Asian cardiovascular & thoracic annals
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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.
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Asian Cardiovasc Thorac Ann · Feb 2014
Case ReportsSystolic anterior motion of the mitral valve masked by general anesthesia.
Systolic anterior motion of the mitral valve is usually associated with hypertrophic obstructive cardiomyopathy that results in left ventricular outflow tract obstruction. This is sometimes treated by volume loading or negative inotropics such as beta blockers. We report a rare case of dynamic systolic anterior motion of the mitral valve, in which a beta blocker did not diminish but anesthetic agents masked intraoperatively. The patient underwent mitral valve replacement, and left ventricular outflow tract obstruction was successfully treated.
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Asian Cardiovasc Thorac Ann · Feb 2014
Case ReportsConcomitant congenital heart defect repair and Nuss procedure for pectus excavatum.
The combination of complex congenital cardiac anomalies and pectus excavatum represents a technical challenge. Most concomitant repairs have been performed in adult patients. We report the uncomplicated concomitant repair of double-outlet right ventricle with absent pulmonary valve syndrome and the Nuss procedure for pectus excavatum in a 3-year-old child.