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Brazilian Journal of Cardiovascular Surgery

Vinicius José da Silva Nina, Emily A Farkas, Rachel V A H Nina, Aubyn Marath
No abstract text is available yet for this article.
November 2017: Brazilian Journal of Cardiovascular Surgery
Jayandiran Pillai, Ceyhan Yazicioglu, Mahad Omar, Martin G Veller
Stent-graft migration and type I endoleaks are associated with a higher rate of reintervention and increased mortality and morbidity. This article describes a patient presented with an infrarenal aortic stent-graft which had migrated into the aortic sac with loss of all aortic neck attachment. The acutely expanding abdominal aortic aneurysm was treated by placing a second modular endograft within and above the migrated stentgraft. The patient returned 36 months later, with features of an acute myocardial infarction, severe bilateral lower limb ischemia, and renal failure...
November 2017: Brazilian Journal of Cardiovascular Surgery
Michal Hulman, Panagiotis Artemiou, Alena Ftacnikova, Pavol Chnupa
Left atrial dissection is a rare factor that may cause left ventricular assist device obstruction. Prompt diagnosis and surgical repair are essential. This case report describes our experience and a successful surgical management in a patient after HeartMate 3 implantation and mitral valve inflow obstruction due to a left atrial dissection.
November 2017: Brazilian Journal of Cardiovascular Surgery
Eduardo Cavalcanti Lapa Santos, Rodrigo Mezzalira Tchaick, Diogo Luiz de Magalhães Ferraz, João Paulo Segundo de Paiva Oliveira, Fernando Augusto Marinho Dos Santos Figueira, George Augusto da Fonseca Carvalho Antunes Lima
Embolization by a dislodged projectile is a rare complication that may occur in cases of gunshot cardiac injuries. We report a case of a firearm projectile cardiac injury that evolved, with dislocation of the projectile during cardiac surgery, into embolization of the right external carotid artery.
November 2017: Brazilian Journal of Cardiovascular Surgery
Ana Paula Tagliari, Adriano Nunes Kochi, Luis Eduardo Paim Rohde, Orlando Carlos Belmonte Wender
INTRODUCTION: Spontaneous coronary artery dissection is a sudden separation between the layers of a coronary artery wall, non-iatrogenic or trauma related, that has been recognized as an important cause of myocardial infarction. OBJECTIVE: To report an emblematic case, in terms of angiographic images, clinical presentation and predisposing factors, whose clinical management failure led to surgical intervention. METHODS: A previously healthy 48-year-old male farmer was admitted to the emergency room complaining of anterior chest pain described as "tearing", which started after physical exertion...
November 2017: Brazilian Journal of Cardiovascular Surgery
Xiangdong Xu, Yongqing Tang
OBJECTIVE: To investigate the relationship between brain natriuretic peptide and recurrence of atrial fibrillation after successful electrical cardioversion. METHODS: Medline and Embase databases were used to identify publications evaluating BNP/N-Terminal (NT)-proBNP levels in association with atrial fibrillation recurrence after successful electrical cardioversion. Nineteen studies that fulfilled the specified criteria of our analysis were found. RESULTS: Baseline BNP/NT-proBNP levels of the atrial fibrillation recurrence group were significantly higher than those of the sinus rhythm maintaining group (SMD -0...
November 2017: Brazilian Journal of Cardiovascular Surgery
Jyrson Guilherme Klamt, Walter Villela de Andrade Vicente, Luis Vicente Garcia, Fabio Carmona, João Abrão, Antônio Carlos Menardi, Paulo Henrique Manso
This article describes our proposal for routine anesthesia, intraoperative medical management, cerebral and physiological monitoring during pediatric cardiac surgery with cardiopulmonary bypass that intend to provide appropriate anesthesia (analgesia, hypnosis), neuroprotection, adequate cerebral and systemic oxygen supply, and preventing against drugs neurotoxicity. A concise retrospective data is presented.
