keyword
https://read.qxmd.com/read/38522873/long-term-outcomes-of-mechanical-aortic-valve-replacement-in-children
#1
REVIEW
Michael Z L Zhu, Edward Buratto, Damien M Wu, Shuta Ishigami, Antonia Schulz, Christian P Brizard, Igor E Konstantinov
When the options of aortic valve repair or the Ross procedure are not feasible or have been exhausted, mechanical aortic valve replacement (AVR) may provide a reliable and structurally durable alternative, but with the limitations of long-term anticoagulation, thrombosis risk and lack of valve growth potential. In this article, we review the longitudinal outcomes of mechanical AVR in children in our institution and compare them to those recently reported by others. From 1978 to 2020, 62 patients underwent mechanical AVR at a median age of 12...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38522872/late-pulmonary-autograft-dilation-can-we-make-a-good-operation-great-the-supported-ross
#2
REVIEW
Michael E Mitchell, Ronald K Woods, Tracy R Geoffrion, Mami Sow
The Ross procedure is an excellent option for aortic valve replacement resulting in outstanding hemodynamic performance and the ability to avoid systemic anticoagulation. The long-term durability of the autograft is generally good but concerns for later aortic root dilation with ensuing neoaortic insufficiency have prompted efforts to stabilize the autograft, root, sinuses and Sino-tubular junction in order to delay or entirely avoid late reinterventions on the neoaortic root. We have employed an inclusion technique, supporting the Auto-graft in a Terumo Gelweave™ Valsalva graft...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38521630/comparison-of-outcomes-in-patients-requiring-mechanical-circulatory-support-who-received-cangrelor-in-addition-to-anticoagulation-versus-anticoagulation-alone
#3
JOURNAL ARTICLE
Trent C Martin, Brittney E Duewell, Janelle J Juul, Joseph R G Rinka, Lisa Rein, Joel T Feih
OBJECTIVES: To evaluate the safety of cangrelor administered concurrently with heparin or bivalirudin in patients on mechanical circulatory support. DESIGN: A single-center, retrospective cohort study of adult patients consecutively admitted between January 2016 and October 2020. SETTING: A tertiary medical center. PARTICIPANTS: Adult patients admitted to the cardiovascular intensive care unit put on mechanical circulatory support for acute myocardial infarction (AMI) or non-AMI indications...
March 2, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38507134/neuraxial-anesthesia-and-analgesia-during-cardiothoracic-surgery-a-narrative-review
#4
REVIEW
Kevin Chen, Kyle Gashler, Tommy Li, Anvinh Nguyen
PURPOSE OF REVIEW: The purpose of this review is to synthesize and examine the literature on the use of neuraxial anesthesia and analgesia during cardiothoracic surgery. As cardiothoracic procedures often require systemic anticoagulation, neuraxial techniques are quite often underutilized due to the theoretical risk of epidural hematoma. In this review, we seek to examine the literature to review the indications and contraindications and to explore if neuraxial anesthesia and analgesia has a role in cardiothoracic surgery...
