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Pericardial patch

Hamidreza Pouraliakbar, Maryam Pourmojib, Yousef Rezaei, Saeid Hosseini
Pericardial patch has been used to repair cardiac defects; however, its strength as an aortoplasty patch to tolerate systemic pressure is a matter of debate. We report an aneurysmal dilatation of pericardial patch in aortoplasty. Our patient was a 56-year-old female known case of rheumatic heart disease that underwent redoes mitral and aortic valve replacements along with Manouguian aortoplasty at the age of 44 years old. After 2 months, she was readmitted with a diagnosis of endocarditis. Echocardiography revealed a small cavity in the posterior wall of the aorta...
October 2018: Journal of the Saudi Heart Association
Jamal Janjua, Michael A Witcik, Aiman Riaz, Raju G Ailiani
No abstract text is available yet for this article.
December 2017: CASE: Cardiovascular Imaging Case Reports
Ashley V Fritz, Kathryn S Boles, Archer Kilbourne Martin
We present the case of a 37 year old male who presented with new onset dyspnea, tachycardia, palpitations, and chest tightness. His initial work up demonstrated a dilated pulmonary artery with reflux of contrast dye in to the IVC. Transthoracic echocardiogram identified a "windsock" appearance indicating Sinus of Valsalva aneurysm (SVA) and severe aortic regurgitation. As a result, the patient was taken for emergent surgery where the windsock tissue was surgically repaired with bovine pericardial patch...
July 2018: Annals of Cardiac Anaesthesia
Takayuki Gyoten, Oliver Grimmig, Sören Just, Dirk Fritzsche
A device-related thrombus is a very common complication after the implantation of a Watchman device. Although anticoagulation therapy is the standard first choice therapy for a device-related thrombus, complications related to bleeding or existence of non-responders to the anticoagulation therapy are reported. Therefore, the possibility of another treatment, including surgical repair, needs to be discussed in the population unsuccessfully treated with anticoagulation therapy. We performed device-related thrombus removal and covered the orifice of the left atrial appendage with an autologous pericardial patch in 2 cases involving non-responders to anticoagulation therapy...
July 18, 2018: Interactive Cardiovascular and Thoracic Surgery
Rodolfo V Rocha, Jagdish Butany, Robert J Cusimano
BACKGROUND: Primary cardiac adipose tumors are rare. There are two distinct pathologically defined entities that represent this tumor type: lipoma and lipomatous hypertrophy of the interatrial septum (LHIS). We present a single-center experience with these tumors and demonstrate that the location may not correspond to the pathologic diagnosis. METHODS: A retrospective review of a prospectively collected cardiac surgery database from January 1990 to July 2016 identified 254 cases of surgically treated primary cardiac tumors at our Institution...
July 10, 2018: Journal of Cardiac Surgery
Daniella Bissessar, A Tomšič, Thomas van Brakel, Robert Klautz, Meindert Palmen
Surgical repair in rheumatic mitral valve disease is technically challenging as the disease affects both valvular and subvalvular structures. Due to the resultant shortage of pliable valve tissue, pericardial patch techniques are progressively used to restore normal valve function. This makes mitral valve repair possible even in the most severe forms of rheumatic mitral valve disease. In this tutorial, we report a case of mitral valve repair with a bileaflet (decellularized) pericardial patch in a patient with severe rheumatic mitral valve disease...
January 25, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Adham Elmously, Arash Salemi, T Sloane Guy
No abstract text is available yet for this article.
June 13, 2018: Annals of Thoracic Surgery
Maryam Kameli, Reza Khorramirouz, Sahar Eftekharzadeh, Kiarad Fendereski, Seyedeh Sima Daryabari, Seyed Mohammad Tavangar, Abdol-Mohammad Kajbafzadeh
INTRODUCTION: Myocardial infarction (MI) is a major cause of mortality and morbidity in industrialized societies. Myocardial tissue engineering is an alternative and promising approach for substituting injured myocardium through development and seeding of appropriate scaffolds. In this study, we investigated the efficacy of using an acellular pericardium to deliver autologous mesenchymal stem cells (MSCs) to the infarcted site for regeneration of the myocardium. MATERIALS AND METHODS: MI was induced in two groups of rats; G1 or MI group, and G2 or patch-implanted group...
