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Heart Surgery Forum

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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
#1
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
#2
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
https://www.readbyqxmd.com/read/28263147/the-improvement-of-torsion-assessed-by-cardiovascular-magnetic-resonance-feature-tracking-after-coronary-artery-bypass-grafting-a-sensitive-index-of-cardiac-function
#3
Nan Cheng, Liuquan Cheng, Rong Wang, Lin Zhang, Changqing Gao
OBJECTIVE: The aim of this study was to quantify left ventricular torsion by newly applied cardiovascular magnetic resonance feature tracking (CMR-FT), and to evaluate the clinical value of the ventricular torsion as a sensitive indicator of cardiac function by comparison of preoperative and postoperative torsion. METHODS: A total of 54 volunteers and 36 patients with previous myocardial infarction (MI) and LV ejection fraction (EF) between 30%-50% were screened preoperatively or postoperatively by MRI...
February 28, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263145/early-and-midterm-results-of-the-arterial-switch-operation-a-9-year-single-center-experience
#4
Atakan Atalay, Ugur Gocen
BACKGROUND: The arterial switch operation (ASO) has become the surgical approach of choice for transposition of the great arteries. The aim of this paper was to describe the outcomes in patients who underwent arterial switch operation and to analyze the predictors of in-hospital mortality and further need for reoperation at a single-center institution. We reviewed our 9-year experience with arterial switch operation (ASO) for transposition of the great arteries (TGA) or Taussig-Bing anomaly (TBA) to assess the early and midterm outcomes...
February 28, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263146/chordae-tendineae-rupture-in-the-united-states-trends-of-outcomes-costs-and-surgical-interventions
#5
Elena V Dolmatova, Kasra Moazzami, James Maher, Marc Klapholz, Justin Sambol, Alfonso H Waller
OBJECTIVES: To describe national trends in the incidence and outcomes of patients with chordae tendineae rupture (CTR). METHODS: Patients who were diagnosed with CTR between 2000 and 2012 were identified in National (Nationwide) Inpatient Sample (NIS) registry. CTR was defined using validated International Classification of Diseases, 9th Edition, Clinical Modification diagnosis (ICD9-CM) codes. Results: A total of 37,287 (14,833 mitral valve repair, 7780 mitral valve replacement) CTR cases were identified...
February 27, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263144/prediction-of-prolonged-ventilation-after-coronary-artery-bypass-grafting-data-from-an-artificial-neural-network
#6
Eric Stephen Wise, David P Stonko, Zachary A Glaser, Kelly L Garcia, Jennifer J Huang, Justine S Kim, Justiss A Kallos, Joseph R Starnes, Jacob W Fleming, Kyle M Hocking, Colleen M Brophy, Susan S Eagle
OBJECTIVES: The need for mechanical ventilation 24 hours after coronary artery bypass grafting (CABG) is considered a morbidity by the Society of Thoracic Surgeons. The purpose of this investigation was twofold: to identify simple preoperative patient factors independently associated with prolonged ventilation and to optimize prediction and early identification of patients prone to prolonged ventilation using an artificial neural network (ANN). METHODS: Using the institutional Adult Cardiac Database, 738 patients who underwent CABG since 2005 were reviewed for preoperative factors independently associated with prolonged postoperative ventilation...
February 24, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263143/grandmother-rules-crucial-conversations-with-patients-and-families
#7
Curt Tribble
I matriculated at the same medical school from which my father graduated 22 years earlier. This coincidence gave me the opportunity to use his advice, based on his experiences as a student, to seek out some of the school's best and most memorable teachers.
February 24, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28263142/letter-from-the-editor-in-chief
#8
Igor Rudez
It was in the mid-nineties when a senior colleague of mine, Dr. Bojan Biocina, introduced me to something called "OpenHeart-L" on The Heart Surgery Forum website. Suddenly, a whole new world appeared in front of me! The possibility to communicate with colleagues from all around the globe was amazing. And not only that-one could ask anything, and there was always someone who had an answer, gave a piece of advice…what to do, what to avoid...it was magic! The person responsible for this whole idea of sharing information and interactive communication was Mark Levinson...
