Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Feb 2014
Strategy to avoid patient-prosthesis mismatch: aortic root enlargement.
The choice of a valve with an effective orifice area matching the body surface area and providing efficient hemodynamics is an important factor affecting mortality and morbidity in patients undergoing aortic valve replacement. ⋯ Aortic root enlargement is a safe procedure. Therefore, cardiac surgeons should not be reluctant to enlarge the aortic root with an autologous pericardial patch to permit implantation of an adequate size of aortic valve prosthesis, with minimal additional aortic crossclamp time and no added cost.
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Asian Cardiovasc Thorac Ann · Feb 2014
Comparative StudyEuroSCORE vs. EuroSCORE II vs. Society of Thoracic Surgeons risk algorithm.
This study presents a validation series for EuroSCORE II compared with the previous additive and logistic EuroSCORE and the Society of Thoracic Surgeons risk prediction algorithm. ⋯ The Society of Thoracic Surgeons risk prediction algorithm is a better risk assessment tool compared to additive and logistic EuroSCORE and EuroSCORE II in Pakistani patients.
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Asian Cardiovasc Thorac Ann · Feb 2014
Case ReportsUse of Rotaflow pump for left ventricular assist device bridging for 15 weeks.
Mechanical circulatory support systems have been described for short- and long-term left ventricular assistance. We report the use of a Rotaflow centrifugal pump in a 55-year-old man with ischemic cardiomyopathy and severe left ventricular dysfunction. He was successfully bridged to transplantation with 15 weeks of Rotaflow support, with no major adverse events.
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Asian Cardiovasc Thorac Ann · Feb 2014
Case ReportsT-tube insertion for sclerotic subglottic stenosis.
T-tube insertion is effective treatment for subglottic stenosis, but it is generally difficult due to bending of the T-tube. In a 52-year-old woman with relapsing polychondritis, a T-tube was inserted after predilatation using Hegar dilators. We describe the details of our T-tube insertion methods for sclerotic subglottic stenosis.