Sternal Wound Complications: Objective Reclassification and Surgical Reconsideration.
Conclusionsː Sternal wound complications are grave events, objective classification and selecting proper management are warranted to gain better outcomes. PMID: 32118548 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Elassal AA, Al-Ebrahim KE, Al-Radi OO, Jabbad HH, Eldib OS Tags: Heart Surg Forum Source Type: research

Ten-Year Clinical Experience on Chylothorax after Cardiovascular Surgery.
CONCLUSIONS: According to our clinical experience, chylothorax is not an extremely rare complication after cardiac surgery in pediatric cardiovascular surgery. A number of patients with chylothorax may be treated medically and with diet adjustment. Medical treatment including steroid administration may be the first treatment strategy immediately after diagnosis. Classic chemical pleurodesis combined with fibrin glue may be applied in the early stages. Surgical ligation of the ductus thoracicus should be considered the last treatment option. PMID: 32118549 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kahraman D, Keskin G, Khalil E, Dogan OF Tags: Heart Surg Forum Source Type: research

The Relationship between the HATCH Score, Neutrophil to Lymphocyte Ratio and Postoperative Atrial Fibrillation After Off-Pump Coronary Artery Bypass Graft Surgery.
Abstract Backround: Postoperative atrial fibrillation (PoAF), the most common arrythmia observed in 18-40% of patients following coronary artery bypass surgery, may cause hemodynamic disturbances and increase embolism risk. The aim of this study was to investigate the relationship of HATCH score with PoAF in patients who underwent off-pump coronary artery bypass grafting (OPCABG) and evaluate the effect of preoperatively calculated neutrophil-to-lymphocyte ratio (NLR) on PoAF. METHODS: Patients who underwent OPCABG between January 2014 and January 2019 were included in the study. Preoperative and postoperativ...
Source: The Heart Surgery Forum - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Erdolu B, As AK, Engin M Tags: Heart Surg Forum Source Type: research

Comparison of Levosimendan Versus IABP in Patients with Poor Left Ventricular Function Undergoing Coronary Artery Bypass Graft Surgery.
Abstract OBJECTIVES: The aim of this study was to compare the use of levosimendan versus intra-aortic balloon pump (IABP) in patients with poor left ventricular function undergoing coronary artery bypass grafting (CABG) with ejection fraction less than 35%. METHODS: Between February 2016 and March 2019, a prospective randomized study was performed on a group of 279 consecutive patients with left ventricular ejection fraction
Source: The Heart Surgery Forum - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Omar A, Eldegwy M, Allam M, Rouchdy A, Soliman SAH, Dawou O, Elshihy E Tags: Heart Surg Forum Source Type: research

Intravenous Tranexamic Acid Decreases Blood Transfusion in Off-Pump Coronary Artery Bypass Surgery: A Meta-analysis.
Abstract BACKGROUND: Tranexamic acid (TXA) has been widely used during on-pump coronary artery bypass graft (CABG) surgery owing to its antifibrinolytic effect. However, the efficacy and safety of TXA in off-pump CABG surgery remains unconfirmed, especially intravenous (IV) administration. OBJECTIVE: The aim of this study was to evaluate the effectiveness and safety of IV administration of TXA in off-pump CABG settings. METHODS AND RESULTS: A comprehensive literature search was performed to identify randomized controlled trials (RCTs) that compared IV use of TXA with placebo in the reduction of postopera...
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sun L, An H, Feng Y Tags: Heart Surg Forum Source Type: research

Termination of Electrical Storm After Double Valve Replacement Using Sympathectomy.
Abstract Electrical storm is a fatal condition unless aborted. Various treatments are available, each with its own limitations. Here, we present a case in which all forms of therapy failed except sympathectomy, which terminated the storm successfully. PMID: 32118542 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Al-Sarraf N, AlShehab DS, AlGhunaim EM, Elkhalifa MF, Matthias A, Al-Fadhli J Tags: Heart Surg Forum Source Type: research