June 14, 2018: Journal of Biomedical Materials Research. Part A
Antonio F Corno, Paul Smith, Laurynas Bezuska, Branko Mimic
Introduction: We reviewed our experience with decellularized porcine small intestine sub-mucosa (DPSIS) patch, recently introduced for congenital heart defects. Materials and Methods: Between 10/2011 and 04/2016 a DPSIS patch was used in 51 patients, median age 1.1 months (5 days to 14.5 years), for aortic arch reconstruction (45/51 = 88.2%) or aortic coarctation repair (6/51 = 11.8%). All medical records were retrospectively reviewed, with primary endpoints interventional procedure (balloon dilatation) or surgery (DPSIS patch replacement) due to patch-related complications...
2018: Frontiers in Pediatrics
Mohammad Bashar Izzat, Mohammad Mouath Alkhayat
Background Aortic cusp extension is a subjective and operator-dependent technique. In order to facilitate surgical correction of aortic cusp retraction and reestablishment of adequate cusp coaptation, we sought to develop new templates that can be used to cut flat pericardial sheets into precise cusp extension patches. Methods Each template was designed as a two-dimensional unwrap of the natural geometry of a complete aortic cusp, and a series of templates were made available to correspond with all potential aortic cusp sizes...
June 2018: Asian Cardiovascular & Thoracic Annals
Anton Tomšič, Daniella D Bissessar, Thomas J van Brakel, Nina Ajmone Marsan, Robert J M Klautz, Meindert Palmen
PURPOSE: To assess the performance of a tissue engineering process-treated bovine pericardium patch (CardioCel) in the setting of reconstructive mitral valve surgery. DESCRIPTION: Between 3/2014 and 4/2016, 30 patients (57.2±14.3 years, 27% female) underwent mitral valve leaflet repair with a CardioCel patch. EVALUATION: Perioperative mortality was 7% (2 patients, non-graft-related). In 28 remaining patients, pre-discharge echocardiography demonstrated good repaired valve function...
June 7, 2018: Annals of Thoracic Surgery
Seijirow Goya, Nobuyuki Kanno, Kenji Teshima, Takanori Anndo, Takahiro Fujioka
A 4-year-old, 5.9-kg female Japanese Spitz presented with syncope and exercise intolerance. Echocardiography revealed an ostium primum atrial septal defect (ASD), a cleft mitral valve, mitral valve regurgitation (MR), and tricuspid regurgitation (TR) (velocity: 3.6 m/sec, pressure gradient: 52 mmHg), leading to a diagnosis of partial atrioventricular septal defect (AVSD) with moderate pulmonary hypertension (PH). Open-heart surgery using cardiopulmonary bypass was performed through right atriotomy. The cleft of the mitral valve was sutured with polypropylene and the AVSD was closed using an autologous pericardial patch fixed with glutaraldehyde...
July 18, 2018: Journal of Veterinary Medical Science
Eilon Ram, Yaron Moshkovitz, Ami Shinfeld, Alexander Kogan, Alexander Lipey, Sagit Ben Zekry, Ronny Ben-Avi, Shany Levin, Ehud Raanani
BACKGROUND: To assess early and late clinical outcomes in patients who underwent aortic valve repair or aortic valve sparing surgery, and to investigate predictors for failure. METHODS: Of 227 consecutive patients who underwent aortic valve repair or sparing surgery in our department between 2004 and 2016, 81(36%) underwent aortic root replacement with or without cusp repair, 97(42%) ascending aorta replacement with or without cusp repair, and 49 (22%) isolated aortic valve repair...
May 22, 2018: Annals of Thoracic Surgery
Burak Onan, Unal Aydin, Ersin Kadirogullari, Erkut Ozturk
Left-sided partial anomalous pulmonary venous connection to the coronary sinus is a rare congenital cardiac defect. Surgical repair is indicated to prevent cardiopulmonary morbidities that may occur in later age. Although the conventional median sternotomy or thoracotomy incisions are used during surgical repair, robotic surgery can be a feasible alternative approach to this pathology. In this case, we report a 14-year-old child, who was diagnosed with left partial anomalous pulmonary venous connection to the coronary sinus...
