Kyobu geka. The Japanese journal of thoracic surgery
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A 61-year-old woman was admitted to our hospital because of hemosputum. When chest computed tomography (CT) was performed, sudden and massive hemoptysis occurred. ⋯ Bronchial artery embolization (BAE) was performed, however, hemoptysis recurred, and the left pneumonectomy was performed. She has been free from hemoptysis after operation, and has been discharged from the hospital 73 days after surgery.
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Comparative Study
[Comparative study between landiolol and amiodarone for therapeutic efficacy after open heart surgery].
Tachyarrhythmia, especially atrial fibrillation, remains as a common complication after open heart surgery and sometimes leads to fatal condition. Many reports showed that landiolol (ultra short-acting beta one blocker) and amiodarone were effective against postoperative atrial fibrillation (POAF). ⋯ Our study suggests that landiolol be the 1st choice for rate control of tachyarrhythmia because of easy dose adjustment and mild side effects. Amiodarone may be useful for the patients whose left ventricular function is poor.
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We review our experience of surgical repair for pectus excavatum without the introduction of exogenous material. Two hundred seven patients underwent surgical repair. Sterno-costal elevation was adopted for 196 patients. ⋯ There were neither operative death nor any severe complications, and in all cases the deformities were corrected satisfactorily. Patients resumed unlimited daily activities within 3 months after surgery. Our technique represents a less invasive procedure with low operative risk for the repair of pectus excavatum in any age group.