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Heart Surgery Forum

Curtis G Tribble
There are three major transitions in the educational trajectory of those heading into a career in surgery. The first transition is from the first year or two of medical school to the clerkships of the third year.  The second is the transition from medical school into the first postgraduate year of residency training. The third, which is widely held to be the toughest transition of all, is from residency into independent practice.  This review, which could be called 'a rookie's survival guide,' will address the second of those 'lurches,' that of the transition from medical school into a surgical internship...
October 3, 2018: Heart Surgery Forum
Onur Sen, Ersin Kadirogullari, Unal Aydin, Salih Guler, Sertaç Haydin
BACKGROUND: Our goal is to evaluate postoperative outcomes of continuous versus interrupted suturing techniques in ventricular septal defect (VSD) closure surgery. METHODS: The study included 286 patients with isolated VSD who underwent VSD closure surgery between June 2010 and April 2017. VSD closure was performed by using the interrupted suturing technique in group 1 (n = 74, 25.9%) and the continuous suturing technique in group 2 (n = 212, 74.1%). The groups were compared in terms of mortality and rates of clinical morbidities such as infection and complete atrioventricular (AV) block...
October 2, 2018: Heart Surgery Forum
Mohsen Mirmohammadsadeghi, Amir Mirmohammadsadeghi, Mahsa Mahmoudian
BACKGROUND: Atrial fibrillation is one of the most frequent complications and a major risk of morbidity and mortality after cardiac surgery. Antioxidants such as vitamin C are used for prevention of this arrhythmia. Different results of studies have been reported, but most of them have shown efficiency of vitamin C in prophylaxis of postoperative AF. We tried to examine this efficacy with larger sample size. METHODS: Three hundred and fourteen on pump coronary artery bypass graft surgery alone...
October 1, 2018: Heart Surgery Forum
Michael Salna, Yasuhiro Shudo, Jeffrey J Teuteberg, Dipanjan Banerjee, Richard V Ha, Y Joseph Woo, William Hiesinger
INTRODUCTION: The planned use of a temporary right ventricular assist device (RVAD) at the time of left ventricular assist device (LVAD) implantation may prevent the need for a permanent biventricular assist device (BiVAD). Herein we describe our RVAD weaning protocol that was effectively employed in 4 patients to prevent the need for permanent BiVAD. METHODS: Four patients in refractory cardiogenic shock underwent planned RVAD insertion during LVAD implantation due to severely depressed right ventricular function with dilation preoperatively...
October 1, 2018: Heart Surgery Forum
Wenda Wang, Qi Miao
Spontaneous pericardial hematoma is rare, and the diagnosis of spontaneous organized hemopericardium is difficult in some cases. The present study reports a case of a 23-year-old man admitted to our hospital for dyspnea on Sept. 30, 2017. The patient experienced shortness of breath 10 days before admission and went to a local hospital. The chest non-contrast CT and Echo revealed effusion of pericardium, right thoracic cavity and abdominal cavity. The patient went to our hospital for further treatment, and there was no abnormality in the laboratory tests of infection, tumor, or immune disease...
September 27, 2018: Heart Surgery Forum
Lifei Meng, Mingsong Wang
OBJECTIVE: The purpose of this article is to evaluate the efficacy of thoracoscopy assisted minimally surgery (NUSS procedure) for pectus excavatum and novel modified NUSS procedure by comparing the data of patients of pectus excavatum who had undergone novel modified NUSS Procedure or NUSS procedure. METHODS: A retrospective study was performed, involving 132 cases of patients with pectus excavatum collected from Shanghai Jiaotong University School of Medicine Xinhua Hospital cardio-thoracic surgery between Jan...
September 27, 2018: Heart Surgery Forum
Melike Elif Teker, Önder Teskin
BACKGROUND: Primary cardiac sarcoma is a rare and atypical clinical entity. We present a patient with long-term remission after primary cardiac sarcoma resection. CASE REPORT: A 42-year-old previously healthy female presented to the emergency department after an effort-induced 30-minute episode of chest pain and extreme shortness of breath. Physical examination upon admission was remarkable for a pulse of 99/minute; blood pressure was 101/73 mmHg. Transthoracic echocardiography showed a mass measuring 5...
