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 2009
Surgical treatments for infective endocarditis involving valve annulus.
The early and late results of infective endocarditis (IE) with annular involvement were studied by focusing on surgical findings and operative procedures. ⋯ For NVE, good operative results were obtained after complete resection of infected valve annulus and valve replacement. For PVE, new surgical treatments, such as the translocation method or Ross procedure, should be induced for further improvement of surgical results.
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Ann Thorac Cardiovasc Surg · Oct 2009
Case ReportsA ball-shaped thrombus of the tricuspid valve after VSD closure.
We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary embolisms were found. ⋯ A histological examination revealed the mass to be an organized thrombus with no tumor components. This was a rare case of excision of an organized thrombus of the tricuspid valve. The findings suggest that the thrombus formation may have been associated with the small shunt and/or prednisolone.
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Ann Thorac Cardiovasc Surg · Aug 2009
Editorial Randomized Controlled TrialHemostatic effectiveness of a new application method for fibrin glue, the "rub-and-spray method", in emergency aortic surgery for acute aortic dissection.
This study was performed to evaluate the clinical hemostatic effectiveness of a new application method for fibrin glue, the rub-and-spray method, in aortic surgery. ⋯ This new application method for fibrin glue, the rub-and-spray method, revealed significant hemostatic effectiveness, even in hemostatically difficult surgery of acute aortic dissection that requires systemic heparinization and prolonged cardiopulmonary bypass with deep hypothermia.
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Ann Thorac Cardiovasc Surg · Aug 2009
The efficacy of intravenous milrinone in left ventricular restoration.
The aim of this study was to clarify the efficacy of intravenous milrinone in postoperative care for patients following left ventricular (LV) restoration (LVR). ⋯ In those patients who underwent LVR because of ischemic cardiomyopathy, the administration of milrinone achieved safe perioperative management for stable hemodynamics and reduced the postoperative doses of dobutamine and epinephrine.
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Ann Thorac Cardiovasc Surg · Aug 2009
Case ReportsPalliative stent-graft insertion followed by an allograft replacement for an infected and ruptured aortic aneurysm.
We report a surgical case of infected thoracic aortic aneurysm. Before arrival of the cryopreserved aortic allograft, the patient had hemoptysis resulting from aneurysm rupture. Therefore endovascular stent grafting was urgently performed three days prior to in situ allograft implantation. Palliative stent grafting prevented circulatory collapse and stabilized the patient until successful allograft implantation.