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Asian Cardiovascular & Thoracic Annals

Ingo Slottosch, Oliver Liakopoulos, Maximilian Scherner, Elmar Kuhn, Antje-Christin Deppe, Max Wacker, Jens Wippermann, Thorsten Wahlers
Background Urgent or emergency coronary artery bypass grafting in patients with acute coronary syndrome is associated with increased morbidity and mortality. We investigated the effects of preoperative intraaortic balloon pump support in this high-risk patient cohort. Methods Our institutional database was retrospectively reviewed for patients with acute coronary syndrome and an urgent or emergency indication for coronary artery bypass from April 2010 to December 2016. Data of 1066 patients were analyzed. We assessed the impact of preoperative intraaortic balloon pump therapy on postoperative mortality and major adverse cardiovascular and cerebrovascular events, and performed propensity-score matching...
June 2018: Asian Cardiovascular & Thoracic Annals
Reza Bagheri, Marzieh Noori, Maryam Rajayi, Davood Attaran, Amir Mohammad Hashem Asna Ashari, Shahrzad Mohammadzadeh Lari, Reza Basiri, Fariba Rezaeetalab, Reza Afghani, Maryam Salehi
Background Malignant pleural effusion continues to be a common problem in patients with metastatic disease. This study was conducted to compare the efficacy and safety of bleomycin pleurodesis with povidone-iodine pleurodesis through a chest drain as palliative treatment for recurrent malignant pleural effusion. Methods Sixty cancer patients (36 males and 24 females) with recurrent malignant pleural effusion were enrolled in a prospective randomized trial. Thirty patients received povidone-iodine pleurodesis and 30 received bleomycin pleurodesis...
June 2018: Asian Cardiovascular & Thoracic Annals
Debasish Panigrahi, Saibal Roychowdhury, Rahul Guhabiswas, Emmanuel Rupert, Mrinalendu Das, Pradeep Narayan
Background This study was designed to compare myocardial protection with del Nido cardioplegia and conventional blood cardioplegia in children undergoing cardiac surgery in Risk Adjustment for Congenital Heart Surgery categories 1 and 2. Methods Sixty patients were randomized into 2 groups receiving del Nido cardioplegia solution or conventional blood cardioplegia. Myocardial injury was assessed using biochemical markers (troponin I and creatine kinase-MB). Vasoactive-inotropic scores were calculated to compare inotropic requirements...
May 2018: Asian Cardiovascular & Thoracic Annals
Isabelle Rui Wen Yoong, Gregory Heng, Sachin Mathur, Woan Wui Lim, Tiong Thye Goo
Background An emergency thoracotomy can be performed either immediately at the site of trauma or in the emergency department or operating room for resuscitation of patients in extremis or life-saving treatment for patients with thoracic injury. It remains a procedure associated with high mortality rates, and there is a paucity of data from Asia. This study analyzed our six-year experience of emergency trauma thoracotomy in an acute general hospital in Singapore. Methods This retrospective analysis was based on experience in a single institution with all emergency trauma thoracotomies performed by general surgeons...
May 2018: Asian Cardiovascular & Thoracic Annals
Yoshiyuki Nishimura
A 76-year-old woman who had been on hemodialysis for 3 years developed ischemic mitral valve insufficiency, tricuspid insufficiency, and chronic atrial fibrillation, and underwent cardiac surgery. On the 4th postoperative day, she experienced a sudden disturbance of consciousness, aphasia, and limb ataxia. Brain computed tomography and magnetic resonance imaging showed no abnormalities. Wernicke's encephalopathy was suspected and the patient was given vitamin B1, whereupon her symptoms gradually improved. On the 42nd postoperative day, she was free of neurological symptoms and discharged...
May 2018: Asian Cardiovascular & Thoracic Annals
Ch Bharat Siddharth, Mayank Yadav, Amol Bhoje, Milind P Hote
The mixed type of total anomalous pulmonary venous connection is the least common variant, occurring in approximately 5% of all patients. Dual drainage through a common venous confluence is much rarer. Computed tomography to delineate the exact pulmonary venous anatomy is a must in such cases. Correct preoperative recognition and intraoperative confirmation to check the drainage of all 4 pulmonary veins is essential in all cases of total anomalous pulmonary venous connection. We report the case of an adult patient with dual drainage to coronary sinus and left vertical vein to innominate vein...