Modified Blalock-Taussig Shunt: A Single-Center Experience and Follow-Up.
We describe the immediate and follow-up results of patients with MBTS in our center. METHODS: Patients who received MBTS (excluding those with hypoplastic left heart syndrome) from May 2008 to December 2018 were retrospectively identified. Hospital records were evaluated to determine patient demographics, diagnoses, and perioperative data. Patients were followed up by echocardiograph to evaluate the patency of the graft until stage II procedure or death. RESULTS: MBTS was performed in 25 patients by 2 surgeons; 16% were neonates, and 60% had pulmonary atresia and 24% tetralogy of Fallot. The patients' median age ...
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Li D, Wang Y, Lin K, An Q Tags: Heart Surg Forum Source Type: research

Median Sternotomy After Sternal Reconstruction With Bilateral Longitudinal Plating in a Patient With Osteoporosis.
Abstract In recent decades, new information has arisen regarding sternal healing and extended indications for using rigid plate fixation in patients during cardio-thoracic procedures. Three randomized controlled multicenter clinical trials recently demonstrated positive results after rigid plate fixation, including reduced sternal complications and decreased length of hospital stay. However, redo-sternotomy after sternal reconstruction utilizing rigid fixation has not been previously delineated in surgical literature. This case highlights the technical challenges of performing a median sternotomy for cardiac surge...
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Madjarov JM, Katz MG, Kumar A, Gubara SM, Madzharov S, Madjarova S, Robiscek F Tags: Heart Surg Forum Source Type: research

Assessment of Culprit Lesion of Optical Coherence Tomography in Patients With Acute Myocardial Infarction: a Case Report.
Abstract In general, patients with acute myocardial infarction (AMI) have severe stenosis secondary to a superimposed thrombus at the event. Optical coherence tomography (OCT) is a useful imaging tool for patients with AMI. This allows us to identify the site of ruptured plaque, erosion of fibrous cap, and characteristics of stenotic lesion. In this case, we present the difference of the ruptured cavity and obstructed lesion. PMID: 32118545 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bae HJ Tags: Heart Surg Forum Source Type: research

Effect of Perioperative Glucose-Insulin-Potassium Therapy in Patients Undergoing On-Pump Cardiac Surgery: A Meta-Analysis.
Abstract OBJECTIVE: The role of glucose-insulin-potassium (GIK) infusion during cardiac surgery has held interest for so many years without a clear answer. The aim of this meta-analysis was to evaluate the effect of GIK therapy on outcomes in patients undergoing on-pump cardiac surgery. METHODS: A comprehensive online review was performed in The Web of Science, Embase, Medline, PubMed, and The Cochrane Library databases from 2000 to 2019. Eligible studies included randomized controlled trials (RCTs) that compared GIK treatment with placebo or standard care during on-pump cardiac surgery. Risk ratios (RR) were...
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Li Q, Yang J, Zhang J, Yang C, Fan Z, Yang Y, Zheng T, Yang J Tags: Heart Surg Forum Source Type: research

Ultrastructural Investigations of Arterial Bypass Conduits after the Use of Different Harvesting Techniques Using an Electron Microscope.
CONCLUSION: In the learning curve period, the use of a harmonic scalpel is time consuming and presents some difficulties during the harvesting of conduits. According to our study results, however, the harmonic scalpel technique may be useful because of decreased pathology, including spasm. In our opinion, graft occlusion or thrombus as a life-threatening condition and endothelial dysfunction may decrease with the use of this alternative harvesting technique. PMID: 32118547 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Uyar İS, Kahraman D, Keskin G, Khalil E Tags: Heart Surg Forum Source Type: research

Epicardial Posterior Papillary Muscle Repositioning with Mitral Annular Reduction for FIMR Treatment: Initial Ex Vivo Heart Model Study.
CONCLUSION: The decreased tethered angle of the PPM referred to the annulus, and the decreased interpapillary muscles distance suggested the PPM was repositioned inward and toward the septal annulus by the epicardial pushing pad. Epicardial repositioning of the PPM adjunct with mitral annular reduction facilitated leaflet coaptation without the risk of overlying restriction of the mitral annular orifice. PMID: 32118536 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kradangnga K, Monnet E Tags: Heart Surg Forum Source Type: research

The Impact of Text Message On Self-Management for Coronary Heart Disease: A Meta-Analysis of Randomized Controlled Trials.
CONCLUSIONS: Text message intervention demonstrates no positive impact on self-efficacy, treatment adherence, and the control of risk factors in patients with coronary heart disease. PMID: 32118537 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Wan Y, Wu X, Kou Y Tags: Heart Surg Forum Source Type: research

