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https://www.readbyqxmd.com/read/27823597/frequency-of-deep-vein-thrombosis-and-or-pulmonary-embolism-after-coronary-artery-bypass-grafting-investigation-regardless-of-clinical-suspicion
#1
Vitor B Viana, Emanoel R Melo, Mario Terra-Filho, Luis A Dallan, Maria M Gonzalez, Ludhmila A Hajjar, Fabio B Jatene, Luiz A Cesar, Caio B Vianna
Venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and/or pulmonary embolism (PE). Many surgeons and clinicians believe that VTE after coronary artery bypass grafting (CABG) has little clinical significance because it is seldom diagnosed. This study aimed to identify VTE after CABG, independent of clinical suspicion. In this prospective, observational, single-center study, 100 patients underwent computed tomographic pulmonary angiography (multidetector-64) and lower extremity venous compressive ultrasound after elective CABG...
October 8, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27556326/brazilian-registry-of-cardiovascular-surgery-in-adults-fully-operational
#2
Walter J Gomes, Renato A K Kalil, Fabio B Jatene
No abstract text is available yet for this article.
April 2016: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27184152/the-use-of-a-high-power-laser-on-swine-mitral-valve-chordae-tendineae
#3
Nathali Cordeiro Pinto, M Cristina Chavantes, Denise Zezell, Alessandro Deana, Carolina Benetti, Rodrigo Labat Marcos, Luciana Almeida Lopes, Rodrigo A B Lopes Martins, Vera Demarchi Aiello, Fabio Biscegli Jatene, Pablo M A Pomerantzeff
Worldwide, rheumatic fever remains a significant cause of mitral valve insufficiency. It is responsible for approximately 90 % of early childhood valvular surgeries in Brazil. Elongated or flail chordae are frequently responsible and require surgical correction. The purpose of this study was to analyze and compare the histological tissues of the mitral valve chordae and the mechanical resistance generated by the chordae, both with and without the application of a high-power laser. Twenty normal porcine mitral valve chordae were measured and divided randomly into the following two groups: control group (not subjected to a high-power laser) and laser group (subjected to photonic irradiation)...
August 2016: Lasers in Medical Science
https://www.readbyqxmd.com/read/27163414/post-cardiotomy-ecmo-in-pediatric-and-congenital-heart-surgery-impact-of-team-training-and-equipment-in-the-results
#4
Leonardo Augusto Miana, Luiz Fernando Canêo, Carla Tanamati, Juliano Gomes Penha, Vanessa Alves Guimarães, Nana Miura, Filomena Regina Barbosa Gomes Galas, Marcelo Biscegli Jatene
INTRODUCTION: Post-cardiotomy myocardial dysfunction requiring mechanical circulatory support occurs in about 0.5% of cases. In our environment, the use of extracorporeal membrane oxygenation has been increasing in recent years. OBJECTIVE: To evaluate the impact of investment in professional training and improvement of equipment in the rate of weaning from extracorporeal membrane oxygenation and survival. METHODS: A retrospective study. Fifty-six pediatric and/or congenital heart patients underwent post-cardiotomy extracorporeal membrane oxygenation at our institution between November 1999 and July 2014...
July 2015: Revista Brasileira de Cirurgia Cardiovascular
https://www.readbyqxmd.com/read/27090771/transbaffle-multielectrode-mapping-of-atrial-flutter-post-double-switch-operation
#5
Shouvik Haldar, Andreu Porta-Sanchez, Erwin Oechslin, Eugene Downar, Lee Benson, Krishnakumar Nair
A 26-year-old woman with congenitally corrected transposition of the great arteries (ccTGA) had undergone a double-switch corrective surgery consisting of a Mustard procedure (bovine pericardial baffles and hemashield grafts) and arterial switch (Jatene technique). She subsequently developed drug refractory atrial flutter and underwent ablation. An Agilis sheath (St Jude Medical, USA) and a long BRK 1 needle was used for the transbaffle puncture guided by transoesophageal echocardiography. Activation maps of the systemic venous antrum (SVA) and then the PVA (Fig...
