Images of Anomalous Origin of The Right Coronary Artery From the Pulmonary Artery.
We present a case of an anomalous origin of the right coronary artery. PMID: 31398098 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - July 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fan H, Jiakan W, Qicai H, Ximing Q, Huaidong C Tags: Heart Surg Forum Source Type: research

Comparison of Totally Thoracoscopic and Traditional Sternotomy Approaches for Mitral Valve Replacement.
Abstract BACKGROUND: We aimed to investigate the feasibility and safety of mitral valve replacement using a totally thoracoscopic approach in comparison with traditional median sternotomy. METHODS: Between January 2016 and December 2017, 94 consecutive patients who underwent mitral valve replacement were divided into two groups: A thoracoscopic group (43 cases) and a traditional group (51 cases). For the thoracoscopic group, all patients underwent total thoracoscopic procedures with femoral arterial and venous cannulation to cardiopulmonary bypass, transthoracic aortic cross-clamp, and antegrade cardioplegia....
Source: The Heart Surgery Forum - July 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fan H, Xi Ming Q, Wei Min Z, Huai Dong C Tags: Heart Surg Forum Source Type: research

Impact of Controlling Nutritional Status Score (CONUT) and Prognostic Nutritional Index (PIN) on Patients Undergoing Coronary Artery Bypass Graft Surgery.
In this study, we analyzed 149 patients, who underwent coronary artery bypass surgery. Nutritional status of the patients was classified using controlling nutritional status score (CONUT) and prognostic nutritional index (PNI). Statistical correlation between malnutrition and complication following operation was evaluated with the chi-square test. Statistical alpha significant level was accepted P
Source: The Heart Surgery Forum - July 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Teker Açıkel ME, Korkut AK Tags: Heart Surg Forum Source Type: research

Acute Bioprosthetic Mitral Valve Thrombosis: An Unfortunate Collision of Prothrombotic Risk Factors.
We present a unique case of acute thrombosis of a bioprosthetic mitral valve in a 40-year-old female patient undergoing hormonal stimulation as part of in vitro fertilization therapy, who also had concomitant protein C deficiency that was undiagnosed at the time. To the best of our knowledge, this is the first reported case of acute bioprosthetic valve thrombosis in this complex thrombophilic milieu, and suggests the need for increased screening for prothrombotic risk factors in female patients with bioprosthetic valves before they commence gonadotropin stimulation therapy. PMID: 31398096 [PubMed - in process] (Source...
Source: The Heart Surgery Forum - July 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Quattrocchi NM, Hemli JM, Scheinerman SJ, Patel NC Tags: Heart Surg Forum Source Type: research

A Meta-Analysis of Randomized and Observational Studies: Aspirin Protects from Cardiac Surgery-Associated Acute Kidney Injury.
Abstract BACKGROUND: Antiplatelet therapy is critical in the management of coronary artery diseases. For patients undergoing cardiac surgeries, including coronary artery bypass graft (CABG) and valve replacement, controversy remains in preoperative antiplatelet therapy concerning risk of bleeding. For safety concern, aspirin is recommended to be withdrawn 5 to 10 days before a cardiac surgery. Recent studies, however, indicate that preoperative aspirin may have a protective effect on cardiac surgery-associated acute kidney injury (CSA-AKI). OBJECTIVE: To estimate the efficacy of preoperative aspirin in preven...
Source: The Heart Surgery Forum - July 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Liu H, Li J, Chen M, Yang T, Ruan Z, Su J, Xing Y Tags: Heart Surg Forum Source Type: research

Surgery for the Venous Disaster - Phlegmasia Cerulea Dolens.
Abstract Phlegmasia cerulea dolens is an acute fulminating form of extensive venous thrombosis. Limb loss, post-thrombotic syndrome and life-threatening conditions can occur without appropriate management. Treatment methods vary; there presently is no consensus on the best form of treatment. Endovascular procedures have been a good option for treating deep vein thrombosis, yet they may be insufficient for patients suffering from phlegmasia cerulea dolens. Venous thrombectomy with the guidance of venography quickly relieves symptoms, hardly causes complications, yields optimal mid-term results, and can be a justifi...
Source: The Heart Surgery Forum - July 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Lee CH, Hsieh YK Tags: Heart Surg Forum Source Type: research

