Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Apr 2013
Case ReportsAortic valve-sparing in aortic dissection with transposition of great arteries.
Patients with transposition of the great arteries have good survival after surgery, but some have complications ranging from heart failure to valve dysfunction. A 42-year-old woman who underwent surgical correction in childhood, presented with aortic dissection and had a valve-sparing root operation, but died immediately postoperatively. Both aortic dissection and valve-sparing root operations in this setting have not been described before. This case highlights facts to consider in the treatment of this presentation.
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Asian Cardiovasc Thorac Ann · Apr 2013
Case ReportsLeft atrial appendage myxoma masquerading as left atrial appendage thrombus.
Myxomas are the most common benign tumors of the heart. They can arise from any heart chamber, but have rarely been described as originating from the left atrial appendage. We describe a case of left atrial appendage myxoma mimicking a left atrial appendage thrombus, and presenting with microembolization to the coronaries.
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Asian Cardiovasc Thorac Ann · Apr 2013
Surgical outcome of congenital heart disease in Down's syndrome.
only a few studies have compared surgical outcomes in children with and without Down's syndrome. The purpose of this study was to investigate the surgical outcome in children with Down's syndrome and congenital heart disease and to compare it with that in age- and sex-matched non-Down controls. ⋯ children with Down's syndrome can be operated on with negligible mortality and good functional outcome, but with a higher surgical morbidity.
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Asian Cardiovasc Thorac Ann · Apr 2013
Case ReportsRight pulmonary hilar pedicle injury secondary to blunt chest trauma in a child.
Combined tracheobronchial and thoracic vascular injury in children following blunt trauma to the chest is potentially life-threatening and almost certain to be fatal unless managed promptly. We report one such incident where prompt identification and early aggressive surgical management prevented an almost certain fatal outcome in a 5-year-old girl with complete disruption of the right main bronchus just distal to the carina, and a tear in the right pulmonary artery.
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Asian Cardiovasc Thorac Ann · Apr 2013
Effect of landiolol hydrochloride after off-pump coronary artery bypass.
many studies have shown that oral beta blockers reduce the incidence of atrial fibrillation after coronary artery bypass. The goal of this study was to determine whether landiolol, an intravenous beta blocker, reduces the incidence of atrial fibrillation after off-pump coronary artery bypass. ⋯ continuous administration of landiolol at a low dose after off-pump coronary artery bypass reduced the incidence of atrial fibrillation.