February 24, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054906/coronary-sinus-ostial-atresia-presenting-as-infective-endocarditis-in-a-previously-healthy-young-woman
#9
Byung Hee Ahn, Hwa Jin Cho, Kyo Sun Lee, Yo Chun Jung, Sang Gi Oh, In Seok Jeong
Coronary sinus ostial atresia is a rare disease. Most patients are usually asymptomatic and diagnosed incidentally during surgery or at autopsy. We report a case of coronary sinus ostial atresia with unroofed coronary sinus syndrome in a previously healthy woman who presented with infective endocarditis.
December 22, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054902/novel-goal-directed-hemodynamic-optimization-therapy-based-on-major-vasopressor-during-corrective-cardiac-surgery-in-patients-with-severe-pulmonary-arterial-hypertension-a-pilot-study
#10
Shuwen Li, Qing Ma, Yanwei Yang, Jiakai Lu, Zhiquan Zhang, Mu Jin, Weiping Cheng
INTRODUCTION: Pulmonary arterial hypertension (PAH) is a common and fatal complication of congenital heart disease (CHD). PAH-CHD increases the risk for postoperative complications. Recent evidence suggests that perioperative goal-directed hemodynamic optimization therapy (GDHOT) significantly improves outcomes in surgery patients. Standard GDHOT is based on major solution volume, vasodilators and inotropic therapy, while novel GDHOT is based on major vasopressor and inotropic therapy...
December 22, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054905/how-to-do-it-the-commando-operation-for-reconstruction-of-the-fibrous-skeleton-with-double-valve-replacement
#11
Brian Lima, Themistokles Chamogeorgakis, Juan C MacHannaford, Aldo Rafael, Gonzalo V Gonzalez-Stawinski, Brian Lima Md
Infiltrative processes that extend into the intervalvular fibrosa, such as infection or calcification, often mandate a complex reconstructive procedure known as the Commando operation. First described less than 20 years ago, this operation is not widely implemented, with experience limited to a few select centers. This report provides a detailed summary of our approach to this intricate procedure.
December 21, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054904/early-clinical-outcome-of-mitral-valve-replacement-using-a-newly-designed-stentless-mitral-valve-for-failure-of-initial-mitral-valve-repair
#12
Hidefumi Nishida, Hitoshi Kasegawa, Hajime Kin, Shuichiro Takanashi
Here we report the early outcome of mitral valve replacement using a newly designed stentless mitral valve for failure of initial mitral valve repair. Mitral valve plasty (MVP) for mitral regurgitation is currently a standard technique performed worldwide. However, whether mitral valve repair should be performed for patients with advanced leaflet damage or complicated pathology remains controversial. Mitral valve replacement might be feasible for patients who have undergone failed initial MVP; however, it is not an optimal treatment because of poor valve durability and the need for anticoagulative therapy...
December 21, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054903/massive-pulmonary-embolism-treated-with-catheter-therapy-and-extracorporeal-membrane-oxygenation
#13
Nicholas R Teman, Jianzhou T Xiao, Curtis G Tribble
Massive pulmonary embolism (PE) is associated with significant morbidity and mortality.  Treatment for massive PE can include systemic thrombolysis and catheter-directed therapy. We present the case of a patient with massive PE successfully treated with catheter-directed therapy, using extracorporeal membrane oxygenation for hemodynamic support, and discuss some of the potential complications associated with this therapy.
December 21, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054901/libman-sacks-endocarditis-with-unusual-large-size-vegetation-involving-the-mitral-valve
#14
Amjad Bani Hani, Mahmoud Abu-Abeeleh, Murad M Al Kharabsheh, Lubaba Qabba'ah
Antiphospholipid syndrome (APS) is an autoimmune hypercoagulable disorder characterized by thrombophilia, vascular thrombosis, and recurrent abortions associated with persistent antiphospholipid antibodies. APS may exist in its primary form, or more commonly is found to be associated with variety of rheumatic disorders, such as systemic lupus erythematosus. Cardiac involvement is not an uncommon complication in primary antiphospholipid patients. Libman-Sacks lesions are typically small, sessile, and wart-like, varying in size from 1-4 mm...
December 21, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054900/urine-output-during-cardiopulmonary-bypass-predicts-acute-kidney-injury-after-coronary-artery-bypass-grafting
#15
Mehmet Yilmaz, Rezan Aksoy, Vildan Kilic Yilmaz, Canan Balci, Cagri Duzyol, Atike Tekeli Kunt
OBJECTIVE: This study evaluated the relationship between the amount of urinary output during cardiopulmonary bypass and acute kidney injury in the postoperative period of coronary artery bypass grafting. METHODS: Two hundred patients with normal preoperative serum creatinine levels, operated on with isolated CABG between 2012-2014 were investigated retrospectively. The RIFLE (Risk, injury, failure, loss of function, and end-stage renal disease) risk scores were calculated for each patient in the third postoperative day...
