Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2010
Case ReportsBicuspid aortic valve replacement with stentless autologous pericardial valve.
Bicuspid aortic valve is a common congenital cardiac anomaly that poses a surgical challenge in young patients. We describe replacement of a bicuspid aortic valve with a stentless glutaraldehyde-treated autologous pericardial prosthesis in a 16-year-old girl.
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Asian Cardiovasc Thorac Ann · Oct 2010
Case ReportsAn adult case of giant bronchogenic cyst mimicking tension pneumothorax.
Bronchogenic cysts are usually discovered only incidentally in the adult. A giant bronchogenic cyst in a 19-year-old woman presenting with pain and shortness of breath was mistaken for tension pneumothorax and initially treated with tube thoracostomy. ⋯ Bullae resection was undertaken, but the remaining lung tissue required pneumonectomy. Pathologic examination of the specimen confirmed bronchogenic cyst.
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Asian Cardiovasc Thorac Ann · Aug 2010
Clinical outcomes of medical treatment of acute type A intramural hematoma.
A retrospective study was performed in 30 patients who were treated for type A intramural hematoma from 1999 to 2008, of whom 24 were initially treated without surgical intervention. These 24 patients were followed up for 3.3 +/- 3.5 years (range, 0 days to 10.0 years). ⋯ Maximal aortic diameter > or =48 mm and computed tomography findings of a small intimal defect were significant predictors of rupture or progression of ascending aortic dissection. The outcome of medical treatment for type A intramural hematoma was acceptable during both the early and late periods, but patients with a relatively large aortic diameter or an intimal defect in the ascending aorta have a high probability of adverse outcome, and must be considered for surgery.
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Asian Cardiovasc Thorac Ann · Aug 2010
Partial resection of mitral leaflets during mitral valve replacement.
Usually, after mitral leaflet tissue is resected, artificial chordae are used to obtain papillary muscle-to-mitral annulus continuity so as to preserve left ventricular performance. A modified technique that does not require resection of the posterior mitral leaflet and permits implantation of an adequate size of prosthesis is described.