J Cardiovasc Surg
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We present here a case of blunt traumatic right hemidiaphragmatic rupture with hepatic hernia that was diagnosed preoperatively on the basis of clinical, chest radiogram, and computed tomography scan suspicions. We proposed that the presence of free intraperitoneal air without guarding or peritoneal signs should be considered to be a clinical indication of hemidiaphragmatic rupture with pneumothorax.
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Primary cardiac neurilemoma, a benign tumor, is extremely uncommon. To our knowledge only eight cases have been reported in the literature. ⋯ An intra-right atrial tumor was surgically removed; the lesion was found to be a neurilemoma of the right atrium. This case report describes the surgical removal and rarity of neurilemomas, their predisposition to be right-sided in the heart and their coincidental association with other types of cancer.
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Blood lactate is an accurate predictor of outcome in clinical shock syndrome patients. However, its usefulness in status I heart transplant candidates with failing myocardium is largely unknown. The purpose of this study was to determine whether serum lactate levels are predictive of congestive heart failure severity in cardiomyopathic status I cardiac transplant candidates. ⋯ Blood lactate remains unaffected by worsening congestive heart failure of cardiomyopathy patients and is not predictive of heart failure severity in status I cardiac transplant candidates.