Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jul 2016
Multicenter Study Comparative StudyBilateral thoracoscopic extended thymectomy versus sternotomy.
Complete open surgical resection is the standard treatment for thymoma and myasthenia gravis. We evaluated the feasibility of bilateral video-assisted thoracoscopic extended thymectomy, and compared it to surgery via sternotomy. ⋯ Our results seem to confirm that in selected cases, video-assisted thoracoscopic thymectomy allows complete resection of thymus and perithymic tissue, similar to sternotomy but with the known advantages of minimally invasive surgery including less pain and a good cosmetic result.
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Asian Cardiovasc Thorac Ann · Feb 2015
Multicenter StudyOutcome of repair of bronchial injury in 10 patients with blunt chest trauma.
Bronchial avulsion is a serious complication of blunt chest trauma, which can be easily missed on initial presentation of a patient with multiple injuries. Missing the diagnosis may increase the risk of mortality and morbidity. ⋯ Early diagnosis of major airway injury is an important factor in successful management and a favorable outcome. With improvements in surgical technique, regular follow-up, and effective management of complications, we can expect successful bronchial repair to save the lung, even with a late diagnosis.
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Asian Cardiovasc Thorac Ann · Jan 2014
Multicenter Study Observational StudyAdvantages of upper brachial artery cannulation in aortic surgery.
The best method of cerebral protection during aortic arch surgery remains controversial. However, antegrade cerebral perfusion seems to be the most favorable because of better neurological outcomes. Although there have been many studies on antegrade cerebral perfusion via upper brachial cannulation, there is a lack of studies focusing particularly on local complications, with objective findings. The aim of this study was to investigate the local neurological and vascular complications following upper brachial cannulation. ⋯ Brachial artery cannulation is technically simple and less time consuming, thus suitable even for emergency cases. With an acceptable risk of local complications, we recommend routine use of upper brachial cannulation for antegrade cerebral perfusion.
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Asian Cardiovasc Thorac Ann · Jan 2014
Multicenter Study Clinical TrialCardiaMed mechanical valve: mid-term results of a multicenter clinical trial.
Prosthesis choice is a major concern in valvular surgery. ⋯ The CardiaMed mechanical heart valve prostheses meets world standards of safety and efficacy.
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Asian Cardiovasc Thorac Ann · Apr 2012
Randomized Controlled Trial Multicenter Study Comparative StudyPreoperative intra-aortic balloon pump in high-risk coronary bypass grafting.
Prophylactic intra-aortic balloon pumping prior to coronary artery bypass grafting is employed variably despite some evidence to support its use. The aim of this study was to describe the characteristics, preoperative balloon pump utilization, and outcomes of high-risk patients undergoing coronary artery bypass. The study cohort included all patients in the Australian National Cardiac Surgery Database over an 8 year period. ⋯ High-risk patients represent a significant proportion of those undergoing coronary artery bypass grafting. Despite their increased risk of postoperative mortality, only a small minority currently receive a preoperative balloon pump. After adjusting for illness severity, there was no significant association between preoperative balloon pumping and 30-day mortality, although we could not rule out a 20% reduction in mortality.