Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · May 2015
Thromboelastography in off-pump coronary artery bypass grafting.
Thromboelastography enables complete evaluation of the process of clot initiation, the structural characteristics of the formed clot and its stability. Many previous studies have assessed the predictive role of thromboelastography in on-pump cardiac surgery, but there are no clear guidelines on its use in off-pump coronary artery bypass. The aim of this study was to evaluate the use of thromboelastography and its relevance during the postoperative period following off-pump coronary artery bypass. ⋯ Thromboelastographic parameters show a reliable correlation with increased blood loss in off-pump coronary artery bypass grafting, and predict patients with an increased chance of blood requirement as well as those at risk of a hypercoagulable state.
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Asian Cardiovasc Thorac Ann · May 2015
Surgical strategy for Kommerell's diverticulum with aberrant subclavian artery.
Kommerell's diverticulum is an extremely rare congenital aortic anomaly. Because of its rarity, the optimal surgical strategy for Kommerell's diverticulum has not been established. In this study, we reviewed our experience of surgical correction of this anomaly. ⋯ Kommerell's diverticulum should be treated using an optimal strategy based on each patient's anatomical features and other characteristics.
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Asian Cardiovasc Thorac Ann · May 2015
Case ReportsMassive Bochdalek diaphragmatic hernia in adult with hypoplastic lung.
Bochdalek diaphragmatic hernia is generally congenital and rarely diagnosed incidentally in adults. A 21-year-old man presented with a diaphragmatic hernia suspected during routine examination. Chest radiography showed the colon and small intestine herniating into the left hemithorax and the ileocecal appendix in the superior thoracic apertura. ⋯ The diaphragm was repaired with Prolene mesh following adhesiolysis. Two months later, there was no recurrence but no lung expansion. The space was filled with effusion, but the patient had no complaints.
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Asian Cardiovasc Thorac Ann · May 2015
Case ReportsLeft common basal pyramid torsion following left upper lobectomy/segmentectomy.
Lobar or segmental lung torsion is a severe complication of lung resection. To the best of our knowledge, common basal pyramid torsion has never been reported. We describe a case of left basal pyramid torsion after left upper lobectomy and superior segmentectomy, which was successfully treated by thoracoscopic surgery.
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Asian Cardiovasc Thorac Ann · May 2015
Case ReportsNon-BMPR2 mutation heritable pulmonary arterial hypertension in Southeast Asia.
A 29-year-old Thai man presented with progressive dyspnea and evidence of pulmonary hypertension. Computed tomography was negative for pulmonary embolism. Cardiac catheterization confirmed the diagnosis of pulmonary arterial hypertension (mean pulmonary artery pressure 54 mm Hg, left ventricular end-diastolic pressure 4 mm Hg, and pulmonary vascular resistance 25 Wood units) without an intracardiac shunt. ⋯ There was no evidence of left heart disease or respiratory disorders. Based on the definite diagnosis of pulmonary hypertension in 3 family members, heritable pulmonary arterial hypertension was confirmed. Genetic testing indicated no BMPR2 mutation.