Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Aug 2013
Biography Historical ArticleDr Thomas Bruce Ferguson: 6 May 1923-26 May 2013.
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Asian Cardiovasc Thorac Ann · Aug 2013
Does removal of steel wires relieve post-sternotomy pain after cardiac surgery?
Post-sternotomy pain in the absence of cardiac ischemia and sternal instability is most commonly due to the sternal wire sutures or a protruding wire. We performed a retrospective study to investigate the effect of removal of the steel wires for relief of post-sternotomy pain. ⋯ We recommend removal of the steel wires in patients with persistent chest pain after median sternotomy, when sternal instability, mediastinitis, and cardiac causes such as ischemia are excluded.
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Asian Cardiovasc Thorac Ann · Aug 2013
Case ReportsThrombi migration to atrium diagnosed by transesophageal echocardiography.
Two days before surgery in a 70-year-old man with renal cell carcinoma, transthoracic echocardiography showed a dense mass in the inferior vena cava, lying proximally, but no mass was observed in the right atrium. Intraoperative transesophageal echocardiography revealed unexpected tumor thrombi in the right atrium, and the surgical plan was changed. This case highlights the importance of intraoperative transesophageal echocardiography in patients with renal cell carcinoma.
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Asian Cardiovasc Thorac Ann · Aug 2013
Case ReportsRepair of right ventricle rupture caused by left coronary artery occlusion.
A 67-year-old man was admitted with right ventricular free wall rupture secondary to occlusion of the left anterior descending artery. Emergency coronary angiography showed total occlusion of the proximal left anterior descending artery and severe stenosis of the proximal right coronary artery. Echocardiography revealed acute cardiac tamponade, and free wall rupture of the heart was suspected. At surgery under cardiopulmonary bypass, closure was achieved using mattress sutures with pledgets.