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https://www.readbyqxmd.com/read/29908227/hypogastric-preservation-using-retrograde-endovascular-bypass
#1
Mathew Wooster, Paul Armstrong, Martin Back
OBJECTIVE: Maintenance of pelvic circulation has been connected to reduced risks of ischemic colitis, buttock claudication, erectile dysfunction, and spinal cord ischemia during the treatment of extensive aorto-iliac aneurysmal disease. We evaluate the mid to late follow up of a cohort of patients treated using one preservation technique, the endovascular external (EIA) to internal (IIA) iliac artery bypass. METHODS: All patients undergoing elective retrograde EIA-IIA endovascular bypass at a single institution were retrospectively reviewed over a ten-year period from 2006-2016...
June 13, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29907127/sutureless-technique-versus-conventional-surgery-in-the-primary-treatment-of-total-anomalous-pulmonary-venous-connection-a-systematic-review-and-meta-analysis
#2
Yuhao Wu, Zhichao Wu, Junmeng Zheng, Yonggang Li, Yuehang Zhou, Hongyu Kuang, Xin Jin, Chun Wu
BACKGROUD: A meta-analysis was performed to compare the differences in outcomes between sutureless technique and conventional surgery for primary repair of Total Anomalous Pulmonary Venous Connection(TAPVC). METHODS: Electronic databases, including PubMed, EMbase, Medline, CNKI, Wanfang Data and Weipu Data were searched systematically for the literature aimed mainly at comparing the therapeutic effects for primary repair of TAPVC administered by sutureless technique and conventional surgery...
June 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29903683/correlating-oxygen-delivery-during-cardiopulmonary-bypass-with-the-neurologic-injury-biomarker-ubiquitin-c-terminal-hydrolase-l1-uch-l1
#3
J Trent Magruder, Charles D Fraser, Joshua C Grimm, Todd C Crawford, Claude A Beaty, Alejandro Suarez-Pierre, Ronald L Hayes, Michael V Johnston, William A Baumgartner
OBJECTIVE: The authors sought to assess the relationship between low oxygen delivery (DO2 ) during cardiopulmonary bypass (CPB) and a neuron-specific biomarker of neurologic injury, ubiquitin C-terminal hydrolase L1 (UCH-L1). DESIGN: Retrospective analysis of patient charts and prospectively collected blood samples. SETTING: University-affiliated tertiary care hospital. PARTICIPANTS: Adult patients undergoing cardiac surgery on CPB...
June 11, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29903519/transcatheter-or-surgical-treatment-of-severe-aortic-stenosis-and-coronary-artery-disease-a-comparative-analysis-from-the-italian-observant-study
#4
Marco Barbanti, Sergio Buccheri, Davide Capodanno, Paola D'Errigo, Marco Ranucci, Stefano Rosato, Gennaro Santoro, Danilo Fusco, Corrado Tamburino, Fausto Biancari, Fulvia Seccareccia
BACKGROUND: To assess clinical outcomes of patients with concomitant severe aortic stenosis (AS) and coronary artery disease (CAD) who underwent transcatheter aortic valve implantation (TAVI) and percutaneous coronary intervention (PCI) or surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG). METHODS: Data were extracted from the multicenter OBSERVANT study. For the purposes of the present analysis, we included only patients with established stable CAD meeting any of the following inclusion criteria: 1) TAVI patients with CAD undergoing staged PCI or TAVI and PCI in the same session; 2) SAVR patients undergoing combined SAVR and CABG in the same session...
June 7, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29903030/diastolic-dysfunction-is-common-and-predicts-outcome-after-cardiac-surgery
#5
Thomas S Metkus, Alejandro Suarez-Pierre, Todd C Crawford, Jennifer S Lawton, Lee Goeddel, Jeffrey Dodd-O, Monica Mukherjee, Theodore P Abraham, Glenn J Whitman
BACKGROUND: Diastolic dysfunction (DD) identified on echocardiography predicts mortality after cardiac surgery, however the most useful diastolic parameters for assessment and the association of DD with prolonged mechanical ventilation, ICU re-admission, and hospital length of stay are not established. METHODS: We included patients that underwent coronary artery bypass grafting (CABG), aortic valve replacement (AVR) or a combined procedure (CAB-AVR) from 2010 to 2016, and who had preoperative transthoracic echocardiography (TTE) at our institution within 6 months of the operation...
