Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2013
Case ReportsDescending mediastinitis managed by sternotomy, taurolidine and delayed closure.
Descending necrotizing mediastinitis is a rare complication of upper respiratory infections. A quick diagnosis and prompt and complete surgical drainage is important for a successful outcome. A 74-year-old man with descending necrotizing mediastinitis needed a sternotomy, multiple washouts, and delayed sternal closure.
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Asian Cardiovasc Thorac Ann · Oct 2013
Case ReportsSuccessful endovascular treatment of ruptured bronchial artery aneurysm.
Rupture of a bronchial artery aneurysm occurs rarely and may mimic aortic dissection. A 78-year-old-man was admitted with sudden chest pain. Chest radiography showed widening of the mediastinum, suggestive of aortic dissection, but contrast-enhanced computed tomography revealed hemomediastinum and bronchial artery aneurysm. Although open surgery has been the first choice for ruptured bronchial artery aneurysm, this case was successfully treated by an endovascular procedure with the combined use of coils and a gelatin sponge.
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Asian Cardiovasc Thorac Ann · Oct 2013
Ventricular tachyarrhythmia after coronary bypass surgery: incidence and outcome.
Ventricular tachyarrhythmia after coronary artery bypass graft is common and the occurrence has been described, but the incidence and risk factors are not well defined. ⋯ In view of the strong relationship between ventricular arrhythmias and low ejection fraction, ischemic heart disease, coronary artery disease severity, postoperative myocardial infection, and hemodynamic impairment, continuous monitoring is necessary, especially in the first 48 h after coronary artery bypass surgery.
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Asian Cardiovasc Thorac Ann · Oct 2013
Comparative StudyWedge resection verses lobectomy for stage 1 non-small-cell lung cancer.
Lobectomy remains the gold standard with regard to potentially curative resection of non-small-cell lung carcinoma. We aimed to investigate whether there is a survival difference in stage 1 non-small-cell lung cancer patients who undergo lobectomy compared to a wedge resection. ⋯ Cox regression analysis, neuronal network analysis, and propensity matching in stage 1 non-small-cell lung cancer demonstrate no difference in long-term survival after wedge resection compared to lobectomy.
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Asian Cardiovasc Thorac Ann · Oct 2013
Extracorporeal membrane oxygenation in adults: experience from the Middle East.
The literature reports conflicting results for survival after extracorporeal membrane oxygenator support, and survival differs in pediatric and adult patients. We present our institutional experience of adult extracorporeal membrane oxygenator support. ⋯ Our institutional experience of extracorporeal membrane oxygenator support for cardiac indications in adult patients indicates poor survival. It significantly increased costs by delaying imminent death and prolonging stay in the intensive care unit.