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 2013
Case ReportsValve-sparing replacement of the aortic root after repair of tetralogy of Fallot.
Progressive aortic root dilatation is a common feature after surgical repair of tetralogy of Fallot. This report describes a successful valve-sparing replacement of the aortic root in a patient with significant dilated aortic root and aortic regurgitation after repair of tetralogy of Fallot.
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The aim of the present study was to fixate displaced sternum fractures with a nonspecific plate, without a sternotomy procedure. ⋯ Locked volar distal radius plates can be used for displaced sternal fractures.It is an alternative and successful method for sternal fractures.
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Ann Thorac Cardiovasc Surg · Jan 2012
Randomized Controlled Trial Comparative StudyIntrapleural analgesia using ropivacaine for postoperative pain relief after minimally invasive thoracoscopic surgery.
to evaluate the efficacy and safety of intrapleural analgesia (IPA) using ropivacaine after thoracoscopic surgery, compared with thoracic epidural analgesia (TEA) using ropivacaine. ⋯ in IPA group, pain was managed with less consumption of additional analgesics. IPA could be one of the good choices after thoracoscopic surgery for its efficacy, safety, and benefit of easy placement of the catheter.
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Ann Thorac Cardiovasc Surg · Jan 2012
Case ReportsTricuspid valve endocarditis with septic pulmonary emboli in a drug addict.
Presented is a case of a young, polytoxicomaniac male with a history of intravenous drug abuse. He arrived at our department in a septic state with fever and showed signs of right-sided decompensated cardiac insufficiency. ⋯ Transesophageal echocardiography disclosed large mobile vegetations on the tricuspid valve associated with severe regurgitation. The infected tricuspid valve was replaced with a mechanical heart valve, and the patient recovered uneventfully from surgery.
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Ann Thorac Cardiovasc Surg · Jan 2012
Case ReportsSimultaneous fenestration with stent implantation for acute limb ischemia due to type B acute aortic dissection complicated with both static and dynamic obstructions.
Stanford type B acute aortic dissection is sometimes complicated with compressed true lumen of the descending aorta (Dynamic obstruction) and stenosis of a major aortic branch (Static obstruction), which cause organ malperfusion. In such a case, medical therapy alone is usually not effective and endovascular treatments are required including stent implantation and balloon fenestration. ⋯ We report a case of a 54-year-old man with lower leg ischemia due to type B aortic dissection, who was successfully treated with stent implantation plus balloon fenestration. This case suggests that balloon fenestration plus stent implantation should be considered when static obstruction in the aortic branches is accompanied by dynamic obstruction in the descending aorta.