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European Journal of Cardio-thoracic Surgery

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https://www.readbyqxmd.com/read/29933438/primary-surgical-repair-of-coarctation-of-the-aorta-in-adolescents-and-adults-intermediate-results-and-consequences-of-hypertension
#1
Bijoy G Rajbanshi, Dikshya Joshi, Sidhartha Pradhan, Navin C Gautam, Rabindra Timala, Urmila Shakya, Apurb Sharma, Gangaram Biswakarma, Jyotindra Sharma
OBJECTIVES: Coarctation of the aorta is known to present with hypertension in older patients; we reviewed our experience and assessed the outcome of hypertension following surgical correction. METHODS: From April 2004 to date, 43 patients above the age of 12 underwent coarctation of the aorta repair. The mean age was 20.4 + 9.7 years (maximum 56 years); 21 (48.8%) were older than 18 years and 28 (65.1%) were men. Thirty (69.8%) patients had hypertension...
June 22, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29933433/comparison-of-the-survival-between-coronary-artery-bypass-graft-surgery-versus-percutaneous-coronary-intervention-in-patients-with-poor-left-ventricular-function-ejection-fraction-30-a-propensity-matched-analysis
#2
Shaneel Shah, Umberto Benedetto, Massimo Caputo, Gianni D Angelini, Hunaid A Vohra
OBJECTIVES: Existing evidence comparing the outcomes of coronary artery bypass graft (CABG) surgery versus percutaneous coronary intervention (PCI) in patients with poor left ventricular function (LVF) is sparse and flawed. This is largely due to patients with poor LVF being underrepresented in major research trials and the outdated nature of some studies that do not consider drug-eluting stent PCI. METHODS: Following strict inclusion criteria, 717 patients who underwent revascularization by CABG or PCI between 2002 and 2015 were enrolled...
June 22, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29931248/clinical-performance-of-a-three-dimensional-saddle-shaped-rigid-ring-for-mitral-valve-repair
#3
Nicolas Doll, Ventsislav Sheytanov, Louis Labrousse, Michael W A Chu, Pierluigi Stefàno, Aleš Mokrácek, Olivier Baron, Shuzhen Li, Ralf Günzinger
OBJECTIVES: The Profile 3D annuloplasty ring is a complete, rigid, saddle-shaped ring indicated for reconstruction and/or remodelling of the pathological mitral valve (MV) in patients with mitral insufficiency. METHODS: This prospective, non-randomized, observational, postmarket release study characterized the patient population for which the study ring was chosen for MV repair, assessed the relief from MV dysfunction and determined the level of mitral regurgitation (MR) at follow-up (6-12 months postimplant)...
June 21, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29905775/long-term-heart-transplant-outcomes-after-lowering-fixed-pulmonary-hypertension-using-left-ventricular-assist-devices
#4
Roxana Moayedifar, Andreas Zuckermann, Arezu Aliabadi-Zuckermann, Julia Riebandt, Philipp Angleitner, Kamen Dimitrov, Thomas Schloeglhofer, Angela Rajek, Guenther Laufer, Daniel Zimpfer
OBJECTIVES: Fixed pulmonary hypertension (fPH) is a contraindication for heart transplantation (HTX). Left ventricular assist device (LVAD) implantation as a bridge to candidacy can reverse fPH in patients with terminal heart failure by chronic left ventricular unloading. We report our institutional experience with terminal heart failure patients and fPH that were successfully bridged to candidacy and underwent subsequent HTX. METHODS: We retrospectively reviewed the data of 79 patients with terminal heart failure and fPH who were successfully bridged to candidacy for HTX with 6 different LVAD devices at our centre from October 1998 to September 2016 (Novacor n = 4, MicroMed DeBakey n = 29, DuraHeart n = 2, HeartMate II n = 14, HVAD n = 29 and MVAD n = 1)...
June 13, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29901712/which-t-descriptor-is-more-predictive-of-recurrence-after-sublobar-resection-whole-tumour-size-versus-solid-component-size
#5
Hang Su, Chenyang Dai, Yunlang She, Yijiu Ren, Lei Zhang, Huikang Xie, Dong Xie, Gening Jiang, Chang Chen
OBJECTIVES: We aimed to assess the predictive value of different T descriptors, including the whole tumour size (Dwhole) and solid component size (Dsolid), in patients with clinical Stage IA adenocarcinoma who underwent sublobar resection. METHODS: According to computed tomography images in the lung window, T descriptors, Dwhole and Dsolid, were applied. To evaluate the predictive value of these 2 different descriptors in predicting tumour recurrence and pathological malignant behaviours, Cox hazard regression and a receiver-operating characteristic curve analysis, respectively, were used...
