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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As the number of heart failure patients supported with left ventricular assist devices (LVAD) increases, the frequency of elective, noncardiac surgery in this patient population will similarly rise. We retrospectively analyzed our LVAD patient database and identified six patients who underwent elective, noncardiac surgery while on LVAD support. These cases are discussed, with an emphasis on the anesthetic and perioperative considerations. These patients have an acceptable risk profile for elective surgery and should be treated similarly to their age-matched counterparts not on LVAD support.