Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2011
Case ReportsRight atrial thrombus migrating to the superior vena cava during surgery.
Free-floating right heart thrombi are extremely mobile structures that carry a very high mortality rate. We describe a case of pulmonary embolism with a free-floating right heart thrombus that migrated to the superior vena cava during the institution of cardiopulmonary bypass.
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Asian Cardiovasc Thorac Ann · Oct 2011
Case ReportsPneumocephalus and pneumococcal meningitis after thoracic surgery.
A 62-year-old man with adenocarcinoma underwent complete resection with a right upper lobectomy and en-bloc resection of the chest wall, with metallic clips applied to the vertebral nerve roots. A sudden deterioration in neurological status occurred due to pneumocephalus and ascending bacterial meningitis resulting from a subarachnoid-pleural fistula. The neurological status normalized after thoracoplasty and ceftriaxone treatment.
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Asian Cardiovasc Thorac Ann · Jun 2011
Case ReportsLate relapse of non-typhoidal salmonella vascular graft infection after 5 years.
Salmonella bacteremia can be complicated by mycotic aneurysm with the potential for a catastrophic presentation. Treatment involves prompt surgery with debridement, extraanatomic bypass, and prolonged antibiotic therapy. Any relapse tends to occur within the 1(st) year after surgery. We describe a case of Salmonella enteritidis mycotic aneurysm in a 56-year-old man 5 years after the initial presentation, emphasizing the importance of aggressive initial therapy and long-term surveillance.
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Asian Cardiovasc Thorac Ann · Jun 2011
ReviewOrgan procurement: Spanish transplant procurement management.
Transplantation is an accepted therapeutic option to save or improve the quality of life when organ failure occurs or tissue replacements are needed. However, the lack of organs is the major limitation. ⋯ While the donation rates are subject to several negative factors including religious, economic, cultural, and legal issues, the existence of well-trained professionals may considerably increase them. Professional training in organ donation along with the establishment of a solid organizational system has been identified as the crucial factor in developing efficient organ donation and transplantation programs.