Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Feb 2013
Comparative StudyMonitoring brain oxygen saturation during awake off-pump coronary artery bypass.
To evaluate the changes in cerebral blood flow during awake off-pump coronary artery bypass grafting and compare with the changes during off-pump coronary artery bypass grafting under general anesthesia, using continuous monitoring of regional cerebral oxygen saturation. ⋯ Awake off-pump coronary artery bypass grafting is a safe surgical technique for patients with history of cerebral infarction or impaired cerebral blood flow. Awake off-pump coronary artery bypass grafting is a less invasive procedure that allows efficient management of intraoperative cerebral blood flow, and can be equally effective as a percutaneous coronary intervention.
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Asian Cardiovasc Thorac Ann · Feb 2013
Randomized Controlled TrialDoes use of cell saver decrease the inflammatory response in cardiac surgery?
The role of a cell-saver device in the inflammatory response to cardiac surgery has not been well documented. We hypothesized that the use of a cell saver may reduce proinflammatory cytokine concentrations in patients undergoing cardiac surgery. ⋯ Our results suggest that cell salvage in low-risk patients undergoing their first elective cardiac procedure does not decrease the inflammatory response after surgery.
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Asian Cardiovasc Thorac Ann · Feb 2013
Comparative StudyPulmonary cusp augmentation in repair of tetralogy of Fallot.
pulmonary insufficiency after transannular patch repair of tetralogy of Fallot is associated with a poorer outcome. ⋯ reconstruction of the native pulmonary valve accompanied by pulmonary cusp augmentation can reduce postoperative pulmonary insufficiency and has a more favorable long-term outcome.
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Asian Cardiovasc Thorac Ann · Feb 2013
Arch replacement using antegrade selective cerebral perfusion for shaggy aorta.
Embolic stroke during arch replacement is a serious concern in patients with shaggy aorta. ⋯ We concluded that our perfusion technique protects patients with shaggy aorta against embolism, and that the survival is lower in patients with shaggy descending aorta.