Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
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Ann Thorac Cardiovasc Surg · Dec 2002
Case Reports Comparative StudySurgical treatment of Budd-Chiari syndrome induced by Behcet's disease.
Although Budd-Chiari syndrome in Japanese is usually chronic, and of unknown etiology and idiopathic, Behcet's disease is rare as an underlying disorder of Budd-Chiari syndrome in Japanese. To clarify the Behcet-induced Budd-Chiari syndrome, the clinical course and pathologic findings of patients with Behcet-induced Budd-Chiari syndrome were compared with those of patients with idiopathic Budd-Chiari syndrome. ⋯ In Budd-Chiari syndrome in Japanese, the Behcet-induced Budd-Chiari syndrome had an acute clinical course, and its postoperative prognosis depends on the prognosis of the Behcet's disease.
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Ann Thorac Cardiovasc Surg · Dec 2002
Case ReportsTreatment of refractory coronary vasospasm during cardiopulmonary bypass with compulsory coronary perfusion.
Coronary vasospasm is still a devastating complication during cardiac surgery. We report on a case of intractable coronary vasospasm in a 45-year-old male during coronary bypass surgery refractory to drugs and intra-aortic balloon pumping (IABP). ⋯ Coronary vasospasm was dramatically resolved. He was then successfully weaned from CPB and recovered without further incidents.
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Ann Thorac Cardiovasc Surg · Dec 2002
Surgical treatment of aortic arch aneurysm combined with coronary artery stenosis.
We present operative results of aortic arch aneurysm associated with coronary artery stenosis, and evaluate the operative risk of graft replacement of the aortic arch and concomitant coronary artery bypass grafting (CABG). ⋯ CABG combined with graft replacement of the aortic arch does not increase operative risk when the number of bypassed vessels is within two vessels, but may increase risk when three or more vessels are bypassed.