Surgical Repair of Complex Endocarditis

Surgical valve repair of isolated pulmonary valve endocarditis.

Isolated pulmonary valve endocarditis (IPE) is an uncommon clinical entity. We reported 4 cases of IPE without underlying heart diseases that required surgical interventions. Two of the present patients had predisposing factors that included a history of abdominal surgery in Case 1 and intravenous drug abuse in Case 3. All four patients presented with persistent fever together with pulmonary sy...

Complex surgical repair of rheumatic mitral stenosis.

A 36-year-old Thai woman presents with a 6-month history of worsening dyspnea, chest pain and occasional hemoptysis. Her past medical history is significant for multiple upper respiratory tract infections as a child. On auscultation, a mid-diastolic rumbling murmur is heard at the apex, graded 3/6. Echocardiography demonstrates left atrial dilatation with a mitral valve area of 1.0 cm, a mean t...

Surgical Repair of Giant Type IV Hiatal Hernia

In this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. Chest X-ray of the patient revealed a  gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anteri...

Surgical Management of Infective Endocarditis

Surgical technique for repair of complex anterior skull base defects

BACKGROUND Modern microsurgical techniques enable en bloc resection of complex skull base tumors. Anterior cranial base surgery, particularly, has been associated with a high rate of postoperative cerebrospinal fluid (CSF) leak, meningitis, intracranial abscess, and pneumocephalus. We introduce simple modifications to already existing surgical strategies designed to minimize the incidence of po...