Novel hybrid total artificial heart with integrated oxygenator
In this study, we investigated the design and improvement of the blood flow pathway from the inflow-to-outflow of four oxygenators using a mathematical model and computational fluid dynamics (CFD). Pressure loss and gas transport through diffusion were examined to assess oxygenator design. The oxygenator designs led to a resistance-driven pressure loss range of less than 35  mmHg for flow rates of 1–7 L/min. All of the designs met requirements. The configuration having an outside-to-inside blood flow direction was found to have higher oxygen transport. Based on this advantageous flow direction, two designs (Model 1 a...
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Steven G. Chopski, Krianthan Govender, Alexandra May, Ellen Garven, Randy M. Stevens, Vakhtang Tchantchaleishvili, Amy L. Throckmorton Tags: ORIGINAL ARTICLE Source Type: research

Brain and lower body protection during aortic arch surgery
ConclusionsThe results of our study demonstrate that DHCA  + DR has the same prevalence of operative mortality, NE and association of death+PND than MHCA + ACP. However, the data suggests that DHCA + DR when compared with MHCA + ACP provides better renal protection and reduced prevalence of composite endpoint. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Antonio M. Calafiore, Ruggero Paulis, Severino Iesu, Domenico Paparella, Gianni Angelini, Mattia Scognamiglio, Paolo Centofanti, Salvatore Nicolardi, Pierpaolo Chivasso, Carlo Canosa, Salvatore Zaccaria, Luigi Martino, Diego Magnano, Giuseppe Tags: ORIGINAL ARTICLE Source Type: research

Acquired atrioesophageal fistula: Need it be lethal? Sizing up the problem, diagnostic modalities, and best management
ConclusionsFever, neurological symptoms, and chest pain in the context of recent ablation should prompt immediate evaluation. Urgent CT thorax should be arranged and repeated if initially unremarkable. Esophageal instrumentation should be avoided due to the risk of catastrophic air embolism or massive hemorrhage. The best way forward is emergency surgical repair; the combination which offers the best survival benefit is atrial repair combined with esophageal surgery and isolation of the esophageal aspect of the fistula. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Hannah G. Povey, Aravinda Page, Stephen Large Tags: REVIEW Source Type: research

Clinical performance of a novel bioprosthetic surgical aortic valve in a German high ‐volume center
ConclusionResults of our single-center study indicate favorable procedural outcomes. The safety outcomes confirm preliminary earlier results of this novel bioprosthesis but include more patients and a longer midterm follow-up. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ali El ‐Sayed Ahmad, Sabrina Giammarino, Saad Salamate, Wolfgang Fehske, Sami Sirat, Mohamed Amer, Peter Bramlage, Farhad Bakhtiary, Mirko Doss Tags: ORIGINAL ARTICLE Source Type: research

Effectiveness of intra ‐operative topical amiodarone for prevention of postcardiac surgery new‐onset atrial fibrillation: A review of current evidence
ConclusionProphylactic topical application of amiodarone may be effective and safe for preventing post-operative new-onset atrial fibrillation. Further investigation is required to evaluate the efficacy and safety of topical amiodadrone therapy before it can be widely integrated into current practice. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Xingyu Chen, Cam Sartor, Shetuan Zhang, Adrian Baranchuk, Amanda Ross ‐White, Angel Luis Fernandez, Mohammad El‐Diasty Tags: REVIEW Source Type: research

Successive surgical repair of a progressive aortic dissection in a case of Loeys –Dietz Syndrome
ConclusionUsing the described technique, it is possible to reconstruct the aortic anatomy using the available prostheses with accuracy and minimal complications. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Presheet Pathare, Mohamed Elbayomi, Rene Tandler, Michael Weyand, Frank Harig Tags: CASE REPORT Source Type: research

Coil embolization with open frozen hybrid graft for complex left subclavian artery/proximal descending aortic aneurysm in a young patient
AbstractAn LSCA aneurysm is a rare disease. When and how to operate are debated. While open surgery was initially considered the sole option, emerging endovascular techniques have been described. The present report describes a novel hybrid technique to treat an LSCA aneurysm combined to a proximal descending aneurysm in a young 25-year-old patient. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Samantha Guimaron, Fran çois Côté, François Dagenais Tags: CASE REPORT Source Type: research

