Revista médica de Chile
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Revista médica de Chile · Apr 2010
Review[Current management strategies for pulmonary hypertension in surgical patients].
Pulmonary hypertension is a clinical condition with a low prevalence, but carries high morbidity and mortality. Important advances in the understanding of this disease and in its therapy have occurred. A particular scenario is pulmonary hypertension in patients undergoing non-cardiac as well as cardiac surgery. The aim of this review is to present information that may allow diagnostic and therapeutic approaches of this clinical condition in patients undergoing surgery.
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Revista médica de Chile · Apr 2010
Case Reports[Bilateral foreign bodies in the airway. Report of one case].
Inhaled foreign bodies can be a life-threatening emergency and requires immediate intervention. We report a 40-year-old man who came to the ER complaining of chest pain and cough. ⋯ Chest X-Rays showed two foreign bodies, one at the intermediate bronchus and the other at the left posterior basal segmental bronchus. By fibrobronchoscopy, porcelain fused to a metal dental crown of six teeth was extracted from the right side, and a cast of metal from the left side.
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Donald Ross introduced the pulmonary autograft for aortic valve replacement with reconstruction of the right ventricular outflow tract with a homograft. Despite its advantages over conventional valve prostheses, the Ross Operation is performed in a minority of patients who need an aortic valve replacement throughout the world. ⋯ The Ross Operation has low operative morbidity and mortality with excellent long term results. Reoperations have been rare within 10 years of follow up both for the autograft or the homograft.