Journal of cardiac surgery
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Hemathorax is an uncommon but well-described complication of type B acute aortic dissection. Due to the location and anatomic relations of the descending aorta, aortic rupture of acute type B aortic dissection usually causes a left hemathorax. We now report the case of a 42-year-old male who presented with an acute type B aortic dissection and bilateral hemathoraces.
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Case Reports
Successful surgical correction of anomalous origin of the right pulmonary artery from the aorta in an adult.
We report an adult patient with anomalous right pulmonary artery (RPA) from the ascending aorta with origin stenosis, a secundum type of atrial septal defect (ASD) with severe pulmonary arterial hypertension (PAH) in the left lung, and a protected right lung. Restoration of the continuity between the RPA and the left pulmonary arterial system was achieved without cardiopulmonary bypass.
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Papillary fibroelastoma (PFE) is a benign cardiac tumor rarely seen in the right atrium and often misdiagnosed as atrial myxoma or thrombus. We report one such case found in the right atrium during workup in a patient presenting with transient ischemic attack (TIA). ⋯ When encountered in the right heart and symptomatic, they tend to be larger in size presumably due to a longer latent period of growth. Although histologically the tumors are benign, they have the potential for fatal complications due to their propensity to embolize.
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Dilatation of the STJ may cause consequent aortic insufficiency (AI) in patients with normal aortic valve, in patients with ascending aortic aneurysm. In this study, we analyzed the results of ascending aorta replacement with STJ diameter reduction to correct consequent AI in patients with ascending aortic aneurysm. ⋯ Reduction of the diameter of STJ can be used to treat AI in patients with ascending aortic aneurysm with nearly normal aortic cusps. Midterm results of this procedure are encouraging.