journal
MENU ▼
Read by QxMD icon Read
search

Heart Surgery Forum

journal
https://www.readbyqxmd.com/read/28671869/prognostic-value-of-neutrophil-to-lymphocyte-ratio-and-risk-factors-for-mortality-in-patients-with-stanford-type-a-aortic-dissection
#1
Kursad Oz, Taner Iyigun, Zeynep Karaman, Ömer Çelik, Ertan Akbay, Okan Akınc, Okan Akınc, Korhan Erkanli
BACKGROUND: Neutrophil to lymphocyte ratio (NLR) is a prognostic predictor in a wide range of cardiovascular disease. Acute aortic dissection (AD) is an uncommon but fatal cardiovascular disease. In this study, we investigated both prognostic factors in patients with AD and whether NLR can be a predictor for mortality. Methods: We analyzed retrospectively the data of 57 patients with AD who had undergone emergent surgery in our hospital and included 128 consecutive patients with chest pain admitted to the emergency room as a control group...
June 30, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671868/stemi-and-nstemi-acs-in-a-30-year-old-patient-an-extremely-rare-complication-of-a-left-atrial-myxoma
#2
Francesco Bartolomucci, Antonio Tito, Eliano Pio Navarese, Fortunato Iacovelli, Marco Mele, Claudio Larosa, Marco Matteo Ciccone, Mauro Cassese, Martino Pepe
Primary cardiac tumors are a rare entity whose incidence in the general population ranges from 0.0017% to 0.28%. Myxomas represent nearly half of all primary benign cardiac tumors and they prevalently affect female patients. Embolic manifestation is rare with a reported incidence of 0.06%.We present the case of a 30-year-old male patient with acute anterolateral infarction caused by total occlusion of the left anterior descending artery as a consequence of a left atrial myxoma embolization. Urgent surgical resection of the mass didn't avoid early recurrence of atrial myxoma, whose second presentation was again myocardial infarction...
June 30, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671867/knockin-on-heaven-s-door-end-of-life-decisions-and-discussions
#3
Curt Tribble Md
More than 2.5 million people die in the United States each year. For the majority who live out their final days in various institutions or in hospice care, decisions must be made about which treatments to administer, which treatments to stop, which treatments to continue, and which treatments to back off of. Thus, while death remains inevitable, its timing is often very much a function of human agency. Once it was common to speak of "nature taking its course," but now it has become as common to view death as something about which people have some control [Meisel 2008]...
June 29, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671866/application-of-autologous-blood-cell-salvage-in-off-pump-coronary-artery-bypass-graft-operation
#4
Hui Zhao, Huimin Ma, Li Meng, Ziniu Zhao, Xiaoqiang Quan, Zhaoyun Cheng
To analyze whether application of autologous blood cell salvage can reduce the transfusion volume of allogeneic blood and complications of blood transfusion in off-pump coronary artery bypass operations. Methods: We randomly divided 120 patients into autologous blood cell salvage group (experimental group, n = 60) and non-autologous blood cell salvage group (control group, n = 60). Volume of perioperative allogeneic blood transfusion of each patient was recorded. Moreover, complications and ICU retention times (H) of each patient were also recorded...
June 22, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671865/quality-of-life-after-surgery-for-stanford-type-a-aortic-dissection-influences-of-different-operative-strategies
#5
Tamer Ghazy, Mohamed Eraqi, Adrian Mahlmann, Helena Hegelmann, Klaus Matschke, Utz Kappert, Norbert Weiss
BACKGROUND: Outcome of surgery for acute Stanford type A aortic dissection extends beyond mortality and morbidity. More than one operative strategy is available but little is known regarding their influence on quality of life. This study analyzes the influence of defensive and aggressive operative strategies on the patients' midterm quality of life (QoL). METHODS: From July 2007 to July 2010, 95 patients underwent surgery for acute Stanford type A aortic dissection in our institution...
June 22, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671864/a-case-report-on-pulmonary-arteriovenous-fistula-with-recurrent-cerebral-infarction
#6
Lu He, Ge-Sheng Cheng, Ya-Juan Du, Yu-Shun Zhang
Patent foramen ovale (PFO) and pulmonary arteriovenous fistula (PAVF) have been both proposed as a mechanism for cerebral infarction. However, there are only a few reports on how to distinguish the role of the two factors in cerebral infarction.
June 20, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671863/rethinking-the-paradigm-modern-approach-to-proximal-aortic-reconstruction-demonstrates-excellent-outcomes
#7
Jonathan M Hemli, Edward R R DeLaney, Kush R Dholakia, Dror Perk, Nirav C Patel, S Jacob Scheinerman, Derek R Brinster
BACKGROUND: Techniques for aortic surgery continue to evolve. A real-world snapshot of patients undergoing elective surgery for aneurysm in the modern era is helpful to assist in deciding the appropriate timing for intervention. We herein describe our experience with 100 consecutive patients who underwent primary elective surgery for aneurysm of the proximal thoracic aorta over a two-year period at a single institution. METHODS: The majority of our patients were male, mean age 61...
