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第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

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第58卷 第3期 2025-5
Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

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第58卷 第3期 2025-5
Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal

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第58卷 第3期 2025-5
Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

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第58卷 第3期 2025-5
COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

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第58卷 第3期 2025-5
Eggplant deformity in penile fracture

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第58卷 第3期 2025-5
Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series

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第58卷 第3期 2025-5
Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

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第58卷 第3期 2025-5
Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

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第58卷 第3期 2025-5
Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

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第58卷 第3期 2025-5
Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

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第58卷 第3期 2025-5
Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

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第58卷 第3期 2025-5
Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

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第58卷 第3期 2025-5
Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

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第58卷 第3期 2025-5
Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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第58卷 第2期 2025-3
Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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第58卷 第2期 2025-3
Spontaneous bilateral basal ganglia hemorrhage

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第58卷 第2期 2025-3
Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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篇名 Ruptured Sinus of Valsalva Aneurysm: 10-Year Experience at Kaohsiung Veterans General Hospital
作者 Ting-Kuang Chao, Kwok-Kei Cheng, Pei-Leun Kang
卷期/出版年月 37卷4期 (2004/8)
頁次 155-162
摘要 Objective: We reviewed our 10 patients receiving repair of ruptured sinus of Valsalva aneurysm (RSVA) over 10 years. Methods: Between 1993 and 2002, a total of 10 cases of ruptured sinus of Valsalva aneurysm underwent surgical correction. These patients included six men and four women, with a mean age of 26.7±6.5 years (range 15-36 years). The incidence of RSVA in our cardiac surgical population was 0.27%. All 10 RSVA cases had their origin in the right coronary sinus, with aneurysms ruptured into the right ventricle in nine, and one into the right atrium. All 10 patients had a VSD (supracristal type in eight and perimembranous type in two), and four patients had moderate to severe aortic regurgitation diagnosed by preoperative echocardiogram and cineoangiogram. Associated findings included a history of endocarditis (1 case; 10%), and a secundum type atrial septal defect (1 case, 10%). Concomitant procedures were VSD repair in all patients, aortic valvuloplasty in four, aortic valve replacement in one, and ASD repair in one. Results: There was no early death or recurrence after the initial repair. No early or late complications occurred. One patient had SBE with severe AR received aortic valve replacement nine months after the initial operation. All patients who received aortic valve repair did not have more than grade I AR. All patients were in NYHA class I or II at their last follow-up. Conclusions: Surgical treatment of ruptured SVAs can be performed with an acceptably low operative risk ensuring good long-term event-free/symptom-free survival. Patch repair strategy is advocated from the experience of our RVSA cases.
關鍵詞 ruptured sinus of Valsalva aneurysm (RSVA), atrial septal defect (ASD),ventricular septal defect (VSD), subacute bacterial endocarditis (SBE), aortic regurgitation (AR), aortic insufficiency (AI)
分類 Original Articles

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