Surgical Treatment Strategy with Combined Cardiopulmonary Bypass for Renal Cell Carcinoma with Tumor Embolism Developed in Inferior Vena Cava.
CONCLUSIONS: We conclude that surgical management with CPB and circulatory arrest may be a viable and safe method of treatment for RCC patients. PMID: 32118538 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Imazuru T, Uchiyama M, Shimokawa T Tags: Heart Surg Forum Source Type: research

Transseptal Approach for Mitral Valve Replacement in Dextrocardia with Situs Inversus Totalis: A Case Report and Review of the Literature.
We present the case of a 56-year-old female patient who had been diagnosed with situs inversus totalis in childhood and with chronic atrial fibrillation in adulthood and was under oral anticoagulant treatment. She was referred to our hospital for increasing dyspnea and palpitation. Transthoracic echocardiography detected severe mitral regurgitation associated with moderate tricuspid regurgitation, with normal left and right ventricular function. Contrast chest computed tomography (CT) and preoperative abdominal CT showed both dextrocardia and situs inversus totalis, with normal continuity of the inferior vena cava. Biatria...
Source: The Heart Surgery Forum - February 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Stiru O, Geana RC, Ilie RR, Chioncel O, Tulin R, Valeanu L, Bubenek S, Filipescu D, Iliescu VA Tags: Heart Surg Forum Source Type: research

Long Term Outcomes of Freestyle Stentless Aortic Bioprosthesis: A Single Center Experience.
CONCLUSION: The freestyle stentless aortic root bioprosthesis offered good clinical outcomes, in terms of survival and structural valve deterioration. The Freestyle valve is a viable option for use in patients undergoing bioprosthetic aortic valve replacement and expected desire for long-term durability. PMID: 32118540 [PubMed - as supplied by publisher] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ezelsoy M, Oral K, Saracoglu KT, Saracoglu A, Bayramoglu Z, Akpinar B Tags: Heart Surg Forum Source Type: research

Implantation of Left Ventricular Assist Device After Descending Aortic Stent Graft for Mural Thrombus.
We report a case of a 66-year-old man in cardiogenic shock, due to an ischemic cardiomyopathy, who also had intramural thrombus with an intraluminal component in the descending thoracic aorta. An endovascular stent graft was inserted inside the aorta over the location of the mural thrombus. This allowed for the placement of an intra-aortic balloon pump (IABP) for pre-operative optimization. After 3 days, a left ventricular assist device (LVAD) was implanted via left anterolateral thoracotomy with hemi-sternotomy, and the IABP was removed. Post-operatively, he had a relatively uncomplicated course without signs of embolic p...
Source: The Heart Surgery Forum - January 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shah A, Onwumbiko B, Encarnacion CO, Krause E, Sorensen E, Toursavadkohi S, Griffith BP, Kon ZN, Kaczorowski D Tags: Heart Surg Forum Source Type: research

Do the Paths of Sequential Vein Grafts Influence the Outcomes of Coronary Artery Bypass Surgeries?
This study aimed to investigate the influence of the paths of SVGs on the outcomes of CABG. METHODS: From January 2011 to June 2017, 126 patients underwent elective isolated CABG. If the path of the SVG was from the aorta to the right coronary artery (RCA)/ posterior descending artery (PDA) to the left circumflex artery (LCX)/obtuse marginal artery (OM), the patients were included in Group R. If the path was from the aorta to the LCX/OM to the RCA/PDA, the patients were included in Group L. The in-hospital and follow-up outcomes were analyzed. RESULTS: Group R had 69 patients, and Group L had 57 patients. Univari...
Source: The Heart Surgery Forum - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tseng YH, Kao CC, Lin CC, Chen CW, Lu MS, Lu CH, Huang YK Tags: Heart Surg Forum Source Type: research

Minimally Invasive CABG or Hybrid Coronary Revascularization for Multivessel Coronary Diseases: Which Is Best? A Systematic Review and Metaanalysis.
Abstract OBJECTIVES: Minimally invasive coronary revascularization (MICR) involves minimally invasive direct coronary artery bypass grafting (MIDCAB) and robotic-assisted coronary artery bypass grafting (RCABG), and hybrid coronary revascularization (HCR) aims to combine MICR/RCABG on left anterior descending (LAD) and percutaneous coronary interventions (PCI) on non-LAD lesions. We performed a systematic review and metaanalysis to compare clinical outcome after MICR and HCR. METHODS: A metaanalysis was carried out through searching PubMed, EMBASE, Web of Science, and Medline for comparative studies evaluatin...
Source: The Heart Surgery Forum - December 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Guan Z, Zhang Z, Gu K, Wang H, Lin J, Zhou W, Wan F Tags: Heart Surg Forum Source Type: research

