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Journal of Cardiothoracic Surgery

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https://www.readbyqxmd.com/read/28412961/perventricular-double-device-closure-of-wide-spaced-multi-hole-perimembranous-ventricular-septal-defect
#1
Fei Liang, Li Hongxin, Hai-Zhou Zhang, Guo Wenbin, Cheng-Wei Zou, Zeeshan Farhaj
BACKGROUND: Device closure of a wide-spaced multi-hole PmVSD is difficult to succeed in percutaneous approach. This study is to evaluate the feasibility, safety and efficacy of perventricular device closure of wide-spaced multi-hole PmVSD using a double-device implanting technique. METHODS: Sixteen patients with wide-spaced multi-hole PmVSD underwent perventricular closure with two devices through an inferior median sternotomy approach under transesophageal echocardiographic guidance...
April 17, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28376837/heartmate-3-fully-magnetically-levitated-left-ventricular-assist-device-for-the-treatment-of-advanced-heart-failure-1%C3%A2-year-results-from-the-ce-mark-trial
#2
Thomas Krabatsch, Ivan Netuka, Jan D Schmitto, Daniel Zimpfer, Jens Garbade, Vivek Rao, Michiel Morshuis, Friedhelm Beyersdorf, Silvana Marasco, Laura Damme, Yuriy Pya
BACKGROUND: The HeartMate 3 Left Ventricular Assist System (LVAS) (St. Jude Medical Inc., St Paul, MN) with full magnetic levitation allows for wide and consistent blood flow paths and an artificial pulse designed for enhanced hemocompatibility. The HeartMate 3 received market approval in the European Union in 2015 following completion of a multicenter study. After reaching the 6-month study endpoint, patients continue to be followed for 2 years with the 1-year results presented herein...
April 4, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28376814/treatment-of-traumatic-sternal-fractures-with-titanium-plate-internal-fixation-a-retrospective-study
#3
Yonghong Zhao, Yi Yang, Zongli Gao, Weiming Wu, Weiwei He, Tiancheng Zhao
BACKGROUND: This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion. METHODS: From January 2010 to December 2014, 64 patients with sternal fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People's Hospital. Pain severity scale scores were analyzed preoperatively and postoperatively. All the patients had a 2-month follow-up for treatment evaluation...
April 4, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28363280/erratum-to-is-pre-operative-haemoglobin-a1c-level-a-successful-predictor-of-adverse-outcome-after-cardiac-surgery
#4
Ai Hooi Tee, R Hasan, K E Mclaughlin, D J M Keenan, S Datta
No abstract text is available yet for this article.
March 31, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28359339/high-dose-statin-prophylaxis-in-cardiopulmonary-bypass-related-surgery-clinical-utility
#5
RANDOMIZED CONTROLLED TRIAL
Yie Roei Chee, R William G Watson, James McCarthy, Jehan Zeb Chughtai, Lars Nölke, David G Healy
BACKGROUND: Previous studies from our group demonstrated the anti-inflammatory properties of statins on cardiopulmonary bypass (CPB), through inhibition of neutrophil transendothelial migration. We sought to determine the utility of preoperative statin on patients undergoing cardiac surgery, to investigate any moderating effects on the systemic inflammatory response (SIRS) with CPB, and to evaluate any clinical impact on our patients. METHODS: This is a prospective, randomised controlled trial with national regulatory body approval...
March 31, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28347356/surgical-resection-of-cardiac-myxoma-a-30-year-single-institutional-experience
#6
Kyo Seon Lee, Gwan Sic Kim, Yochun Jung, In Seok Jeong, Kook Joo Na, Bong Suk Oh, Byung Hee Ahn, Sang Gi Oh
BACKGROUND: Primary cardiac tumors are rare and myxoma constitutes the majority. The present study summarizes our 30-year clinical outcomes of surgical myxoma resection. METHODS: Between January 1986 and December 2015, 93 patients (30 men, 63 women; mean age, 54.7 ± 16.6 years) underwent surgical myxoma resection. The most common origin site was the left atrium. Surgery was performed via a biatrial approach in 74.2%, atrial septotomy through right atriotomy in 17...
March 27, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28347347/a-rare-case-of-biventricular-myxoma
#7
Tangsakar Ermek, Naibi Aybek, Wei-Min Zhang, Yong-Zhong Guo, Sheng Guo, Azze Mamataly, Dong-Qing Chang, Jun Liu, Zong-Gang Zhang
BACKGROUND: Cardiac myxoma is the most common primary cardiac tumor. Approximately 75-80% of myxomas are located in the left atrium. Occurrence of multiple myxomas is extremely rare. CASE PRESENTATION: We describe a rare case of biventricular myxomas resulting in right ventricular inflow and tricuspid valve obstruction. The lesions were detected by echocardiography and thoracic computerized tomography (CT) and confirmed on positron emission tomography-computed tomography...
