Revista Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Quadricuspid Aortic Valve: Three Cases Report and Literature Review
Abstract Quadricuspid aortic valve (QAV) is a rare cardiac malformation. Many cases are incidentally diagnosed in aortic surgeries or autopsies and it usually appears as an isolated anomaly. The most widely classification used is the one by Hurwitz and Roberts[1], which divides 7 alphabetical subtypes based on the cusps size. The aim of this report is to describe three different anatomic presentations of this rare aortic valve anomaly. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Partial Congenital Absence of The Pericardium: A Case Report
Abstract The complete or the partial absence of pericardium is a rare congenital malformation for which the patients are commonly asymptomatic and the diagnosis is incidental. The absence of the left side of the pericardium is the most common anomaly that is reported in the literature while the complete absence of pericardium or the absence of the right side of the pericardium are uncommon and their criteria are still unrecognized given their rare occurrence in clinical practice. This paper aims to report a case of 19-year-old male with the congenital partial absence of both sides of the pericardium and to highlight the sy...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heyde Syndrome Treated by Conventional Aortic Valve Replacement
We describe the case of a 64-year-old man who came to the emergency room due to acute heart failure and intermittent gastrointestinal bleeding. Treatment involves initial correction of anemia and heart failure followed by aortic valve replacement. The prosthesis used depends on the characteristics of each patient and valve replacement allows the resolution of bleeding in most cases. Gastrointestinal bleeding in patients with aortic stenosis is associated with severity of the valve obstruction. A mechanical prosthesis was used with no recurrent bleeding even with the need for lifelong anticoagulation therapy. (Source: Revis...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
Abstract A 27-year-old woman with sudden back pain was transported to our hospital. Abdominal ultrasonography revealed pregnancy of 28 weeks ’ gestation. Computed tomography demonstrated a type A aortic dissection. Because of progressive fetal deterioration, an emergency cesarean section was forced to perform. The next day, simple hysterectomy followed by an aortic procedure was completed. Valve-sparing aortic replacement and total arch replacement were employed as central operations. The mother and baby are well 9 months postoperatively. Although the strategy for acute type A aortic dissection during pregnancy is contr...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Rare Association of Tetralogy of Fallot and ALCAPA
Abstract In aortic valve disease cases, prosthetic valves have been used for valve replacement, however, these prostheses have inherent problems, and their quality in some countries is lower comparing to new-generation models, causing shorter durability. Aortic valve neocuspidization (AVNeo) has emerged as an option, which can be applied to a wide spectrum of these diseases. Despite the promising results, this procedure is not widely spread among cardiac surgeons yet. We developed a surgical technique combining Bentall and Ozaki procedures to treat patients with concomitant ascending aorta replacement and AVNeo and we desc...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Russian Conduit - Combining Bentall and Ozaki Procedures for Concomitant Ascending Aorta Replacement and Aortic Valve Neocuspidization
Abstract In aortic valve disease cases, prosthetic valves have been used for valve replacement, however, these prostheses have inherent problems, and their quality in some countries is lower comparing to new-generation models, causing shorter durability. Aortic valve neocuspidization (AVNeo) has emerged as an option, which can be applied to a wide spectrum of these diseases. Despite the promising results, this procedure is not widely spread among cardiac surgeons yet. We developed a surgical technique combining Bentall and Ozaki procedures to treat patients with concomitant ascending aorta replacement and AVNeo and we desc...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Replacement of the Native Mitral Valve Due to Endocarditis Caused by Stenotrophomonas Maltophilia
We report a case of a 59-year-old female patient with vegetative native mitral valve endocarditis caused by Stenotrophomonas maltophilia (SM). She had hemodialysis-dependent chronic renal failure, but no immunosuppressive disease. Echocardiography showed mobile vegetation on her native mitral valve. Right femoral artery embolectomy and mitral valve replacement were performed simultaneously. She awakened from anesthesia, but she passed away due to septic shock complications. To the best of our knowledge, this was the first case in whom native mitral valve endocarditis caused by SM was observed (despite of absence of any imm...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Valve Neocuspidization with Glutaraldehyde-Treated Autologous Pericardium (Ozaki Procedure) - A Promising Surgical Technique
Abstract In cases of aortic valve disease, prosthetic valves have been increasingly used for valve replacement, however, there are inherent problems with prostheses, and their quality in the so-called Third World countries is lower in comparison to new-generation models, which leads to shorter durability. Recently, transcatheter aortic valve replacement has been explored as a less invasive option for patients with high-risk surgical profile. In this scenario, aortic valve neocuspidization (AVNeo) has emerged as another option, which can be applied to a wide spectrum of aortic valve diseases. Despite the promising results, ...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Status and Research Progress on Vitamin D Deficiency and Atrial Fibrillation
Abstract Atrial fibrillation is a common type of arrhythmia and is an important cause of stroke and heart failure. vitamin D is an emerging risk factor of AF, and is implicated in the pathophysiology of atrial fibrillation. It has been established that this vitamin is extensively involved in the regulation of both the renin angiotensin aldosterone system and the immune system. Epidemiological studies have not yet reached a consensus on the possible association between vitamin D deficiency and atrial fibrillation. Better research designs and methods can further clarify the relationship between the two. (Source: Revista Bras...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Profiles and Predictive Values of Interleukin-6 in Aortic Dissection: a Review
Abstract Aortic dissection (AD) has been recognized to be associated with an inflammatory process. Clinical observations demonstrated that patients with AD had an elevated interleukin (IL)-6 level in comparison to hypertensive or healthy controls. Adverse events such as acute lung injury, postimplantation syndrome, and death are associated with an elevated IL-6 level. Thus, circulating IL-6 could be a reliable biomarker for the diagnosis of AD and for the eveluation of the therapeutic outcomes and the prognosis of AD patients. Therapeutic interventions aiming at attenuating the inflammatory status by IL-6 neutralization co...
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effect of Using Triclosan-Impregnated Polyglactin Suture to Prevent Infection of Saphenectomy Wounds in CABG: A Prospective, Double-Blind, Randomized Clinical Trial
Conclusion: Triclosan-coated suture shows lower infection rate in saphenectomy of patients undergoing CABG, although the differences were not statistically significant. Pain and wound hyperthermia were less frequent in patients with triclosan-coated sutures compared with conventional sutures. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Carotid Duplex Scanning in Patients Undergoing Coronary Artery Bypass Grafting
Conclusion: Age and history of CVA were identified as risk factors for significant CAS. Furthermore, significant CAS was identified as a risk factor for postoperative CVA. For this reason, carotid screening is recommended for patients undergoing CABG even in the absence of associated risk factors. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Evaluation of Cardiac Autonomic Modulation Using Symbolic Dynamics After Cardiac Transplantation
Conclusion: Symbolic dynamics indexes were able to show a specific cardiac autonomic modulation pattern for HTx recipients with different postoperative times. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is Hypoalbuminemia a Predictor for Acute Kidney Injury after Coronary Bypass Grafting in Diabetes Mellitus Patients?
Conclusion: We observed that a preoperative low serum albumin level was associated with postoperative AKI development in patients with DM who underwent isolated CABG procedure. We emphasize that this adjustable albumin level should be considered before the operation since it is an easy and clinically implementable management for the prevention of AKI development. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Stage of Atherosclerosis in Aortocoronary Saphenous Vein Grafts: Intravascular Ultrasound Study
Conclusion: IVUS showed plaque in about 40% of venous grafts during the first year after CABG. Between 13-16 months plaque was visible in all studied grafts. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - November 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research