This aortic valve replacement (AVR) remains the gold standard for symptomatic aortic stenosis. Peri-operative complications like dissection, stenosis involving coronary artery are well described in many series. We pre...This aortic valve replacement (AVR) remains the gold standard for symptomatic aortic stenosis. Peri-operative complications like dissection, stenosis involving coronary artery are well described in many series. We present a rare iatrogenic complication of disrupted left main coronary artery during the delivery of cardioplegia while performing AVR in a 54 year male patient for severe calcific aortic stenosis. The inadvertent injury to the artery was timely noticed and managed successfully with long saphenous vein graft.展开更多
AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patie...AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patients with one group (16 legs) of normal deep vein valve function and another group (35 legs) inefficiency deep vein valve function, The results were compared with those of venography of leg deep vein. RESULTS Correctness rate in the normal group was 94% and in the abnormal group was 89%. Its sensitivity and specificity werc 97% and 79% re spectively. Total agreement rate was 90%. CONCLUSION Doppler ultrasonic exploration can be applied to the evaluation of the leg deep vein valve function. It is asy, rapid and non traumatic and can also partially replace the venography.展开更多
文摘This aortic valve replacement (AVR) remains the gold standard for symptomatic aortic stenosis. Peri-operative complications like dissection, stenosis involving coronary artery are well described in many series. We present a rare iatrogenic complication of disrupted left main coronary artery during the delivery of cardioplegia while performing AVR in a 54 year male patient for severe calcific aortic stenosis. The inadvertent injury to the artery was timely noticed and managed successfully with long saphenous vein graft.
文摘AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patients with one group (16 legs) of normal deep vein valve function and another group (35 legs) inefficiency deep vein valve function, The results were compared with those of venography of leg deep vein. RESULTS Correctness rate in the normal group was 94% and in the abnormal group was 89%. Its sensitivity and specificity werc 97% and 79% re spectively. Total agreement rate was 90%. CONCLUSION Doppler ultrasonic exploration can be applied to the evaluation of the leg deep vein valve function. It is asy, rapid and non traumatic and can also partially replace the venography.