Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jun 2015
Case ReportsCrazy paving radiography finding in asymptomatic pulmonary alveolar proteinosis.
Pulmonary alveolar proteinosis is a rare disorder characterized by alveolar accumulation of surfactant phospholipids and protein components. The symptoms and prognosis are extremely variable. Bronchoalveolar lavage fluid and/or transbronchial lung biopsy are useful for diagnosis; surgical lung biopsy is often unnecessary but useful in the focal involvement. We report a case of pulmonary alveolar proteinosis in a 50-year-old woman, confirmed by a video-assisted thoracoscopic surgery biopsy from the initial focal involvement, with normal bronchoalveolar lavage and transbronchial lung biopsy findings.
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Asian Cardiovasc Thorac Ann · Jun 2015
Case ReportsUse of previously divided latissimus dorsi muscle for bronchopleural fistula.
Management of postpneumonectomy bronchopleural fistula remains a major challenge for thoracic surgeons. Successful closure of a postpneumonectomy bronchopleural fistula was performed in a 60-year-old man, using a flap made by a combination of serratus anterior and latissimus dorsi muscle which had been divided during the pneumonectomy operation. The flap was prepared on the presence of a dependable collateral serratus anterior branch to the lateral thoracic artery, which provides retrograde flow to the latissimus dorsi muscle.
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Asian Cardiovasc Thorac Ann · Jun 2015
Posterior leaflet segment 2 plication in ischemic mitral regurgitation repair.
To evaluate the medium-term results of plication of posterior leaflet segment 2 in addition to ring annuloplasty in patients with functional ischemic mitral regurgitation. ⋯ The tethering area, coaptation height, and distance between the commissures decreased significantly, thus posterior leaflet segment 2 plication in addition to ring annuloplasty may be the optional procedure to ensure freedom from moderate or severe mitral regurgitation.
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Asian Cardiovasc Thorac Ann · Jun 2015
Case ReportsChronic contained rupture of aortic aneurysm with thoracic vertebral erosion.
A 66-year-old man was transferred to our hospital with the diagnosis of a large thoracoabdominal aneurysm. Computed tomography showed thoracic vertebral erosion, suggesting a chronic contained rupture. ⋯ During surgery, the 6th and 7th thoracic vertebral bones adjacent to the thoracic aneurysm were found to be eroded. The postoperative course was uneventful.
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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.