June 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29901810/on-x-mitral-valve-replacement-a-single-centre-experience-in-318-patients
#6
Giacomo Murana, Jacopo Alfonsi, Carlo Savini, Carlo Mariani, Giuditta Coppola, Valeria Lo Coco, Emanuele Pilato, Davide Pacini, Roberto Di Bartolomeo
OBJECTIVES: If mitral valve repair is not feasible, mitral valve replacement remains the only option. Based on our overall experience with the On-X mitral valve, the aim of this study was to investigate early and late outcomes after mitral valve replacement using this latest generation prosthesis. METHODS: From 1998 to 2016, 600 patients received an On-X prosthesis in the mitral position. Of them, we excluded all patients who had combined aortic procedures and retrospectively analysed 318 consecutive patients who had a mitral valve replacement...
June 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29901606/a-case-report-of-successful-treatment-of-secondary-aortoenteric-fistula-complicated-with-gastrointestinal-bleeding-and-retroperitoneal-abscess-in-an-elderly-patient
#7
Chunyan Jiang, Xueming Chen, Jianshe Li, Hongwei Li
RATIONALE: The treatment of secondary aortoenteric fistula (SAEF) involves maintaining hemodynamic stability, infection control, revascularization, and surgical repair. Conventional open repair is associated with high mortality, whereas endovascular stent-graft repair is associated with recurrent infection or bleeding. PATIENT CONCERNS: We report the case of an 85-year-old man with SAEF who presented with gastrointestinal bleeding and retroperitoneal abscess. DIAGNOSES: He was misdiagnosed for 5 months...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901605/case-report-of-retrograde-in-situ-fenestration-of-the-thoracic-stent-graft-with-reentry-device-in-a-patient-with-aortobronchial-fistula
#8
Alexander D Leung, Dai Yamanouchi
RATIONALE: In situ fenestration may be necessary to preserve branch arteries during thoracic endovascular aortic repair (TEVAR) when there is an inadequate landing zone. PATIENT CONCERNS: We report the case of a 74-year-old man presenting with recurrent hemoptysis. DIAGNOSES: Based on computed tomography (CT) angiogram and bronchoscopy, diagnosis was aorto-bronchial fistula. INTERVENTIONS: We performed retrograde in situ fenestration with reentry catheter (Pioneer Plus, Volcano Corporation, San Diego, CA) to preserve the left subclavian artery following TEVAR for aorto-bronchial fistula...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29898149/on-pump-beating-non-beating-cabg-in-stable-angina-have-similar-outcomes
#9
Victor Dayan, Juan Jose Paganini, Alvaro Marichal, Daniel Brusich
OBJECTIVE: On pump beating/non-beating coronary artery bypass grafts (CABG) has been compared in patients with unstable angina and/or severe left ventricular dysfunction. There is scarce evidence regarding the beneficial use of on-pump beating CABG in patients with stable angina and normal left ventricular function. Our aim was to study the postoperative results using both techniques in this group of patients. METHODS: One thousand one hundred and forty-five patients with stable angina underwent on-pump isolated CABG in Uruguay from 2011 to 2015...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29898147/thrombocytopenia-after-aortic-valve-replacement-comparison-between-sutureless-perceval-s-valve-and-perimount-magna-ease-bioprosthesis
#10
Syed Saleem Mujtaba, Simon Ledingham, Asif Raza Shah, Stephan Schueler, Stephen Clark, Thasee Pillay
INTRODUCTION: The incidence of postoperative thrombocytopenia after aortic valve replacement (AVR) with the Perceval S Sutureless bioprosthesis remains unclear. The aim of this study was to report thrombocytopenia associated with the use of sutureless AVR. METHODS: The data was collected retrospectively for patients who had isolated AVR with sutureless Perceval S valve (Group A: 72 patients) and was compared with patients who underwent isolated sutured AVR with Perimount Magna Ease Bioprosthesis (Group B: 101 patients) in our institution between June 2014 and January 2017...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29898143/predictors-of-outcomes-after-correction-of-acute-type-a-aortic-dissection-under-moderate-hypothermic-circulatory-arrest-and-antegrade-cerebral-perfusion
