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Pericardial patch

Ali Kemal Gür, Mehmet Coşkun Aykaç
OBJECTIVE: Although seen rarely compared to all tumors, cardiac tumors are tumors which may have a mortal course with possible complications. The most common cardiac tumor in adults is myxoma with its benign character. The results of cardiac tumors resected with open cardiac surgery in our center are reported in this study. MATERIALS AND METHODS: Twenty-three cardiac tumor patients electively operated on in our clinic between January 2010 and August 2017 were retrospectively included in the study...
September 13, 2018: Heart Surgery Forum
Alsayed Salem, Ahmed Moustafa Ewiss Abdelgawad, Ahmed Elshemy
BACKGROUND: Rheumatic heart disease (RHD) is the leading cause of mitral valve disease in the developing world. In general, mitral valve repair is preferred over replacement. Although it is very successful in degenerative disease, its results in the rheumatic valve are not as successful as that for degenerative repair. Our approach has been to repair rheumatic mitral valves when the anatomic substrate appears to permit it, and we aimed by this study to present our immediate and midterm follow-ups of our cohort of rheumatic valve repair patients...
August 14, 2018: Heart Surgery Forum
Yasutaka Tanaka, Souki Kurumisawa, Arata Muraoka, Koji Kawahito, Takeo Nakaya
A 77-year-old man was admitted to a regional hospital to undergo investigation of abnormal electrocardiographic findings. Coronary angiography revealed 99% stenosis of the right coronary artery(RCA) segment 3 and 75% stenosis of the left anterior descending artery (LAD)segment 7. Left ventriculography revealed an aneurysm at the inferior wall of the left ventricle. On computed tomography and echocardiography, a saccular aneurysm at the inferior wall, 15 mm in diameter, was observed. Under the suspicion of a ventricular false aneurysm resulting from myocardial infarction, aneurysmectomy, patch closure of the aneurysmal orifice and coronary artery bypass grafting to the LAD and RCA were performed...
October 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Shunsuke Ohori, Kishu Fujita, Kiyotaka Morimoto, Masato Suzuki, Toshio Baba, Hideo Yokoyama, Fumikazu Nomura, Youhei Ohkawa, Kenji Sugiki, Takemi Ohno
Infective endocarditis (IE) after transcatheter aortic valve replacement (TAVR) is a rare complication, but has a high mortality. An 86-year-old female with symptomatic severe aortic stenosis underwent TAVR at our hospital and she was discharged without complication after 10 days. She was readmitted with high fever and acute heart failure 1 month later. Blood culture revealed Staphylococcus, and echocardiography showed vegetation on the septal cusp of the tricuspid valve and perforation at the membranous ventricular septum...
October 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Yasuhiro Chikaishi, Hiroki Matsumiya, Masatoshi Kanayama, Akihiro Taira, Yusuke Nabe, Shinji Shinohara, Taiji Kuwata, Masaru Takenaka, Soichi Oka, Ayako Hirai, Koji Kuroda, Naoko Imanishi, Yoshinobu Ichiki, Yosuke Nishimura, Fumihiro Tanaka
Introduction: Patients with undiagnosed anterior mediastinal tumors commonly undergo surgery for diagnosis and treatment. However, determining the optimal therapeutic strategy is difficult for tumors with substantial invasion, such as lesions touching the aortic arch (AA). Case presentation: A 76-year-old man of Asian descent presented to our hospital because chest computed tomography (CT) revealed an anterior mediastinal tumor. This tumor surrounded the left subclavian vein and touched the AA...
November 2018: Annals of Medicine and Surgery
Krishna Kumar Mohanan Nair, Narayanan Namboodiri, Hiren Kevadiya, Ajitkumar Valaparambil
A 34 year old gentleman who has undergone pericardial patch closure of ostium secundum atrial septal defect (ASD) at 8 years of age, has been evaluated for shortness of breath. Electrocardiogram revealed typical atrial flutter with varying A-V conduction. Echocardiogram showed no residual ASD or pulmonary hypertension and good biventricular function. He has been taken for an electrophysiological study with the intention of radiofrequency ablation of the typical flutter. This article is protected by copyright...