June 12, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29897529/clinical-frailty-scale-and-outcome-after-coronary-artery-bypass-grafting
#6
Daniel Reichart, Stefano Rosato, Wail Nammas, Francesco Onorati, Magnus Dalén, Liesa Castro, Riccardo Gherli, Giuseppe Gatti, Ilaria Franzese, Giuseppe Faggian, Marisa De Feo, Sorosh Khodabandeh, Giuseppe Santarpino, Antonino S Rubino, Daniele Maselli, Saverio Nardella, Antonio Salsano, Francesco Nicolini, Marco Zanobini, Matteo Saccocci, Karl Bounader, Eeva-Maija Kinnunen, Tuomas Tauriainen, Juhani Airaksinen, Fulvia Seccareccia, Giovanni Mariscalco, Vito G Ruggieri, Andrea Perrotti, Fausto Biancari
OBJECTIVES: The aim of this study was to assess the impact of frailty on the outcome after coronary artery bypass grafting (CABG) and whether it may improve the predictive ability of European System for Cardiac Operative Risk Evaluation (EuroSCORE II). METHODS: The Clinical Frailty Scale (CFS) was assessed preoperatively in patients undergoing isolated CABG from the multicentre E-CABG registry, and patients were stratified into 3 classes: scores 1-2, scores 3-4 and scores 5-7...
June 11, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29897429/anaortic-coronary-surgery-using-the-%C3%AE-circuit-is-associated-with-a-low-incidence-of-perioperative-neurological-complications
#7
Sotirios Prapas, Antonio Maria Calafiore, Konstantinos P Katsavrias, Ioannis A Panagiotopoulos, Ioannis N Linardakis, Fabrizio Tancredi, Massimiliano Foschi, Michele Di Mauro
OBJECTIVES: Our goal was to compare the observed and the expected rates of postoperative cerebrovascular accidents (CVA) in a large cohort of consecutive patients undergoing off-pump coronary artery bypass grafting (CABG) using the ∏-circuit as a no-touch technique. METHODS: From January 2001 to May 2016, 3081 patients were consecutively submitted to an off-pump CABG operation using the ∏-circuit. A CVA was defined as a neurological deficit, lasting less (transient ischaemic attack) or more (stroke) than 24 h, diagnosed by a neurologist and confirmed by a computed tomography or magnetic resonance imaging scan of the brain...
June 11, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29893811/a-systemic-review-and-meta-analysis-long-term-results-of-the-bentall-versus-the-david-procedure-in-patients-with-marfan-syndrome
#8
Jakob M Burgstaller, Ulrike Held, Selim Mosbahi, Dushaj Stak, Johann Steurer, Friedrich Eckstein, Denis A Berdajs
This systemic review of the literature and meta-analysis aimed to evaluate the current state of the evidence for and against reimplantation of the aortic valve (RAV) versus the composite valve graft (CVG) intervention in patients with Marfan syndrome. Random effects meta-regression was performed across the study arms with logit-transformed proportions of in-hospital deaths as an outcome measure when possible. Results are presented as odds ratios with 95% confidence intervals (CIs) and P-values. Other outcomes are summarized with medians, interquartile ranges (IQR) and ranges and the numbers of patients at risk...
June 9, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29893823/the-effect-on-survival-from-the-use-of-a-saphenous-vein-graft-during-coronary-bypass-surgery-a-large-cohort-study
#9
Alistair Royse, Zulfayandi Pawanis, David Canty, Jared Ou-Young, David Eccleston, Andrew Ajani, Christopher M Reid, Rinaldo Bellomo, Colin Royse
OBJECTIVES: Saphenous vein graft (SVG) remains the predominant conduit used in coronary surgery. The internal mammary artery has higher later term patency and confers superior survival. Current debate focuses on the increased use of arterial conduits rather than eradication of venous conduits. METHODS: Patient data extracted from the Australian and New Zealand Society of Cardiothoracic Surgeons database from 2001-2013 were linked to the national death registry held by the Australian Institute of Health and Welfare for all-cause mortality with censor date 7 October 2014...
