Predictive Value of White Blood Cells, Neutrophils, Platelets, Platelet to Lymphocyte and Neutrophil to Lymphocyte Ratios in Patients with Acute Aortic Dissection
Abstract Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The 3C’s: COVID-19, Children, and Cardiac Surgery - Do we know enough?
Abstract Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Myocardial Revascularization Surgery in COVID-19: Choosing the Most Opportune Moment for Intervention
Abstract Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Tribute to Mauro Arruda - "A genius of surgery who will be remembered forever"
Abstract Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Late Cardiac Tamponade in a Patient Victim of Penetrating Trauma – Case Report
Abstract Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Unusual Presentation of Patent Ductus Arteriosus in Elderly Patient
We presented a case of a 56-year-old man with giant pulmonary artery aneurysm caused by a misdiagnosed patent ductus arteriosus, severe multivalvular disease and active aortic valve endocarditis successfully treated by surgery. The correct diagnosis was missed despite preoperative diagnostics because the small patent ductus arteriosus was located at the distal part of common pulmonary trunk and a huge regurgitant signal overlapped its Doppler signal. Thorough evaluation of every patient, regardless of age, is necessary to recognize and treat this congenital anomaly. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Left Atrium Associated with Massive Thrombus Formation 14 Years after Orthotopic Heart Transplantation
We report the case of a 60-year-old patient who underwent orthotopic heart transplant 14 years earlier. Routine echocardiography showed giant masses in the left atrium. There were no symptoms or thromboembolic events in the past. Magnetic resonance imaging study revealed very enlarged left atrium (8.7 × 10.6 cm) occupied by irregular smooth mass (7 × 5 × 6.1 cm) with a stalk that was attached to the posterior left atrial wall in the area of graft suture lines. Intraoperative examination revealed a massive thrombus (12 × 10 cm) that filled almost the entire left atrial area. (Source: Revista Brasilei...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Conservative Treatment of Unicuspid Aortic Valve with Newly Diagnosed Type A Aortic Dissection
We present a case of a 36-year-old male patient with known arthrogryposis multiplex congenita and an associated unicuspid aortic valve. The patient later developed a significant aneurysm of the ascending aorta, however refused surgical intervention and missed follow-up appointments for 5 years. During an urgent, general practitioner-initiated transthoracic echocardiography follow-up, a chronic type A aortic dissection was diagnosed as a result of progressive aortic dilatation. Due to the stationary pressure gradients and non-progressive leaflet fibrosis, a conservative approach for to the unicuspid aortic valve was chosen,...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Artery Bypass Graft During the COVID-19 Pandemic
This article aims to aggregate to the growing evidence suggesting that perioperative infection with severe acute respiratory syndrome coronavirus 2 contributes to a more morbid evolution of the case. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
Abstract Minimally invasive surgical ablation is generally contraindicated in patients with atrial fibrillation and thrombosis of the left atrial appendage. We have treated three of these patients using an innovative technique based on a bilateral video-thoracoscopic approach, performing a continuous encircling lesion at the pulmonary veins outflow with radio-frequency ablation, simultaneously excluding the left atrial appendage. The postoperative course was uneventful, without neurologic events and all patients maintained a stable sinus rhythm at 1-year follow-up. This procedure represents a new mini-invasive method to tr...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mortality Rates of Surgical Techniques for Correcting Atrioventricular Disjunction
Abstract We compared the mortality rates of two surgical techniques for correction of atrioventricular disjunction in 10 out of 720 patients who underwent mitral valve replacement from 2005 to 2012. In group I, the mitral annulus was fixed with bovine pericardial strips; in group II, a 'patch' of bovine pericardium was sutured and extended from the base of the lateral and medial papillary muscles, covered the posterior wall of the left ventricle, went through the posterior mitral annulus, and ended in the posterior wall of the left atrium adjacent to the mitral ring. The group II technique showed a lower mortality. (Source...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Cardiac Surgery in Colombia: Overcoming the Challenges of a Middle-income Setting