March 27, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28347328/a-rare-case-report-of-early-bioprosthetic-valve-thrombosis-presenting-with-acute-heart-failure-salvaged-by-thrombectomy
#8
Jingya Fan, Peng Teng, Yu Zou, Liang Ma
BACKGROUND: Bioprosthetic valve thrombosis is previously considered as an extremely rare complication which hasn't been systemically recognized and understood. CASE PRESENTATION: Herein, we present an unusual case of a patient manifesting with acute heart failure, secondary to thrombus formation in a porcine aortic bioprosthesis which was implanted 11 months prior to hospitalization. Due to the patient's poor heart function and intraoperative findings, thrombectomy was performed...
March 27, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28335795/gemella-morbillorum-endocarditis-of-pulmonary-valve-a-case-report
#9
Dan Li, Zhicheng Zhu, Xiaomei Zheng, Weitie Wang, Rihao Xu, Kexiang Liu
BACKGROUND: Pulmonary valve infective endocarditis is a rare finding for endocarditis. Infective endocarditis caused by Gemella morbillorum remains a scanty occurrence. CASE PRESENTATION: This is a case reported of a 28-year-old Chinese male with endocarditis caused by pulmonary valve infection of Gemella morbillorum associated with congenital ventricular septal defect, atrial septal defect and double-chambered right ventricle. The patient presented with fever, shortness of breath, progressively worsening exertional fatigue, dyspnea and weight loss for 3 months...
March 23, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28302138/congenital-giant-left-atrial-appendage-aneurysm-a-case-report
#10
Yan Chen, Yun Mou, Li-Jun Jiang, Shen-Jiang Hu
BACKGROUND: Congenital left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially serious complications, including life-threatening systemic thromboembolism, atrial tachyarrhythmia, and cardiac dysfunction. Currently, early surgical intervention is generally recommended to prevent these complications. CASE PRESENTATION: We present a case of congenital giant LAAA in a female patient who successfully completed pregnancy and underwent caesarean section with no obvious complications...
March 16, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28270168/towards-a-cardiac-allocation-score-a-retrospective-calculation-for-73-patients-from-a-german-transplant-center
#11
Sebastian Claes, Michael Berchtold-Herz, Qian Zhou, Georg Trummer, Matthias Bock, Andreas Zirlik, Friedhelm Beyersdorf, Christoph Bode, Sebastian Grundmann
BACKGROUND: Due to a growing discrepancy between the transplant waiting list and decreasing numbers of available donor hearts, cardiac transplantation rates in Germany have been declining in the past years. Currently, patients on the waiting list are prioritized by medical urgency and waiting time and therefore a majority of all cardiac transplants is performed in very ill patients. Recently, a different allocation algorithm was proposed that included predicted post-transplant survival as a parameter for organ allocation...
March 7, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28253894/a-rare-cardiac-inflammatory-myofibroblastic-tumor-involving-aortic-valve
#12
Wenzong Luo, Peng Teng, Yiming Ni
BACKGROUND: Cardiac inflammatory myofibroblastic tumor (IMT) is an extremely rare benign entity which constitutes a small proportion of primary cardiac tumor. CASE PRESENTATION: We present a rare case of a 55-year-old symptomatic male patient with a rare cardiac IMT causing left ventricular outflow tract (LVOT) obstruction. The patient received complete tumor resection immediately with uneventful postoperative hospital course. CONCLUSION: To our best knowledge, cardiac IMT involving aortic valve in older adult causing LVOT obstruction has never been reported before...
March 2, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28231853/reconstruction-of-the-pulmonary-posterior-wall-using-in-situ-autologous-tissue-for-the-treatment-of-pulmonary-atresia-with-ventricular-septal-defect
#13
Chengming Fan, Yifeng Yang, Lian Xiong, Ni Yin, Qin Wu, Mi Tang, Jinfu Yang
BACKGROUND: To evaluate the early and mid-term results of pulmonary trunk reconstruction using a technique in which autogenous tissue is preserved in situ in pulmonary atresia patients with a ventricular septal defect (PA-VSD). METHODS: The pulmonary artery was reconstructed using autogenous tissue that had been preserved in situ and a bovine jugular venous patch in 24 patients who were diagnosed with PA-VSD (the observation group). The traditional operation using a bovine jugular venous conduit was performed in 40 other cases of PA-VSD (the control group)...
February 23, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28231841/early-clinical-outcomes-of-on-pump-beating-heart-versus-off-pump-technique-for-surgical-revascularization-in-patients-with-severe-left-ventricular-dysfunction-the-experience-of-a-single-center
#14
LiMin Xia, Qiang Ji, Kai Song, JinQiang Shen, YunQing Shi, RunHua Ma, WenJun Ding, ChunSheng Wang
BACKGROUND: Limited experiences of applying an on-pump beating-heart technique for surgical revascularization in patients with severe left ventricular dysfunction have been reported. Which strategy, either off-pump coronary artery bypass grafting (CABG) or on-pump beating-heart CABG surgery, is the best strategy for surgical revascularization in patients with severe left ventricular dysfunction is still controversial. This single-center study aimed to evaluate the impacts of an on-pump beating-heart versus an off-pump technique for surgical revascularization on the early clinical outcomes in patients with a left ventricular ejection fraction (LVEF) of 35% or less to explore which technique would be more suitable for surgical revascularization in patients with severe left ventricular dysfunction...