#11
George Samanidis, Charalampos Katselis, Constantinos Contrafouris, Georgios Georgiopoulos, Ioannis Kriaras, Theofani Antoniou, Konstantinos Perreas
INTRODUCTION: Hypothermic circulatory arrest is widely used for correction of acute type A aortic dissection pathology. We present our experience of 45 consecutive patients operated in our unit with bilateral antegrade cerebral perfusion and moderate hypothermic circulatory arrest. METHODS: Between January 2011 and April 2015, 45 consecutive patients were admitted for acute type A aortic dissection and operated emergently under moderate hypothermic circulatory arrest and bilateral antegrade cerebral perfusion...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29898140/aortic-valve-replacement-with-a-conventional-stented-bioprosthesis-versus-sutureless-bioprosthesis-a-study-of-763-patients
#12
Syed Saleem Mujtaba, Simon M Ledingham, Asif Raza Shah, Thasee Pillay, Stephan Schueler, Stephen Clark
OBJECTIVE: The aim of this retrospective study was to compare early postoperative outcomes after aortic valve replacement (AVR) with sutureless bioprostheses and conventional stented bioprostheses implanted through median sternotomy. METHODS: From January 2011 to December 2016, 763 patients underwent aortic valve replacement with bioprostheses; of these, 139 received a Perceval S sutureless valve (Group A) and 624 received a Perimount Magna Ease valve (Group B)...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29893672/histidine-tryptophan-ketoglutarate-solution-versus-blood-cardioplegia-in-cardiac-surgery-a-propensity-score-matched-analysis
#13
Alejandro Pizano, Felix Ramon Montes, Marisol Carreño, Dario Echeverri, Juan Pablo Umaña
BACKGROUND: Choosing a cardioplegic solution is a significant issue in modern cardiac surgery. Although different options are available, the optimal strategy for myocardial protection has not been established. The aim of this study was to compare intraoperative and postoperative effects of histidine-tryptophan-ketoglutarate (HTK) solution with those of standard blood cardioplegia with St Thomas No 2 solution. The study was conducted using a large cohort of adult patients undergoing complex cardiac surgery...
May 11, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/29886218/concomitant-hybrid-arch-vessel-reconstruction-and-intracranial-clot-retrieval-in-takayasu-s-arteritis-presenting-with-acute-cerebral-ischaemia-a-case-report
#14
Leonard Shan, David Goh, Timothy Wagner
INTRODUCTION: Type 1 Takayasu's arteritis (TA) predominantly affects the supra-aortic branches. Occlusive disease can cause catastrophic complications such as stroke and death. Open and endovascular techniques of revascularisation are described for extracranial disease. There is currently no default choice of surgical intervention. Furthermore, the management of distal intracranial complications has not been described. PRESENTATION OF CASE: A 25-year-old lady with known TA on immunosuppression presents with acute left middle cerebral artery (MCA) stroke...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29885959/increased-right-atrial-appendage-apoptosis-is-associated-with-differential-regulation-of-candidate-micrornas-1-and-133a-in-patients-who-developed-atrial-fibrillation-after-cardiac-surgery
#15
James N Tsoporis, Anastasia Fazio, Ioannis K Rizos, Shehla Izhar, Gerald Proteau, Vasileos Salpeas, Angelos Rigopoulos, Eleftarios Sakadakis, Ioannis K Toumpoulis, Thomas G Parker
Atrial fibrillation (AF) following on-pump coronary artery bypass grafting (CABG) is a common condition associated with increased morbidity and mortality. We investigated the possibility that miRs may play a contributory role in postoperative AF and associated apoptosis. A total of 42 patients (31 males and 11 females, mean age 65.0 ± 1.3 years) with sinus rhythm and without a history of AF were prospectively enrolled. We examined the levels of the muscle-specific miRs 1 and 133A and markers of apoptosis including TUNEL staining, caspase-3 activation, Bcl2 and Bax mRNAs in right atrial appendage (RAA) biopsies and blood plasma taken before aortic cross-clamping and after reperfusion...