Successful Management of Unremitting Spasm after Myocardial Revascularization Exclusively with Bilateral Internal Thoracic Arteries in Y-graft Configuration: A Case Report.
Abstract Coronary artery spasm (CAS) after coronary artery bypass grafting (CABG) is rare, and in time may be fatal for the patient if undiagnosed. The purpose of the present study is to report the case of a patient who survived after experiencing a persistent spasm of all native coronary arteries following successful arterial myocardial revascularization. Furthermore, we aimed to discuss the therapeutic strategies which may prevent the occurrence of a coronary artery spasm in settings of myocardial revascularization, in the context of reviewed specific literature evidences. PMID: 31398092 [PubMed - in proces...
Source: The Heart Surgery Forum - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Stiru O, Geana RC, Sorostinean DI, Postu M, Stefan M, Chioncel O, Iliescu VA Tags: Heart Surg Forum Source Type: research

Surgery following Extracorporeal Cardiopulmonary Resuscitation in a Patient with an Extracardiac Rupture of Valsalva Sinus Aneurysm.
This study reports a case of an extracardiac rupture of SVA and the successful completion of surgery following ECPR. PMID: 31398093 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wi JH, Seo JS Tags: Heart Surg Forum Source Type: research

To Anticoagulate or Not? That Is the Question. Management of High-Risk Patients with Mechanical Mitral and Double Valves: A Case Series.
We present two cases of challenging anticoagulation management: a patient who underwent a mitral valve replacement with a Medtronic-Hall tilting disc valve who was off anticoagulation for close to six years, and a patient who underwent On-X mitral and aortic valve replacements and suffered a subsequent intracranial bleed requiring surgical intervention. We explore the ethical dilemmas associated with these patients and the risk of restarting anticoagulation for each. PMID: 31398090 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - July 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Joseph M Tags: Heart Surg Forum Source Type: research

ECMO as a Bridge to Reoperative Cardiac Surgery in a Patient with Cardiogenic Shock and Severe Aortic Insufficiency Due to an Acute Aortic Valve Homograft Failure.
We report a 62-year-old male who had severe aortic insufficiency after a homograft root replacement, requiring venoarterial extracorporeal membrane oxygenation prior to surgery due to profound cardiogenic shock. Severe aortic insufficiency is a contraindication for venoarterial extracorporeal membrane oxygenation, but we were able to stabilize the patient and successfully perform an urgent reoperative surgery. PMID: 31398091 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - July 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Unai S, Khullar V, Elgharably H, Navia JL Tags: Heart Surg Forum Source Type: research

Preparing for the Lurch into a Surgery Clerkship.
Abstract Over our combined nearly 50 years as surgical educators, we have been asked many times by medical students how they should prepare for and function in a Surgery Clerkship. It is still easy for me (C.G.T.) to recall, as a medical student myself, having the same questions. While I had initially thought that the transition from college to medical school would be challenging, I quickly realized that the first few years of medical school were not as much of a transition as I had imagined. However, as the clerkship year approached for my medical school classmates and me, it was quite clear to us that we were ab...
Source: The Heart Surgery Forum - April 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tribble CG, Walters D Tags: Heart Surg Forum Source Type: research

Risk Factors for Predicting Mortality among Old Patients with Acute Myocardial Infarction during Hospitalization.
CONCLUSION: Patients aged 80 and over have high mortality during hospitalization, and the risk prediction factors are clinically useful for predicting mortality in old patients with AMI. PMID: 31013230 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - April 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chen L, Han L, Luo J Tags: Heart Surg Forum Source Type: research