November 2017: Brazilian Journal of Cardiovascular Surgery
Paulo Roberto Barbosa Evora, Antonio Carlos Menardi, Andrea Carla Celotto, Agnes Afrodite S Albuquerque, Hannah Miranda Araujo Chagas, Alfredo José Rodrigues
Nonvalvular atrial fibrillation is associated with a 4- to 5-fold strokes increase and may be responsible for 15% to 20% of all strokes in the elderly. In this scenario, the left atrial appendage thrombus would be the associated with 90% of cases. The use of anticoagulants, percutaneous devices, and the left atrial appendage surgical exclusion is still an open discussion. For left atrial appendage procedures, relevant anatomic spatial relationships have to be emphasized, besides the chance of the normal physiological functioning would be eliminated with the proceedings...
November 2017: Brazilian Journal of Cardiovascular Surgery
Alwaleed Al-Dairy, Maziar Gholampour Dehaki, Gholamreza Omrani, Ali Sadeghpour, Amir Hossein Jalali, Reza Sadat Afjehi, Mohammad Mahdavi, Mahmood Salesi
INTRODUCTION: The superior cavopulmonary connection operation is one of the stages of the palliative surgical management for patients with functionally single ventricle. After surviving this stage, the patients are potential candidates for the final palliative procedure: the Fontan operation. OBJECTIVES: This study aimed to analyze the outcomes of superior cavopulmonary connection operations in our center and to identify factors affecting the survival and the progression to Fontan stage...
November 2017: Brazilian Journal of Cardiovascular Surgery
Fernando Sérgio Oliva Souza, Vanessa Sepulvida Matos, Marcos Cesar Valério Almeida, Samuel Campagiotto Weiss, Lucas Henrique Borges Rodrigues, Pedro Augusto Gori Lima, Davi Bongiolo Mattos
INTRODUCTION: The implantable cardioverter defibrillator had been increasing the survival of patients at high risk for sudden cardiac death. The subcutaneous implantable cardioverter defibrillator was developed to mitigate the complications inherent to lead placement into cardiovascular system. OBJECTIVE: To report the initial experience of 18 consecutive cases of subcutaneous implantable cardioverter defibrillator implantation showing the indications, potential pitfalls and perioperative complications...
November 2017: Brazilian Journal of Cardiovascular Surgery
Ana Paula Susin Osório, Stefan Warpechowski, Antonio Lessa Gaudie Ley, Marcelo Haertel Miglioranza, Laura Lessa Gaudie Ley, Eduardo Dytz Almeida, Roberto Tofani Sant'anna, Tiago Luiz Luz Leiria
INTRODUCTION: Chronic stimulation of the right ventricle with pacemaker is associated with ventricular dyssynchrony and loss of contractility, even in subjects without previous dysfunction. In these patients, there is a debate of which pacing site is less associated with loss of ventricular function. OBJECTIVE: To compare pacemaker-induced dyssynchrony among different pacing sites in right ventricular stimulation. METHODS: Cross-sectional study of outpatients with right ventricle stimulation higher than 80% and preserved left ventricular ejection fraction...
November 2017: Brazilian Journal of Cardiovascular Surgery
Marcus Vinicius H de Carvalho, Evaldo Marchi, Edmir Américo Lourenço
INTRODUCTION: Tissue adhesives can be used as adjacent to sutures to drop or avoid bleeding in cardiovascular operations. OBJECTIVE: To verify the efficiency of fibrin and cyanoacrylate adhesive to seal arterial sutures and if the adhesives penetrate through suture line to the inner of arteries. METHODS: 20 abdominal aorta segments of pigs were divided into two groups according to the adhesive which would be used as adjacent to the suture...
November 2017: Brazilian Journal of Cardiovascular Surgery
Wuhua Jiang, Jiarui Xu, Bo Shen, Chunsheng Wang, Jie Teng, Xiaoqiang Ding
OBJECTIVE: To assess the clinical value of four models for the prediction of cardiac surgery-associated acute kidney injury (CSA-AKI) and severe AKI which renal replacement therapy was needed (RRT-AKI) in Chinese patients. METHODS: 1587 patients who underwent cardiac surgery in the department of cardiac surgery in the Zhongshan Hospital, Fudan University, between January 2013 and December 2013 were enrolled in this research. Evaluating the predicting value for cardiac surgery-associated AKI (AKICS score) and RRT-AKI (Cleveland score, SRI and Mehta score) by Hosmer-Lemeshow goodness-of-fit test for the calibration and area under receiver operating characteristic curve (AUROC) for the discrimination...