September 25, 2018: Heart Surgery Forum
Fatih Ada, Volkan Emren
OBJECTIVE: Patients with iliac vein compression syndrome (IVCS) usually present to the hospital with left-sided leg edema. We looked for an answer to the question: ''Can iliac vein compression syndrome (IVCS) be predicted with a reliable physical examination test in the differential diagnosis?'' Methods: We tested a new physical examination on patients with only left-sided lower extremity edema. In this physical examination the widest area of the calf point (just below tuberosity of the tibia) and medial malleolus was measured in both legs on the Trendelenburg position at 30°and repeated in standing position...
September 25, 2018: Heart Surgery Forum
Binfei Li, Geqin Sun, Zhou Cheng, Chuangchuang Mei, Xiaozu Liao, Jianwei Li, Yong Yuan
OBJECTIVES: This study aims to analyze the nosocomial infection factors in post-cardiac surgery extracorporeal membrane oxygenation (ECMO) supportive treatment (pCS-ECMO). METHODS: The clinical data of the pCS-ECMO patients who obtained nosocomial infections (NI) were collected and analyzed retrospectively. Among the 74 pCS-ECMO patients, 30 occurred with NI, accounting for 40.5%; a total of 38 pathogens were isolated, including 22 strains of Gram-negative bacteria (57...
September 17, 2018: Heart Surgery Forum
Yonghua Bi, Hongmei Chen, Zepeng Yu, Jianzhuang Ren, Xinwei Han
BACKGROUND: Aortic dissection is a severe and life-threatening disease that is usually linked with numerous possible complications. Stanford type B aortic dissection patients often choose endovascular repair due to its mini-invasiveness and quick recovery. This study concerns with medial-term outcome and quality of life (QoL) in patients with Stanford type B aortic dissection after endovascular repair. METHODS: From January 2014 until July 2016, 40 patients with Stanford type B aortic dissection received an endovascular repair...
September 13, 2018: Heart Surgery Forum
Fanglin Lu, Hao Wu, Yifan Bai, Dejun Gong, Cuiping Xia, Qin Li, Fanglin Lu, Zhiyun Xu
BACKGROUND: Chemically cross-linked animal tissues, such as porcine aortic valves (PAVs) have many documented advantages over mechanical valves. However, calcification is the major underlying pathologic process that results in bioprosthetic valve failure. Recently, several reports described the expression of noncollagenous bone matrix proteins in bioprosthetic valves and suggested an actively regulated process of tissue repair. METHODS: Thirty-one explanted PAVs with evidence of calcification were collected and examined for the protein expression implicated in myofibroblast activation, osteoblast differentiation, and bone matrix deposition by using immunohistochemistry...
September 13, 2018: Heart Surgery Forum
Ali Kemal Gür, Mehmet Coşkun Aykaç
OBJECTIVE: Although seen rarely compared to all tumors, cardiac tumors are tumors which may have a mortal course with possible complications. The most common cardiac tumor in adults is myxoma with its benign character. The results of cardiac tumors resected with open cardiac surgery in our center are reported in this study. MATERIALS AND METHODS: Twenty-three cardiac tumor patients electively operated on in our clinic between January 2010 and August 2017 were retrospectively included in the study...
September 13, 2018: Heart Surgery Forum
Qiang Huang, Yongqiang Ren, Hui Li, Youjin Qiao, Mingshan Lin
Acute aortic dissection (AAD) faces great challenges in early diagnosis and effective drug treatment. Recent developments in systems biology approaches allow high-throughput screening of novel diagnostic biomarkers and potential therapeutic targets. In this review, we summarize the currently available AAD biomarkers identified in the context of genomic, transcriptomic, proteomic, and metabolic profiles, and highlight the benefits of using a combination of these findings for a better understanding of the molecular nature of this life-threatening disease...
