Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2014
Is continuation of antiplatelets until coronary artery bypass safe in Asians?
Controversies have arisen about the risks of discontinuing antiplatelets prior to coronary artery bypass grafting. ⋯ Continuation of antiplatelets until 2 days before coronary artery bypass in Asian patients in our institution is unlikely to increase the risks of bleeding and perioperative transfusion. Taking antiplatelets within 24 h of surgery seems to be associated with a higher rate of 1-year major adverse cardiovascular events and bleeding, and an increased risk of blood product transfusion. Thirty-day and 1-year major adverse cardiovascular event rates were higher in patients without antiplatelet treatment.
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Asian Cardiovasc Thorac Ann · Sep 2014
Case ReportsA case of ventricular septal defect and mitral insufficiency after blunt trauma.
Few reports have described traumatic heart injury in children. We describe a case of acute mitral regurgitation associated with papillary muscle rupture, traumatic ventricular septal defect, and impending left ventricular free wall rupture due to blunt trauma in a 2-year-old girl. ⋯ A residual defect caused by dehiscence of the pericardial patch necessitated reoperation 10 months later. The patient is currently being observed on an outpatient basis.
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Asian Cardiovasc Thorac Ann · Sep 2014
Observational StudyLong-term results of an open flexible prosthetic band for mitral insufficiency.
use of a prosthetic ring is an integral part of any mitral valve repair and can influence the long-term stability of the results. We evaluated the long-term results of the AnnuloFlex ring implanted as an open flexible band in patients affected by degenerative mitral disease. ⋯ the long-term results of the AnnuloFlex band are excellent and stable.