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Journal of Cardiothoracic Surgery

Jingtao Huang, Zhongwei Zhang, Tao Zhang
BACKGROUND: Stent migration is a common complication in treating trachea stenosis. There is no report concerning suture fixation of tracheal stent. The aim of this study was to investigate whether suture fixation of tracheal stent could avoid stent migration in patients with upper trachea stenosis. The complications were further investigated. METHODS: The patients with upper trachea stenosis who underwent tracheal stent placement for benign/malignant conditions in our hospital between May 2016 and April 2018 were retrospectively reviewed...
November 9, 2018: Journal of Cardiothoracic Surgery
Saleem Haj-Yahia, Mohammad Sbaih, Khalil Bali, Ahmad Darwaze, Wafiq Othman, Mahmoud Zaghari, Gianni Angelini, Massimo Caputo, Abdel-Karim Barqawi
BACKGROUND: Idiopathic pulmonary artery aneurysm is a rare anomaly with only a handful reports in the literature. It is often asymptomatic, while the first presentation could be severe hemoptysis or death. Surgical intervention needs to be planned carefully with a multidisciplinary team approach to secure optimal outcome. We hope to spread our experience with such cases and to encourage other surgeons worldwide to deal surgically with these cases when its indicated. CASE PRESENTATION: A 47 years old man presented to our institution after three episodes of hemoptysis, echo demonstrated good left ventricle (LV) systolic function, normal right ventricle (RV) size and function, Chest computed tomography (CT) revealed aneurysmal dilatation with pending rupture of the pulmonary artery trunk (4...
October 26, 2018: Journal of Cardiothoracic Surgery
Huan Wang, Weijian Zheng, Weiping Fang, Gaige Meng, Lei Zhang, Yannan Zhou, Erwei Gu, Xuesheng Liu
BACKGROUND: We sought to evaluate the safety, efficacy, and cost-effectiveness of intraoperative blood salvage (IBS) in off-pump coronary artery bypass grafting (OPCABG) surgery with different amount of bleeding. METHODS: We retrospectively reviewed the medical records of 321 patients who underwent OPCABG between December 2012 and December 2016 at our hospital. Patients treated with IBS or allogeneic blood (AB) transfusions were divided into three groups depending on the amount of bleeding respectively: IBS1 or AB1 group (400-600 ml); IBS2 or AB2 group (600-1000 ml); IBS3 or AB3 group (1000-1500 ml)...
October 17, 2018: Journal of Cardiothoracic Surgery
Andrew A Pavlina, Jared W Peacock, Saad A Ranginwala, Peter M Pavlina, Joshua Ahier, Courtney R Hanak
BACKGROUND: Fungal endocarditis is a rare and lethal cardiac infection which most commonly presents in immunocompromised patients or patients with other predisposing conditions. In a small subset of these patients, lesions present as mural masses and do not have any involvement with native valves or implanted devices. Here we present one such case which was diagnosed in the antemortem period in time to be managed with surgical resection. CASE PRESENTATION: A 70 year-old female patient who presented with multiple cerebral abscesses and was found on echocardiography to have a mass along the inferior wall of the left ventricle...
October 16, 2018: Journal of Cardiothoracic Surgery
Manuel Giraldo-Grueso, Néstor Sandoval-Reyes, Jaime Camacho, Ivonne Pineda, Juan P Umaña
BACKGROUND: Recent evidence has showed us that quality of mitral valve repair is strongly related to volume. However, this study shows how low-volume centers can achieve results in mitral valve repair surgery comparable to those reported by referral centers. It compares outcomes of mitral valve repair using resection versus noresection techniques, tendencies, and rates of repair. METHODS: Between 2004 and 2017, 200 patients underwent mitral valve repair for degenerative mitral valve disease at Fundación Cardioinfantil-Institute of Cardiology...
October 16, 2018: Journal of Cardiothoracic Surgery
Hao Ma, Zhenghua Xiao, Jun Shi, Lulu Liu, Chaoyi Qin, Yingqiang Guo
BACKGROUND: Aortic arch cannulation for an antegrade central perfusion during the surgery for Stanford type A aortic dissection can be performed within median sternotomy. We summarize the safety and convenient profile of the central cannulation strategy using the guidance of transesophageal echocardiography (TEE) in comparison to traditional femoral cannulation strategy. METHODS: Sixty-two patients with acute Stanford type A aortic dissection underwent aortic arch surgery in our hospital...
