The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsSuccessful treatment of catamenial hemoptysis by video-assisted thoracoscopic surgery.
We report a case of a 23-year-old woman with a 5-year history of recurrent hemoptysis during menstrual period. Catamenial hemoptysis was diagnosed using chest computed tomography and bronchoscopic examination during menstruation. The patient was managed successfully with wedge resection and has been free of recurrence for 5 years. We suggest that surgery is an effective treatment, and complete resection with accurate localization is important for the prevention of recurrence.
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsPostpartum acute coronary syndrome due to intramural hematoma and coronary artery dissection.
A 38-year-old woman presented with acute coronary syndrome 9 days postpartum. Coronary catheterization showed an intramural hematoma of the left main artery (LM) and the left anterior descending artery (LAD). During angiography, dissection of the LM, with involvement of the LAD and circumflex artery occurred. ⋯ After resuscitation, intra-aortic balloon pump was inserted. The patient underwent two-vessel off-pump surgical revascularization. She was discharged 10 days later.
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsLeft-sided catamenial pneumothorax associated with diaphragmatic fenestrations.
Catamenial pneumothorax is a rare disorder with an unknown etiology. It is characterized by recurrent spontaneous pneumothorax during or preceding menstruation. ⋯ The majority of catamenial pneumothorax is right sided. We report a left-sided catamenial pneumothorax associated with multiple diaphragmatic fenestrations.
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Thorac Cardiovasc Surg · Jan 2013
Comparative StudyInfluence of gender on postoperative outcome after intra-aortic balloon counter-pulsation and cardiac surgery.
Female gender is an established risk factor for worse outcomes after cardiac surgery, and women are more likely to experience postoperative complications. Our aim was to analyze the influence of gender on outcome and postoperative complications after the use of intra-aortic balloon counter-pulsation (IABP) in cardiac surgery patients. ⋯ Women have a worse outcome after the use of IABP, including LOS at the ICU, postoperative renal failure, and inhospital mortality, despite higher EF, when compared with men.
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Thorac Cardiovasc Surg · Jan 2013
Comparative StudyGender does matter: gender-specific outcome analysis of 67,855 heart transplants.
Gender differences between donor and recipient might have an impact on the outcome after heart transplantation (HT). Data of more than 67,000 patients registered at the International Society of Heart Lung Transplantation (ISHLT) were reviewed focusing on the influence of gender differences on short- and long-term outcome after HT. ⋯ The combination male recipient/female donor carries a higher risk for early mortality, whereas female recipients/male donor reveals favorable short-term results. Gender-matched HT would be ideal, but not suitable in practice because of the shortage of organs.