May 2018: Asian Cardiovascular & Thoracic Annals
Takehiro Tsuchiya, Makoto Tanaka
Pulmonary inflammatory myofibroblastic tumor is a rare disease. Computed tomography in a 54-year-old woman showed a mass compressing the segmental bronchus of the left lung. Bronchoscopy indicated a mesenchymal tumor, hamartoma, or inflammatory myofibroblastic tumor. Because an inflammatory myofibroblastic tumor can potentially clog the segmental bronchus, we performed a left upper division segmentectomy. Pathologic examination revealed an inflammatory myofibroblastic tumor. In most cases, preoperative diagnosis is difficult because of the varied radiologic manifestations, and it can also be difficult to distinguish from malignancy in small tissue samples...
May 2018: Asian Cardiovascular & Thoracic Annals
Lucio Careddu, Francesco Dimitri Petridis, Gaetano Domenico Gargiulo
No abstract text is available yet for this article.
May 2018: Asian Cardiovascular & Thoracic Annals
Anh T Vo, Khoi M Le, Trang T Nguyen, Thanh T Vu, Thien T Vu, Dinh H Nguyen
A 71-year-old woman was admitted with sudden onset of severe chest pain. Computed tomography demonstrated acute type A intramural hematoma with an entry tear in the first part of the descending aorta. The patient refused an operation. Endovascular repair was performed to prevent conversion to a typical dissection of the ascending aorta. At the 1-year follow-up, computed tomography showed total resolution of the intramural hematoma.
May 2018: Asian Cardiovascular & Thoracic Annals
Mahesh Kumar Batra, Atif Khan, Fawad Farooq, Tariq Masood, Musa Karim
Background Left atrial enlargement is considered to be a robust, strong, and widely acceptable indicator of cardiovascular outcomes. Echocardiography is the gold standard for measurement of left atrial size, but electrocardiography can be simple, cost-effective, and noninvasive in clinical practice. This study was undertaken to assess the diagnostic accuracy of an established electrocardiographic criterion for left atrial enlargement, taking 2-dimensional echocardiography as the gold-standard technique. Methods A cross-sectional study was conducted on 146 consecutively selected patients with the complaints of dyspnea and palpitation and with a murmur detected on clinical examination, from September 10, 2016 to February 10, 2017...
May 2018: Asian Cardiovascular & Thoracic Annals
Waleed Saleh, Abdullah AlShammari, Jumana Sarraj, Omniyah AlAshgar, Mohamed Hussein Ahmed, Khaled AlKattan
Objective This retrospective analysis aimed to determine the factors influencing prognosis in adult patients who presented to our thoracic surgery service with lung metastases and were eligible for pulmonary metastasectomy. Methods We retrospectively reviewed the data of 296 patients who underwent resection of 575 lung metastases from January 2000 to January 2016. Univariate and multivariate analyses were performed based on age, sex, histology of the primary tumor, disease-free interval, number and size of metastases...
May 2018: Asian Cardiovascular & Thoracic Annals
Nagarajan Muthialu
Heart transplantation is a relatively infrequent but technically demanding procedure in pediatric cardiac surgery. Orthotopic heart transplantation is often offered to older children or adolescents following multiple previous operations, but with advances in intensive care, diagnostics, and management, more infants with complex congenital heart diseases are being listed for transplantation. Primary cardiomyopathies remain the most common indication. Outcomes following cardiothoracic transplantation have improved steadily in recent times...
May 2018: Asian Cardiovascular & Thoracic Annals
Ali Koyuncuer, Sedat Suat Cüzdan, Eyüp Şenköy, Nesip Kalacı
Lung cancer is the most frequently diagnosed non-skin cancer and has a high mortality rate. Skin metastases that manifest as visceral malignancies are rare. Cutaneous metastasis from lung cancer has been observed in only 0.22%-12% of cases and is rarely the first manifestation of lung cancer. The histopathological features of metastases are occasionally difficult to distinguish from those of primary cutaneous tumors, despite the rigorous application of useful techniques, particularly immunohistochemistry. We report 3 asymptomatic cases of men who presented with solitary periumbilical, sacral, and scalp metastasis as the first manifestation of an underlying malignant lung tumor...
