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 · Jan 2014
Preoperative estimated glomerular filtration rate is an independent predictor of late cardiovascular morbidity after mitral valve surgery.
Renal dysfunction affects outcomes of cardiac surgery, although its role in mitral valve operation has been limitedly documented. ⋯ Patients who underwent mitral valve surgery had acceptable perioperative and long-term survival, irrespective of preoperative renal function. However, eGFR <60 ml/min/1.73 m(2) was an independent predictor of late MACE.
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Ann Thorac Cardiovasc Surg · Jan 2014
Comparative StudyCerebroprotective effect of preoperative dual antiplatelet therapy in patients undergoing coronary bypass surgery.
Reduction of cognitive function is a possible side effect after coronary artery surgery using cardiopulmonary bypass (CPB). We investigated the effect of single versus dual antiplatelet therapy on cognitive performance in patients undergoing coronary artery bypass grafting (CABG) with CPB. ⋯ Dual antiplatelet therapy has a cerebroprotective effect in patients undergoing coronary artery bypass surgery. Compared to single antiplatelet therapy it reduces an early postoperative substantial decline of neuropsychological abilities.
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Ann Thorac Cardiovasc Surg · Jan 2014
Case ReportsVideo-assisted thoracoscopic resection of fractured ribs to prevent descending aorta injury in patient with chest trauma.
Blunt chest trauma frequently leads to various complications such as pneumothorax, hemothorax, and lung contusion. Since neighboring organ injury caused by a rib fracture with chest trauma could be fatal when a great vessel is involved, immediate diagnosis and treatment including surgery are important. Here, we present a case of chest trauma, in which we performed video-assisted thoracoscopic rib resection to prevent injury to the descending aorta by the fractured rib tip.
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Ann Thorac Cardiovasc Surg · Jan 2014
Paravertebral block as a promising analgesic modality for managing post-thoracotomy pain.
Analgesia following thoracotomy is routinely accomplished using epidural blockage performed by anesthesiologists. More effective pain control can be achieved with continuous paravertebral blockage performed by thoracic surgeons. We aimed to retrospectively analyze the efficacy of paravertebral blockage for managing post-thoracotomy pain. ⋯ Adequate post-thoracotomy pain control was accomplished by continuous paravertebral blockage, with few complications.
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Ann Thorac Cardiovasc Surg · Jan 2014
Case ReportsThe importance of interleaflet triangles for aortic valve competence in a marfan patient with dilated aortic sinuses.
We report a case of advanced aortic sinus aneurysm without the aggravation of aortic valve regurgitation after a simple reduction procedure for dilated aortic root base and sinotubular junction (STJ) in a Marfan patient with annuloaortic ectasia and severe aortic valve regurgitation. The aortic valve competence was well preserved by limited change of distances among the interleaflet triangles after reduction of the dilated aortic root base and STJ in the Marfan patient, although the sinus dilatation was aggravated.