Risk Factors for Postoperative Prolonged Ventilation Time in Acute Type A Aortic Dissection Patients Received Modified Aortic Root Procedure.
Abstract BACKGROUND: Postoperative prolonged ventilation time (PPVT) is associated with increased mortality in acute type A aortic dissection (ATAAD). The aim of this study is to investigate risk factors for PPVT in ATAAD patients. METHODS: We retrospectively collected ATAAD patient data for those who received modified aortic root procedure and extensive arch repair between June 2017 and June 2018 at our institution. Patients were included in PPVT (N = 30) and No-PPVT (N = 72) groups, according to whether postoperative ventilation time> 72 hours. Univariate and multivariate logistic regression analysis wer...
Source: The Heart Surgery Forum - December 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chen Y, Li N, Li Y, Song Z, Zhao A Tags: Heart Surg Forum Source Type: research

Case Report: Aberrant Left Vertebral Artery Management in Traumatic Transection of the Aortic Isthmus.
Abstract Association of elective debranching and endovascular thoracic aortic repair (TEVAR) with aberrant left vertebral artery (AVA) revascularization and supra-aortic left carotid-subclavian bypass in post-traumatic pseudoaneurysm of the distal aortic arch are extremely rare procedures that can minimize unnecessary neurologic complications. The patient was a 42-year-old man, stable, with a post-traumatic transection of the aortic isthmus, with origin of the AVA between the left common carotid artery (LCCA) and left subclavian artery (LSA). Preoperative planning and proper sizing of the stent-grafts were evaluat...
Source: The Heart Surgery Forum - December 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Stiru O, Valeanu L, Parasca CA, Geana RC, Pavel P, Croitoru M, Tudor D, Bubenek S, Iliescu VA Tags: Heart Surg Forum Source Type: research

Baseline and Outcome Characteristics of Multiple Valve Surgery Compared with Single Valve Procedures in Mainland China: A Multicenter Experience.
CONCLUSION: Baseline characteristics and epidemiology were different between MUV and single-valve procedures. The in-hospital mortality and postoperative complications for MUV procedures remained considerably higher and determinants of mortality were relatively different across procedures types. These findings serve as a benchmark for further studies, as well as suggest a continued search for explanations of MUV outcomes. PMID: 31895035 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - December 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jin L, Zhang GX, Han L, Wang C Tags: Heart Surg Forum Source Type: research

Surgery for Patients with Radiation-Induced Constrictive Pericarditis.
Abstract Radiation-induced heart disease (RIHD) is a major side effect of chest radiation therapy (RT). Most changes of pericardium will occur within a few weeks after receiving chest RT, while most of them will take decades or more to become constrictive pericarditis. Pericardiectomy is an effective treatment method. Here, we report 2 cases of radiation pericarditis after chest RT at our center. PMID: 31895031 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wei S, Zhang L, Cui H, Li L, Ren T, Jiang S Tags: Heart Surg Forum Source Type: research

A Practical Method for Ablation Catheter Reintroduction into the Left Atrium via Prior Transseptal Puncture, without Radiation.
Abstract BACKGROUND: We evaluated the feasibility and safety of reintroducing an ablation catheter (ABL) into the left atrium (LA) through a previously punctured interatrial septum under guidance of the show-catheter image-track function of the CARTO 3 3-dimensional (3D) electroanatomic mapping system. METHODS: One hundred consecutive paroxysmal or persistent drug-refractory atrial fibrillation (AF) patients (men: 55; mean age, 64.7 ± 12.1 years) who had undergone 2 fluoroscopy-guided transseptal punctures and anatomical LA reconstruction under CARTO 3-guidance, and required ABL reinsertion into the LA...
Source: The Heart Surgery Forum - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Pang L, Chen SW, Zhou GQ, Wei Y, Chen C, Huang SA, Liu SW Tags: Heart Surg Forum Source Type: research

