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Coil Embolization for a New Ulcer-Like Projection Near the Distal Anastomosis After a Hemiaortic Arch Replacement.
Cureus
October 2024
Division of Cardiovascular Surgery, Department of Surgery, Kurume University School of Medicine, Kurume, JPN.
Ulcer-like projections (ULPs) with a tendency to enlarge are at risk of aortic events such as new dissection, aneurysmal formation, or rupture and require therapeutic intervention. However, what should be done after open chest surgery when standard thoracic endovascular aortic repair (TEVAR) cannot be performed is debatable. Here, we present a case of coil embolization of a newly enlarged ULP that was not amenable to TEVAR following a hemiarch aortic arch repair.
View Article and Find Full Text PDFSurgically treated purulent pericarditis induced by ingested fish bone: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Background: Aspiration of fish bones is common, but perforation of the gastrointestinal tract is very rare. Once perforation occurs, fatal complications such as mediastinitis and cardiac tamponade can occur. Here, we present a case of acute pericarditis due to perforation of a fish bone.
View Article and Find Full Text PDFAn unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report.
J Trauma Inj
June 2024
Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Article Synopsis
- A 51-year-old woman came to the emergency room with a stab wound in her chest and needed immediate help.
- Doctors gave her blood and helped her breathe with a tube because her condition was serious.
- They found a tear in her lung during surgery, fixed it, and after recovery, she went home feeling better.
Veno-arterial extracorporeal membrane oxygenation uses in trauma: a retrospective analysis of the Japanese nationwide trauma registry.
BMC Emerg Med
October 2024
Department of Acute Critical Care and Disaster Medicine, Tokyo Medical and Dental University Graduate School of Medicine and Dental Sciences, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Article Synopsis
- Extracorporeal membrane oxygenation (ECMO) offers temporary support for patients with severe trauma, and this study examines the outcomes of patients treated with veno-arterial ECMO (V-A ECMO) in Japan between 2019 and 2021.
- Out of 72,439 severe trauma patients, only 51 received V-A ECMO, with a discharge survival rate of 31.3%.
- The findings suggest that V-A ECMO may be beneficial in severe trauma cases, particularly where traditional interventions aren't effective, but further research is needed to clarify its indications.
Efficacy and safety of therapeutic alpha-1-microglobulin RMC-035 in reducing kidney injury after cardiac surgery: a multicentre, randomised, double-blind, parallel group, phase 2a trial.
EClinicalMedicine
October 2024
Klinik für Thorax- und Kardiovaskuläre Chirurgie, Westdeutsches Herz- und Gefäßzentrum Essen, Universität Duisburg-Essen, Germany.
Background: Cardiac surgery invariably triggers acute kidney stress causing adverse renal outcomes. The AKITA study evaluated the efficacy and safety of RMC-035, a novel analogue of alpha-1-microglobulin, for reducing cardiac surgery-associated kidney injury.
Methods: In this randomised double-blind placebo-controlled phase 2a study, we randomly assigned (1:1) adult hospitalised patients undergoing open-chest cardiac surgery at high risk for acute kidney injury (AKI) at 21 sites in North America and Europe to receive either RMC-035 (1.
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