Asian cardiovascular & thoracic annals
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The data of a consecutive series of habitual marijuana smokers were retrospectively evaluated and compared with that of non-marijuana smokers to assess differences between the 2 groups. ⋯ Despite the fact that we were unable to demonstrate that marijuana had a causal role in the development of emphysema, our study showed that marijuana smokers had a higher incidence of inflammatory cells in pathological specimens, which may favor lung injury, thus predisposing to bulla formation.
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Asian Cardiovasc Thorac Ann · Jan 2014
Novel emboli protection cannula during cardiac surgery: first animal study.
Stroke after open heart surgery is a major cause of morbidity and mortality. Up to 60% of intraoperative cerebral events are caused by emboli generated by manipulations of the aorta during surgery. This is the first animal study evaluating the safety and efficacy of a novel aortic cannula designed to extract solid and gaseous emboli during cardiac surgery. ⋯ The CardioGard cannula is as simple to use as a regular commercially available aortic cannula, having a similar safety profile and proven efficacy in capturing intraoperative emboli.
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Asian Cardiovasc Thorac Ann · Dec 2013
Case ReportsSurgical treatment for right aortic arch with Kommerell's diverticulum.
Kommerell's diverticulum causes compression of the esophagus between the aberrant origin of the left subclavian artery and ascending aorta, leading to dysphagia or dyspnea. We describe 3 cases of successful surgical treatment of right aortic arch with Kommerell's diverticulum and aberrant origin of the left subclavian artery, using a right anterolateral partial sternotomy. This allows both resection of the Kommerell's diverticulum as well as reconstruction of the aberrant origin of the left subclavian artery anatomically.
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Asian Cardiovasc Thorac Ann · Dec 2013
Randomized Controlled TrialLow dose tranexamic acid effect on post-coronary artery bypass grafting bleeding.
This study investigated the effects of low-dose tranexamic acid on post-coronary artery bypass surgery bleeding. ⋯ The use of low-dose tranexamic acid can significantly reduce blood loss and need for transfusion, with no increase in complications.
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Asian Cardiovasc Thorac Ann · Dec 2013
Comparative StudyCongenital heart surgery outcome analysis: Indian experience.
The study aimed to analyze the outcome of congenital heart surgery in a subset of Indian patients, using the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery categories, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality categories. ⋯ The study shows that the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery category, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category are tools of case mix stratification to analyze congenital heart surgery outcomes in a subset of the Indian population.