1,721,011 research outputs found
Simultaneous coronary artery bypass grafting and transmyocardial laser revascularization through a small left thoracotomy
We report a patient in whom coronary artery bypass grafting with the left internal mammary artery to the left anterior descending coronary artery and laser trasmyocardial revascularization were simultaneously performed through a left small thoracotomy. The patient recovered uneventfully and 9 months following surgery he is free of angina and has increased effort tolerance. This case underlines the feasibility of combining these two minimally invasive procedures through the same approach in selected patients
Aortic valve replacement in systemic sclerosis
Systemic sclerosis (scleroderma) is a chronic
systemic autoimmune disease of the connective tissue,
which can involve the cardiac valves, the mitral valve
being more frequently affected, although involvement of the
aortic valve has been rarely described. We report a patient
with aortic stenosis and systemic sclerosis who required
aortic valve replacement. Awareness of this rare association
may help to provide adequate management of such patients
and prevent complications related to the underlyin
Unusual complication after aortic valve replacement with the Freedom Solo stentless bioprosthesis.
Hemolytic anemia 19 years after mitral valve replacement with a porcine bioprosthesis
A 58-year-old man required replacement of a porcine mitral
prosthesis because of severe hemolysis 19 years after implant.
At operation the major pathologic finding was a perforation of one
cusp with calcific deposition limited to the commissures. Clinically
evident hemolytic anemia due to porcine valve dysfunction is
rare particularly occurring very late postoperatively due to cusp
perforation as in the present case
Transmyocardial laser revascularization 12 years later
Transmyocardial laser revascularization 12 years late
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