Asian cardiovascular & thoracic annals
-
Asian Cardiovasc Thorac Ann · Aug 2012
Case ReportsRupture of abdominal aortic aneurysm with shrinkage after endovascular repair.
An 85-year-old man, who had undergone endovascular abdominal aortic aneurysm repair 8½ years earlier, was transferred to the emergency department with chest pain and transient loss of consciousness. Computed tomography revealed a ruptured abdominal aortic aneurysm with a stent graft inside. His aneurysm was 62 mm in diameter at the endovascular repair, but 45 mm at the rupture site. He was rescued by emergency aneurysmectomy.
-
Asian Cardiovasc Thorac Ann · Aug 2012
Prognostic factors in malignant pleural mesothelioma: role of talc pleurodesis.
To examine baseline characteristics associated with survival in patients with malignant pleural mesothelioma. ⋯ Surgical intervention including decortications and extrapleural pneumonectomy had no effect on survival in this series. Chemotherapy and radiation to port sites independently and in combination were associated with improved overall survival in malignant pleural mesothelioma patients. Talc pleurodesis was an independent determinant of survival, but further studies are warranted.
-
Asian Cardiovasc Thorac Ann · Aug 2012
Case ReportsTeicoplanin-induced neutropenic sepsis mimicking endocarditis.
Teicoplanin is a less toxic replacement for vancomycin in most situations where resistant organisms are encountered, and is therefore the drug of choice. As a commonly used drug in cardiac surgery, we treated a case of presumptive endocarditis with teicoplanin that caused neutropenic sepsis, unmasked on withdrawal of treatment.