Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
-
Ann Thorac Cardiovasc Surg · Dec 2004
Case ReportsA tracheostomy case of aortic valve regurgitation successfully treated by a lower mini-sternotomy technique.
The performance of cardiac surgical procedures via median sternotomy in a patient with a tracheostomy can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a case of successful treatment for aortic valve regurgitation in a patient with a tracheostomy using a T-shaped sternotomy instead of a usual median sternotomy. ⋯ After surgery, the patient had a good clinical course without any complications and he was discharged on the 65th postoperative day. We consider this procedure to be applicable in consideration of the favorable results obtained.
-
Ann Thorac Cardiovasc Surg · Oct 2004
Review Case ReportsIntrapulmonary cystic benign teratoma: a case report and review of the literature.
We describe a 41-year-old woman with a short history of retrosternal chest pain and non-productive cough due to a benign intrapulmonary teratoma originating from the left upper lobe. The clinical, CT features of this rare tumor are presented and the relevant literature is discussed.
-
Ann Thorac Cardiovasc Surg · Jun 2004
Comparative StudyRight ventricular end-diastolic volume monitoring after cardiac surgery.
In the postoperative management of cardiac surgery patients, pulmonary capillary wedge pressure (PCWP) and central venous pressure (CVP) are the most commonly used parameters of preload. However, these pressure parameters are easily affected by ventricular compliance, positive end-expiratory pressure and other factors. The aim of this study was to evaluate whether right ventricular end-diastolic volume index (RVEDVI) reflects cardiac output or ventricular preload in patients after cardiac surgery during postoperative management. ⋯ RVEDVI was a significant index during the postoperative management after cardiac surgery.
-
Ann Thorac Cardiovasc Surg · Jun 2004
Randomized Controlled Trial Clinical TrialEfficacy of postoperative rewarming after cardiac surgery.
To compare the efficacy of forced-air warmers and radiant heaters on rewarming after cardiac surgery in a prospective randomized study. ⋯ In the current setting active warming, forced-air warming more than radiant warming, increased speed of rewarming two- to threefold in comparison to insulation with a blanket.