Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Dec 2012
Local administration of tranexamic acid in off-pump coronary artery bypass.
We administered tranexamic acid locally to patients undergoing off-pump coronary artery bypass, to investigate the hemostatic effects and safety. ⋯ In patients undergoing off-pump coronary artery bypass, local administration of tranexamic acid may decrease the volume of postoperative blood loss. The local administration method is simple, inexpensive, and safe.
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Asian Cardiovasc Thorac Ann · Oct 2012
Randomized Controlled TrialRemote ischemic preconditioning in percutaneous coronary revascularization: a double-blind randomized controlled clinical trial.
To assess the impact of pre-procedural remote ischemic preconditioning on the incidence of myocardial complications following percutaneous coronary intervention. ⋯ These data suggest that ischemic preconditioning reduces the absolute risk of post-procedure cardiomyocyte necrosis by 27.5%, and reduces intra-procedural chest pain and ST-segment deviation in patients undergoing percutaneous coronary interventions. We suggest its routine use in percutaneous coronary intervention, although the long-term prognostic impact in this patient group warrants further investigation.
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Asian Cardiovasc Thorac Ann · Oct 2012
Is a cell saver necessary in off-pump coronary artery bypass surgery?
Off-pump coronary artery bypass surgery should have a significantly lower risk of postoperated bleeding than on-pump surgery. However, the use of a cell saver has been considered necessary, with significant additional cost incurred. Can we consider performing off-pump coronary artery bypass surgery without a cell saver? ⋯ The use of a cell saver in off-pump surgery is useless in most cases. Careful surgical hemostasis is essential to limit hypovolemia.
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Asian Cardiovasc Thorac Ann · Oct 2012
Case ReportsEndovascular repair of intrathoracic ruptured Kommerell's diverticulum.
A right-sided aortic arch associated with an aberrant subclavian artery is a rare anomaly. Regardless, this condition is clinically relevant because mortality is associated with rupture, morbidity results from compression of mediastinal structures, and the surgery is complex. We describe the successful surgical repair of this vascular anomaly by totally debranching the neck vessels and placing an endovascular stent-graft to exclude the ruptured Kommerell's diverticulum.
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Asian Cardiovasc Thorac Ann · Oct 2012
Mitral stenosis after IMR ETlogix ring annuloplasty for ischemic regurgitation.
Ring annuloplasty combined with coronary artery bypass grafting is the standard approach for treatment of patients with ischemic mitral regurgitation. We evaluated mitral valve hemodynamic performance and recurrence of mitral regurgitation after ring annuloplasty. ⋯ Mitral annuloplasty with the IMR ETlogix ring provides effective correction of chronic ischemic mitral regurgitation, but this technique may induce functional mitral stenosis.