May 23, 2018: Journal of Robotic Surgery
Geoffroy de Beco, Natasha Mambour, Christophe Vô, Laetitia Vanhoutte, Stéphane Moniotte, Alain Poncelet, Thierry Sluysmans
While percutaneous catheter closure proves an effective treatment for secundum atrial septal defect (ASD2), some child patients require surgical closure. We assessed the risks associated with isolated surgical ASD2 closure by reviewing the outcomes of 120 children operated on between 1999 and 2011 (mean age 4.6 ± 3.9 years, mean weight 17 ± 12 kg). Direct sutures were performed in 4% and patch closures in 96%. The mean cardiopulmonary bypass duration was 38 ± 14 min, aortic cross-clamp time 19 ± 9 min, intensive care unit length of stay 1...
May 22, 2018: Pediatric Cardiology
Donna May Kimmaliardjuk, Carole Dennie, Sean Dickie, Eric C Belanger, Fraser Rubens
A 29-year-old male with chronic pulmonary emboli presented to hospital with progressive pleuritic chest pain. He was in acute right ventricular failure, and thus underwent intra-pulmonary arterial tissue plasminogen (tPA). He developed massive hemoptysis requiring emergent thromboendarterectomy. A clot was visualized in the main left pulmonary artery which had formed a bronchovascular fistula into the left upper lobe bronchus. Pathology of the clot revealed fibrinopurulent exudate and Gram-positive cocci. The left pulmonary artery was repaired with a pericardial patch, and the left upper lobe was oversewn with subsequent left upper lobectomy...
May 5, 2018: Annals of Thoracic Surgery
Sarah Nordmeyer, Peter Murin, Antonia Schulz, Friederike Danne, Johannes Nordmeyer, Johanna Kretzschmar, Daria Sumbadze, Katharina Rose Luise Schmitt, Oliver Miera, Mi-Young Cho, Nicodeme Sinzobahamvya, Felix Berger, Stanislav Ovroutski, Joachim Photiadis
OBJECTIVES: The search for an optimal patch material for aortic valve reconstruction (AVR) is an ongoing challenge. In this study, we report our experience of AVR using decellularized bovine pericardial patch material in congenital heart surgery. METHODS: Data of 40 consecutive patients who underwent AVR using the CardioCel® patch (Admedus Regen Pty Ltd, Perth, WA, Australia) between February 2014 and August 2016 were retrospectively reviewed. The median age of the patients at operation was 9 (2-34) years, and 18 patients were younger than 7 years...
April 30, 2018: European Journal of Cardio-thoracic Surgery
Julie Cleuziou, Keti Vitanova, Jelena Pabst von Ohain, Masamichi Ono, Daniel Tanase, Melchior Burri, Rüdiger Lange
BACKGROUND:  The aim of this study was to evaluate the incidence and risk factors for the development of right ventricular outflow tract obstruction (RVOTO) after the arterial switch operation (ASO). METHODS:  Between 1983 and 2014, a total of 688 patients underwent ASO. RVOTO was defined as any obstruction of the right ventricular outflow tract (RVOT) requiring reintervention. RESULTS:  RVOTO developed in 79 patients (11%) at a median time of 3...
May 1, 2018: Thoracic and Cardiovascular Surgeon
Ana Braga, Marta Marques, Miguel Abecacis, José Pedro Neves
INTRODUCTION: Infective endocarditis (IE) remains a dangerous condition with considerable associated mortality. Usual risk factors for IE include the presence of a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, and a recent history of invasive procedures. METHODS: The authors describe the case report of a patient with IE having trauma as an unusual risk factor. RESULTS: A 33-year old male patient was referred to our department due to infective endocarditis...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Hiroki Sato, Junichi Soh, Katsuyuki Hotta, Kuniaki Katsui, Susumu Kanazawa, Katsuyuki Kiura, Shinichi Toyooka
PURPOSE: The purpose of this study is to explore the possibility of surgery after chemoradiotherapy (CRT) for locally advanced-non-small-cell lung cancer (LA-NSCLC) with superior vena cava (SVC) resection in terms of prognosis and early and late postoperative course. METHODS: The medical records of NSCLC patients who underwent surgery after CRT at our institution between January 2001 and March 2016 were reviewed. We evaluated the feasibility of surgery with SVC resection after CRT...
June 20, 2018: Annals of Thoracic and Cardiovascular Surgery
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