June 20, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671862/median-sternotomy-for-lung-transplantation-techniques-and-advantages
#8
Nicholas R Teman, Jianzhou T Xiao, Curtis G Tribble, Patrick E Parrino
Lung transplantation is traditionally performed with a clamshell thoracotomy or bilateral anterior thoracotomy incisions. We have performed 121 lung transplants with a median sternotomy incision from 2013-2017. We present our technique for lung transplantation utilizing cardiopulmonary bypass with a median sternotomy, and discuss the potential advantages of this technique.
June 19, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671861/the-transcranial-doppler-sonography-for-optimal-monitoring-and-optimization-of-cerebral-perfusion-in-aortic-arch-surgery-a-case-series
#9
Tamer Ghazy, Ayham Darwisch, Torsten Schmidt, Phong Nguyen, Zuzana Fajfrova, Klaus Matschke, Utz Kappert
OBJECTIVE: To analyze the feasibility and advantages of transcranial doppler sonography (TCD) for monitoring and optimization of selective cerebral perfusion (SCP) in aortic arch surgery. METHODS: From April 2013 to April 2014, nine patients with extensive aortic pathology underwent surgery under moderate hypothermic cardiac arrest with unilateral antegrade SCP under TCD monitoring in our institution. Adequate sonographic window and visualization of circle of Willis were to be confirmed...
June 16, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28671860/a-giant-left-atrial-diverticulum-diagnosed-by-transesophageal-echocardiogram-and-multidetector-computed-tomography-a-case-report-and-brief-review-of-the-literature
#10
Qiang Chen, Hua Cao, Gui-Can Zhang, Xin-Ming Huang
Giant left atrial diverticulum is a rare congenital malformation that is most commonly diagnosed in incidental finding. Here, we reported a case of a 1-year-old asymptomatic child with a giant left atrial diverticulum. Diagnosis was established by transthoracic echocardiography (TTE), and confirmed by multidetector computed tomography (MDCT) and transesophageal echocardiography (TEE). We excised the diverticulum and sewed its base under cardiopulmonary bypass and cardiac arrest.  The patient had a good postoperative result...
June 7, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481742/ultraprotective-ventilation-during-cpb-protects-the-alveolar-capillary-barrier-in-pulmonary-normotensive-congenital-heart-patients
#11
Ugur Gocen, Atakan Atalay
BACKGROUND: Alveolar-capillary membrane damage develops as a result of the inflammatory effect of cardiopulmonary bypass (CPB). In the presence of a healthy alveolar-capillary barrier, there is little or no surfactant in the blood. The aim of this study was to evaluate the protective effects of ultraprotective ventilation during CPB by measuring serum and bronchoalveolar lavage (BAL) surfactant protein B (SPB) values in congenital heart surgery. METHODS: This prospective study was designed for 46 patients with congenital heart defects...
May 1, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481748/lessons-from-crew-resource-management-for-cardiac-surgeons
#12
Patrick Marvil, Curt Tribble
Crew resource management (CRM) describes a system developed in the late 1970s in response to a series of deadly commercial aviation crashes. This system has been universally adopted in commercial and military aviation and is now an integral part of aviation culture. CRM is an error mitigation strategy developed to reduce human error in situations in which teams operate in complex, high-stakes environments. Over time, the principles of this system have been applied and utilized in other environments, particularly in medical areas dealing with high-stakes outcomes requiring optimal teamwork and communication...
April 30, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481747/pharmacological-preconditioning-with-diazoxide-in-the-experimental-hypothermic-circulatory-arrest-model
#13
Henri Johannes Haapanen, Oiva Arvola, Johanna Herajärvi, Tuomas Anttila, Hannu Tuominen, Ulla Puistola, Peeter Karihtala, Kai Kiviluoma, Tatu Juvonen, Vesa Anttila
Hypothermic circulatory arrest includes a remarkable risk for neurological injury. Diazoxide, a mitochondrial adenosine triphosphate-dependent potassium ion (K+ATP) channel opener, is known to have cardioprotective effects. We assessed its efficacy in preventing ischemic injury in a clinically relevant animal model. Methods: Eighteen piglets were randomized into a diazoxide group (n = 9) and a control group (n = 9). Animals underwent 60 minutes of hypothermic circulatory arrest at 18°C. Diazoxide (5 mg/kg + 10 mL NaOH + 40 mL NaCl) was infused during the cooling phase...
April 30, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481746/aortic-valve-myxoma-in-a-young-man-a-case-report-and-review-of-literature
#14
Zhenchun Ji, Longgang Wang, Jiacheng Sun, Wenxue Ye, Yunsheng Yu, Haoyue Huang, Yanqiu Hu, Ziying Yang, Zhenya Shen
Myxoma is the most commonly found cardiac primary tumor. The left atrium is the most common localization of myxoma, followed by the right atrium. However, it is rare in the left and right ventricles. Myxoma originating from cardiac valves is extremely rare. This article presents a case of a 17-year-old male who was admitted due to heart murmur for one year. Transthoracic echocardiography indicated a 1.9 cm round solid mass in the left ventricular outflow tract. Excision surgery and aortic valve replacement were performed in this patient...
