Publications by authors named "L J Sinak"

Article Synopsis
  • Migration of a fragmented sternal wire is a rare complication after cardiovascular surgery, with clinical symptoms ranging from being asymptomatic to severe hemodynamic instability.* -
  • A retrospective review revealed 13 cases of this issue, primarily affecting older men (median age 64), with nearly half experiencing hemorrhagic shock, and most cases presenting either shortly after surgery or years later.* -
  • Identifying this complication often involves CT scans, but successful management requires careful attention to the patient's specific situation following diagnosis.*
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Article Synopsis
  • * Twelve patients were analyzed retrospectively, revealing that echocardiograms and other imaging methods identified issues like endocarditis, aortic root abscesses, and myocarditis in these individuals.
  • * Findings indicate that multimodal imaging is crucial for early diagnosis and management of such infections, aiding in quicker treatment decisions while laboratory results are still pending.
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A 68-year-old woman presented with an incidentally found intracardiac mass. Transesophageal echocardiography (TEE) showed a 26 × 8 mm mobile mass attached to a calcified posterolateral mitral annulus. The mass was removed with a commercially available percutaneous catheter system using cerebral embolic protection and TEE guidance.

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• TTE is a valuable cardiac imaging tool given its availability. • TTE can be used for the evaluation of cardiothoracic surgical complications. • Imaging modalities aid in supplementing information in postoperative patients.

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