Abstract In developing countries, limited resources and low health budgets result in slow developments in the field of cardiac surgery. As a consequence, advances in surgery become a challenging process. In Colombia, most institutions do not have the capacity or infrastructure for minimally invasive and video-assisted cardiac surgery, let alone robotic assisted cardiac surgery (RACS). Despite the challenges, efforts to overcome these hurdles are critical for the future of cardiac surgery in low-income settings. Here we describe the first cases of robotic cardiac surgeries performed in Colombia. (Source: Revista Brasileira ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heterotopic Heart Transplantation as a Left Ventricular Biological Assistance: a New Two-Stage Method Proposal
Abstract Since Barnard ’ s first heterotopic heart transplant in 1974, Copeland ’ s method has been the greatest contribution to heterotopic transplants but has the drawback of donor ’ s right ventricular atrophy. This new method proposes a modification in the anastomosis of the superior vena cava aiming to pre-serve donor ’ s right ventricular function by decompressing the pulmonary territory and reducing the pulmonary arterial pressure, as a biological ventricular assist device. Finally, a second intervention is proposed, where a “ twist ” is performed to place the donor ’ s hear...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Role of Thoracic Endovascular Aortic Repair (TEVAR) of Thoracic Aortic Diseases in Patients with Connective Tissue Disorders - A Literature Review
Conclusion: Open repair remains the gold standard method of intervention in young patients with progressive CTD, especially in the setting of acute type A aortic dissection. However, TEVAR can be sought as a reliable alternative in emergency setting of diseases involving the descending thoracic aorta; yet the long-term data needs to be published to support such practice. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hoarseness Due to Aortic Arch Aneurysms
Conclusion: The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Saphenous Vein Vasa Vasorum as a Potential Target for Perivascular Fat-Derived Factors
Abstract Perivascular adipose tissue (PVAT) is a source of factors affecting vasomotor tone with the potential to play a role in the performance of saphenous vein (SV) bypass grafts. As these factors have been described as having constrictor or relaxant effects, they may be considered either beneficial or detrimental. The close proximity of PVAT to the adventitia provides an environment whereby adipose tissue-derived factors may affect the vasa vasorum, a microvascular network providing the vessel wall with oxygen and nutrients. Since medial ischaemia promotes aspects of graft occlusion the involvement of the PVAT/vasa vas...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!)
Abstract Rheumatic heart disease (RHD) remains the most common cardiovascular disease in young adults and adolescents in need of heart surgery in low- and middle-income countries (LMICs). The mean age of patients is 20-25 years, often much younger. By contrast, the few patients with chronic RHD in developed countries present a mean age of around 55 years. It is absolutely fundamental to differentiate these two types of population. Pathology, lesions and surgical methods are different, and the results should not be compared. It is not all the same! A certain enthusiasm for mitral repair has recently surged, with several rep...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Positive Heparin/PF4 Antibodies and High Mortality Rate: a Retrospective Case-Series Analysis
Conclusion: Alth ough the incidence of HIT was low in patients undergoing open heart surgery, an increased rate of early mortality was observed in patients with positive heparin/PF4 antibodies. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Inspiratory Muscle Training Based on Anaerobic Threshold on the Functional Capacity of Patients After Coronary Artery Bypass Grafting: Clinical Trial
The objective of this study is to evaluate if IMT based on AT modifies FC and inspiratory muscle strength of patients submitted to CABG. Methods: This is a clinical trial. On the first postoperative day, the patients were divided into two groups: the conventional group (IMT-C), which performed IMT based on 40% of maximal inspiratory pressure (MIP), and the IMT-AT group, which performed IMT based on AT. All patients underwent preoperative and postoperative assessment of MIP and performed a six-minute walk test (6MWT). Results: Forty-two patients were evaluated, 21 in each group. Their mean age was 61.4 ±10 years and ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison between Arch Zones in Modified Frozen Elephant Trunk Procedure for Complex Thoracic Aortic Diseases