August 17, 2018: Heart Surgery Forum
Sebastian Hempe, Ajay Moza, Andreas Goetzenich, Lachmandath Tewarie, Christian Bleilevens, Rüdiger Autschbach, Heike Schnoering, Rashad Zayat
BACKGROUND: The optimal treatment strategy in patients presenting with hemodynamically significant carotid artery disease who are to undergo cardiac surgery, remains controversial. In this study, we retrospectively analyzed the outcome data of patients receiving synchronous or staged coronary artery bypass graft (CABG) surgery and carotid endarterectomy (CEA). METHODS: Between 2011 and 2016, 3173 patients underwent CABG surgery in our institution, of whom 323 received CABG and CEA either as synchronous (N = 307) or as staged (N = 16) procedures...
August 17, 2018: Heart Surgery Forum
Alsayed Salem, Ahmed Moustafa Ewiss Abdelgawad, Ahmed Elshemy
BACKGROUND: Rheumatic heart disease (RHD) is the leading cause of mitral valve disease in the developing world. In general, mitral valve repair is preferred over replacement. Although it is very successful in degenerative disease, its results in the rheumatic valve are not as successful as that for degenerative repair. Our approach has been to repair rheumatic mitral valves when the anatomic substrate appears to permit it, and we aimed by this study to present our immediate and midterm follow-ups of our cohort of rheumatic valve repair patients...
August 14, 2018: Heart Surgery Forum
Mehmet Adnan Celkan, Ismail Kork, Abdullah Ulucay
BACKGROUND: In this study, we present the outcomes of 53 patients with concomitant coronary artery disease and ischemic mitral regurgitation (IMR)who underwent coronary bypass grafting (CABG) plus mitral repair (flexible posterior band annuloplasty). MATERIALS AND METHODS: A total of 53 patients with concomitant ischemic mitral regurgitation  and coronary artery disease underwent CABG plus posterior mitral band annuloplasty between June 2008 and June 2015. Flexible Duran AnCore® annuloplasty band (Medtronic) was used in all patients...
August 14, 2018: Heart Surgery Forum
Kentaro Meguro, Ryota Kakizaki, Takuya Hashimoto, Tomoyoshi Yanagisawa, Toshimi Koitabashi, Tadashi Kitamura, Junya Ako
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is effective in treating severe aortic stenosis in inoperable or high-risk surgical patients, however, the little is known about outcomes after Sapien 3 20 mm transcatheter heart valve (THV) implantation. The purpose of this study was to investigate the short term outcomes of Sapien 3 20 mm THV implantation in Japanese people with a small body size. METHODS: We retrospectively collected the hospital records of consecutive patients who underwent TAVI using the Sapien 3 20 mm THV between October 2016 and March 2017...
August 14, 2018: Heart Surgery Forum
Songsen Li, Xiaohua Niu, Guangjie Pan, Huili Chen
BACKGROUND: This study aims to investigate the relationship between polymorphism of adiponectin (ADIPOQ) gene SNPS+276 and the severity of coronary heart disease (CHD) and coronary artery disease (CAD). METHODS: A total of 582 inpatients were enrolled and divided into Group CHD (342 cases) and the control group (CON, 240 cases), according to their angiographic results from June 2014 to April 2016 for the genotype (G/T) analysis of ADIPOQ SNPs+276 by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP)...
August 13, 2018: Heart Surgery Forum
Suna Aydin
BACKGROUND: Hypertension develops at a rate of 33 to 70% after Coronary artery bypass grafting (CABG) operations. One of the most commonly used drugs to control hypertension is sodium nitroprusside (SNP). Additionally, renalase enzyme destroys catecholamines and mediates the regulation (reduction) of blood pressure. Thus, this clinical study aims to reveal how renalase, catecholamines and nitric oxide (NO) change and how certain hemodynamic parameters are affected in randomly and prospectively selected cases who are administered SNP for the treatment of blood pressure elevation within 6 to 8 hours after CABG surgery...
August 7, 2018: Heart Surgery Forum
H Tarık Kızıltan
Patients who have aortoiliac aneurysms with arteriovenous fistulas are difficult to treat. The traditional mode of surgical repair based on aneurysmal excision, fistula closure and graft inclusion has been associated with high perioperative mortality. As an alternative the exclusion technique has also been utilized. Over the years the popularity and success rate of endovascular techniques have increased in the treatment of these patients, yet a technical failure during an endovascular repair always makes surgical repair inevitable...
July 26, 2018: Heart Surgery Forum
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