Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jan 2015
ReviewWhich is the best graft for the right coronary artery?
Bilateral internal mammary arteries directed to the left coronaries are gaining popularity; an increasing level of evidence nowadays supports this surgical strategy. On the other hand, composite right internal mammary artery, radial artery, and gastroepiploic artery targeting high-grade stenotic lesions in the right coronary artery system may confer improved mid- and long-term patency compared to long saphenous veins. This analysis looks into the evidence comparing data of the third best available conduit for grafting the right coronary artery, and by extrapolating this report, compares total arterial revascularization vs. conventional coronary artery bypass grafting.
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Asian Cardiovasc Thorac Ann · Jan 2015
Clinical outcomes of Carbomedics Top Hat valve with a robust follow-up system.
Late failure of bioprosthetic valves may limit their use in patients < 60 years. The superior hemodynamic performance offered by the Carbomedics Top Hat supraannular valve enables greater effective orifice areas to be achieved. The aim of this study was to assess the clinical outcomes of this valve, using a robust follow-up system. ⋯ Implantation of the Carbomedics Top Hat supraannular valve in our unit resulted in satisfactory in-hospital and midterm survival with low incidences of endocarditis and late heart failure.
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Asian Cardiovasc Thorac Ann · Jan 2015
Comparative StudyAcute subdural hematoma after aortic surgery: a retrospective comparative study.
Acute subdural hematoma is uncommon following open-heart surgery, but may result in increased mortality and morbidity. ⋯ This retrospective study demonstrated that the subdural hematoma group received fewer units of platelets, thus it appears to be important to give platelets appropriately. Strict flow regulation or avoidance of retrograde cerebral perfusion is suggested.