Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jun 2010
Clinical outcome of video-assisted thymectomy for myasthenia gravis and thymoma.
We reviewed our experience of video-assisted thoracoscopic thymectomy for myasthenia gravis and thymomas in 119 patients, aged 12-83 years, who were treated between 1998 and 2007. Disease severity was graded using the Osserman classification. To prevent rupture of the tumor capsule and tumor seeding, thymomas were resected using a modified no-touch technique. ⋯ After follow-up of 1.9-10 years (mean, 4.9 years), 74 (62%) patients remained asymptomatic, with 21% in complete stable remission. Using multivariate regression analysis, there were no statistical differences in median pre- and postoperative Osserman grades with regards to age, sex, duration of symptoms, and presence of thymoma. Video-assisted thoracoscopic thymectomy for myasthenia gravis and selected thymomas can achieve long-term clinical outcomes comparable to those of standard approaches.
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Asian Cardiovasc Thorac Ann · Jun 2010
Case ReportsPericardial tamponade after superior vena cava stent: are nitinol stents safe?
Placement of a single new-generation nitinol stent resulted in acute pericardial tamponade in a 70-year-old man with superior vena cava syndrome.
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Asian Cardiovasc Thorac Ann · Jun 2010
Extended three-patch technique for congenital supravalvular aortic stenosis.
We describe a modified extended 3-patch surgical procedure to relieve supravalvular aortic stenosis. This simple technique provides effective and lasting enlargement of the ascending aorta in patients with severe congenital supravalvular aortic stenosis.