March 20, 2024: Current Pain and Headache Reports
https://read.qxmd.com/read/38505078/transcatheter-valve-in-valve-implantation-treatment-with-the-j-valve-system-for-tricuspid-bioprosthesis-deterioration-a-report-of-two-cases
#5
Kaisheng Wu, Jinglun Shen, Xu Meng, Shengxun Wang, Christophe Dubois, Rodrigo Bagur, Shuai Zheng, Fei Meng, Haibo Zhang
BACKGROUND: Patients with tricuspid bioprosthetic structural valve degeneration (SVD) often present with right ventricular enlargement and severe dysfunction, which cause a higher risk for redo cardiac surgery. In 2019, our center innovated using the J-valve system for valve-in-valve (ViV) implantation to treat tricuspid bioprosthetic SVD. The purpose of this study was to summarize the clinical effect after 1-year follow-up. CASE DESCRIPTION: From April 2019 to October 2019, two cases of tricuspid bioprosthetic dysfunction were treated with the J-valve system...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505057/postoperative-atrial-fibrillation-poaf-after-cardiac-surgery-clinical-practice-review
#6
REVIEW
Orlando R Suero, Ahmed K Ali, Lauren R Barron, Matthew W Segar, Marc R Moon, Subhasis Chatterjee
Postoperative atrial fibrillation (POAF) after cardiac surgery is associated with elevated morbidity and mortality. Although current prediction models have limited efficacy, several perioperative interventions can reduce patients' risk of POAF. These begin with preoperative medications, including beta-blockers and amiodarone. Moreover, patients should be screened for preexisting atrial fibrillation (AF) so that concomitant surgical ablation and left atrial appendage occlusion can be performed in appropriate candidates...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505020/optimal-antithrombotic-strategy-following-valve-in-valve-transcatheter-aortic-and-mitral-valve-replacement
#7
REVIEW
Maximilian Reisinger, Polydoros N Kampaktsis, Tanush Gupta, Isaac George
The treatment of aortic and mitral valve disease requiring replacement has shifted to an increasing use of bioprosthetic heart valves. Due to their limited durability, there is a growing need for reintervention in the setting of failing bioprosthesis. Even though the gold standard for the treatment of failed bioprosthesis remains surgical repair or replacement, valve-in-valve (ViV) transcatheter aortic and mitral valve replacement have emerged as safe and effective alternatives for patients who are at high or prohibitive risk for surgery...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38472122/mechanical-versus-bioprosthetic-aortic-valve-replacement-in-patients-aged-50-to-70-years
#8
JOURNAL ARTICLE
Youngkwan Song, Ki Tae Kim, Soo Jin Park, Hong Rae Kim, Jae Suk Yoo, Pil Je Kang, Sung-Ho Jung, Cheol Hyun Chung, Joon Bum Kim, Ho Jin Kim
BACKGROUND: This study compared the outcomes of surgical aortic valve replacement (AVR) in patients aged 50 to 70 years based on the type of prosthetic valve used. METHODS: We compared patients who underwent mechanical AVR to those who underwent bioprosthetic AVR at our institution between January 2000 and March 2019. Competing risk analysis and the inverse probability of treatment weighting (IPTW) method based on propensity score were employed for comparisons. RESULTS: A total of 1,580 patients (984 patients with mechanical AVR; 596 patients with bioprosthetic AVR) were enrolled...
March 13, 2024: Journal of chest surgery
https://read.qxmd.com/read/38459864/-giant-thrombus-in-the-left-atrium-showing-a-rapid-growth-report-of-a-case
#9
JOURNAL ARTICLE
Takuma Muraoka, Kazufumi Suzuki, Masami Kuramochi, Yuichiro Kaminishi, Mayumi Shinonaga, Setsuo Kuraoka
A 74-year-old woman had been on hemodialysis for about 2 months using a short-term indwelling dialysis catheter due to chronic kidney disease. A 20 mm-diameter left atrial neoplastic lesion was noted during a screening echocardiogram performed at the time of induction of hemodialysis. The lesion rapidly increased to 30 mm 2 months later and was referred to our hospital for surgical resection. Under cardiopulmonary bypass and cardiac arrest, tumor resection was performed. Although the lesion was myxomatous with a thin stalk on the left atrial ceiling, the pathological diagnosis was thrombus...
February 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38459849/-multiorgan-thromboembolism-due-to-thrombus-in-the-remnant-superior-pulmonary-vein-after-left-upper-division-segmentectomy-report-of-a-case
#10
JOURNAL ARTICLE
Kai Mizobuch, Hisashi Matsuoka, Ryo Yamada, Mitsuteru Yoshida, Nobuyuki Tanida
A 67 years old male had underwent left upper division segmentectomy. On the sixth day after surgery, he had developed unconsciousness, aphasia and unilateral spatial neglect. Brain MRI revealed a cerebral infarction, and percutaneous cerebral thrombectomy was performed. Enhanced computed tomography revealed thrombus formation in the remnant superior pulmonary vein (SPV), left renal infarction and right acute limb ischemia. After starting anticoagulant therapy with apixaban the thrombus reduced and neurological symptoms improved...