April 19, 2016: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/26994168/continuous-quality-improvement-programme-in-cardiovascular-surgery-the-latin-american-perspective
#6
EDITORIAL
Omar A Mejía, Luiz A Lisboa, Fabio B Jatene
No abstract text is available yet for this article.
July 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26735597/experimental-study-and-early-clinical-application-of-a-sutureless-aortic-bioprosthesis
#7
Walter J Gomes, João Carlos Leal, Fabio Biscegli Jatene, Nelson A Hossne, Renata Gabaldi, Glaucia Basso Frazzato, Guilherme Agreli, Domingo M Braile
INTRODUCTION: The conventional aortic valve replacement is the treatment of choice for symptomatic severe aortic stenosis. Transcatheter technique is a viable alternative with promising results for inoperable patients. Sutureless bioprostheses have shown benefits in high-risk patients, such as reduction of aortic clamping and cardiopulmonary bypass, decreasing risks and adverse effects. OBJECTIVE: The objective of this study was to experimentally evaluate the implantation of a novel balloon-expandable aortic valve with sutureless bioprosthesis in sheep and report the early clinical application...
September 2015: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/26646462/effect-of-perioperative-goal-directed-hemodynamic-resuscitation-therapy-on-outcomes-following-cardiac-surgery-a-randomized-clinical-trial-and-systematic-review
#8
RANDOMIZED CONTROLLED TRIAL
Eduardo A Osawa, Andrew Rhodes, Giovanni Landoni, Filomena R B G Galas, Julia T Fukushima, Clarice H L Park, Juliano P Almeida, Rosana E Nakamura, Tania M V Strabelli, Brunna Pileggi, Alcino C Leme, Evgeny Fominskiy, Yasser Sakr, Marta Lima, Rafael A Franco, Raquel P C Chan, Marilde A Piccioni, Priscilla Mendes, Suéllen R Menezes, Tatiana Bruno, Fabio A Gaiotto, Luiz A Lisboa, Luiz A O Dallan, Alexandre C Hueb, Pablo M Pomerantzeff, Roberto Kalil Filho, Fabio B Jatene, Jose Otavio Costa Auler Junior, Ludhmila A Hajjar
OBJECTIVES: To evaluate the effects of goal-directed therapy on outcomes in high-risk patients undergoing cardiac surgery. DESIGN: A prospective randomized controlled trial and an updated metaanalysis of randomized trials published from inception up to May 1, 2015. SETTING: Surgical ICU within a tertiary referral university-affiliated teaching hospital. PATIENTS: One hundred twenty-six high-risk patients undergoing coronary artery bypass surgery or valve repair...
April 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/26559982/palliative-senning-in-the-treatment-of-congenital-heart-disease-with-severe-pulmonary-hypertension
#9
Juliano Gomes da Penha, Leina Zorzanelli, Antonio Augusto Barbosa-Lopes, Edimar Atik, Leonardo Augusto Miana, Carla Tanamati, Luiz Fernando Caneo, Nana Miura, Vera Demarchi Aiello, Marcelo Biscegli Jatene
BACKGROUND: Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. OBJECTIVE: Report our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure...
October 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/26556777/exercise-capacity-long-term-after-arterial-switch-operation-for-transposition-of-the-great-arteries
#10
Flávia Samos, Gabriela Fuenmayor, Carlos Hossri, Patrícia Elias, Leandro Ponce, Rogério Souza, Ieda Jatene
UNLABELLED: Transposition of the great arteries (TGA) is a congenital heart defect successfully corrected through arterial switch operation (ASO). Although this technique had significant impact in improving survival, little is known about the functional capacity of the operated patients long-term after surgery. OBJECTIVE: The aim of this study was to compare the functional capacity of children with TGA long-term after ASO with that of healthy children. DESIGN: Retrospective study...
