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An unusual phenotype of acute aortic syndrome: A case report. 急性主动脉综合征的不寻常表型:1例报告。
Pub Date : 1900-01-01 DOI: 10.35841/cardiology.4.1.42-44
M. H. Shinzato, Renato Hortegal, A. Paladino F, Pablo Santos Graffitti, Rafael Nunes de Oliveira, Rodrigo Augusto de Miranda Bertin, Diandro Marinho Mota, Hugo Ribeiro Ramadan, Ibraim Masciarelli, L. N. Ohe
Acute Aortic Syndromes are a major cause of acute chest pain. We report a case of a woman which presented mixed features from acute aortic syndromes phenotypes in angiotomography.
急性主动脉综合征是急性胸痛的主要原因。我们报告一个病例的妇女提出了混合的特点,从急性主动脉综合征的血管断层摄影表型。
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引用次数: 0
Cardiac care: a look at the nursing responsibilities and care 心脏护理:看护理人员的职责和护理
Pub Date : 1900-01-01 DOI: 10.35841/cardiology.4.1.45-47
Hajara Bashari
The heart is the engine room and major organ of the humans without which these beings cannot survive. The human heart is an organ that pumps and supplies blood round the body through the circulatory system. This is supplying oxygen and nutrients to tissues as well as removing carbon dioxide and other wastes.
心脏是人类的引擎室和主要器官,没有它,人类就无法生存。心脏是一个通过循环系统向全身输送血液的器官。这是为组织提供氧气和营养,以及清除二氧化碳和其他废物。
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引用次数: 0
Comparison of initial outcomes between minimally invasive right minithoracotomy and standard median sternotomy in patients undergoing isolated surgical closures of atrial septal defects. 微创右小胸切开术与标准胸骨正中切开术治疗房间隔缺损的初步疗效比较。
Pub Date : 1900-01-01 DOI: 10.35841/CARDIOLOGY.4.1.18-23
Sumsul Arif Mohammad Musa, M. Uddin, S. A. Nahian, M. P. Ahmed, S. Gupta, Rubana Forhad, Prasanta Kumar Ch, F. Ahmed, Mohammad Mostafizur Rahman Miah
Background: An atrial septal defect (ASD) can be closed via percutaneous approach and with surgical closure using either the standard median sternotomy or a minimally invasive procedure such as minithoracotmy. In this study, we evaluated the outcomes of using the median sternotomy versus the right minithoracotomy in isolated closures of ASDs. Methods: This prospective observational study included 44 patients who underwent isolated ASD closures in the department of cardiac surgery at the National Heart Foundation Hospital and Research Institute (NHFH & RI) in Dhaka, Bangladesh, from July 2014 to June 2016. After fulfilling the enrolment criteria, participants were divided into two equal groups of 22 patients. ASD closure was performed on Group 1 using the minimally invasive right minithoracotomy, while the same procedure was performed on Group 2 using the standard median sternotomy. Results: The mean total operative time (in minutes) required was 179.45 ? 26.79 for Group 1 and 154.72 ? 26.15 for Group 2. The mean aortic cross-clamp (ACC) time (in minutes) and cardiopulmonary bypass (CPB) time (in minutes) were significantly increased in Group 1 compared to Group 2 (p=<0.05). Furthermore, the mean ? SD of the length of incision (in centimetres) and duration of endotracheal intubation (in hours) were significantly higher in Group 2 than Group 1 (p<0.001). While the duration of postoperative hospital stays (in days) and pain score (visual analogue scale score) was significantly higher in Group 2 than Group 1. No residual shunt was found in patients of either group. Conclusion: Our findings shows some advantages in group 1 (right minithoracotomy) population including the reduced length of incision, the shorter duration of endotracheal intubation, less postoperative blood loss, fewer transfusion requirements, minimal postoperative pain and the shorter duration of hospital stay. In addition, patients in Group 1 reported smaller scars, as expected, which contributes to better overall patient satisfaction.
背景:房间隔缺损(ASD)可以通过经皮入路和标准胸骨正中切开术或微创手术(如小胸开胸术)进行手术封闭。在这项研究中,我们评估了在孤立性asd闭合中使用胸骨正中切开术与右侧小开胸术的结果。方法:这项前瞻性观察性研究包括2014年7月至2016年6月在孟加拉国达卡国家心脏基金会医院和研究所(NHFH & RI)心脏外科接受孤立性ASD闭合的44例患者。在满足入组标准后,参与者被分为两组,每组22例患者。组1采用微创右小胸切开术闭合ASD,组2采用标准胸骨正中切开术闭合ASD。结果:平均总手术时间(分钟)为179.45 ?第1组26.79和154.72 ?第二组26.15。组1平均主动脉交叉夹夹(ACC)时间(min)和体外循环(CPB)时间(min)均显著高于组2 (p=<0.05)。此外,平均值?2组的切口长度SD(厘米)和气管插管时间SD(小时)显著高于1组(p<0.001)。2组患者术后住院时间(天)和疼痛评分(视觉模拟评分)明显高于1组。两组患者均未发现分流残余。结论:我们的研究结果显示,1组(右小开胸)患者具有切口长度缩短、气管插管时间缩短、术后出血量少、输血需求少、术后疼痛最小、住院时间短等优势。此外,第一组患者报告的疤痕较小,正如预期的那样,这有助于提高患者的总体满意度。
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Current Trends in Cardiology
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