Nitric Oxide: Renoprotective in Cardiac Surgery!
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Largest Operated Ascending Aortic Aneurysm in a Patient Without a History of Cardiac Surgery
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

No-Touch Saphenous Vein Graft Harvesting to Maintain the Success of CABG: comments on the SUPERIOR SVG Trial
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Aneurysm of The Non-Coronary Sinus of Valsalva
In this report, a 41-year-old male patient was reported with giant aneurysm of the non-coronary sinus of Valsalva whom underwent aortic root sparing surgical aortic sinus of Valsalva reconstruction. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Chylous Ascites Developing after Open Thoracoabdominal Aortic Aneurysm Repair in a Patient with Marfan Syndrome
Abstract Chylous ascites is the pathologic accumulation of chylous fluid in the peritoneal cavity, caused by lymphomas, metastatic malignancies, and abdominal surgeries, rarely due to surgical trauma of the cisterna chyli or its major branches. A 24-year-old man with history of Marfan syndrome presented to our hospital with abdominal distention, abdominal pain, fluid in the incision region, and weakness. He had underwent an elective open aneurysm repair surgery nine days before for thoracoabdominal aortic aneurysm. Computed tomography revealed massive fluid collection in the abdominal cavity, which was drained surgically. ...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Constrictive Pericarditis with Extensive Calcification and Caseous Necrosis
We present a case with extensive calcification, massive caseous necrosis and an important impairment of right ventricular function successfully operated in our institution. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Epicardial Atrial Fibrillation Ablation and Left Atrial Appendage Amputation in a Patient with Congenital Bicuspid Aortic Valve and Catheter-Induced Cardiac Tamponade
In this study, cardiac tamponade was induced by inadvertent transseptal puncture, which was managed with pericardial drainage and surgical repair in a patient with symptomatic paroxysmal atrial fibrillation. Epicardial atrial fibrillation ablation and left atrial appendage amputation were also performed at the same time. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Management of Left Sinus of Valsalva Aneurysm Presenting with Exertional Chest Pain
Abstract Left sinus of Valsalva aneurysm (SVA) is a very infrequent clinical entity. Valsalva aneurysms are often asymptomatic in right and non-coronary sinuses and the diagnosis is often incidental. A left SVA which presents with exertional chest pain due to compression of left coronary system arteries is extremely rare. In this case, we present a successful surgical repair of left SVA without aortic regurgitation or myocardial infarction in a 59-year-old male patient. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review
Conclusion: Hydatid cyst disease can develop in cardiac chambers and inguinal region with or without hepatic or pneumatic involvement. Normothermic cardiopulmonary bypass can be safely used in patients with cardiac hydatid cysts, and capitonnage similar to ventricular aneurysm repair in patients with a widely involved cystic lesion can be very useful for the protection of ventricular functions. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Evolution of Mitral Valve Surgery: the Future in the Hand of Robots
Conclusion: Current evidence suggests that robotic and minimal invasive mitral valve surgeries are increasing in practice with satisfactory perioperative and mortality rates. However, long-term data is yet to be published to support current practice. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Three-Dimensional Printing: is it useful for Cardiac Surgery?
Conclusion: 3 -D printed models are already helping surgeons to plan their surgeries, helping patients and their families to understand complex anatomy, helping fellows and residents to practice surgery, even for rare cases, and helping nurses and other health care staff to better understand some conditions, such as heart diseases. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

State-of-the-Art Pediatric Coronary Artery Bypass Surgery: a Literature Review
Conclusion: The internal thoracic artery is a reliable and durable conduit that demonstrates proven growth potential in children. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiovascular involvement in COVID-19: not to be missed
Abstract In December 2019, a striking appearance of new cases of viral pneumonia in Wuhan led to the detection of a novel coronavirus (SARS-CoV2). By analyzing patients with severe manifestations, it became apparent that 20 to 35% of patients who died had preexisting cardiovascular disease. This finding warrants the important need to discuss the influence of SARS-CoV2 infection on the cardiovascular system and hemodynamics in the context of clinical management, particularly during mechanical ventilation. The SARS-CoV2 enters human cells through the spike protein binding to angiotensin-converting enzyme 2 (ACE2), which is i...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Mortality in Patients who Received Extensive Surgical Management for Acute Type A Aortic Dissection - Analysis of 452 Consecutive Cases from a Single-center Experience
Conclusion: Considering the advantages of extensive surgical management for acute type A aortic dissection over the other less aggressive surgical approaches, it should be advised whenever indicated, provided that being carried out by experts in the field of adult aortic surgery in high-volume centers. The surgeon should be aware of the patient ’ s preoperative comorbidities and other risk factors for early mortality, in particular, prolonged operation time. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research