January 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38459843/-early-to-long-term-results-of-left-atrial-appendage-closure-using-clip-device-in-patients-with-atrial-fibrillation
#11
JOURNAL ARTICLE
Hidetomi Takahashi, Akihiro Yoshimoto, Yoshiki Yamasaki, Kanan Kurahashi, Takafumi Inoue, Yoshihiro Suematsu
Oral anticoagulants for atrial fibrillation are the standard approach to prevent stroke in patients with atrial fibrillation. However, oral anticoagulant therapy carries the risk of cerebral infarction recurrence, not to mention hemorrhagic complications, even under appropriate drug therapy. Surgical treatments targeting the left atrial appendage include left atrial appendage closure( LAAO) and left atrial appendage resection (LAAR). Our hospital uses AtriClip (approved and available in Japan since 2018) as a device for LAAO, and we investigated the early and long-term results of LAAO using AtriClip in our hospital...
January 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38459840/-the-long-outcome-of-the-left-atrial-appendage-preserving-maze-procedure
#12
JOURNAL ARTICLE
Kazuo Yamanaka, Takeshi Nishina, Yuji Sekine, Daisuke Nakatsuka, Shun Sato, Yuichi Tara, Yuri Hashimura, Yuichi Ueda
UNLABELLED: We retrospectively study the outcome of left atrial appendage (LAA) preserving maze procedure, focus on thrombus formation in left atrium( LA), postoperative stroke, and LA function. PATIENTS AND METHODS: We studied 131 patients (mean age, 68.2y;77 men and 54 women) who underwent maze procedure for atrial fibrillation( Af) between 2008 and 2020. Full maze was performed for 116 patients with long-standing persistent Af or persistent Af. Pulmonary vein isolation alone was performed for 15 patients with paroxysmal Af...
January 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38453660/early-and-midterm-outcomes-of-fenestrated-and-branched-endovascular-aortic-repair-in-thoracoabdominal-aneurysms-types-i-through-iii
#13
JOURNAL ARTICLE
Petroula Nana, Giuseppe Panuccio, Fiona Rohlffs, Jose I Torrealba, Nikolaos Tsilimparis, Tilo Kölbel
BACKGROUND: Fenestrated and branched endovascular aortic repair (F/BEVAR) of thoracoabdominal aortic aneurysms (TAAAs) has shown high technical success and low early mortality rates. Aneurysm extent has been reported as a factor affecting outcomes. This study aimed to assess the early and midterm follow-up outcomes of patients managed by F/BEVAR for types I through III TAAAs. METHODS: A single-center retrospective analysis was conducted, including data from consecutive, elective and urgent (symptomatic and ruptured cases), patients treated for types I through III TAAAs, between October 1, 2011, and October 1, 2022, using F/BEVAR...
March 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38440414/endovascular-management-of-acute-and-subacute-venous-thoracic-outlet-syndrome
#14
REVIEW
Mark G Davies, Joseph P Hart
Approximately 3% of all patients presenting with Thoracic Outlet Syndrome have a venous etiology (vTOS), which is considered "effort thrombosis". These patients will present with symptomatic deep venous thrombosis or focal subclavian vein (SCV) stenosis. Endovascular management of vTOS occurs in several phases: diagnostic, preoperative therapeutic intervention before decompression, postoperative interventions after decompression, and delayed interventions in the follow-up after decompression. In the diagnostic phase, dynamic SCV venography can establish functional vTOS...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38430242/concomitant-interventions-in-mitral-valve-surgery-a-european-perspective
#15
JOURNAL ARTICLE
Vinci Naruka, Arian Arjomandi Rad, Jacob Chacko, Guiqing Liu, Jonathan Afoke, Prakash P Punjabi
INTRODUCTION: In recent years, major findings on concomitant procedures and anticoagulation management have occurred in Mitral Valve (MV) surgery. Therefore, we sought to evaluate the current practices in MV interventions across Europe. METHODS: In October 2021, all national cardio-thoracic societies in the European region were identified following an electronic search and sent an online survey of 14 questions to distribute among their member consultant/attending cardiac surgeons...