June 8, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29878096/development-of-novel-force-limiting-grasping-forceps-with-a-simple-mechanism
#10
Yasuto Sakaguchi, Toshihiko Sato, Yojiro Yutaka, Yusuke Muranishi, Teruya Komatsu, Akihiko Yoshizawa, Naoki Nakajima, Tatsuo Nakamura, Hiroshi Date
OBJECTIVES: In endoscopic surgery, fragile tissues may be damaged by the application of excessive force. Thus, we developed novel endoscopic forceps with a simple force-limiting mechanism. METHODS: The novel forceps were constructed with a leaf spring, and the spring thickness determines grasping pressure. We established an evaluation system (maximum score is 11 points) for lung tissue damage leading to complications. We tested the conventional forceps (186.8 kPa) and 3 novel spring forceps with the following thicknesses: 1...
June 6, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29878177/disturbingly-high-fracture-rate-of-stratos-bars-in-pectus-corrections
#11
Nagarajan Muthialu, Denise McIntyre, Neil McIntosh, Julie Plumridge, Martin J Elliott
OBJECTIVES: Several procedures have been described to correct pectus excavatum and carinatum. We have used a modified Ravitch procedure (STRATOS titanium bars) for patients who were unsuitable for the minimally invasive Nuss procedure. The operation produced excellent cosmetic results, but we have noted several fractures and displacements of the STRATOS bars. METHODS: We reviewed all our STRATOS patients since first use in 2009 until 2014. We collated the following data of each patient: diagnosis, severity of pectus deformity, comorbidity, previous operations for pectus, age at bar implantation, the number of bars implanted and duration of implantation...
June 5, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29878144/the-prognostic-effect-of-the-epidermal-growth-factor-receptor-gene-mutation-on-recurrence-dynamics-of-lung-adenocarcinoma
#12
In Kyu Park, Kwanyong Hyun, Eung Re Kim, Samina Park, Chang Hyun Kang, Young Tae Kim
OBJECTIVES: The prognostic effects of epidermal growth factor receptor (EGFR) gene mutation on lung adenocarcinoma recurrence have not been well established. The relationship between EGFR gene mutation and recurrence dynamics of lung adenocarcinoma was investigated. METHODS: A total of 527 patients with complete resection for adenocarcinoma were reviewed retrospectively. EGFR gene mutation was analysed by polymerase chain reaction followed by bidirectional direct sequencing in recurred patients...
June 5, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29873701/early-surgery-for-acute-onset-infective-endocarditis
#13
Carlos Ferrera, Isidre Vilacosta, Cristina Fernández, Javier López, Cristina Sarriá, Carmen Olmos, Manuel Carnero-Alcázar, David Vivas, Salvatore Di Stefano, Carmen Sáez, Javier Cobiella, Daniel García-Arribas, Luis Carlos Maroto Castellanos, J Alberto San Román
OBJECTIVES: Acute onset of infective endocarditis has been previously linked to the development of septic shock and a worse prognosis. The purpose of this study was to analyse the clinical features and in-hospital evolution of patients with acute-onset endocarditis as well as the potential role of early surgery in the treatment of these patients. METHODS: From 1996 to 2014, 1053 consecutive patients with left-sided endocarditis were prospectively included. Patients were classified into 2 groups according to the clinical presentation: patients with acute-onset endocarditis (n = 491) and patients with non-acute endocarditis (n = 562)...
June 4, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29873698/evolut-r-implantation-via-the-brachial-artery
#14
Giuseppe Bruschi, Bruno Merlanti, Paola Colombo, Claudio F Russo
Transfemoral transcatheter aortic valve implantation is an established therapy to treat elderly patients affected by severe aortic stenosis, who are considered to be at high or extreme risk for surgical aortic valve replacement. The transfemoral approach is contraindicated in patients with severe peripheral artery disease, small vessel size or severe tortuosity. In these patients, other vascular access routes such as transapical, subclavian or direct-aortic access may be considered. We describe the first case of a Medtronic Evolut R (Medtronic, Minneapolis, MN, USA) implantation made through the brachial artery in a 75-year-old patient affected by severe aortic stenosis...
June 4, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868867/acute-thrombosis-of-the-ascending-aorta-causing-right-ventricular-failure-first-manifestation-of-antiphospholipid-syndrome
#15
Miklós Pólos, Attila Kovács, Endre Németh, Béla Merkely
Antiphospholipid syndrome is an autoimmune disorder with frequent clinical manifestation of arterial, venous or small vessel thromboembolic events and/or foetal morbidity. Hereby, we present a case report of a patient with a large arterial thrombus originating from the ostium of the right coronary artery accompanied by multiple systemic embolization and right ventricular failure. As a bridge-to-recovery strategy, an extracorporeal right ventricular assist device was successfully applied, representing an effective first choice option in selected patients with isolated acute right heart failure...