A Multi Center Experience: Is Valve Replacement Safe for Patients with Hugely Dilated Left Ventricle?
CONCLUSION: Valve replacement in patients with hugely dilated left ventricle are safe operations with satisfactory outcomes even if combined with other procedures, especially with proper preoperative preparation, intraoperative preservation of posterior mitral leaflet, and meticulous postoperative follow up in the surgical ICU. PMID: 31895029 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed A, Toema A, Yehia A, Hashim Y, Elkahely M, Onsy A Tags: Heart Surg Forum Source Type: research

Preoperative Urinary pH is Associated with Acute Kidney Injury After Cardiac Surgery in Non-Diabetic Patients.
Abstract BACKGROUND: Acute kidney injury is a common complication of cardiac surgery that increases morbidity and mortality. The present study aims to analyze the association of preoperative urinary pH with acute kidney injury after isolated coronary artery bypass graft surgery (CABG). METHODS: We retrospectively reviewed the data of 270 adult non-diabetic patients who underwent isolated CABG surgery with normal renal function. The perioperative data of the patients included demographic data, laboratory findings, morbidity, and mortality. The patient population was divided into four groups: Group I, patients ...
Source: The Heart Surgery Forum - November 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tumer NB, Tekeli Kunt A, Gunaydin S Tags: Heart Surg Forum Source Type: research

Right Atrial Mass Mimicking a Myxoma as a First Presentation of Antiphospholipid Syndrome.
In this report, we present such a case that was mistakenly thought to be a myxoma. PMID: 31895027 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - October 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Al-Sarraf N, Abdelmoaty A, Abu Alam S, Al-Fadhli J Tags: Heart Surg Forum Source Type: research

Staging Surgery for The Treatment of Aortic Arch Aneurysm Combined with Aberrant Bilateral Subclavian Artery, Persistent Left Superior Vena Cava and Airway Compression: A Case Report.
CONCLUSIONS: Total aortic arch replacement, elephant trunk surgery, and second-stage tracheal stent surgery are effective and safe for the treatment of aortic arch aneurysm combined with aberrant bilateral subclavian artery, PLSVC, and airway compression. PMID: 31895028 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - October 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fu J, Shen C, Gao S, Liu C, Liu W, Nan Y, Qu S, Wu W, Ge Y, Lv X Tags: Heart Surg Forum Source Type: research

The Influence of Liraglutide for Heart Failure: A Meta-Analysis of Randomized Controlled Trials.
Abstract INTRODUCTION: The efficacy of liraglutide to treat heart failure remains controversial. We conducted a systematic review and meta-analysis to explore the influence of liraglutide on heart failure. METHODS: We searched PubMed, EMbase, Web of Science, EBSCO, and Cochrane library databases through March 2018 for randomized controlled trials (RCTs) assessing the effect of liraglutide on cardiac function of heart failure. Meta-analysis is performed using the random-effect model. RESULTS: Four RCTs involving 629 patients are included in the meta-analysis. Overall, compared with the control group for h...
Source: The Heart Surgery Forum - October 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zhang Y, Chen Q, Huang G, Wang L Tags: Heart Surg Forum Source Type: research

Ruptured Valsalva Sinus Aneurysm with Ventricular Septal Defect and Double-Chambered Right Ventricle without Heart Failure: A Case Report.
Abstract Valsalva sinus aneurysm and double-chambered right ventricle are both rare congenital cardiac anomalies. Ventricular septal defect may be present in approximately 50%-60% of patients with Valsalva sinus aneurysm or approximately 70%-80% of patients with double-chambered right ventricle. However, Valsalva sinus aneurysm, double-chambered right ventricle, and ventricular septal defect rarely coexist in the same patient. As these diseases progress, patients often complain of symptoms of heart failure, due to the shunt flow. The case of a patient with Valsalva sinus aneurysm, double-chambered right ventricle,...
Source: The Heart Surgery Forum - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki K, Sezai A, Hinoura R, Unosawa S, Tanaka M Tags: Heart Surg Forum Source Type: research

