The Annals of thoracic surgery
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The Yasui procedure is employed in neonates with interrupted aortic arch and left ventricular outflow tract obstruction (IAA/LVOTO) or aortic atresia-severe stenosis with ventricular septal defect (AA/VSD) and 2 adequate-sized ventricles. This combines a Norwood arch reconstruction with a Rastelli operation establishing a biventricular repair. ⋯ The Yasui operation is effective for patients with IAA/LVOTO and AA/VSD. Primary and staged repair have comparable results. Reoperation after biventricular repair seems inevitable, mostly for conduit replacement. Genetic factors may affect long-term survival.
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Pleurobiliary fistula after blunt abdominal trauma is rare. We report a case managed with tube thoracostomy alone, without the need for biliary system drainage.
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Comparative Study
Midterm benefits of preoperative statin therapy in patients undergoing isolated valve surgery.
Recent data have suggested that statins are associated with reduced early mortality and cardiovascular events after valvular heart surgery. The midterm effects of preoperative statin therapy in the setting of valvular heart surgery are presently unclear. ⋯ Preoperative statin administration is associated with early reductions in mortality among patients undergoing isolated valvular heart surgery, leading to improved late survival. Future prospective analyses are warranted to optimize statin therapy in this patient population.
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Pulmonary ossifications are classified as either dendriform or nodular, according to their histologic appearance. Both seem to be distributed similarly and are often confined to the lower lobes of the lung. These ossifications may be included in the differential diagnosis of a solitary pulmonary nodule.