May 2018: Asian Cardiovascular & Thoracic Annals
Masatsugu Hamaji, Takashi Sozu, Ryunosuke Machida, Mitsugu Omasa, Toshi Menju, Akihiro Aoyama, Toshihiko Sato, Toyofumi-Fengshi Chen-Yoshikawa, Makoto Sonobe, Hiroshi Date
Background Patients undergoing complete resection of thymoma occasionally develop a recurrence of thymoma; they are also at risk of developing a second malignancy. The objective of our study was to compare the incidence and mortality of a second malignancy versus a recurrence of thymoma during the postoperative follow-up period after complete resection of thymoma. Methods A retrospective chart review was performed on our prospectively maintained database to identify patients undergoing complete resection of thymoma at our institution between 1991 and 2016...
May 2018: Asian Cardiovascular & Thoracic Annals
Ayaka Asakawa, Hironori Ishibashi, Masashi Kobayashi, Tsuyoshi Hachimaru, Hirokuni Arai, Kenichi Okubo
A 44-year-old man presented with an abnormal chest shadow. Computed tomography-guided biopsy showed a chondral tumor of the thoracic vertebrae. Five years later, he developed a walking disorder, left leg numbness, and a vesicorectal disorder. Emergency orthopedic spinal decompression was performed. Eight months later, the residual tumor had become larger and was adjacent to the aorta. Prior to thoracotomy, an intraaortic stent was inserted. The 4th and 5th ribs were invaded by the tumor. The entire tumor and chest wall were excised with the aortic adventitia...
May 2018: Asian Cardiovascular & Thoracic Annals
Ilir Hysi, Carlos Renaut, Olivier Fabre
No abstract text is available yet for this article.
May 2018: Asian Cardiovascular & Thoracic Annals
Nadia Bouabdallaoui, Denis Bouchard, E Marc Jolicoeur, Alexandra Chronopoulos, Pierre Y Garneau, Yoan Lamarche
Extracorporeal membrane oxygenation has been extensively used for cardiopulmonary support in cardiogenic shock. However, its clinical value in the management of pheochromocytoma crisis remains unclear. We report a rare case of life-threatening cardiogenic shock managed with peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting, in a 40-year-old female patient, in the setting of unknown adrenal pheochromocytoma. We highlight the life-saving role of extracorporeal membrane oxygenation in undiagnosed endocrine emergencies, allowing cardiac and end-organ recovery, and giving time for accurate diagnosis and specific treatment in such unusual situations...
May 2018: Asian Cardiovascular & Thoracic Annals
Ming-Ho Wu, Han-Yun Wu
Objective This study was designed to compare the effectiveness and convenience of a drainage bag and a chest bottle following thoracoscopic lobectomy. Methods We conducted a test to ensure that the drainage bag was characterized by easy drainage and an antireflux effect. Thereafter, the drainage bag was used in all thoracic operations in our service. To understand the usefulness of the drainage bag, a retrospective cohort study enrolled 30 patients who had a drainage bag after thoracoscopic lobectomy and compared them with 30 similar patients operated on previously who had chest bottles...
March 2018: Asian Cardiovascular & Thoracic Annals
Muhammet Sayan, Huseyin Arpag, Mahmut Tokur, Abdulkadir Yasir Bahar
Mucormycosis is an opportunistic fungal infection that can infect different regions of the body. This entity may present in rhinocerebral, pulmonary, cutaneous, and disseminated forms. Although pulmonary mucormycosis is usually seen as an invasive parenchymal consolidation or cavitation, it may rarely present as an endobronchial mass. We describe a case of endobronchial mucormycosis in which the fungal mass was completely removed via rigid bronchoscopy before medical therapy.
March 2018: Asian Cardiovascular & Thoracic Annals
Murat Oncel, Huseyin Yildiran, Guven Sadi Sunam
No abstract text is available yet for this article.
March 2018: Asian Cardiovascular & Thoracic Annals
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