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Acute Pulmonary Thromboembolism: 14 Years of Surgical Experience

Park J, Lim SH, Hong YS, Park S, Lee CJ, Lee SO

BACKGROUND: Pulmonary thromboembolism (PTE) is a life-threatening disease with high mortality. This study aimed to assess the outcomes of surgical embolectomy and to clarify the sustained long-term effects of surgery...
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Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

Sohn B, Park S, Lee HJ, Jeong JH, Choi SM, Lee SM, Seo JH, Kim YT

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied...
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Use of methylene blue in vasoplegic syndrome that developed during non-cardiac surgery: A case report

Oh ID, Shin E, Jeon JM, Woo H, Choi JH

BACKGROUND: Vasoplegic syndrome is an increasingly recognized disease in perioperative medicine and is characterized by severe hypotension, normal or elevated cardiac output, and decreased systemic vascular resistance. It occurs commonly...
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Traumatic Right Pulmonary Artery Rupture after Accidentally Being Stepped on the Chest

Son SA, Bae CM, Oh TH, Do YW, Seok Y, Cho JY

Traumatic pulmonary artery rupture is a rare, life-threatening injury. Currently, no strict guidelines for its management exist. Herein, we report a successful surgical repair of a right pulmonary artery rupture...
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Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings

Cho S, Kang TS

Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even...
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Thrombocytopenia in Moderate- to High-Risk Sutureless Aortic Valve Replacement

Thitivaraporn P, Chiramongkol S, Muntham D, Pornpatrtanarak N, Kittayarak C, Namchaisiri J, Singhatanadgige S, Ongcharit , Benjacholamas V

BACKGROUND: This study aimed to compare preliminary data on the outcomes of sutureless aortic valve replacement (SU-AVR) with those of aortic valve replacement (AVR). METHODS: We conducted a retrospective study of...
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Delayed Ascending Aorta Replacement in Blunt Chest Trauma with Aortic Injury

Son SA, Kim GJ, Do YW, Oh TH

Ascending aortic injury after blunt chest trauma is an emergency condition that requires urgent diagnosis and treatment. The authors report the case of a patient with traumatic ascending aortic injury...
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Outcomes of Reoperative Valve Replacement in Patients with Prosthetic Valve Endocarditis: A 20-Year Experience

Kim YW, Jung SH, Choo SJ, Chung CH, Lee JW, Kim JB

BACKGROUND: Prosthetic valve endocarditis (PVE) is a serious complication of cardiac valve replacement, and many patients with PVE require reoperation. The aim of this study was to review our institutional...
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Early Clinical Experience with Sutureless Aortic Valve Replacement for Severe Aortic Stenosis

Kim DJ, Kim HH, Lee SY, Lee S, Chang BC

BACKGROUND: Sutureless aortic valve replacement (SU-AVR) has been developed as an alternative surgical treatment for patients with symptomatic severe aortic stenosis (AS). The aim of this study was to evaluate...
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Correlation between regional tissue perfusion saturation and lactate level during cardiopulmonary bypass

Lee YS, Kim WY, Yoo JW, Jung HD, Min TJ

BACKGROUND: Cardiopulmonary bypass (CPB) can cause systemic hypoperfusion, which remains undetected by routine monitoring of physiological parameters. Noninvasive tissue perfusion monitoring offers a clinical benefit by detecting low systemic perfusion....
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The Mid-term Results of Thoracoscopic Closure of Atrial Septal Defects

Lee H, Yang JH, Jun TG, Kang IS, Huh J, Park SW, Song J, Kim CS

BACKGROUND AND OBJECTIVES: Recently, minimally invasive surgical (MIS) techniques including robot-assisted operations have been widely applied in cardiac surgery. The thoracoscopic technique is a favorable MIS option for patients with...
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Role of vasopressin in current anesthetic practice

Park KS, Yoo KY

Arginine vasopressin (AVP), also known as antidiuretic hormone, is a peptide endogenously secreted by the posterior pituitary in response to hyperosmolar plasma or systemic hypoperfusion states. When administered intravenously, it...
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Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut

Lim JH, Lee WY, Ra YJ, Jeong JH, Park BS, Ko HH

A 20-year-old man presented with a femur fracture and epidural hemorrhage (EDH) following a fall. One month after fracture surgery, swelling developed in both legs, and he was diagnosed as...
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The Importance of Complete Pericardiectomy and the Role of the Apical Suction Device in Chronic Constrictive Pericarditis

Kim SY, Na KJ, Kim KH

BACKGROUND: The aim of this study was to analyze the preoperative attributes and clinical impacts of complete pericardiectomy in chronic constrictive pericarditis. METHODS: A total of 26 patients were treated from...
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Recurrent Mediastinal Sarcoma in the Aortic Arch

Pyo WK, Kim HJ, Kim JB

As mediastinal sarcomas commonly present as large tumors invading adjacent vital structures, complete resection is frequently challenging. For such tumors, aggressive surgical strategies, such as the resection and reconstruction of...
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Acute coronary artery obstruction after aortic valve replacement surgery and role of transesophageal echocardiography

Jang MS, Choi JH, Han JH, Choi YI, Kim JM, Youn HC

Acute coronary artery obstruction is a rare but fatal complication of surgical aortic valve replacement (AVR). Sudden coronary spasm, embolization of calcium plaque, and surgical factors can induce acute coronary...
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Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft

Yoon SS, Bang JH, Jeong SS, Jeong JH, Woo JS

BACKGROUND: Off-pump coronary artery bypass grafting (OPCABG) procedures can avoid the complications of an on-pump bypass. However, some cases unexpectedly require conversion to cardiopulmonary bypass during OPCABG. The risk factors...
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Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report

Park H, Park J, Lee J, Kim G

Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible...
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Does acute normovolemic hemodilution affect intraoperative value of serum-creatinine concentration in patients undergoing cardiac surgery

Hong SW, Lee DK, Lee JY, Shin SH, Chon JY, Kim TY

BACKGROUND: The possible impact of hemodilution during acute normovolemic hemodilution (ANH) using hydroxyethyl starch (HES) on intraoperative serum concentration of creatinine (s-Cr) has not been well investigated. METHODS: Patients undergoing cardiac...
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Cardiopulmonary Bypass Priming Using Autologous Cord Blood in Neonatal Congenital Cardiac Surgery

Choi ES, Cho S, Jang WS, Kim WH

BACKGROUND AND OBJECTIVES: A blood transfusion is almost inevitable in neonatal cardiac surgery. This study aimed to assess the feasibility of using autologous cord blood for a cardiopulmonary bypass (CPB)...
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