June 7, 2018: Journal of Molecular and Cellular Cardiology
https://www.readbyqxmd.com/read/29885944/cold-agglutinin-disease-complicating-management-of-aortic-dissection
#16
James Bras, Kelsey Uminski, Arjuna Ponnampalam
BACKGROUND: Cold agglutinin disease is characterized by acrocyanosis, hemolytic anemia, and occasionally, frank hemoglobinuria. Although cold agglutinins are commonly detected, they are rarely clinically significant due to subphysiologic temperatures at which agglutination occurs. Cardiovascular surgical procedures requiring hypothermia present a unique challenge for these patients, requiring modification of the conduct of cardiopulmonary bypass and cardioplegia. CASE REPORT: Herein we report a case of a patient with a prior history of symptomatic cold agglutinin disease and type A aortic dissection, presenting with dilation of his known diseased ascending aorta, requiring semi-urgent repair...
April 2018: Transfusion and Apheresis Science
https://www.readbyqxmd.com/read/29883655/pediatric-coronary-artery-bypass-surgery-for-congenital-heart-disease
#17
REVIEW
Soichiro Kitamura
BACKGROUND: Pediatric coronary artery bypass surgery (PCABS) for congenital heart disease has become increasingly important in infants and children undergoing modern cardiac surgery, because of its life-saving potential in unsuccessful coronary transfer surgery. This review summarizes the current surgical role of PCABS for treating congenital heart diseases. METHODS: Databases, mainly PUBMED, were searched for relevant publications regarding coronary bypass surgery in the pediatric population, from 1970 (commencement) to March 2018...
June 5, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29883653/automated-titanium-fasteners-versus-hand-tied-knots-a-randomized-controlled-trial
#18
Muhammad Etiwy, Hoda Javadikasgari, Penny Houghtaling, Marc Gillinov
BACKGROUND: The relative benefits of automated titanium fasteners (LSI SOLUTIONS, Victor, NY USA) have not been examined in patients undergoing a sternotomy. The aim of this study was to assess the time and cost required for suture fixation with the automated device versus conventional hand-tying in sternotomy mitral/tricuspid ring annuloplasty. METHODS: Fifty patients scheduled to undergo primary mitral and/or tricuspid ring annuloplasty-based valve repair surgery by a single surgeon were randomly assigned to receive either conventional hand-tied knots or automated titanium fasteners with 25 patients in each group...
June 5, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29877976/triple-valve-surgery-results-from-a-multicenter-experience
#19
Alessandro Leone, Daniela Fortuna, Davide Gabbieri, Francesco Nicolini, Giovanni Andrea Contini, Florio Pigini, Claudio Zussa, Rossana De Palma, Roberto Di Bartolomeo, Davide Pacini
AIMS: Triple valve surgery (TVS) may still be considered a challenge in cardiac surgery, and is still associated with a not negligible mortality and morbidity. This study analyzed retrospectively patients' data from RERIC (Registro Regionale degli Interventi Cardiochirurgici) registry, to evaluate early and mid-term results of TVS. METHODS: From April 2002 to December 2013, data from n = 44 211 cardiac surgical procedures were collected from six Cardiac Surgery Departments (RERIC)...
July 2018: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/29877717/surgical-antegrade-transcatheter-valve-implantation-and-heavily-calcified-heart
#20
Elise Lupon, Anais Lemaire, Christophe Cron, Bertrand Marcheix
It is well known that a heavily calcified mitral valve significantly increases the perioperative and postoperative risks of mitral valve surgery. A 71-year-old woman was referred to our department with severe mitral valve disease. Cardiac imaging revealed extremely severe calcification of the entire left heart. Surgery was performed through a median sternotomy with standard cardiopulmonary bypass. After dilating the mitral orifice with a balloon, we replaced the valve with a transcatheter Edwards Sapiens 3 aortic valve under direct vision...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
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