March 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/26313725/surgery-of-the-aortic-root-should-we-go-for-the-valve-sparing-root-reconstruction-or-the-composite-graft-valve-replacement-is-still-the-first-choice-of-treatment-for-these-patients
#11
COMPARATIVE STUDY
Fernando de Azevedo Lamana, Ricardo Ribeiro Dias, Jose Augusto Duncan, Leandro Batisti de Faria, Luiz Marcelo Sa Malbouisson, Luciano de Figueiredo Borges, Charles Mady, Fábio Biscegli Jatene
OBJECTIVE: To compare the results of the root reconstruction with the aortic valve-sparing operation versus composite graft-valve replacement. METHODS: From January 2002 to October 2013, 324 patients underwent aortic root reconstruction. They were 263 composite graft-valve replacement and 61 aortic valve-sparing operation (43 reimplantation and 18 remodeling). Twenty-six percent of the patients were NYHA functional class III and IV; 9.6% had Marfan syndrome, and 12% had bicuspid aortic valve...
July 2015: Revista Brasileira de Cirurgia Cardiovascular
https://www.readbyqxmd.com/read/26312550/age-creatinine-and-ejection-fraction-score-in-brazil-comparison-with-inscor-and-the-euroscore
#12
Omar Asdrúbal Vilca Mejía, Bruna La Regina Matrangolo, David Provenzale Titinger, Leandro Batisti de Faria, Luís Roberto Palma Dallan, Filomena Regina Barbosa Galas, Luiz Augusto Ferreira Lisboa, Luís Alberto Oliveira Dallan, Fabio Biscegli Jatene
BACKGROUND: Risk scores for cardiac surgery cannot continue to be neglected. OBJECTIVE: To assess the performance of "Age, Creatinine and Ejection Fraction Score" (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores. METHODS: A prospective cohort study was carried out with the database of a Brazilian tertiary care center. A total of 2,565 patients submitted to elective surgeries between May 2007 and July 2009 were assessed...
November 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/26291842/palliative-senning-in-the-treatment-of-congenital-heart-disease-with-severe-pulmonary-hypertension
#13
Juliano Gomes da Penha, Leina Zorzanelli, Antonio Augusto Barbosa-Lopes, Edimar Atik, Leonardo Augusto Miana, Carla Tanamati, Luiz Fernando Caneo, Nana Miura, Vera Demarchi Aiello, Marcelo Biscegli Jatene
BACKGROUND: Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. OBJECTIVE: Report our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure...
August 18, 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/26107813/cardiac-surgery-costs-according-to-the-preoperative-risk-in-the-brazilian-public-health-system
#14
COMPARATIVE STUDY
David Provenzale Titinger, Luiz Augusto Ferreira Lisboa, Bruna La Regina Matrangolo, Luis Roberto Palma Dallan, Luis Alberto Oliveira Dallan, Evelinda Marramon Trindade, Ivone Eckl, Roberto Kalil Filho, Omar Asdrúbal Vilca Mejía, Fabio Biscegli Jatene
BACKGROUND: Heart surgery has developed with increasing patient complexity. OBJECTIVE: To assess the use of resources and real costs stratified by risk factors of patients submitted to surgical cardiac procedures and to compare them with the values reimbursed by the Brazilian Unified Health System (SUS). METHOD: All cardiac surgery procedures performed between January and July 2013 in a tertiary referral center were analyzed. Demographic and clinical data allowed the calculation of the value reimbursed by the Brazilian SUS...
August 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25792245/eponymous-cardiovascular-surgeries-for-congenital-heart-diseases-imaging-review-and-historical-perspectives
#15
REVIEW
Ji Buethe, Ravi C Ashwath, Prabhakar Rajiah
Advances in pediatric cardiology and cardiac surgical techniques over the past few decades have revolutionized the management of the patients with congenital heart disease, and many now survive into adulthood. Several eponymous surgical procedures performed for congenital heart disease have been named after eminent surgeons. In this article, we provide a short biography of the surgeons associated with these eponymous surgical procedures along with their other important scientific contributions. This is followed by a review of these surgical procedures and their most common complications...
