Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Nov 2015
Case ReportsUniportal thoracoscopic management of middle lobe torsion after upper lobectomy.
Lobar torsion is a rare but potentially life-threatening complication following pulmonary resection. Surgical management usually entails an exploratory thoracotomy and resection of the involved lobe if nonviable. We present the case of a 67-year-old woman diagnosed with right middle lobe torsion 5 days after thoracotomy and right upper lobectomy for squamous carcinoma of the lung. A thoracoscopic right middle lobectomy was successfully performed utilizing a single 4-cm port placed along the midaxillary line in the 5th intercostal space.
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Asian Cardiovasc Thorac Ann · Nov 2015
Case ReportsBioprosthetic aortic valve replacement on a mechanical valve ring.
Mechanical valve failure is a known but rare occurrence in cardiac surgery. A 71-year-old lady underwent surgery for failure of her mechanical aortic valve. It was replaced with another mechanical valve. ⋯ Under these circumstances, a novel approach was adopted and a bioprosthetic valve was implanted on the mechanical valve sewing ring as a final resort. The intervention was successful. This illustrates a case of the need for innovative approaches in cardiac surgery.
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Asian Cardiovasc Thorac Ann · Oct 2015
Case ReportsSpontaneous pneumomediastinum: A complication of swine flu.
The occurrence of spontaneous pneumomediastinum in swine flu, or H1N1 influenza A infection, is a rare phenomenon and only few cases have been reported in children. We describe a case of spontaneous pneumomediastinum in adult infected with swine flu.
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Occasionally, patients who complain of chest pain after the onset of coughing are diagnosed with rib fractures. We investigated the characteristics of cough-induced rib fractures. ⋯ Cough-induced rib fractures occur in every age group regardless of the presence or absence of underlying disease. Since rib fractures often occur in the lower and middle ribs, rib radiography is useful for diagnosis.
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Asian Cardiovasc Thorac Ann · Oct 2015
Observational StudyCell salvage during coronary artery bypass surgery and allogenic blood exposure.
Our primary aim was to assess the impact of intraoperative cell saver usage on patient exposure to allogenic blood transfusion during elective coronary artery bypass. The secondary endpoint was the impact of cell savage on the units of blood and blood products transfused perioperatively. ⋯ Intraoperative cell salvage with a cell saver in patients undergoing primary elective coronary artery bypass decreases the proportion of patients exposed to allogenic red cell transfusions and the number of units of red blood cells transfused.