General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Feb 2007
Case ReportsA case of tuberculous endocarditis with acute aortic valve insufficiency and annular subvalvular left ventricular aneurysm.
Tuberculous endocarditis is an exceptionally rare disease, and its surgical operation has been reported in only one case. This is a successful surgical report of acute aortic insufficiency caused by tuberculous endocarditis associated with annular subvalvular left ventricular aneurysm (ASLVA) beneath the aortic valve. ⋯ Histopathological findings of the excised aortic cusps gave the diagnosis of tuberculous endocarditis, and antituberculous drug administration started on the first postoperative day. Postoperative recovery has been uneventful without relapse of tuberculosis for 7 postoperative years.
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Gen Thorac Cardiovasc Surg · Jan 2007
Comparative StudyRelationship between increased blood pressure and hematocrit during modified ultrafiltration for pediatric open heart surgery.
Modified ultrafiltration increases blood pressure after cardiopulmonary bypass in children. To investigate the cause of this hemodynamic improvement, we assessed the relationship between increased blood pressure and hematocrit. ⋯ Modified ultrafiltration increased blood pressure and hematocrit immediately after cardiopulmonary bypass in children. However, no correlations were detected between the increases in blood pressure and hematocrit. These results indicate hemoconcentration is not the major cause of the increased blood pressure during modified ultrafiltration.