Opening Pandora's Box - Presumed ST Segment Elevation Myocardial Infarction with Symptomatic Ventricular Tachycardia is Cured by Resection of a Huge Left Ventricular Aneurysm.
Abstract A 76-year-old male patient with history of hypertension, type 2 diabetes, and smoking was admitted to the emergency department with chest pain. The patient reported severe and sudden chest pain accompanied by cold sweating, dizziness, and palpitations. PMID: 31013231 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - April 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chen S, Chun KRJ, Walther T, Holubec T, Schmidt B Tags: Heart Surg Forum Source Type: research

Surgical Treatment of Rare Giant Inferoposterior Left Ventricular Aneurysm: A Case Report.
We present the case of a 63-year-old male with post-myocardial infarction causing a giant left ventricular aneurysm and describe the surgical treatment via Dor Procedure. PMID: 31013228 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - April 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Turkyilmaz S, Kavala AA, Turkyilmaz G, Kuserli Y Tags: Heart Surg Forum Source Type: research

Primary Left Atrial Angiosarcoma Presenting as Acute Coronary Syndrome.
We present a 43-year-old woman admitted to our hospital with chest pain and inferoposterolateral myocardial infarction. Coronary angiography indicated the distal occlusion of the left circumflex artery. Transthoracic and transoesophagic echocardiography revealed a mass in the left atrium with probable myocardial infiltration and vascularisation. The mass in the left atrium was removed by surgical resection, and histopathology confirmed angiosarcoma. We emphasize the pivotal role of transthoracic and transoesophageal echocardiography in evaluating even rare differential diagnosis of acute coronary syndrome as cardiac neopla...
Source: The Heart Surgery Forum - April 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jaksic Jurinjak S, Vincelj J, Rudez I, Lisicic A, Jurin I, Manojlovic S, Udovicic M, Starcevic B Tags: Heart Surg Forum Source Type: research

Prosthetic Valve Endocarditis after Transcatheter Aortic Valve Implantation Complicated by Paravalvular Abscess and Treated by Pericardial Patches and Sutureless Valve Replacement.
CONCLUSION: Our case documents the treatment of an active fistulizing Symetis ACURATE neo ™ prosthetic aortic valve endocarditis by using a sutureless LivaNova Perceval S prosthesis with satisfying hemodynamic results and an encouraging 1-year outcome, further corroborating its usefulness in such circumstances. PMID: 31013227 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - April 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ruchonnet EP, Roumy A, Rancati V, Kirsch M Tags: Heart Surg Forum Source Type: research

Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead.
CONCLUSIONS: This case illustrated that pacemaker lead-associated thrombosis should be considered when the cardiac implantable electronic device fails to prevent patients from having cardiac events. Oral anticoagulant might be important for preventing thrombosis among patients with ICD implantation into the right ventricle. PMID: 31013223 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xia Z, Yu J, Li J, Xiong Q, Tang Y, Yan S, Hong K, Cheng X Tags: Heart Surg Forum Source Type: research

Transaortic Transcatheter Aortic Valve Implantation: Learning Curve, Perioperative, and Midterm Follow-Up Results of a Single Center.
CONCLUSION: TAo TAVI can be performed safely even in the very early phase of the learning curve. Although satisfactory results can be achieved from the beginning, a significant reduction in contrast agent use and radiological exposure are expected as the technique is mastered. Good hemodynamics have been documented and should be further improved with modifications achieved in the TAVI self-expandable valves technology. PMID: 31013224 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: D'Ancona G, Ince H, Raspé C, Öner A, Caglayan E, Safak E, Bushnaq H Tags: Heart Surg Forum Source Type: research

Plasma miRNA-155 Levels Predict Atrial Fibrillation Recurrence after Cardioversion.
CONCLUSIONS: Our findings revealed that plasma miRNA-155 can present an ability to calculate AF recurrence after cardioversion. PMID: 31013225 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zhang X, Xiao XP, Ren XA, Cui T Tags: Heart Surg Forum Source Type: research

