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Surgery Cardiology

Manuel Giraldo-Grueso, Néstor Sandoval-Reyes, Jaime Camacho, Ivonne Pineda, Juan P Umaña
BACKGROUND: Recent evidence has showed us that quality of mitral valve repair is strongly related to volume. However, this study shows how low-volume centers can achieve results in mitral valve repair surgery comparable to those reported by referral centers. It compares outcomes of mitral valve repair using resection versus noresection techniques, tendencies, and rates of repair. METHODS: Between 2004 and 2017, 200 patients underwent mitral valve repair for degenerative mitral valve disease at Fundación Cardioinfantil-Institute of Cardiology...
October 16, 2018: Journal of Cardiothoracic Surgery
Elena Giulia Milano, Claudio Capelli, Jo Wray, Benedetta Biffi, Sofie Layton, Matthew Lee, Massimo Caputo, Andrew M Taylor, Silvia Schievano, Giovanni Biglino
Three-dimensional (3D) printing technology in congenital cardiology and cardiac surgery has experienced a rapid development over the last decade. In presence of complex cardiac and extra-cardiac anatomies, the creation of a physical, patient-specific model is attractive to most clinicians. However, at the present time, there is still a lack of strong scientific evidence of the benefit of 3D models in clinical practice and only qualitative evaluation of the models has been used to investigate their clinical use...
October 16, 2018: British Journal of Radiology
Akanksha Thakkar, Stephanie Fuentes-Rojas, Eunice Karanja, Ebun Ebunlomo, Allison Millette, Christine H Lee, Y Serena Shen-Lin, Gary Monteiro, Thomas MacGillivray, C Huie Lin
PURPOSE OF THE REVIEW: The purpose of this review is to illustrate specific challenges and opportunities in the building of an adult congenital heart disease (ACHD) program and to highlight critical components and important allies. RECENT FINDINGS: With more than 1.4 million adults with congenital heart disease in the USA alone, access to specialized, compassionate, high-quality comprehensive care requires a shift toward more aggressive expansion of ACHD care, especially in the context of sparse ACHD provider representation in the vast majority of adult medical centers...
October 11, 2018: Current Cardiology Reports
Koichi Toda, Yoshiki Sawa
Intraaortic balloon pumping(IABP)has been used in more than 20,000 cases annually in Japan and this old device may be used differently by less invasive approach via axillar artery, which enabled the patients to ambulate for rehabilitation. Impella, a newly developed microaxial blood pump, has been used as a less invasive left ventricular assist device in more than 50 case in the last 6 months since its approval in Japan. Our experiences in 11 patients indicated that it improved not only cardiac output, but also cardiac function, which resulted in cardiac recovery in 5 patients...
September 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Charlie Tan, Mark S Hansen, Gideon Cohen, Karl Boyle, Alvin Yang, Asgar Rishu, Ruxandra Pinto, Neill K J Adhikari, Nick Daneman
BACKGROUND: A multidisciplinary approach has been recommended for the management of patients with infective endocarditis. We evaluated the impact of multidisciplinary case conferences on morbidity, mortality, and quality of care for these patients. METHODS: We conducted a quasi-experimental study of consecutive patients admitted for infective endocarditis before (2013/10/1-2015/10/12, n = 97) and after (2015/10/13-2017/11/30, n = 80) implementation of case conferences to discuss medical and surgical management...
2018: PloS One
Yuanbo Feng, Bianca Hemmeryckx, Liesbeth Frederix, Marleen Lox, Jun Wu, Ward Heggermont, Hua Rong Lu, David Gallacher, Raymond Oyen, H Roger Lijnen, Yicheng Ni
Background: An experimental imaging platform for longitudinal monitoring and evaluation of cardiac morphology-function changes has been long desired. We sought to establish such a platform by using a rabbit model of reperfused myocardial infarction (MI) that develops chronic left ventricle systolic dysfunction (LVSD) within 7 weeks. Methods: Fifty-five New Zeeland white (NZW) rabbits received sham-operated or 60-min left circumflex coronary artery (LCx) ligation followed by reperfusion...
September 2018: Quantitative Imaging in Medicine and Surgery
N F Benatta, D D Batouche, S Benouaz, M A Djazouli
INTRODUCTION: Infectious endocarditis (IE) is a serious disease that has continued to evolve in diagnostic and therapeutic terms. AIM: To analyze the diagnostic and out come profile. METHODS: We collected 57 (IE) cases with a definite diagnosis according to the modified Duke criteria. Patients were admitted consecutively to the Cardiology Department of the Oran university hospital from January 2011 to June 2017. Among the variables studied: clinical data, paraclinic data, therapeutic management and hospital outcome...
