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 · Jun 2009
A unique milieu for perioperative care of adult congenital heart disease patients at a single institution.
Adult patients with congenital heart disease presenting for cardiothoracic operation pose special demands for the arrangement of their perioperative care. This study describes the distinctive perioperative setup for adult congenital heart patients. ⋯ This distinctive environment allows our group to provide the appropriate care for our adult congenital heart disease patients in a well-integrated discipline. The frequent clinical exposure to both adult and pediatric cardiothoracic procedures has helped in facilitating the provision of optimum care to the patients with adult congenital heart disease.
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Ann Thorac Cardiovasc Surg · Jun 2009
Case ReportsSurgical treatment of coronary artery aneurysm with coronary artery fistula.
Coronary artery aneurysm (CAA) is an uncommon disease with an incidence of 1%-5% in evaluated patients. Atherosclerosis is its most common etiology in adults, occurring in 50% of cases. ⋯ Thus caution is urged for cardiac surgeons. We here report on seven surgical cases of CAA with coronary artery fistula in our institute, focusing on their surgical treatment.
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Ann Thorac Cardiovasc Surg · Jun 2009
Mitral valve repair for 52 patients with severe left ventricular dysfunction.
Mitral valve (MV) repair is considered to provide more favorable results than MV replacement. MV repair in a patient with severe left ventricular (LV) dysfunction could be associated with higher early and late mortality. Surgical indication of MV repair for those with low LV ejection fraction (LVEF) is still controversial. ⋯ MV repair is effective to improve long-term prognosis of high-risk patients of severe MR with severe LV dysfunction.
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Ann Thorac Cardiovasc Surg · Jun 2009
Case ReportsSurgical repair for a coronary-pulmonary artery fistula with a saccular aneurysm of the coronary artery.
The patient, a 69-year-old woman, had been diagnosed with a heart murmur. A chest X-ray at a local clinic had shown an abnormal shadow. Since CT revealed a 3-cm-diameter mass close to the pulmonary artery, we performed a coronary angiography and diagnosed her as having a coronary artery aneurysm associated with a coronary-pulmonary artery fistula. ⋯ A postoperative angiography confirmed the disappearance of the coronary artery aneurysm and the abnormal blood vessels. The patient had an uneventful postoperative course and was discharged on postoperative day 15. We report a rare case of coronary-pulmonary artery fistula with a coronary artery aneurysm for which surgery was followed by an uneventful postoperative course.