October 11, 2018: Journal of Cardiothoracic Surgery
Alicja Zientara, Paul Komminoth, Burkhardt Seifert, Dragan Odavic, Omer Dzemali, Achim Häussler, Michele Genoni
BACKGROUND: Electrosurgery is fundamental to the precise, fast and bloodless preparation of internal thoracic artery grafts in cardiac surgery. The PEAK PlasmaBlade is a monopolar electrosurgical device that uses pulsed radiofrequency energy to generate a plasma-mediated discharge along an insulated electrode, creating a cutting edge while the blade stays near body temperature. The aim of this study is to compare the histological samples, cardiac computed-tomography of graft patency, and clinical outcomes of patients after off-pump coronary artery bypass grafting with preparation of the internal thoracic arteries by a conventional electrosurgical device and the PlasmaBlade...
October 11, 2018: Journal of Cardiothoracic Surgery
Younes Moutakiallah, Mahdi Aithoussa, Noureddine Atmani, Aniss Seghrouchni, Azeddine Moujahid, Abdedaïm Hatim, Iliyasse Asfalou, Zouhair Lakhal, Abdelatif Boulahya
BACKGROUND: The reoperation for isolated tricuspid regurgitation in rheumatic population is rare and still unclear and controversial because of the rarity of publications. The aim of this study was to analyze short and long-term results and outcome of tricuspid valve surgery after left-sided valve surgery in rheumatic patients. METHODS: Twenty six consecutive rheumatic patients who underwent isolated tricuspid valve surgery after left-sided valve surgery between January 2000 and January2017 were retrospectively registered in the study...
October 4, 2018: Journal of Cardiothoracic Surgery
Leo M Nherera, Paul Trueman, Michael Schmoeckel, Francis A Fatoye
BACKGROUND: There is a growing interest in using negative pressure wound therapy in closed surgical incision to prevent wound complications which continue to persist following surgery despite advances in infection measures. OBJECTIVES: To estimate the cost-effectiveness of single use negative pressure wound therapy (sNPWT) compared to standard of care in patients following coronary artery bypass grafting surgery (CABG) procedure to reduce surgical site complications (SSC) defined as dehiscence and sternotomy infections...
October 3, 2018: Journal of Cardiothoracic Surgery
Jesper Eske Sindby, Henrik Vadmann, Søren Lundbye-Christensen, Sam Riahi, Søren Hjortshøj, Lucas V A Boersma, Jan Jesper Andreasen
BACKGROUND: The most efficient first-time invasive treatment, for achieving sinus rhythm, in symptomatic paroxysmal atrial fibrillation has not been established. We aimed to compare percutaneous catheter and video-assisted thoracoscopic pulmonary vein radiofrequency ablation in patients referred for first-time invasive treatment due to symptomatic paroxysmal atrial fibrillation. The primary outcome of interest was the prevalence of atrial fibrillation with and without anti-arrhythmic drugs at 12 months...
October 3, 2018: Journal of Cardiothoracic Surgery
Armah M Akuffu, Haige Zhao, Junnan Zheng, Yiming Ni
BACKGROUND: Prosthesis-patient mismatch (PPM) may affect the clinical outcomes of patients undergoing mitral valve replacement (MVR) surgery. We aimed to investigate the incidence of PPM of the mitral position in our center and analyze the possible predictors of PPM as well as its effect on short-term outcomes. METHODS: We retrospectively examined all consecutive patients with isolated or concomitant MVR at our center from 2013 to 2015. PPM was defined as an indexed effective orifice area (iEOA) of ≤1...
October 3, 2018: Journal of Cardiothoracic Surgery
Andreas Keyser, Simon Schopka, Carsten Jungbauer, Maik Foltan, Christof Schmid
BACKGROUND: In cases of lead failure after implantation of pacemakers (PM) or implantable cardioverter defibrillators (ICD) early lead replacement may be challenging. Puncture of the subclavian vein bears possible complications such as pneumothorax, hematothorax, and damage of leads to be left in place. To avoid venous puncture PM or ICD leads were replaced using a flexible polypropylene sheath (Byrd-sheath). METHOD: From January 2010 through December 2017, 55 patients underwent early lead exchange avoiding venous puncture...
October 3, 2018: Journal of Cardiothoracic Surgery
Ji-Zhuang Luo, Cheng Zhan, Xiang Ni, Yu Shi, Qun Wang
BACKGROUND: Primary pulmonary meningioma (PPM) is an extremely rare benign tumor. Previous reports indicated that CT features of PPM are single, solid, well-demarcated, homogeneous mass. In this study, we report a case of PPM with atypical CT features. CASE PRESENTATION: A 65-year-old female presents to clinic with 1-week acute upper respiratory tract infection. Her chest CT scan revealed a 25-29 mm, round-like, heterogeneous lobulated solitary pulmonary nodule in the right lower lobe...