June 3, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868836/the-liver-first-approach-for-combined-lung-and-liver-transplantation
#16
Jawad Salman, Gerrit Grannas, Fabio Ius, Wiebke Sommer, Thiery Siemeni, Murat Avsar, Christian Kuehn, Dietmar Boethig, Felix Fleissner, Dmitry Bobylev, Jens Gottlieb, Juergen Klempnauer, Tobias Welte, Axel Haverich, Igor Tudorache, Gregor Warnecke, Frank Lehner
OBJECTIVES: Combined lung and liver transplantation (Lu-LTx) is an established therapy for patients with cystic fibrosis. The initial sequence has primarily been lung first. We changed the sequence to 'liver first' in 2006. The aim of this study is to present outcomes of this procedure. METHODS: The records of combined lung and liver transplant patients treated at our institution between April 1999 and November 2016 were reviewed retrospectively. RESULTS: A total of 27 patients received a combined Lu-LTx at our institute...
June 3, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868864/transapical-valve-in-ring-mitral-valve-implantation-through-the-anterior-mitral-valve-leaflet
#17
Luke J Rogers, Ian Cox, Malcolm Dalrymple-Hay, Clinton Lloyd
Transcatheter mitral valve implantation is a relatively novel intervention that replaces the mitral valve of individuals deemed too high-risk or unsuitable for surgery. It is associated with a number of specific risks, including left ventricular outflow tract obstruction. In this report, we present the case of a 75-year-old man who was unable to undergo redo surgical repair and had a number of risk factors for left ventricular outflow tract obstruction. To minimize this risk, we deployed transcatheter mitral valve implantation within the anterior mitral valve leaflet resulting in mild mitral valve regurgitation postoperatively and no left ventricular outflow tract obstruction...
June 2, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868854/evidence-and-temporality-of-the-obesity-paradox-in-coronary-bypass-surgery-an-analysis-of-cause-specific-mortality
#18
Thomas A Schwann, Paul S Ramia, Milo C Engoren, Mark R Bonnell, Matthew Goodwin, Ian Monroe, Robert H Habib
OBJECTIVES: We evaluated the presence of an 'obesity paradox' in coronary artery bypass grafting (CABG) patients, determined its time course and ascertained whether it is associated with improved cardiovascular (CV) survival versus non-CV survival. METHODS: A retrospective analysis of 3 prospectively collected databases was conducted. A fifteen-year Kaplan-Meier analysis in 7091 CABG patients was performed and repeated in 5 body mass index [BMI (kg/m2)] cohorts [Normal (18...
June 2, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868767/extended-myectomy-for-hypertrophic-obstructive-cardiomyopathy-patients-with-midventricular-obstruction
#19
Yajie Tang, Yunhu Song, Fujian Duan, Long Deng, Jun Ran, Ge Gao, Sheng Liu, Yun Liu, Hao Wang, Shihua Zhao, Shengshou Hu
OBJECTIVES: Surgical strategies for patients with midventricular obstruction remain underappreciated. We sought to assess clinical and haemodynamic results, summarize the surgical technique of extended myectomy and provide reliable pre- and intraoperative methods of evaluating patients with midventricular obstruction. METHODS: The preoperative evaluation process, intraoperative surgical strategy and early outcomes were thoroughly reviewed in 40 patients with midventricular obstruction...
June 2, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29868728/how-to-treat-severe-symptomatic-structural-valve-deterioration-of-aortic-surgical-bioprosthesis-transcatheter-valve-in-valve-implantation-or-redo-valve-surgery
#20
David Attias, Mohammed Nejjari, Francesco Nappi, Julien Dreyfus, Mackram F Eleid, Charanjit S Rihal
The optimal management of aortic surgical bioprosthesis presenting with severe symptomatic structural valve deterioration is currently a matter of debate. Over the past 20 years, the number of implanted bioprostheses worldwide has been rapidly increasing at the expense of mechanical prostheses. A large proportion of patients, however, will require intervention for bioprosthesis structural valve deterioration. Current options for older patients who often have severe comorbidities include either transcatheter valve-in-valve (TVIV) implantation or redo valve surgery...
June 2, 2018: European Journal of Cardio-thoracic Surgery
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