April 30, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481745/effects-of-cilostazol-and-diltiazem-hydrochloride-on-ischemia-reperfusion-injury-in-a-rat-hindlimb-model
#15
Bekir Inan, Selma Sönmez Ergün, Asiye Nurten, Canan Küçükgergin, Aslı Zengin Türkmen, Şule Seçkin, Kerem Erkalp, Sedat Ziyade
OBJECTIVE: Free radicals and neutrophils are potent sources of ischemia-reperfusion injury (I/R) and they can be limited by the use of exogenous application of some therapeutic agents. The objective of this study was to compare the effects of cilostazol and diltiazem hydrochloride in a rat hind limb model of I/R injury. Methods: Skeletal muscles submitted to 2 hours of ischemia by placing an aneurysm clip to femoral artery and reperfused after 1, 2 and 4 hours. Seventy-two Wistar-Albino rats were randomly divided into mainly four groups according to treatment agents:  Group I (control group) was treated with saline; Group II was treated with diltiazem hydrochloride; Group III was treated with cilostazol in 30% dimethyl sulphoxide; and Group IV was treated with 30% dimethyl sulphoxide intraperitoneally...
April 29, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481744/congenital-giant-right-atrial-aneurysm-echocardiographic-diagnosis-and-surgical-management
#16
Yao Wang, Aijun Liu, Weihua Ye
Congenital right atrial aneurysm is a rare abnormality and may easily be confused with various anomalies, such as pericardial effusion, pericardial cysts, tumors, and Ebstein's anomaly. Patients with right atrial aneurysm may be asymptomatic; but some patients may develop life-threatening complications, such as arrhythmias, congestive heart failure, or pulmonary embolism. Therefore, it is essential for correct diagnosis and appropriate patient management. We report a case of giant right atrial aneurysm in a 7-year-old boy who presented with progressive protrusion of chest...
April 28, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481743/cardiac-papillary-fibroelastoma-with-coronary-artery-anomaly-a-case-report
#17
Hongfei Xu, Liangwei Chen, Chengmeng Ye, Kwabena Gyabaah Owusu-Ansah, Yiming Ni, Weidong Li
Primary cardiac tumors are extremely rare with occurrence range of about 0.0017-0.28%. Papillary fibroelastoma is a benign cardiac neoplasms. Improvement in the early diagnosis has been made possible with the help of high-resolution imaging technology, such as transesophageal echocardiography, combined with ischemic or embolic complications which patients typically present with clinically. We herein present a 51-year-old female patient with a papillary fibroelastoma on the aortic cusp, with its origin from the left coronary sinus...
April 28, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28481741/cardiac-tamponade-as-initial-presentation-of-angioimmunoblastic-t-cell-lymphoma
#18
Xu Zhang, Ji Chao Zhang, Rong Xing Liu, Qi Miao
A 21-year-old man presented initially with impending cardiac tamponade secondary to an angioimmunoblastic T-cell lymphoma (AITL). Following unsuccessful pericardiocentesis and subxiphoid pericardiostomy, the patient's deteriorating hemodynamics prompted an urgent sternotomy. Histopathological diagnosis confirmed AITL. While chemotherapy remains the most effective treatment of AITL, life-threatening complications of the tumor necessitates surgical intervention.
March 6, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263149/predictors-of-postoperative-atrial-fibrillation-after-isolated-on-pump-coronary-artery-bypass-grafting-in-patients-%C3%A2-60-years-old
#19
Wenqi Luo, Wang Huaibin, Zhen Wenjun, Tan Jie, Ouyang Xiaokang, Wang Zi, Ma Yujian
BACKGROUND: Postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) is one of the most common complications that can contribute to an increased risk of mortality, particularly in older patients. The identification of predictors of POAF after CABG could impact patient care. This study aims to determine the risk factors of POAF in patients ≥60 years old who underwent isolated on-pump coronary artery bypass grafting (ONCAB) in order to provide a basis for the prevention and treatment of POAF after ONCAB...
February 28, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263148/clinical-application-of-optical-coherence-tomography-in-patients-with-non-st-elevation-acute-coronary-syndrome-combined-with-intermediate-lesions
#20
Hua Yu, Likun Ma, Kefu Feng, Hongwu Chen, Hao Hu
OBJECTIVE: This study aimed to evaluate the clinical significance and safety of optical coherence tomography (OCT) in patients with non-ST-elevation acute coronary syndrome (NSTEACS) combined with intermediate lesions. METHODS: Sixty-five NSTEACS patients with intermediate lesions confirmed with coronary angiography at our department were included in this study. Among them, 33 patients received only standardized drug treatment (drug group) and the other 32 patients received percutaneous coronary intervention (PCI) according to the OCT examination based on drug treatment (OCT group)...
February 28, 2017: Heart Surgery Forum
journal
journal
34744
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"