Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2015
How pulmonary function changes after pectus excavatum correction surgery.
We aimed to determine the effects of minimally invasive repair of pectus excavatum on pulmonary function and quality of life. ⋯ Minimally invasive pectus excavatum repair has a positive impact on the quality of life of pectus excavatum patients, but a negative impact on forced vital capacity. Follow-up studies are needed to assess the long-term changes in pulmonary function after this operation.
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Occasionally, patients who complain of chest pain after the onset of coughing are diagnosed with rib fractures. We investigated the characteristics of cough-induced rib fractures. ⋯ Cough-induced rib fractures occur in every age group regardless of the presence or absence of underlying disease. Since rib fractures often occur in the lower and middle ribs, rib radiography is useful for diagnosis.
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Asian Cardiovasc Thorac Ann · Oct 2015
Observational StudyCell salvage during coronary artery bypass surgery and allogenic blood exposure.
Our primary aim was to assess the impact of intraoperative cell saver usage on patient exposure to allogenic blood transfusion during elective coronary artery bypass. The secondary endpoint was the impact of cell savage on the units of blood and blood products transfused perioperatively. ⋯ Intraoperative cell salvage with a cell saver in patients undergoing primary elective coronary artery bypass decreases the proportion of patients exposed to allogenic red cell transfusions and the number of units of red blood cells transfused.
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Asian Cardiovasc Thorac Ann · Oct 2015
Case ReportsSpontaneous pneumomediastinum: A complication of swine flu.
The occurrence of spontaneous pneumomediastinum in swine flu, or H1N1 influenza A infection, is a rare phenomenon and only few cases have been reported in children. We describe a case of spontaneous pneumomediastinum in adult infected with swine flu.
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Asian Cardiovasc Thorac Ann · Oct 2015
Case ReportsEndoscopic stenting for double bronco-pleural fistula after lobectomy.
Bronchial fistula is one of the most serious complications after pulmonary resection. It presents a challenge in terms of treatment, with a high risk of perioperative mortality. ⋯ The lesions were sited at the upper lobar stump and the pars membranacea of the intermediate bronchus. The patient was successfully treated by placement of an endobronchial prosthesis (initially a self-expanding prosthesis and subsequently, a Dumon prosthesis) and a pleural chest drain, to avoid a potential right pneumonectomy.