October 6, 2018: Annales de Cardiologie et D'angéiologie
C Grézard, J Rivard, P Robinson, G Leboucher, B Charpiat
INTRODUCTION: Potassium is used to treat or prevent hypokalemia and exhibits all the characteristics of an intravenous to oral therapy conversion program. Despite this, the intravenous route for potassium replacement seems frequently unjustified. OBJECTIVES: To determine the impact of a conversion program on the use of intravenous and oral galenic forms in a university tertiary care hospital. METHODS: Two promotion campaigns were conducted in 2006 and 2009...
October 6, 2018: Annales Pharmaceutiques Françaises
Francisco González-Vílchez, Luis Almenar-Bonet, María G Crespo-Leiro, Luis Alonso-Pulpón, José González-Costelo, José Manuel Sobrino-Márquez, José María Arizón Del Prado, Iago Sousa-Casasnovas, Juan Delgado-Jiménez, Félix Pérez-Villa
INTRODUCTION AND OBJECTIVES: The present report updates the characteristics and results of heart transplantation in Spain, mainly focused in the 2008-2017 period. METHODS: We describe the recipient and donor characteristics, surgical procedures, and outcomes of heart transplants performed in 2017. The 2017 data were compared with those obtained from 2008 to 2016. RESULTS: A total of 304 cardiac transplants were performed in 2017. Between 1984 and 2017, 8173 procedures were performed, 2689 of them after 2008...
October 5, 2018: Revista Española de Cardiología
Elaine Yang, Bradley W Frazee
Infective endocarditis (IE) is an uncommon infection of cardiac valves associated with bacteremia. It increasingly affects elderly patients with chronic disease and artificial cardiac devices. The presentation, however, remains subtle and varied, with nonspecific symptoms ranging from those resembling a mild viral infection to septic shock and multiorgan failure. IE carries potential to cause significant morbidity and mortality through its impact on cardiac function and from embolic complications. Blood cultures prior to antibiotics and obtaining prompt echocardiography are key diagnostic steps, followed by proper selection of empiric antibiotics and, in many cases, collaboration with infectious disease, cardiology, and cardiothoracic surgery specialists...
November 2018: Emergency Medicine Clinics of North America
Aurélien Venara, Pascal Alfonsi, Eddy Cotte, Jérôme Loriau, Jean-François Hamel, Karem Slim
PURPOSE: Postoperative ileus (POI) occurrence within enhanced recovery programs (ERPs) has decreased. Also, intra-abdominal complications (IAC) such as anastomotic leakage (AL) generally present late. The aim was to characterize the link between POI and the other complications occurring after surgery. METHODS: This retrospective analysis of a prospective database was conducted by the Francophone Group for Enhanced Recovery after Surgery. POI was considered to be present if gastrointestinal functions had not been recovered within 3 days following surgery or if a nasogastric tube replacement was required...
October 6, 2018: International Journal of Colorectal Disease
Lauro Cortigiani, Quirino Ciampi, Fausto Rigo, Francesco Bovenzi, Eugenio Picano, Rosa Sicari
AIMS: To assess the prognostic value of dual imaging stress echocardiography after coronary artery bypass grafting (CABG). Dual imaging stress echocardiography, combining the evaluation of regional wall motion and Doppler echocardiographic derived coronary flow velocity reserve (CFVR) of the left anterior descending artery (LAD), is the state-of-the-art methodology during vasodilatory stress. METHODS AND RESULTS: In a prospective, multicenter, observational study, 349 patients (270 men; 69 ± 9 years; 262 symptomatic) with history of CABG underwent high-dose dipyridamole (0...
September 27, 2018: International Journal of Cardiology
Fadime Gök, Fatma Demir Korkmaz
BACKGROUND: Although sex lives of patients with cardiovascular disease (CVD) are affected in various ways and degrees, nurses working with these patients refrain from talking about sexual matters with their patients or encounter barriers trying to do so. OBJECTIVE: The purpose of this descriptive study was to identify attitudes and beliefs of cardiovascular nurses regarding talking to their patients about sexual problems, perceived barriers, and proposed solutions...
November 2018: Journal of Cardiovascular Nursing
Mohd Nizam Mat Bah, Mohd Hanafi Sapian, Mohammad Tamim Jamil, Nisah Abdullah, Emieliyuza Yusnita Alias, Norazah Zahari
OBJECTIVES: There is limited data on congenital heart disease (CHD) from the lower- and middle-income country. We aim to study the epidemiology of CHD with the specific objective to estimate the birth prevalence, severity, and its trend over time. DESIGN: A population-based study with data retrieved from the Pediatric Cardiology Clinical Information System, a clinical registry of acquired and congenital heart disease for children. SETTING: State of Johor, Malaysia...
