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Hybrid Coronary Revascularization in Congenital Pericardial Absence: A Case Report.
Am J Case Rep
December 2024
Department of Anesthesiology, Rhode Island Hospital, Providence, RI, USA.
BACKGROUND Congenital pericardial agenesis is a rare condition that is frequently associated with abnormal intrathoracic anatomy, especially malpositioning of the heart within the thoracic cavity. In the setting of coronary artery bypass, these anatomic derangements can present surgical challenges that can necessitate incorporating complementary, non-surgical solutions for complete revascularization. CASE REPORT A 48-year-old male patient presented with acute anginal symptoms, with workup revealing severe, multivessel coronary artery disease, as well as partial absence of the pericardium.
View Article and Find Full Text PDFA multivariate and retrospective analysis of the impact of intra-aortic balloon counterpulsation in Open-Heart surgery.
Sci Rep
November 2024
Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Background The use of intraaortic balloon pump (IABP) effectively reduces left ventricular afterload and significantly increases coronary perfusion pressure by raising aortic diastolic pressure. This study examined the short and medium-term outcomes of 22,540 adult cardiac surgical patients requiring an IABP. Methods From 2009 to 2018, 1114 patients (4.
View Article and Find Full Text PDFIntraoperative intra-aortic balloon pump insertion: step by step.
Multimed Man Cardiothorac Surg
October 2024
Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau - Sant Pau Biomedical Research Institute (IIB SANT PAU), Barcelona, Spain.
A 76-year-old patient with non-ST elevation myocardial infarction was admitted to our hospital. Coronary angiography revealed significant left main and two-vessel coronary artery disease. Preoperative testing indicated severe left ventricular dysfunction.
View Article and Find Full Text PDFIs preoperative IABP insertion significantly reducing postoperative complication in augmented high-risk coronary artery bypass grafting patients?
J Cardiothorac Surg
June 2024
Department of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore.
Background: The aim of this study was to determine whether pre-operative intra-aortic balloon pump (IABP) insertion improves surgical outcomes in high-risk coronary artery bypass grafting (CABG) patients.
Methods: Patients with a EuroSCORE II greater than 1.2% who underwent CABG from 2009 to 2016 were included in the study, while those who utilized intra-operative or post-operative IABP were excluded.
Spontaneous intercostal artery bleeding occurring simultaneously in numerous vessels during antithrombotic therapy with mechanical circulatory support: a case report.
J Med Case Rep
June 2024
Department of Thoracic Surgery, Hokkaido University Hospital, West 5 North 14, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Background: Intercostal artery bleeding often occurs in a single vessel; in rare cases, it can occur in numerous vessels, making it more difficult to manage.
Case Presentation: A 63-year-old Japanese man was admitted to the emergency department owing to sudden chest and back pain, dizziness, and nausea. Emergency coronary angiography revealed myocardial infarction secondary to right coronary artery occlusion.
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