Impacts of a Specific Cyclooxygenase-2 Inhibitor on Pressure Overload-Induced Myocardial Hypertrophy in Rats.
Abstract OBJECTIVE: The aim of this study was to observe the impacts of the specific cyclooxygenase-2 inhibitor celecoxib on cardiac structures, functions, and inflammatory factors during the process of pressure overload-induced myocardial hypertrophy. METHODS: Twenty-four male Sprague Dawley rats were randomly divided into 3 groups: the sham operation group, the surgery group, and the celecoxib group. The model was established according to the abdominal aortic coarctation method. RESULTS: At 16 weeks, rats in the celecoxib group were fed a celecoxib-mixed diet (10 mg/kg) for 8 consecutive weeks. At week...
Source: The Heart Surgery Forum - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xie Z, Wang S, Liang Z, Zeng L, Lai R, Ye Z, Liao P Tags: Heart Surg Forum Source Type: research

Effects of Coronary Artery Bypass Grafting Surgery on Olfactory and Taste Functions.
CONCLUSION: Our study demonstrated that olfactory function was impaired in patients, who underwent on-pump CABG in the postoperative period, and significant impairment in taste function was present in neither off-pump nor on-pump CABG patients. However, the results of our study should be supported by more comprehensive, prospective, randomized controlled trials with more extensive patient series and by further tests. PMID: 31596723 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - October 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Erdem K, Ucaroglu ER, Sehitogullari A, Yuksel A, Tekce H, Velioglu Y, Demirhan A, Korkmaz UTK, Borulu F, Unal O, Ulku A, Calisir E Tags: Heart Surg Forum Source Type: research

First, We Do Harm: Obtaining Informed Consent for Surgical Procedures.
Abstract Although many believe that the phrase "First, do no harm" was part of the Hippocratic Oath, in fact it was not. This phrase, often written in Latin ("Primum non Nocere"), seems to have first appeared in medical writing in the 17th century. However, it is obvious that many therapeutic interventions do cause at least some harm with hopes of benefitting patients in the long run. This balancing of initial harm in hope of eventual benefit is never more apparent than in the case of invasive procedures, though other examples abound, such as the administration of chemotherapy. The ethical conc...
Source: The Heart Surgery Forum - October 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tribble C, Julliard W Tags: Heart Surg Forum Source Type: research

Poor Outcome of Surgical Management of Acute Malfunctioning Mechanical Mitral Valve During Pregnancy. Should Centers with Limited Resources Find Different Options?
CONCLUSION: Acute malfunctioning MHV during pregnancy represents a real dilemma to patients and caregivers. It carries high fetal and maternal morbidity and mortality, especially in centers with limited resources. We believe that an alternative plane must be formulated for such patients to avoid devastating complications, including maternal and fetal deaths. PMID: 31596721 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Elsayed AAA, Abdelaal KM, Abdelghaffar AMM, Mohamed EEH, Mahran TMA, Ahmed MSM, Ibrahim AM, Mansour AA Tags: Heart Surg Forum Source Type: research

Ring, Band or Suture in Tricuspid Annuloplasty for Functional Tricuspid Regurgitation; Which is Better and More Durable?
CONCLUSION: Patients who received rings followed by band annuloplasty had better early and late results with lower recurrence rates than those who received suture annuloplasty. PMID: 31596722 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Adas A, Elnaggar A, Balbaa Y, Elashkar A, Alkady HM Tags: Heart Surg Forum Source Type: research

Minimally Invasive Mitral Valve Surgery for Rheumatic Valve Disease.
CONCLUSIONS: In patients with rheumatic valve disease, minimally invasive mitral surgery safely and effectively can be performed with few perioperative complications and good midterm results. PMID: 31596718 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Vo AT, Le KM, Nguyen TT, Vu TT, Pham CVT, Ngo HQT, Le TQ, Nguyen DH Tags: Heart Surg Forum Source Type: research

An An Open-Label, Single Center, Retrospective Study to Evaluate Clinical Outcomes with Surgical Sealant in Bentall Procedures: A Cohort Study.
CONCLUSION: The application of surgical sealant to the anastomosis suture line in Bentall procedures reduces postoperative drainage, bleeding, and transfusion utilization. Further studies are warranted to investigate these benefits in prospective, randomized clinical trials. PMID: 31596719 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gu J, Lai H, Li J, Sun Y, Liu C, Wang Y, Zhang Z, Kang L, Huang B, Wang C Tags: Heart Surg Forum Source Type: research

