Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
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Ann Thorac Cardiovasc Surg · Jan 2014
Case ReportsAn unusual complication of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): the needle breakage.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is now becoming a widely accepted procedure to investigate the mediastinum for the staging of non-small-cell lung cancer and diagnosing mediastinal lesions. During the intervention, some minor or major complications may occasionally occur. The present case report describes the first reported case of needle breakage during EBUS-TBNA.
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Ann Thorac Cardiovasc Surg · Jan 2014
Comparative StudyFeasibility and efficacy of mitral valve repair for degenerative mitral regurgitation in the elderly.
The number of elderly patients who require surgical treatment for mitral regurgitation (MR) is increasing. However, the feasibility and efficacy of mitral valve repair in elderly patients are unclear. ⋯ Mitral valve repair can provide satisfactory early as well as long-term outcomes and can preserve left ventricular function even in the elderly.
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Ann Thorac Cardiovasc Surg · Jan 2014
Case ReportsVideo-assisted thoracoscopic resection of fractured ribs to prevent descending aorta injury in patient with chest trauma.
Blunt chest trauma frequently leads to various complications such as pneumothorax, hemothorax, and lung contusion. Since neighboring organ injury caused by a rib fracture with chest trauma could be fatal when a great vessel is involved, immediate diagnosis and treatment including surgery are important. Here, we present a case of chest trauma, in which we performed video-assisted thoracoscopic rib resection to prevent injury to the descending aorta by the fractured rib tip.
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Ann Thorac Cardiovasc Surg · Jan 2014
Comparative StudyCerebroprotective effect of preoperative dual antiplatelet therapy in patients undergoing coronary bypass surgery.
Reduction of cognitive function is a possible side effect after coronary artery surgery using cardiopulmonary bypass (CPB). We investigated the effect of single versus dual antiplatelet therapy on cognitive performance in patients undergoing coronary artery bypass grafting (CABG) with CPB. ⋯ Dual antiplatelet therapy has a cerebroprotective effect in patients undergoing coronary artery bypass surgery. Compared to single antiplatelet therapy it reduces an early postoperative substantial decline of neuropsychological abilities.
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Ann Thorac Cardiovasc Surg · Jan 2014
Impact of smoking history on postoperative pulmonary complications: a review of recent lung cancer patients.
Smoking is a well-known risk factor for postoperative pulmonary complications. As a consequence of pre and postoperative procedures continuing to be developed, postoperative complications continue to decrease. In this study, smoking as a risk factor for postoperative pulmonary complications is studied. ⋯ Recently, the effect of smoking on the development of postoperative pulmonary complications has been reduced due to the increase in quality of pre and postoperative management and surgery procedures. Accordingly, there seems to be no need to delay operative procedures to secure a significant duration of smoking cessation duration in lung cancer patients.