October 1, 2018: Journal of Cardiothoracic Surgery
Yuki Endo, Yoshitsugu Nakamura, Miho Kuroda, Yusuke Nakanishi, Yujiro Ito, Takaki Hori, Rumiko Okamoto, Hiroshi Konishi
BACKGROUND: Primary cardiac lymphoma (PCL) is extremely rare and progresses rapidly. The treatment of PCL has not yet been established. Unlike lymphoma that arises from other organs, PCL causes cardiovascular events. We report the complete remission (CR) of PCL after tumor resection using minimally invasive cardiac surgery (MICS) and chemotherapy. CASE PRESENTATION: The patient was a 79-year-old man who visited our hospital with chief complaints of weight loss and leg edema...
September 26, 2018: Journal of Cardiothoracic Surgery
Valérie Lafrenière-Bessi, Frédéric Jacques, Richard Baillot, Jean Bussières, Paola A Ugalde, Stephan Langevin
BACKGROUND: Diaphragmatic plication to help ventilation weaning of an adult obese patient after cardiac surgery is very uncommon. Diaphragm paralysis is usually treated with conservative measures and ventilator support, after which surgical management is considered after months of medical monitoring. CASE PRESENTATION: We report the case of a morbidly obese patient to whom ventilation weaning was unsuccessful following coronary artery bypass graft operation with mitral valve replacement...
September 26, 2018: Journal of Cardiothoracic Surgery
Gopichand Mannam, Yugal Mishra, Rajan Modi, Alla Gopala Krishna Gokhale, Rajan Sethuratnam, Kaushal Pandey, Rajneesh Malhotra, Sumit Anand, Anushreeta Borah, Sushan Mukhopadhyay, Dhiren Shah, Tek Singh Mahant
BACKGROUND: Indian patients undergoing surgical aortic valve replacement (SAVR) differ from western populations with respect to aortic annulus size and valve disease morphology. The purpose of this post-market, non-randomized observational study was to evaluate the early hemodynamic performance of the Trifecta™ bioprosthesis (Abbott, previously St. Jude Medical, Minneapolis, US) in an Indian patient population. METHODS: From January 2014 to September 2015, 100 patients (mean age 64...
September 25, 2018: Journal of Cardiothoracic Surgery
Sebastian Vogt, Volker Ruppert, Sabine Pankuweit, Jürgen P J Paletta, Annika Rhiel, Petra Weber, Marc Irqsusi, Pia Cybulski, Rabia Ramzan
BACKGROUND: Treatment of heart failure remains one of the most challenging task for intensive care medicine, cardiology and cardiac surgery. New options and better indicators are always required. Understanding the basic mechanisms underlying heart failure promote the development of adjusted therapy e.g. assist devices and monitoring of recovery. If cardiac failure is related to compromised cellular respiration of the heart, remains unclear. Myocardial respiration depends on Cytochrome c- Oxidase (CytOx) activity representing the rate limiting step for the mitochondrial respiratory chain...
September 17, 2018: Journal of Cardiothoracic Surgery
Uzma Shahid, Hasanat Sharif, Joveria Farooqi, Bushra Jamil, Erum Khan
BACKGROUND: The study analyzed microbiological and antimicrobial susceptibility profile of organisms isolated from patients with infective endocarditis (2015-17) and compared disease outcomes in cohorts of endocarditis patient with history of prior invasive vascular intervention (high risk group) vs those without (native valve group). We hypothesized that high risk group would be more likely to have severe disease outcomes. METHODS: This was a prospective cohort study (2015-17)...
September 15, 2018: Journal of Cardiothoracic Surgery
Sarah Waliany, Julia Chandler, David Hovsepian, Jack Boyd, Natalie Lui
BACKGROUND: Yellow nail syndrome is a rare condition considered secondary to functional anomalies of lymphatic drainage. Yellow nail syndrome is diagnosed through the triad of intrathoracic findings (30% being pleural effusions), nail discoloration, and lymphedema, with any two features sufficient for diagnosis. We report the second case of post-operative yellow nail syndrome. CASE PRESENTATION: After coronary artery bypass grafting, our patient presented with chylothorax on post-operative day 13 and yellow toenail discoloration on post-operative day 28, diagnosing yellow nail syndrome...
September 11, 2018: Journal of Cardiothoracic Surgery
Motohiko Goda, Tomoyuki Minami, Kiyotaka Imoto, Keiji Uchida, Munetaka Masuda, Bart Meuris
BACKGROUND: It is well known that there are major differences between the Japanese and Western population regarding the incidence of ischemic heart disease and stroke. The purpose of this study was to evaluate differences of patients' characteristics between Belgian and Japanese cohort with acute type A aortic dissection. METHODS: In 487 patients (297 male patients, mean age 61.9 ± 12.2 yrs) who underwent surgery for acute type A aortic dissection, baseline preoperative and intraoperative data were collected...
September 4, 2018: Journal of Cardiothoracic Surgery
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