Giant Aortic Syphilitic Aneurysm of The Ascending Aorta with Erosion in the Chest Wall: Case Report.
We report a case of a 57-year-old patient with a large ascending aortic aneurysm with cartilage and rib erosion. The purpose of this article is to discuss the particular surgical aspects of this unusual case. PMID: 31596720 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Stiru O, Geana RC, Valeanu L, Sorostinean D, Goicea M, Stefan M, Iovu I, Iliescu VA Tags: Heart Surg Forum Source Type: research

Endovascular Reconstruction from Aortic Valve to Aortic Arch Using One-Piece Valved-Fenestrated Stent Graft with a Branch: A Proof-of-Concept Study.
Abstract OBJECTIVE: To explore the feasibility of endovascular reconstruction of aortic root including aortic valve, sinus of valsalva and ascending aorta by a single stent-graft, a novel valved stent-graft with two fenestrae for preserving the coronary arteries was designed and performed in-vitro on a pig heart based circulation simulating system. METHODS: Pig hearts were harvested from 30 healthy adult female pigs weighing between 60-65 kilograms. Before sacrifice, all the pigs received aortic computed tomography angiography (CTA) examinations and morphologic parameters of aortic root were measured. Then we...
Source: The Heart Surgery Forum - September 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Li T, Bao X, Feng J, Li Z, Liu J, Zhao Y, Wu M, Zeng Z, Feng R, Zhou J, Jing Z Tags: Heart Surg Forum Source Type: research

Investigation of the Postoperative Complications Rate and Predictors in Patients Undergoing Surgery due to Associated Carotid and Coronary Occlusive Disease.
Abstract BACKGROUND: The aim of this study was to evaluate the frequency of postoperative complications in patients who underwent coronary artery bypass grafting (CABG) and simultaneous carotid endarterectomy (CEA) and find predictors of postoperative complications. METHODS: We retrospectively evaluated 86 patients after simultaneous CABG and CEA. Inclusion criteria were: patients with asymptomatic carotid stenosis with a reduction of the carotid lumen diameter of more than 70% detected with Doppler ultrasound and diagnosed with one, two, or three vessel coronary artery disease with coronary stenosis more tha...
Source: The Heart Surgery Forum - September 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jovicic V, Putnik S, Djordjevic A, Grgurevic A, Atanasijevic I, Terzic D, Jovicic M Tags: Heart Surg Forum Source Type: research

Impact of Coronary Collateral Circulation of Perioperative Myocardial Damage in High-Risk Patients Undergoing Coronary Artery Bypass Grafting Surgery.
Abstract BACKGROUND: Coronary collateral circulation (CCC) is a small vascular formation that allows the connection between the different parts of an epicardial vessel or other vessels. The presence of collateral circulation contributes positively to the course of coronary artery disease (CAD). The aim of this study was to investigate the effect of collateral circulation on myocardial injury and clinical outcomes during coronary artery bypass grafting (CABG) in a high-risk patient group. METHODS: 386 patients who underwent isolated CABG under cardiopulmonary bypass (CPB) were included in the study. Patients w...
Source: The Heart Surgery Forum - September 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ucak HA, Uncu H Tags: Heart Surg Forum Source Type: research

Early Postoperative Aortic Root Thrombus After Heartmate 3.
We report the first case of aortic root thrombus occurring early after HM3 implantation as a bridge to heart transplantation. Our case suggests that bridging with an Impella 5.0 preceding HM3 implantation could potentially predispose patients to aortic root thrombus after HM3 implantation, due to Impella-related injury to the aortic valve and aortic root stasis after durable LVAD support. PMID: 31596714 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jahanyar J, Liao JM, DeValeria P, Steidley DE, Craner R, Ramakrishna H, Scott RL Tags: Heart Surg Forum Source Type: research

Novel Approach of Antithrombotic Potency Amongst Patients Admitted to Hospital with Bleeding Using HEMORR2HAGES Score: A Retrospective Cohort Study.
CONCLUSIONS: Among patients admitted with active bleeding, the HEMORR2HAGES score did not differentiate antithrombotic potency amongst groups with various regimens. This study highlights the necessity to evaluate antithrombotic therapy according to benefits and harms. PMID: 31596712 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Alshibani M Tags: Heart Surg Forum Source Type: research