October 4, 2018: Journal of Cardiovascular Electrophysiology
Padebettu Subramanya Seetharama Bhat, Chandana Nirmala Chandrashekar, Divya Mallikarjun, S L Girish Gowda
Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is a rare entity that causes chronic left-to-right shunting of blood from the RCA, through the coronary collaterals into the pulmonary artery. This results in persistent myocardial ischemia and ventricular dysfunction. Association of this anomaly with an aortopulmonary window worsens the condition further due to an additional shunt. We encountered a combination of these two anomalies along with an ostium secundum atrial septal defect in a 10-month-old baby who presented with excessive crying and failure to thrive...
September 2018: Annals of Pediatric Cardiology
Markus Liebrich, Vladimir Voth, Nicolas Doll, Wolfgang Hemmer
A major limitation of the more widespread application of aortic valve reconstruction is the lack of a common framework for valve assessment that could  be used to guide a standardized approach to aortic valve repair, similar to that used in reconstructive mitral valve surgery. Most patients with a regurgitant aortic valve are young and possess a specific subtype of a bicuspid aortic valve according to the Sievers classifications system. This video tutorial presents the technical aspects of a standardized approach for reconstruction of the regurgitant bicuspid aortic valve (Sievers type 1, L/R), which was developed during the past decade...
September 26, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Takashi Kunihara
Aortic valvuloplasty (AVP) has been performed less frequently than mitral valvuloplasty. The survival benefit of AVP over replacement has been demonstrated. Therefore, standardization of AVP is crucial for its widespread adoption. The hemodynamic advantage of AVP of preserving the native aortic valve may be one reason for the survival benefit. Recent guidelines still recommend AVP in selected cases compared with the less restricted recommendation for mitral valvuloplasty, although recent studies have proposed earlier indication for surgical intervention...
September 19, 2018: Journal of Medical Ultrasonics
Ken J Linde, Taylor R Kelleher, James A Perry
Implant associated granulomatous inflammation causing hypercalcemia can occur following use of commercial xenogeneic pericardial tissue patches in dogs. Removal of the implant can result in resolution of the hypercalcemia, suggesting a causal relationship between the tissue reaction to a xenogeneic implant and development of hypercalcemia.
September 2018: Clinical Case Reports
Syed Saleem Mujtaba, Stephen Clark
INTRODUCTION: Carcinoid heart disease most frequently involves the tricuspid or, more rarely, the pulmonary valve and presents with right heart failure as 5-HT is metabolized by the lung. Left-sided valve involvement is quite rare. We describe our experience of 3 patients presenting with heart failure secondary to carcinoid heart disease affecting all four cardiac valves. There are only four previous isolated case reports in the literature. METHODS: All three patients underwent quadruple valve replacement during a single operation...
July 2018: Brazilian Journal of Cardiovascular Surgery
Tanveer Ahmad, Prakash M Ludhani, Ronen Gurvitch, Marco Larobina, John Goldblatt, James Tatoulis
BACKGROUND: Mitral valve procedures remain a surgical challenge in the presence of extensive annular calcification, which presents a formidable technical challenge. Aggressive debridement is limited by risk of serious complications and the technical complexity of pericardial patch reconstruction of the debrided area. METHODS: An open surgical approach with a transcatheter valve allows the valve to be placed under direct visualisation to facilitate positioning and to evaluate the likelihood of both perivalvular leakage and atrioventricular disruption...
February 21, 2018: Heart, Lung & Circulation
Eilon Ram, Leonid Sternik, Alexander Lipey, Sagit Ben Zekry, Ronny Ben-Avi, Yaron Moshkovitz, Ehud Raanani
BACKGROUND: Unicuspid and bicuspid aortic valve (BAV) are congenital cardiac anomalies associated with valvular dysfunction and aortopathies occurring at a young age. OBJECTIVES: To evaluate our experience with aortic valve repair (AVr) in patients with bicuspid or unicuspid aortic valves. METHODS: Eighty patients with BAV or unicuspid aortic valve (UAV) underwent AVr. Mean patient age was 42 ± 14 years and 94% were male. Surgical technique included: aortic root replacement with or without cusp repair in 43 patients (53%), replacement of the ascending aorta at the height of the sino-tubular junction with or without cusp repair in 15 patients (19%), and isolated cusp repair in 22 patients (28%)...
July 2018: Israel Medical Association Journal: IMAJ
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...
August 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.
October 2018: Annals of Thoracic Surgery
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