October 5, 2018: Congenital Heart Disease
Roberto Sansone, Lucas Busch, Ralf Langhoff
The updated ESC guidelines on PAD were developed, for the first time, as a collaboration between cardiologists and vascular surgeons and unveiled at the European Society of Cardiology (ESC) 2017 congress. Although awareness has improved, PAD is still associated with significant morbidity, mortality, and quality of life impairment. Primarily, the guidelines emphasize the need for a multidisciplinary management of these patients and propose "a vascular team". A new chapter on antithrombotic therapies is provided...
October 2018: Deutsche Medizinische Wochenschrift
Juliana Maria Dantas Mendonça Borges, Pamella de Assis Almeida, Mariana Martins Gonzaga do Nascimento, José Augusto Soares Barreto Filho, Mario Borges Rosa, Antonio Carlos Sobral Sousa
BACKGROUND: The current guidelines dispose recommendations to manage antiplatelet agents in the perioperative period; however, the daily medical practices lack standardization. OBJECTIVES: To asses factors associated with inadequate management of antiplatelet agents in the perioperative period of non-cardiac surgeries. METHODS: Cross-sectional Study conducted in hospital from October 2014 to October 2016. The study dependent variable was a therapy that did not comply with the recommendations in the Brazilian Association of Cardiology (SBC) guidelines...
September 21, 2018: Arquivos Brasileiros de Cardiologia
Mladjan Golubovic, Dragana Stanojevic, Milan Lazarevic, Velimir Peric, Tomislav Kostic, Miodrag Djordjevic, Sasa Zivic, Dragan J Milic
Introduction: The Revised Cardiac Risk Index (RCRI) is an extensively used simple risk stratification tool advocated by the European Society of Cardiology and European Society of Anesthesiology (ESC/ESA). Purpose: The aim of this study was to find the best model for predicting 3-month cardiovascular complications in elective major vascular surgical patients using preoperative clinical assessment, calculation of the RCRI and Vascular Physiological and Operative Severity Score for the enumeration of mortality and morbidity (V-POSSUM) scores, and the preoperative levels of N-terminal brain natriuretic peptide (NT pro-BNP), high-sensitivity troponin I (hs TnI), and high-sensitivity C-reactive protein (hs CRP)...
2018: BioMed Research International
Tyler Freeman, Nikhil Shelke, Rajiv Rajani
BACKGROUND: Due to orthopedic surgery's unique educational model, recent changes within graduate medical education have the potential to impact the methods and outcomes of specialty training significantly. Using Mind the Gap: Representation of Medical Education in Cardiology-Related Articles and Journals (Allred et al., 2016) as a framework, this study investigates educational research within the field of orthopedics. OBJECTIVE: Two main objectives were evaluated: (1) quantitative analysis of the amount and type of orthopedic education-related research in orthopedic, general surgery, and medical education journals and (2) estimate the priority of orthopedic journals to publish education-focused articles...
September 26, 2018: Journal of Surgical Education
Amna Rehan, Syed Qaisar Abbas, Rehan Riaz, Raja Parvez Akhtar
OBJECTIVE: To determine the positivity of CT angiography in visualization of poorly visualized left anterior descending artery (LAD) on conventional angiography for decision of its surgical revascularization. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Cardiac Surgery, Faisalabad Institute of Cardiology, Faisalabad, from July 2014 to March 2015. METHODOLOGY: This study involved 55 patients who had non-graftable LAD on conventional coronary angiography (CCA)...
October 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Jose Luis Guerrero Orriach, Juan Jose Escalona Belmonte, Marta Ramirez-Aliaga, Alicia Ramirez-Fernandez, Aida Raigon-Ponferrada, Manuel Rubio-Navarro, Jose Cruz-Manas
BACKGROUND: The pre- and post-conditioning effects of halogenated anesthetics make them most suitable for cardiac surgery. Several studies have demonstrated that the mechanism of drug-induced myocardial conditioning is enzyme-mediated via messenger RNA and miRNA regulation. The objective of this study was to investigate the role that miRNAs play in the cardioprotective effect of halogenated anesthetics. For such purpose, we reviewed the literature to determine the expression profile of miRNAs in ischemic conditioning and in the complications prevented by these phenomena...
September 26, 2018: Current Medicinal Chemistry
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