Abstract Introduction: The aim of this study is to compare postoperative outcomes and follow-up of two different modifications facilitating surgical technique of frozen elephant trunk (FET) procedure for complex thoracic aortic diseases - zone 0 (fixation with total arch debranching) and zone 3 (fixation with islet-shape arch repair). Methods: From May 2012 to December 2018, data were collected from 139 patients who had been treated with FET procedure for complex thoracic aortic diseases. According to Ishimaru arch map, patients with proximal anastomotic site of hybrid graft at zone 0 and zone 3 were grouped as Group A (n=...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Arterial and Venous Cannulation in Redo Cardiac Surgery: From the Safety and Cost-effectiveness Points of View
Conclusion: Venous and arterial cannulations before sternotomy decreased myocardial injury and complication rates, blood and blood product usage, hospital stay, and, consequently, hospital cos ts in our modest cohort. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical ‘Safari’ vs. Educational Program: Experience with International Cardiac Surgery Missions in Nigeria
Conclusion: After these years of cardiac missions to our center, the experience of the local team, especially the surgeons, is far from desirable because each team visit usually lasted about a week or two and each team, with exception of the CardioStart International/William Novick Global Cardiac Alliance, adopted the surgical ‘ safari ’ method. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heparin-coated vs. Non-coated Cardiopulmonary Bypass Circuits: Comparing Immediate Results with Different Target Activated Clotting Time
Conclusion: Heparin-coated circuits and reduced level of systemic heparinization with 300 seconds of target ACT level in cardiac surgery under CPB are safe and result in a very satisfactory clinical course. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Output Values and Correlation of Renal Injury with Neutrophil Gelatinase-Associated Lipocalin Levels in Off-Pump Coronary Artery Bypass Patients
Conclusion: Full revascularization may be achieved by employing the OPCAB techni que while using simple suspension sutures without a mechanical stabilizer and by providing safe CO levels and low risk of renal ischemia. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Frailty Significantly Associated with a Risk for Mid-term Outcomes in Elderly Chronic Coronary Syndrome Patients: a Prospective Study
Conclusion: Being a frail elderly CCS patient is associated with worse outcomes. Therefore, frailty score should be evaluated for elderly CCS patients as a prognostic marker. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The New Surface Landmarks for Blind Axillary Vein Puncture
Conclusion: We have developed a new blind approach to cannulate the axillary vein, which is as effective as the subclavian access, safer than that, and also allows to get this vein without the guidance of fluoroscopy, contrast, or echography. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Hospital Readmission within 30 Days after Coronary Artery Bypass Grafting: Data Analysis of 2,272 Brazilian Patients
Conclusion: The predictors identified may support a closer postoperative follow-up and individualized planning for a safe discharge. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictive Factors of Mortality in Acute Aortic Dissection and Validity of the EuroSCORE Algorithm in a Small-Sized Cardiac Surgery Institution
Conclusion: Female gender was the only independent predictor of operative mortality and survival in our institution. EuroSCORE is a poor scoring algorithm to predict mortality in AAD, but with consistent results fo r Penn Aa, Ab and Abc. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Brazilian Single-Center Experience with Aortic Root Replacement in 448 Patients: What Is the Best Technique?
The objective of this study was to evaluate whether a surgery with the use of valved conduit is capable of leading to better immediate and late results than those obtained by the valve-sparing aortic root reconstruction technique. Methods: Between January 2002 and June 2016, 448 patients underwent aortic root reconstruction. These were divided into three groups according to the technique used: 319 (71.2%) patients received mechanical valved conduits, 49 (10.9%) received biological valved conduits, and 80 (17.9%) underwent the valve-sparing aortic root reconstruction technique. The results were examined by univariate and mu...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Preoperative Aspirin on Long-Term Outcomes in Diabetic Patients Following Coronary Artery Bypass Grafting: a Propensity Score Matched Study
Conclusion: Continuation of preoperative aspirin intake ≤ 24 hours before CABG in patients with DM is associated with reduced incidence of early MACCE, but without significant influence on long-term outcomes. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Brazilian Academy of Cardiovascular Surgery: From Idea to Reality
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Healthcare Deprived Centers Attempting Congenital Heart Surgery: what is Desirable versus what is Attainable in this Covid Era?
