Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2015
Case ReportsTamponade by an expanding left ventricular pseudoaneurysm: A unique presentation.
Left ventricular free wall rupture secondary to myocardial infarction is an uncommon but catastrophic event requiring emergency surgery. We describe a unique presentation of left ventricular free wall rupture as delayed tamponade caused by a gradually expanding pseudoaneurysm compressing the left atrium, leading to pulmonary congestion that required increasing respiratory support to maintain oxygenation, and necessitated emergency surgery. We discuss the options available to treat pseudoaneurysms due to left ventricular free wall rupture.
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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
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.
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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.