Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2008
Case ReportsCongenital quadricuspid aortic valve associated with severe regurgitation.
A 56-year-old man was referred because of severe aortic regurgitation. He had a quadricuspid aortic valve with a small accessory cusp between the right coronary and noncoronary cusps. ⋯ Aortic valve replacement was performed with a bioprosthesis. The resected cusps showed fibrotic thickening with calcification and fenestration.
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Asian Cardiovasc Thorac Ann · Oct 2008
Randomized Controlled Trial Comparative StudyInterpleural morphine vs bupivacaine for postthoracotomy pain relief.
This prospective randomized double-blind trial was designed to compare the analgesic effects of interpleural bupivacaine and interpleural morphine for postthoracotomy pain management. Thirty-six American Society of Anesthesiologists class I and II patients undergoing an elective posterolateral thoracotomy were randomly divided into 2 groups of 18 each. Before chest closure, an interpleural catheter was inserted under direct vision. ⋯ However, pain scores and supplementary analgesic requirements were significantly lower in the interpleural morphine group. No serious side effects were detected in either group. Interpleural morphine provides better pain control than interpleural bupivacaine after a posterolateral thoracotomy.
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Asian Cardiovasc Thorac Ann · Oct 2008
Subcoronary implantation of a stentless valve in patients with aortic aneurysms.
Experience with a new operation for patients with aortic valve disease and aneurysm or dissection of the ascending aorta is described. Twenty-four patients aged 66-87 years were operated on using a subcoronary implantation technique with a stentless aortic valve bioprosthesis and an extension using a vascular tube prosthesis. No major adverse cardiac events were observed in the postoperative period. This operation offers a safe alternative to the technically more demanding procedures of composite bioprosthetic ascending aortic replacement or full root replacement.
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Asian Cardiovasc Thorac Ann · Oct 2008
Case ReportsA rare cause of dyspnea in adult: a right Bochdalek's hernia-containing colon.
Symptomatic cases of Bochdalek's hernia (BH) are uncommon in adults; symptoms arise only due to complications. Most of symptomatic cases are related to a left-sided hernia. ⋯ We present a case of a 70-year-old woman with right BH-containing colon. The patient was successfully treated by combined laparoscopic and thoracoscopic approach.
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Asian Cardiovasc Thorac Ann · Aug 2008
Case ReportsRight cervical aortic arch with aberrant left subclavian artery.
The combination of right cervical aortic arch, aberrant retroesophageal left subclavian artery originating from a Kommerell's diverticulum, and a ligamentum arteriosum, constitutes a rare form of vascular ring. Two patients aged 21 days and 54 years, who were diagnosed by multislice 3-dimensional computed tomography and magnetic resonance imaging, underwent surgical division of a vascular ring. The adult required resection of a Kommerell's aneurysm and subclavian artery reimplantation.