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact on the Thoracic and Cardiovascular Surgery Residents’ Learning Curve During the COVID-19 Pandemic
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognostic Value of Dynamic Monitoring of Platelet Counts and Red Cell Distribution Width to Platelet Ratio in Patients with Acute Type A Aortic Dissection
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is it still worth Publishing Case Reports? They are Part of our Lives
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Admission Time and Surgical Technique are Important in Aortic Dissection Treatment Results
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mario Vrandecic, Cardiovascular Surgeon, University Professor, Researcher, Entrepreneur, Businessman, and Leader way ahead of his time
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transaneurysmal Repair of a Giant Calcified Submitral Left Ventricular Aneurysm
We report a case of calcified submitral aneurysm and its successful surgical management through a transaneurysmal approach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Simultaneous Thoracoscopic Approach in a Patient with Long-Standing Persistent Atrial Fibrillation and Primary Lung Cancer: the First Described Case
Abstract Cardiac rhythm disorders are common in many patients with cancer. The management of synchronous long-standing persistent atrial fibrillation and pulmonary lesions remains a serious surgical dilemma due to the lack of clinical data and surgical guidelines. To the best of our knowledge, this is the first described case of simultaneous thoracoscopic pulmonary segmentectomy and left atrial posterior wall and pulmonary vein isolation combined with left atrial appendage resection in a patient with early-stage primary lung cancer and long-standing persistent atrial fibrillation. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Type 2 Myocardial Infarction Resulted from the Left Thoracic Stomach
We present an interesting case of a type 2 myocardial infarction caused by the dilation of the left thoracic stomach. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Largest Reported Giant Ascending Aortic Aneurysm Presented with Superior Vena Cava Syndrome
Abstract Giant ascending aortic aneurysm is a rare condition. In this paper, we present an uncommon case of giant ascending aortic aneurysm with a maximal diameter of 14 cm in a 77-year-old woman presenting with unusual symptoms. The patient underwent a successful surgery involving ascending aortic replacement, and was discharged without any complication. After discharge, she was followed regularly and no major problem was observed in her control visits. To the best of our knowledge, our case is the largest ascending aortic aneurysm reported to date in the existing literature. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extrapleural Closure of Patent Ductus Arteriosus: How We Do It
Abstract Patent ductus arteriosus (PDA) is a clinical condition mostly found in premature newborns. Among several medical, surgical and interventional treatment options, extrapleural ligation through a left minithoracotomy is recognized as a safe, efficient and less expensive technique. In fact, it requires short surgical times, grants good exposure of the duct and nearby structures (e.g., thoracic duct, left recurrent laryngeal nerve), and avoids pleural space opening and subsequent pulmonary complications in preterm patients. This approach seems ideal due to its lower costs, especially in developing countries with a high...
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hypotension and Bradycardia Produced by Transthoracic Application of Low-Intensity Ultrasound Therapy in Hearts of Healthy Rats - A Preclinical Study
Conclusion: Noninvasive LIPUST induces significant metabolic and hemodynamic changes , including intensity-dependent bradycardia and hypotension, indicating a possible therapeutic effect for cardiac events. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gasparyan Method of Total Autologous Reconstruction of the Aortic Valve
Abstract In this case report, I describe a new technique for total reconstruction of the aortic valve with autologous pericardium. The parameters of the cusps were calculated using very simple formulas after measurement of the aortic root intercommissural distances. Glutaraldehyde-treated pericardium was trimmed along the marked line, leaving 2 mm of tissue along the fibrous annulus attachment margin for the suture and small wings on both commissural margins to secure the commissural coaptation between right and noncoronary cusps. The annular margin of each pericardial cusp was sutured to the corresponding fibrous annulus ...
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Microscope-Assisted Coronary Artery Bypass Grafting: Technique and Results
This article focuses on a detailed description of the technique for performing a distal anastomosis using a microsurgical technique and an operating microscope. Immediate results of operations are also reported. The data obtained suggest that microscope-assisted CABG is a safe, effective and reproducible procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effect of Age on Clinical Outcomes Following On-/Off-Pump Coronary Artery Bypass: Meta-Analysis and Meta-Regression
Conclusion: Patients undergoing CABG are becoming older and may suffer from multiple comorbidities increasing their risk profile. However, with respect to short-term clinical outcomes, the patient ’ s age does not help in determining whether off- or on-pump is superior. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Antifungal Efficacy of Amphotericin B in Candida Albicans Endocarditis Therapy: Systematic Review
Conclusion: Literature lacks evidence to conclude about efficacy and safety of amphotericin B in the treatment of fungal endocarditis. Randomized clinical trials are necessary to provide better evidence on the subject. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcaval Access to the Abdominal Aorta: indications of Interest to Surgeons and a Comprehensive Literature Review
We describe historical aspects of transcaval access to the aorta, experimental studies, available case series and outcomes. Finally, we summarize the most significant technical aspects of this little-known access. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Current Management of Cardiac Tumours: a Comprehensive Literature Review
Conclusion: Early detection of cardiac tumours has significant effect on planning the method of intervention. Technological advancements and increased availability of imaging modalities have enabled earlier and more accurate detection of these tumours. Novel medical therapies, recommendations for screening, and operative techniques have all contributed to overall improving knowledge of these tumours and ultimately patient outcomes. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cocaine-Related Aortic Dissection: what do we know?
Conclusion: Acute aortic dissection related to cocaine use occurs in predominantly young male patients and has a dismal outcome when compared to all comer series. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research