July 2015: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/25391387/general-thoracic-surgery-workforce-training-migration-and-practice-profile-in-brazil
#16
Miguel Lia Tedde, Oleno Petrere, Darcy Ribeiro Pinto Filho, Sergio Tadeu L Fortunato Pereira, Rosangela Monteiro, Ana Maria Sassaki, Silvia Yukari Togoro, Evelinda Trindade, Roberto Saad, Fabio Biscegli Jatene
OBJECTIVES: This study is aimed at drawing the profile of the Brazilian general thoracic surgeon. This experience has been fruitful in other areas, helping attract manpower and to better serve the interests of other Societies. This is the first survey of this kind in Brazil and in Latin America. METHODS: An electronic invitation was sent to the members of the Brazilian Society of Thoracic Surgery to answer a web-based questionnaire and physicians potentially practising thoracic surgery, with 82 questions including demographic data, medical education, training in general and thoracic surgery, continued professional education, practice profile, research activities and certifications, participation in medical societies, income/compensation and career satisfaction...
January 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/25372903/late-outcome-analysis-of-the-braile-biom%C3%A3-dica%C3%A2-pericardial-valve-in-the-aortic-position
#17
Lisandro Gonçalves Azeredo, Elinthon Tavares Veronese, José Augusto Duncan Santiago, Carlos Manuel de Almeida Brandão, Pablo Maria Alberto Pomerantzeff, Fabio Biscegli Jatene
OBJECTIVE: Aortic valve replacement with Braile bovine pericardial prosthesis has been routinely done at the Heart Institute of the Universidade de São Paulo Medical School since 2006. The objective of this study is to analyze the results of Braile Biomédica® aortic bioprosthesis in patients with aortic valve disease. METHODS: We retrospectively evaluated 196 patients with aortic valve disease submitted to aortic valve replacement with Braile Biomédica® bovine pericardial prosthesis, between 2006 and 2010...
July 2014: Revista Brasileira de Cirurgia Cardiovascular
https://www.readbyqxmd.com/read/25140485/brazilian-registry-of-cardiovascular-surgery-in-adults-from-design-to-reality
#18
EDITORIAL
Walter J Gomes, Fábio B Jatene, Josalmir José M Amaral, José Leôncio A Feitosa, Rui M S Almeida, Marcelo M Cascudo
No abstract text is available yet for this article.
April 2014: Revista Brasileira de Cirurgia Cardiovascular
https://www.readbyqxmd.com/read/25029470/mortality-and-embolic-potential-of-cardiac-tumors
#19
Ricardo Ribeiro Dias, Fábio Fernandes, Félix José Alvarez Ramires, Charles Mady, Cícero Piva Albuquerque, Fábio Biscegli Jatene
BACKGROUND: Cardiac tumors are rare, mostly benign with high embolic potential. OBJECTIVES: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. METHODS: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48±20 years). In 145 patients, the left atrium was the origin site...
July 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/24951020/hemostatic-effects-of-fibrinogen-concentrate-compared-with-cryoprecipitate-in-children-after-cardiac-surgery-a-randomized-pilot-trial
#20
RANDOMIZED CONTROLLED TRIAL
Filomena R B G Galas, Juliano P de Almeida, Júlia T Fukushima, Jean Louis Vincent, Eduardo A Osawa, Suely Zeferino, Lígia Câmara, Vanessa A Guimarães, Marcelo B Jatene, Ludhmila A Hajjar
OBJECTIVES: Acute acquired hypofibrinogenemia in children undergoing cardiac surgery is a major concern because it often results in perioperative bleeding and high rates of allogeneic blood transfusion. Fibrinogen concentrate has been proposed as an alternative to cryoprecipitate (the gold standard therapy), with minimal infectious and immunologic risks. Our objective was to investigate the efficacy and safety of fibrinogen concentrate in children undergoing cardiac surgery. METHODS: In this randomized pilot study, patients were allocated to receive fibrinogen concentrate (60 mg/kg) or cryoprecipitate (10 mL/kg) if bleeding was associated with fibrinogen levels<1 g/dL after cardiopulmonary bypass weaning...
October 2014: Journal of Thoracic and Cardiovascular Surgery
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