-pulmonary-aneurysm
#12
Rie Kanaoka, Yusuke Takahashi, Shigeki Morita, Hitoshi Dejima, Noriyuki Matsutani, Masafumi Kawamura
Chest radiography indicated a well-defined rounded mass at the left lung hilum in a 77-year-old former smoker. Chest computed tomography revealed a longitudinal saccular enlargement of the left pulmonary artery with surrounding soft tissue opacity. Resection of the left lower lobe with segment 1 + 2c was carried out to completely remove the dilated pulmonary artery. The resected specimen revealed obvious dilatation of the interlobar pulmonary artery and its branches. A small yellowish well-demarcated myxoid tumor was contained in this lesion, which was diagnosed as a primary pulmonary artery intramural leiomyosarcoma...
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27926466/chest-wall-resection-for-mesothelioma-recurrence-after-surgery
#13
Pietro Bertoglio, Olivia Fanucchi, Sara Ricciardi, Antonio Chella, Marco Lucchi, Alfredo Mussi
Malignant pleural mesothelioma is an aggressive and usually fatal disease, and its optimal management is still under debate. Surgery for recurrent malignant mesothelioma has been reported rarely in highly selected cases. We report a case of chest wall resection for local recurrence of epithelioid mesothelioma 3 years after cytoreductive surgery. Our patient experienced a 6-month disease-free survival after redo surgery, with complete resolution of his chest pain and discomfort.
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27926465/freestyle-stentless-bioprosthesis-for-aortic-valve-therapy-17-year-clinical-results
#14
Juergen Ennker, Markus Meilwes, Joern Pons-Kuehnemann, Bernd Niemann, Philippe Grieshaber, Ina C Ennker, Andreas Boening
BACKGROUND: Aortic valve replacement with stentless bioprostheses has been shown to produce lower aortic gradients than stented bioprostheses, thus facilitating left ventricular mass regression and preventing heart failure. We sought to determine the long-term results of stentless biological aortic valve replacement over a 17-year follow-up. METHODS: Between 1996 and 2012, 2551 patients underwent isolated aortic valve replacement with a stentless prosthesis (Medtronic Freestyle) at a single center...
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/27784818/effect-of-dipeptidyl-peptidase-4-inhibitor-in-patients-undergoing-bypass-surgery
#15
Shinji Ogawa, Yasuhide Okawa, Koshi Sawada, Yoshihiro Goto, Syunsuke Fukaya, Takahiko Suzuki
OBJECTIVES: Patients with diabetes mellitus often have more complicated postoperative courses and worse outcomes after coronary artery bypass grafting than those without this condition. Dipeptidyl-peptidase-4 inhibitors are a new class of oral medication for treating type 2 diabetes mellitus. We investigated how these drugs influence the postoperative course after coronary artery bypass in patients with type 2 diabetes mellitus. METHODS: We retrospectively reviewed the clinical records of 177 patients with type 2 diabetes who has undergone coronary artery bypass surgery between 2009 and 2013; 107 were treated with dipeptidyl-peptidase-4 inhibitors postoperatively, and 70 who did not receive dipeptidyl-peptidase-4 inhibitors served as a control group...
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26223467/rescue-surgery-for-neonate-with-huge-rhabdomyoma-and-left-outflow-obstruction
#16
Hiroshi Seki, Farhad Bakhtiary, Marcel Vollroth, Friedrich Wilhelm Mohr, Martin Kostelka
We describe a rescue operation in a neonate with a large left ventricular tumor obstructing the left ventricular outflow tract. Surgical resection was performed through an aortotomy and transseptal approach. We excised the main part of the tumor, which was obstructing the outflow tract, leaving a portion that was strongly attached to posterior wall of the left ventricle and mitral valve annulus, which was not feasible to remove. Histological examination showed a rhabdomyoma with benign features. The girl was doing well after 3 months, with no residual tumor growth and no signs of obstruction of the left ventricular outflow tract...
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26207002/thyroid-carcinoma-showing-thymus-like-differentiation-with-tracheal-invasion
#17
Ming-Ho Wu, Han-Yun Wu
We describe a case of thyroid carcinoma showing thymus-like differentiation with tracheal invasion. The malignant tumor was managed by refined spiral tracheoplasty after tangential resection of the trachea. At 8 months after the surgery, computed tomography and bronchoscopy showed no tumor recurrence or tracheal stenosis.
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26187459/intrapericardial-lipoma-compressing-the-right-atrium
#18
Akinori Tamenishi, Toshihiko Nishi, Hiroshi Okamoto
We report a case of intrapericardial lipoma compressing the right atrium. Cardiac lipomas are very rare benign tumors that may cause life-threatening complications by rapid growth. A 67-year-old woman presented with dyspnea and palpitations on effort due to compression of the right atrium. The tumor was surgically resected. There was no local recurrence after surgery.
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26139295/mitral-regurgitation-following-pericardiectomy-for-constrictive-pericarditis
#19
Cheng He, Reny Suryani, Chin Hiew, Andrew Cheng, Bo Zhang
Pericardiectomy is the only definitive treatment option for patients with constrictive pericarditis. We present the case of a 67-year-old man who developed new moderate to severe mitral regurgitation following phrenic nerve-to-phrenic nerve pericardiectomy for constrictive pericarditis. The severity of the regurgitation was followed up by serial echocardiography which showed improvement 19 days later and complete resolution at 9 months after surgery. Potential mechanisms explaining the evolution of this mitral valve dysfunction in the setting of pericardiectomy are postulated...
November 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26124431/tuberculous-constrictive-pericarditis-and-atrial-septal-defect-surgical-challenge
#20
Siddharth Lakhotia, Mukesh Kumawat, Sharad Kumar Mathur, Bhushan Kumar Kinge
Tuberculous constrictive pericarditis with atrial septal defect is very rare. A 23-year-old man required pericardiectomy and atrial septal defect closure under cardiopulmonary bypass by cannulating the aorta and right atrium because femoral cannulation was not possible and the venae cavae could not be visualized. He was discharged in a satisfactory condition on the 15th postoperative day, but returned one month later with swelling all over his body and dyspnea on exertion. Echocardiography showed atrial septal defect patch dehiscence and a bidirectional shunt with a collection or mass compressing the right ventricle...
November 2016: Asian Cardiovascular & Thoracic Annals
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