February 23, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28179009/benefits-of-ultra-fast-track-anesthesia-in-left-ventricular-assist-device-implantation-a-retrospective-propensity-score-matched-cohort-study-of-a-four-year-single-center-experience
#15
Rashad Zayat, Ares K Menon, Andreas Goetzenich, Gereon Schaelte, Ruediger Autschbach, Christian Stoppe, Tim-Philipp Simon, Lachmandath Tewarie, Ajay Moza
BACKGROUND: The use of left ventricular assist devices (LVADs) has gained significant importance for treatment of end-stage heart failure. Fast-track procedures are well established in cardiac surgery, whereas knowledge of their benefits after LVAD implantation is sparse. We hypothesized that ultra-fast-track anesthesia (UFTA) with in-theater extubation or at a maximum of 4 h. after surgery is feasible in Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) level 3 and 4 patients and might prevent postoperative complications...
February 8, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28143575/supraclavicular-transposition-of-aberrant-left-vertebral-artery-for-hybrid-treatment-of-aortic-arch-aneurysm-a-case-report
#16
Kyo Seon Lee, Gwan Sic Kim, Yochun Jung, In Seok Jeong, Kook Joo Na, Bong Suk Oh, Byung Hee Ahn, Sang Gi Oh
BACKGROUND: Vertebral artery variations are common in thoracic aortic patients. If patients have the aberrant left vertebral artery, the more difficult to determine the treatment modality. CASE PRESENTATION: We report the case of a 63-year-old man with an aberrant left vertebral artery originating from an aneurysmal aortic arch. The patient underwent a successful hybrid thoracic endovascular aortic repair after aortic arch debranching and transposition of the aberrant left vertebral artery to the left common carotid artery through a supraclavicular incision without sternotomy...
January 31, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28137288/computer-based-comparison-of-different-methods-for-selecting-mitral-annuloplasty-ring-size
#17
COMPARATIVE STUDY
Sameer Al-Maisary, Sandy Engelhardt, Bastian Graser, Ivo Wolf, Matthias Karck, Raffaele De Simone
BACKGROUND: Ring sizing for mitral valve annuloplasty is conventionally done intraoperatively using specific 'sizer' instruments, which are placed onto the valve tissue. This approach is barely reproducible since different sizing strategies have been established among surgeons. The goal of this study is to virtually apply different sizing methods on the basis of pre-repair echocardiography to find out basic differences between sizing strategies. METHODS: In three-dimensional echocardiographs of 43 patients, the mitral annulus and the contour of the anterior mitral leaflet were segmented using MITK Mitralyzer software...
January 30, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28126025/anti-inflammatory-properties-of-amniotic-membrane-patch-following-pericardiectomy-for-constrictive-pericarditis
#18
Katherine M Marsh, Alice S Ferng, Tia Pilikian, Ankit A Desai, Ryan Avery, Mark Friedman, Isabel Oliva, Clint Jokerst, David Schipper, Zain Khalpey
BACKGROUND: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Due to these properties, amniotic membrane patches were applied intraoperatively in a complicated patient presenting with constrictive pericarditis...
January 26, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28126002/novel-vs-clinical-organ-preservation-solutions-improved-cardiac-mitochondrial-protection
#19
COMPARATIVE STUDY
Alice S Ferng, David Schipper, Alana M Connell, Katherine M Marsh, Shannon Knapp, Zain Khalpey
BACKGROUND: Heart transplantation remains the gold standard for end-stage heart failure, with current ex vivo organ storage times limited to 4 to 6 h before critical tissue damage occurs. Many preservation solutions exist in an attempt to limit both ischemic and reperfusion damage. In order to compare the effects of various storage solutions, mitochondrial function can be used to provide a sensitive analysis of cellular metabolic function. METHODS: Experimental plates were seeded with cardiac myoblasts and kept in suspended animation for either 4 or 8 h at either 4(o) or 21 °C, in Celsior®, Perfadex®, or Somah storage solutions...
January 26, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28122632/management-of-gastric-conduit-dehiscence-with-self-expanding-metal-stents-a-case-report-on-salvaging-the-gastric-conduit
#20
Diana H Liang, Leonora M Meisenbach, Min P Kim, Edward Y Chan, Puja Gaur Khaitan
BACKGROUND: Three-hole minimally invasive esophagectomy (3HMIE) is one of the most radical procedures in gastrointestinal surgery. It involves thoracoscopic dissection of the esophagus followed by creation of a gastric conduit in the abdomen with anastomosis in the neck, and is associated with significant morbidity. Gastric conduit dehiscence is one of the most morbid complications following esophagectomy. Historically, the standard of care in this situation has been conduit diversion with delayed esophageal reconstruction...
January 25, 2017: Journal of Cardiothoracic Surgery
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