November 2017: Brazilian Journal of Cardiovascular Surgery
Marisol Carreno Jaimes, Luis Alberto Arciniegas Torrado, Néstor Fernando Sandoval Reyes, Jaime Camacho Mackenzie, Juan Pablo Umana Mallarino
INTRODUCTION: Few reports in the world have shown a differential effect of hypothyroidism in relation to morbidity and mortality following cardiac surgery. OBJECTIVE: To determine the association between preoperative hypothyroidism, composite and disaggregated outcomes of mortality and complications in patients undergoing first-time isolated myocardial revascularization surgery. METHODS: Historical cohort of patients undergoing myocardial revascularization between January 2008 and December 2014, with 626 patients included for evaluation of the composite and disaggregated outcomes of in-hospital mortality and complications (atrial fibrillation, surgical site infection and reoperation due to bleeding)...
November 2017: Brazilian Journal of Cardiovascular Surgery
Pelin Ayyıldız, Taner Kasar, Erkut Ozturk, Okan Yildiz, Serpil Ozturk, Yakup Ergul, Sertac Haydin, Alper Guzeltas
INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) has become a standard technique over the past few decades in intensive care unit (ICU). OBJECTIVE: A review of pediatric patients who received ECMO support in the pediatric cardiac ICU was conducted to determine the incidence, risk factors and causal organisms related to acquired infections and assess the survival rates of ECMO patients with nosocomial infections. METHODS: Sixty-six patients who received ECMO support in the pediatric cardiac ICU between January 2011 and June 2014 were included in the study...
November 2017: Brazilian Journal of Cardiovascular Surgery
Jamil Alli Murad, Maurício Nassau Machado, Marcio Pimentel Fernandes, Marcelo José Ferreira Soares, Ingrid Helen Grigolo, Cristiane Carvalho Singulane, Moacir Fernandes de Godoy
OBJECTIVE: The present study refers to a determination of the preoperative B-type natriuretic peptide is a predictor of short-term all-cause mortality in patients undergoing on-pump coronary artery bypass graft surgeries. METHODS: Two hundred and twenty-one patients undergoing on-pump coronary artery bypass graft surgeries were evaluated prospectively during a 30-day postoperative follow-up period. Serum B-type natriuretic peptide concentration was measured without a 24-hour period prior to the surgical procedure and the value obtained was correlated with a short-term all-cause mortality...
November 2017: Brazilian Journal of Cardiovascular Surgery
Vinicius José da Silva Nina, Fabio B Jatene, Nick Sevdalis, Omar Asdrúbal Vilca Mejía, Carlos Manuel de Almeida Brandão, Rosangela Monteiro, Luiz Fernando Caneo, Paula Gobi Scudeller, Augusto Dimitry Mendes, Vinícius Giuliano Mendes, Bellkiss Wilma Romano
INTRODUCTION: Most risk stratification scores used in surgery do not include external and non-technical factors as predictors of morbidity and mortality. OBJECTIVE: The present study aimed to translate and adapt transculturally the Brazilian version of the Disruptions in Surgery Index (DiSI) questionnaire, which was developed to capture the self-perception of each member of the surgical team regarding the disruptions that may contribute to error and obstruction of safe surgical flow...
November 2017: Brazilian Journal of Cardiovascular Surgery
Domingo M Braile, Paulo Roberto B Évora
No abstract text is available yet for this article.
November 2017: Brazilian Journal of Cardiovascular Surgery
Renato A K Kalil
No abstract text is available yet for this article.
September 2017: Brazilian Journal of Cardiovascular Surgery
(no author information available yet)
[This corrects the article doi: 10.21470/1678-9741-2017-0053].
September 2017: Brazilian Journal of Cardiovascular Surgery
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