Heart Transplantation: New Decade, New Perspectives
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - March 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Brazilian Contributions to Congenital Cardiac Surgery
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - March 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Erratum
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors and Prognostic Impact of In-hospital Bleeding after Transcatheter Aortic Valve Replacement According to BARC and VARC-2 Definitions
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Challenges in Diagnosis and Management of Spontaneous Coronary Artery Dissection in a Young Patient
We describe an adult patient who presented with multiple episodes of ventricular fibrillation, in whom cardiac catheterization showed SCAD, treated by off-pump coronary artery bypass. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Appropriate Surgical Repair of Ventricular Free Wall Rupture after Infarction: a Case Report
Abstract Ventricular free wall rupture is a fatal mechanical complication of acute myocardial infarction. In some cases it can be represented as subacute clinic and may not cause death in a few minutes. Acute pseudo-aneurysms are extremely unstable and bound to fatal rupture. Herein we report a male patient who suffered dyspnea and mild chest pain, 4 weeks after acute ST-segment elevation myocardial infarction. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Mass Causing Right Ventricular Outflow Obstruction - A Dreadful Complication
In this study, a case of two-year old child who presented with failure to thrive and underwent excision of pedunculated mass from the right ventricular outflow tract was reported. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hybrid Treatment of Complex Aortic Arch Anomaly with Saccular Aneurysm
Abstract Aortic arch anomalies are not clinically important unless they cause compression symptoms due to aneurysmatic dilatation. Aortic anomalies need to be treated when they cause complex thoracic aortic diseases, and the treatment approach has evolved over time from open surgical methods, which have high mortality and morbidity rates, to hybrid methods. A case of a 68-year-old male patient with complex aortic arch anomaly treated with hybrid arch repair is reported in this study. Aortic branches were common carotid trunk and aberrant right subclavian artery with a saccular aneurysm. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection
Abstract Clinical data: Infant, 7 months, female, referred to our department at one month of age, suspecting of congenital heart disease for further investigation. Chest radiography: Demonstrates cardiomegaly and prominent pulmonary vascular markings. Electrocardiography: Shows right ventricular hypertrophy and left anterior fascicular block. Echocardiography: Evidenced common atrioventricular valve with two orifices and the left superior pulmonary vein draining on the brachiocephalic vein. Computed tomography angiography: This complementary imaging exam was performed to confirm the diagnosis. Diagnosis: The patient ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endovascular Treatment of the Ascending Aorta: is this the Last Frontier in Aortic Surgery?
Abstract Regardless the successful treatment of the descending aorta with endovascular prosthesis, for the ascending aorta segment, because of several anatomic and physiologic issues, this technique has been considered an alternative only for high-risk or inoperable patients. Despite restricted indications, hundreds of treatments have been performed worldwide, demonstrating its safety and reproducibility if it is done in high-quality centers. Therefore, understanding patients ’ selection criteria and technique limitations are critical to its application. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Involvement in Behçet's Disease: what are its Risks and Prognosis? (Rare Cases and Literature Review)
Conclusion: In Behçet's disease, coronary artery bypass grafting is a procedure with high mortality, especially in the acute period. The on-pump surgery technique in these cases can be safely performed for multiple bypa sses and in patients above 40 years old. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Neuroprotective Effect of Low Mean Arterial Pressure on Postoperative Cognitive Deficit Attenuated by Prolonged Coronary Artery Bypass Time: A Meta-Analysis
Conclusion: POCD is a common event among CABG patients. The neuroprotective effect of low MAP on POCD was attenuated by the prolonged CPB time. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bioprosthetic Aortic Valve Replacement in <50 Years Old Patients – Where is the Evidence?
The objective of this review article is to assess the current evidence behind using bioprosthetic aortic valve in this young cohort. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Right Atrium Tumor Extension Through the Inferior Vena Cava. Considerations About Nine Cases Operated Under Cardiopulmonary Bypass
Conclusion: Data retrospectively collected from patients of public hospitals reaffirm: 1) Low incidence with small published series; 2) The selected cases did not represent the whole historical casuistry of the hospital, since they were selected after the adoption of electronic documentation; 3) Demographic data and references reported in the literature were presented as tables to avoid wordiness; 4) The series highlights the propensity to invade the venous system; 5) Possible surgical treatment with the aid of CPB in collaboration with the urology team; 6) CPB with DHCA is a safe and reliable option; 7) Poor prognosis wit...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research