Reconstruction of aortic sinus using patches in patients with acute type A aortic dissection
ConclusionsThe application of patches for aortic sinus reconstruction is a relatively easy method in aortic valve-sparing root reconstruction for acute type A aortic dissection involving the aortic sinus. The clinical and follow-up results are favorable. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Zengxiao Zou, Chaojie Wang, Wenqian Zhang, Zhixiong Wu, Rongjun Zou, Liang Hong, Wenliu Xu, Ge Wang, Songtao Tan, Xiaoping Fan Tags: ORIGINAL ARTICLE Source Type: research

Effect of long ‐term nursing intervention on quality of life and social support of patients with coronary heart disease after percutaneous coronary intervention
ConclusionLong-term nursing intervention can improve the quality of life and sense of social support of patients with coronary heart disease after PCI. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Haijuan Hu, Yishu Zhao, Jianhua Ma Tags: ORIGINAL ARTICLE Source Type: research

Repair of ATAAD with a 3D ‐printing assisted pre‐windowed coated stent: A case report
We report a case of ATAAD treated with interventional therapy using 3D-printing assisted pre-windowing coated stent combined with in situ window-opening technology. There were few complications and the patient experienced an uneventful recovery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 16, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Fang Hu, Zi ‐qian Zhang, Xin‐hui Zheng, Tao Li, Zhao‐xu Deng Tags: CASE REPORT Source Type: research

Preserving the pulmonary valve in Tetralogy of Fallot repair: Reconsidering the indication for valve ‐sparing
ConclusionsOur review of the midterm outcomes of expanded indication for VS suggests intraoperative decision to convert to transannular patch is warranted if intraoperative postprocedure TEE PG is greater than 45  mmHg or RV pressure is higher than half of systemic pressure to prevent reintervention. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Umar Siddiqi, Adedotun Adewale, Emily Pena, Kelci Schulz, Michel Ilbawi, Chawki El ‐Zein, Luca Vricella, Narutoshi Hibino Tags: ORIGINAL ARTICLE Source Type: research

Sternal ‐sparing aortic valve replacement with sutureless valve in bicuspid valve
AbstractOver the last decade, sutureless valves (Perceval, LivaNova PLC) were brought to the market as an alternative to stented valves for patients requiring surgical aortic valve replacement (SAVR). However, Perceval demands special steps for implantation, among which we can mention specific training for the surgical team members. Sternal-sparing cardiac procedures are conceived to limit surgical trauma, but the technical requirements and preoperative planning are more challenging than those for conventional sternotomy. SAVR is frequently carried out through an upper hemisternotomy, but the right anterior thoracotomy (RA...
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Michel Pompeu S á, Jef Van den Eynde, Ozgun Erten, Serge Sicouri, Basel Ramlawi Tags: HOW DO I DO IT Source Type: research

Hybrid off ‐pump debranching and thoracic endovascular arch repair in a high‐risk surgical patient
AbstractManagement of aortic arch pathologies remains challenging. Open total arch replacements have been associated with significant morbidity and mortality owing to the need for cardiopulmonary bypass and circulatory arrest. On the other hand, aortic arch-branched stent grafts are not widely available. In this context, hybrid techniques combining open arch debranching with endovascular graft placement have been identified as an attractive option in select patients. However, there still is a paucity of literature on their application and outcomes. A case is presented of an elderly frail patient diagnosed with a pseudoaneu...
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Olina Dagher, Marina Ibrahim, Gr égoire Cousin, Jean‐Francois Dorval, Philippe Demers, Nicolas Dürrleman Tags: CASE REPORT Source Type: research

Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
ConclusionThe Modified Sternoplasty surgery is a novel surgical technique for managing DSWI complicated by sternal dehiscence with exposed heart and great vessels. Female gender was associated with increased length of hospitalization in our patient cohort, with average length of hospitalization for women almost twice that of males. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mattan Arazi, Liza Grosman ‐Rimon, Shachar Yehezkeel, Jordan Rimon, Jacob Gohari, Sagi Gleitman, Erez Kachel Tags: ORIGINAL ARTICLE Source Type: research

Minimally invasive versus conventional aortic valve replacement: The network meta ‐analysis
ConclusionsWhile mid-term mortality was comparable among approaches, MS may be a safe and potentially more effective approach than FS and RMT for SAVR in the short term. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Takuya Ogami, Yujiro Yokoyama, Hisato Takagi, Derek Serna ‐Gallegos, Francis D. Ferdinand, Ibrahim Sultan, Toshiki Kuno Tags: ORIGINAL ARTICLE Source Type: research