General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Nov 2011
Case ReportsIsolated right diaphragmatic rupture following blunt trauma.
Blunt diaphragmatic injuries are usually caused by blunt trauma or penetrating injuries. The diagnosis may be delayed or missed because of the confusing clinical and radiographic findings and the presence of multiple associated injuries. ⋯ Diaphragmatic rupture is perceived as an emergency entity. The late appearance of such an injury, without other accompanying injuries, is rare and should be in mind by clinicians treating trauma patients who have a delayed presentation after the injury.
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Gen Thorac Cardiovasc Surg · Nov 2011
Systolic anterior motion after mitral valve repair: predicting factors and management.
The aim of this study was to determine the mechanism of systolic anterior motion (SAM) after mitral valve (MV) repair by analyzing the clinical data of patients with MV repair. ⋯ The sigmoid septum and LSC may predict SAM after MV repair. A strict follow-up is imperative for patients with persistent or recurrent SAM.
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Gen Thorac Cardiovasc Surg · Oct 2011
Case ReportsReports of four surgical treatments of acute pulmonary embolism with a floating thrombus in the right atrium.
Acute pulmonary embolism (APE) is a serious disease. Recently, multidetector-row computed tomography (MDCT) has proven to be valuable in detecting APE and deep vein thrombosis. APE is classified as massive, submassive, and nonmassive. ⋯ We examined the surgical outcomes in four cases of submassive APE with a floating thrombus in the right atrium (RA) from August 2003 to July 2008. All patients appeared to have no neurological complications and showed an event-free survival of up to 65 months (37 ± 25 months). Surgical pulmonary embolectomy was effective for submassive APE with a floating thrombus in the RA.
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Gen Thorac Cardiovasc Surg · Aug 2011
Review Case ReportsDisseminated calcifying tumor of the pleura: review of the literature and a case report with immunohistochemical study of its histogenesis.
Calcifying tumor of the pleura is a rare benign tumor, similar to the calcifying fibrous pseudotumor originally described in the subcutaneous and deep soft tissues of the extremities, trunk, and neck. Calcifying tumors of the pleura have also been reported infrequently as disseminated lesions. Here we report a case of disseminated calcifying tumor of the pleura, with some new findings obtained in this study, and review the literature of disseminated calcifying tumor of the pleura.
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Gen Thorac Cardiovasc Surg · Aug 2011
Treatment of prosthetic valve endocarditis complicated by destruction of the aortic annulus.
It has been reported that surgical treatment for prosthetic valve endocarditis complicated by destruction of the aortic annulus is associated with high mortality and morbidity. The aim of this study was to evaluate the efficacy of our surgical strategy for this situation. ⋯ Our simple procedure for complicated prosthetic valve endocarditis yielded excellent early and midterm outcomes.