Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jan 2008
Randomized Controlled Trial Comparative StudyOff-pump coronary artery bypass grafting in left ventricular dysfunction.
Between August 2004 and May 2006, 124 patients undergoing coronary artery bypass grafting with ejection fractions
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Asian Cardiovasc Thorac Ann · Jan 2008
Case ReportsClear-cut complete rupture of origin of right main bronchus.
Complete rupture of the main bronchus after blunt thoracic trauma is rare. Most patients with blunt traumatic injury to the trachea or bronchus die before arriving at hospital. A 26-year-old man with complete right main bronchus rupture was successfully treated by urgent surgical intervention and postoperative fiberoptic bronchoscopy for bronchial toilet.
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Asian Cardiovasc Thorac Ann · Jan 2008
Neonatal Blalock-Taussig shunt: technical aspects and postoperative management.
A systemic-pulmonary artery shunt in neonates with decreased pulmonary blood flow is technically demanding. We describe our surgical technique, postoperative management, and results in 19 neonates who underwent a modified Blalock-Taussig shunt between April 2003 and March 2006. Prostaglandin infusion was required in 8 patients who were critically cyanosed, and 5 were on inotropic support preoperatively. ⋯ There were 2 hospital deaths (mortality, 11%) in patients with preoperative hemodynamic instability. The mean follow-up period was 12 months, with no late postoperative shunt blockage or death. Meticulous surgical technique and judicious use of heparin and inotropic agents improved the outcome and reduced the incidence of shunt blockage and reexploration for bleeding.
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Asian Cardiovasc Thorac Ann · Jan 2008
Case ReportsEndovascular treatment of gastroduodenal artery aneurysm.
Gastroduodenal artery aneurysms are rare. Common causes include blunt trauma, pancreatitis, infection, autoimmune disorders, vascular intervention and surgery. ⋯ Treatment of gastroduodenal artery aneurysms includes surgery, endovascular techniques or observation. Embolization is a feasible option for gastroduodenal artery aneurysms and pseudoaneurysms.
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Asian Cardiovasc Thorac Ann · Dec 2007
ReviewImportance of perioperative blood glucose management in cardiac surgical patients.
Tight blood glucose control has become a therapeutic goal for anesthetic management of patients undergoing cardiovascular surgery. We discuss the evidence for a link between blood glucose levels and rates of morbidity and mortality in cardiac surgical patients in the intensive care unit. Hyperglycemia per se has been associated with higher rates of deep wound infection, neurologic, renal, and cardiac complications following surgery, as well as longer intensive care unit stay. We review the specifics of glucose management in patients undergoing cardiac surgery and hypothermic cardiopulmonary bypass, including the role that insulin may play in regulating blood glucose levels intraoperatively and the relationship between insulin and outcome.