December 16, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054899/there-are-a-lot-of-things-they-didn-t-tell-me-when-i-signed-on-helping-trainees-land-a-first-job
#16
Curt Tribble Md
During my training and my early faculty tenure, there was a picture of a dust-caked, grizzled cowboy that hung between the two primary cardiac operating rooms. Beneath the picture was written, "There are a lot of things about this job they didn't tell me when I signed on." When we moved into our new hospital, the picture did not resurface. However, I never forgot the lesson conveyed by that picture. One of the most important obligations faculty members have is to help their trainees find a job. While their trainees have likely had part-time jobs and, of course, they've held training positions, they usually have not had a 'real' job before...
December 15, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054898/pump-thrombosis-following-heartmate-ii-left-ventricular-assist-device-implantation-in-a-patient-with-aspirin-and-plavix-resistance
#17
Ali Ghodsizad, A Badiye, M Zeriouh, W Pae, M M Koerner, M Loebe
Despite advances in pump technology, thromboembolic events and pump thrombosis are potentially life-threatening complications in patients with continuous flow ventricular assist devices. Here we describe a patient with pump thrombosis following LVAD HeartMate II implantation presenting with Aspirin and Plavix resistance and signs of acute hemolysis as manifested by high LDH, changing pump power, pulse index and reduced pump flows.
December 14, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054897/thrombosis-of-the-right-internal-jugular-vein-is-not-a-contraindication-to-ambulatory-veno-venous-extracorporeal-membrane-oxygenation-with-a-bicaval-dual-lumen-single-cannula-system
#18
Anthony Kronfli, Chetan Pasrija, Aakash Shah, Mehrdad Ghoreishi, Jose P Garcia, Si M Pham, Pablo G Sanchez, Zachary N Kon
BACKGROUND: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is an ever-emerging method of managing respiratory failure in patients who are refractory to conventional mechanical ventilatory support. An increasingly common method of cannulation involves placement of a bicaval dual-lumen, single cannula via the right internal jugular (IJ) vein. Thrombus in this vein has been considered a contraindication for cannula placement. CASE REPORT: A 45-year-old Hispanic male presented with bleomycin-induced respiratory failure resulting in acute respiratory distress syndrome (ARDS)...
December 14, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054896/staged-or-combined-approach-for-carotid-endarterectomy-in-patients-undergoing-coronary-artery-bypass-grafting-a-5-year-long-experience
#19
Kursad Oz, Ünal Aydın, Mugisha Kyaruzi, Zeynep Karaman, Onur Selçuk Göksel, Mehmet Yeniterzi, Ihsan Bakir
BACKGROUND: Optimal surgical approach for patients with hemodynamically significant carotid and coronary disease remains controversial. We analyzed our 5-year experience and compared early and long-term outcome following staged and combined carotid and coronary artery bypass. METHODS: 312 consecutive patients undergoing carotid endarterectomy and coronary artery bypass between 2008 and 2013 were prospectively enrolled in the study. Patients were scheduled for a staged (carotid endarterectomy followed by coronary artery bypass within 1 week) procedure (Group S) unless they were unstable in terms of cardiac status (were deemed to a combined procedure; Group C)...
December 7, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/28054895/concomitant-cabg-left-ventricular-restoration-and-mitral-valve-repair-for-ischemic-heart-disease
#20
Yin Zhaohua, Feng Wei, Xu Fei, Zhang Jiqiang, Du Junzhe, Song Yangwu
AIM: To evaluate the effects of combined coronary artery bypass grafting (CABG), surgical left ventricular restoration (LVR), and mitral valve repair (MVP) in treating ischemic heart disease combined with mitral regurgitation; and to evaluate the different strategies of LVR and MVP. METHODS: From January 2001 to December 2015, 61 consecutive patients with left ventricular aneurysm and ischemic mitral regurgitation underwent concomitant CABG, LVR and MVP. We evaluated the clinical and echocardiographic outcomes of the patients...
December 6, 2016: Heart Surgery Forum
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