Journal of cardiac surgery
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Management of the metallic foreign body in the heart remains controversial. Evaluation of possible methods for this issue and its possible treatments are discussed, the results of which may lead to a more effective strategy for management of intracardiac foreign bodies.
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We report two cases of patients who underwent cardiac surgery and suffered from posterior intercostal artery bleeding. Both cases were treated by transcatheter arterial embolization.
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A growing number of patients have undergone the Mustard procedure for transposition of the great arteries, after which the morphologic right ventricle serves as the systemic ventricle. If this ventricle fails, ventricular assist device support may be necessary, but implanting the inflow cannula can be challenging in these patients because of the moderator band and trabeculation of the morphologic right ventricle. We describe successful assist device implantation in a 34-year-old patient who had undergone the Mustard procedure in infancy.
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Postoperative delirium is a common medical complication following cardiac surgery. This paper will outline the treatment options for delirium with a focus on prophylactic use of risperidone before cardiac surgery.
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Case Reports
Radiofrequency ablation under extracorporeal membrane oxygenation for atrial tachycardia in postpartum.
Tachycardia-mediated cardiomyopathy associated with cardiogenic shock is a rare but well-known entity. We report an unusual case of cardiogenic shock with atrial tachycardia in postpartum; the patient underwent successful radiofrequency ablation under extracorporeal membrane oxygenation (ECMO). Radiofrequency ablation is usually used to treat this clinical situation. The use of ECMO has been described only in pediatric case.