Asian cardiovascular & thoracic annals
-
Asian Cardiovasc Thorac Ann · Dec 2013
Case ReportsSurgical treatment for right aortic arch with Kommerell's diverticulum.
Kommerell's diverticulum causes compression of the esophagus between the aberrant origin of the left subclavian artery and ascending aorta, leading to dysphagia or dyspnea. We describe 3 cases of successful surgical treatment of right aortic arch with Kommerell's diverticulum and aberrant origin of the left subclavian artery, using a right anterolateral partial sternotomy. This allows both resection of the Kommerell's diverticulum as well as reconstruction of the aberrant origin of the left subclavian artery anatomically.
-
Asian Cardiovasc Thorac Ann · Dec 2013
Randomized Controlled TrialLow dose tranexamic acid effect on post-coronary artery bypass grafting bleeding.
This study investigated the effects of low-dose tranexamic acid on post-coronary artery bypass surgery bleeding. ⋯ The use of low-dose tranexamic acid can significantly reduce blood loss and need for transfusion, with no increase in complications.
-
Asian Cardiovasc Thorac Ann · Dec 2013
Comparative StudyCongenital heart surgery outcome analysis: Indian experience.
The study aimed to analyze the outcome of congenital heart surgery in a subset of Indian patients, using the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery categories, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality categories. ⋯ The study shows that the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery category, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category are tools of case mix stratification to analyze congenital heart surgery outcomes in a subset of the Indian population.
-
Asian Cardiovasc Thorac Ann · Dec 2013
Acute renal dysfunction: time from coronary angiography to cardiac surgery.
The incidence of acute renal dysfunction has not changed much over the years, despite improvements in perioperative care. Our objectives were to evaluate the impact of timing of cardiac surgery after coronary angiography on acute renal dysfunction, to identify risk factors associated with development of acute renal dysfunction, and to measure the association between acute renal dysfunction and mortality. ⋯ Acute renal dysfunction has a definite relationship with the time period between angiography and cardiac surgery. The causative factors for this condition are multiple and also show a consistent association with mortality.
-
Asian Cardiovasc Thorac Ann · Dec 2013
Case ReportsTotal anomalous systemic with partial anomalous pulmonary venous connections.
A 9-year-old girl with cyanosis, dyspnea, and grade II clubbing was diagnosed by contrast transthoracic echocardiography and angiocardiography to have an anomalous connection of the venae cavae to the physiologic left atrium with partial anomalous pulmonary venous connection. Successful surgical correction was achieved, and the patient's recovery was uneventful.