Clinical Experience of Aortic Valve Surgery in Patients With Aortitis Disease.
CONCLUSIONS: Clinical diagnosis and management of aortic valve patients with arteritis require comprehensive considerations. For aortitis patients with aortic valve surgery, special surgical techniques can be used to reduce the risk of prosthetic valve detachment. PMID: 31596713 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xue Y, Pan J, Zhou Q, Wang Q, Cao H, Fan F, Wang D Tags: Heart Surg Forum Source Type: research

Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report.
We report a case of a 54-year-old man who was asymptomatic and diagnosed with an isolated saccular aneurysm of the left brachiocephalic vein using contrast-enhanced computed tomography. The patient underwent aneurysmectomy through a median sternotomy with no requirement for a vascular graft or cardiopulmonary bypass. The patient had an uneventful postoperative course and remained well two months after the surgery. PMID: 31596711 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - September 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wi JH Tags: Heart Surg Forum Source Type: research

Mitral Valve Replacement with Thymectomy in a Patient with Ocular Myasthenia Gravis: Case Report.
Abstract Patients diagnosed with ocular myasthenia gravis (MG) and mitral valve disease represent a significant perioperative management problem, especially for the anaesthesiologist, due to complex inter-actions between the disease, drugs to treat the disease, and anaesthetic agents, such as neuromuscu-lar blocking agents (NMBAs). This paper describes the successful management of a 31-year-old female with mitral valve stenosis and ocular MG who was diagnosed with MG 4 years prior to the indication for cardiac surgery. Preoperatively, the patient was under treatment with Pyridostigmine and Prednisone. Mitral valve...
Source: The Heart Surgery Forum - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Stiru O, Stefan M, Geana RC, Sorostinean D, Radu R, Filipescu D, Chioncel O, Iliescu VA Tags: Heart Surg Forum Source Type: research

The Effectiveness of Heart Valve Replacement Surgery in a Non-Referral Regional Hospital: The Analysis of Outcomes after Isolated and Complex Valve Replacement.
CONCLUSION: We believe that our study will contribute to the development of the outcomes of heart valve replacement surgery in these centers by supporting other non-heart center clinics in working toward acceptable morality rates for complex valve surgeries. PMID: 31596709 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tüysüz ME, Dedemoğlu M Tags: Heart Surg Forum Source Type: research

Can Higher Body Mass Index Patients Save Blood Following On-pump Coronary Artery Bypass Grafting?
Abstract BACKGROUND: The association of obesity with postoperative bleeding volume and transfusions after coronary artery bypass grafting (CABG) is not clear. We evaluated the effects of body mass index (BMI) on bleeding volume and transfusions in patients undergoing on-pump CABG. METHODS: We investigated 1,050 patients, aged 24 years to 83 years, who underwent isolated, primary CABG with cardiopulmonary bypass (CPB) at Fuwai Hospital, Chinese Academy of Medical Sciences, from September 2017 to July 2018. We recorded preoperative medical and laboratory coagulation parameters, intraoperative data, and postoper...
Source: The Heart Surgery Forum - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zhang W, Chen S, Liu X, Wang L, Wang S, Yu Y, Ao H Tags: Heart Surg Forum Source Type: research

Comparison of SYNTAX Score I and SYNTAX Score II for Predicting Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Graft Surgery.
Abstract BACKGROUND: Atrial fibrillation is a frequent cause of morbidity following coronary artery bypass grafting (CABG). SYNTAX score II (SSII) is associated with outcomes in patients undergoing coronary revascularization. We investigated the relationship between SSII and postoperative atrial fibrillation (POAF) in patients undergoing CABG. METHODS: Records of 461 consecutive patients who underwent elective isolated CABG were retrospectively reviewed. Characteristics of patients with and without POAF were compared. RESULTS: POAF developed in 51 (11.1%) patients. Patients with POAF were older (61.8 &pl...
Source: The Heart Surgery Forum - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ozturk S, Kalyoncuoglu M, Sahin M Tags: Heart Surg Forum Source Type: research

Delayed Sternal Closure in Congenital Heart Surgery: A Risk-Benefit Analysis.
CONCLUSION: Delayed sternal closure is a simple and effective technique that could prevent postoperative cardiac compression in hemodynamic instability states after pediatric cardiac operations. PMID: 31596706 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Elassal AA, Eldib OS, Dohain AM, Abdelmohsen GA, Abdalla AH, Al-Radi OO Tags: Heart Surg Forum Source Type: research