March 2, 2024: Perfusion
https://read.qxmd.com/read/38421567/major-vascular-reconstructions-in-thoracic-oncological-surgery
#16
JOURNAL ARTICLE
Leonardo Duranti, Luca Tavecchio
The replacement of the superior vena cava and thoracic outlet vessels for thoracic malignancies often becomes necessary for radical oncological surgery. The pulmonary artery can be directly infiltrated by the tumor or affected by metastatic hilar lymph nodes. In some cases, it must be resected and reconstructed to achieve oncological radicality and/or avoid pneumonectomy. This study reflects a single-surgeon, retrospective experience spanning 6 years (2017-2023). We reviewed data from patients undergoing early anticoagulant therapy after superior vena cava or thoracic outlet vessels bypass and from patients undergoing early antiaggregation therapy following pulmonary artery reconstruction or resection...
February 29, 2024: Updates in Surgery
https://read.qxmd.com/read/38420549/a-comprehensive-deep-venous-thrombosis-prophylaxis-regimen-in-isolated-coronary-artery-bypass-grafting
#17
JOURNAL ARTICLE
John Eisenga, Jennie Hocking, Austin Kluis, J Michael DiMaio, Emily Shih, Justin Schaffer, David O Moore, William Ryan, Kelley Hutcheson
OBJECTIVES: Deep venous thrombosis (DVT) is a known surgical complication that can lead to pulmonary embolism with subsequent morbidity and mortality. The incidence of DVT following coronary artery bypass grafting is unclear. Prophylaxis regimens vary and some guidelines advocate against use of routine chemoprophylaxis in patients at low-moderate risk for venous thromboembolism. We utilized postoperative lower extremity venous ultrasound to determine the incidence of DVT following coronary artery bypass grafting in patients with low- to moderate-risk of venous thromboembolism receiving aggressive postoperative DVT prophylaxis...
February 2024: JTCVS open
https://read.qxmd.com/read/38402062/morbidity-following-pulmonary-embolism-hospitalization-contributing-factors-and-outcomes
#18
REVIEW
Carson Welker, Jeffrey Huang, Omar Elmadhoun, Sarvie Esmaeilzadeh, Farouk Mookadam, Harish Ramakrishna
No abstract text is available yet for this article.
February 7, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38400727/anesthetic-management-of-a-jehovah-s-witness-patient-for-coronary-artery-bypass-grafting-with-antiphospholipid-antibody-syndrome-and-renal-transplant
#19
JOURNAL ARTICLE
Katherine Greco, Dirk Varelmann, Jonah Patel
Anesthesia for cardiac surgical patients with antiphospholipid antibody syndrome (APLS) presents challenges with monitoring anticoagulation during cardiopulmonary bypass. Additionally, this condition is associated with other autoimmune diseases and comorbidities that need to be considered in caring for these patients, and there is minimal evidence for specific strategies during cardiac surgery. Separately, Jehovah's Witness (JW) patients typically do not consent to receiving blood products, presenting an additional challenge for resuscitation during cardiac surgery and especially in the context of APLS...
February 24, 2024: Seminars in Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38389766/indication-for-ecmo-predicts-time-to-first-actionable-bleeding-complication
#20
JOURNAL ARTICLE
Mohsyn Imran Malik, Djalal Fakim, David Drullinksy, A Dave Nagpal
PURPOSE: Bleeding is a major complication of patients requiring extracorporeal membrane oxygenation (ECMO). Several risk factors have been identified; however, there remains a paucity of evidence for optimal management of anticoagulation and bleeding in ECMO patients. METHODS: A total of 255 patients required ECMO from January 1996 to December 2021 at a single institution. The Bleeding Academic Research Consortium (BARC) Score was used for defining actionable bleeding...
March 2024: Indian Journal of Thoracic and Cardiovascular Surgery
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