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 · Apr 2002
Case ReportsPapillary muscle resection as a treatment for midventricular obstruction.
We have experienced a surgically treated case of midventricular obstruction. A simple mitral valve replacement was effective to relieve the obstruction and to increase the cavity of the left ventricular outflow tract without a myectomy through the aortic valve.
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Ann Thorac Cardiovasc Surg · Apr 2002
Comparative StudyEmergency thoracotomy for blunt thoracic trauma.
The indications for emergency thoracotomy are controversial for blunt trauma. The best results were seen in those patients who were stable enough to undergo thoracotomy in the operating theatre and survived the operation. ⋯ The results of emergency department thoracotomy in our series were extremely poor compared with the results of other reports, mainly due to rapid deterioration of hemodynamic condition caused by severe cardiac injury. The outcome from emergency thoracotomy in the operating theatre was encouraging, due particularly to the patients' status being stable enough to be transferred to a fully equipped operating theatre. We emphasize the importance of emergency medicine education programmes on rapid diagnosis of traumatic injuries with early intervention, and adequate hemodynamic and respiratory support.
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Ann Thorac Cardiovasc Surg · Apr 2002
Pulmonary vein isolation for chronic atrial fibrillation associated with mitral valve disease: the midterm results.
The Cox Maze procedure is widely performed for the surgical treatment of atrial fibrillation. However it requires numerous incision lines and therefore is a time-consuming operation. We report a simplified operation for chronic atrial fibrillation associated with mitral valve disease. ⋯ Compared with the Maze procedure, this operation was less invasive and preserved the atrial appendage and was thought to have a normal level of secretion of atrial natriuretic peptide. This study suggests that the pulmonary vein isolation procedure may be an effective and simple maneuver for atrial fibrillation associated with mitral valvular disease.