The Effect of Aspirin as an Irreversible COX1 Inhibitor in Preventing Non-Valvular Atrial Fibrillation After Coronary Bypass Surgery.
Abstract BACKGROUND: We investigated whether the use of aspirin (irreversible COX1 inhibitor) in the preoperative period may prevent non-valvular atrial fibrillation, which is the most common rhythm problem in the postoperative period. Non-valvular atrial fibrillation after coronary surgery may lead to an increase in hospital costs due to excessive drug use and long-term hospitalization. METHODS: More than 1000 coronary artery bypass grafting operations were performed between January 2011 to and Nov 2018. The 572 patients were included in this study. Patients were divided into two groups as medication (n=292)...
Source: The Heart Surgery Forum - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Erkut B, Ates A Tags: Heart Surg Forum Source Type: research

Midterm Results of Transaxillary Occluder Device Closure of Perimembranous Ventricular Septal Defect Guided Solely by Transesophageal Echocardiography.
CONCLUSION: In our experience, transaxillary device closure was performed via right infra-axillary mini-incision (invisible) guided by TEE, with low incidence of postoperative adverse events, confirming that transaxillary device closure of the pmVSD under the guidance of TEE is an effective alternative to surgical closure in well-selected pmVSD patients. PMID: 31013220 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Liang W, Zhou S, Fan T, Song S, Li B, Dong H, Zhang L, Hu M, Liu L Tags: Heart Surg Forum Source Type: research

Unusual Drug Fever Caused by Imipenem/Cilastatin and a Review of Literature.
CONCLUSION: Thorough history, blood tests, physical examination, and computed tomography (CT) did not reveal any evidence of fever. Drug fever caused by imipenem/cilastatin was considered. We also present a review of relevant literature and provide a point of reference for the clinical diagnosis and therapy of patients with drug fever. PMID: 31013221 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yang J, Wang Q, Wang S, Zhang Y, Wang Z Tags: Heart Surg Forum Source Type: research

Experience with the HeartMate II Left Ventricular Assist Device in Patients Older than 60 Years.
CONCLUSIONS: Older patients can benefit from LVAD therapy, and advanced age should not preclude LVAD implantation. PMID: 31013222 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Demirozu ZT, Critsinelis A, Cohn WE, Radovancevic R, Ho J, Hernandez R, Morgan JA, Frazier OH Tags: Heart Surg Forum Source Type: research

Elevated Swelling-Activated Chloride Current Densities in Hypertrophied Ventricular Myocytes in a Rabbit Heart Failure Model.
This study aimed to investigate whether the ICl, swell activity is altered during heart failure and to determine how the ICl, swell influences atrial arrhythmias of the failing heart. METHODS: We established a heart failure rabbit model and analyzed the hemodynamic indicators 8 weeks after myocardial infarction, which include left ventricular systolic pressure (LVSP) and left ventricular end-diastolic pressure (LVDEP). Five untreated rabbits and 5 receiving a sham operation served as the control group. Left auricular appendage tissues were obtained and CLCN3 mRNA/CLCN3 protein expression levels were examined by using ...
Source: The Heart Surgery Forum - March 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shi H, Jiang Z, Wang T, Chen Y, Cao F Tags: Heart Surg Forum Source Type: research

Delayed Surgical Management of Type A Intramural Hematoma Is Not Associated with Worse Outcomes Than Emergent Operation.
CONCLUSIONS: In well-selected patients, delayed operation for type An intramural hematoma is not associated with adverse outcomes. PMID: 31013218 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - March 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zhou X, Krishnan A, Hsu J, Burns A, Mandal K Tags: Heart Surg Forum Source Type: research

Determining Which Prosthetic to Use During Aortic Valve Replacement in Patients Aged Younger than 70 Years: A Systematic Review of the Literature.
The objective of this study was to explore outcomes after AVR for various age ranges based on type of prosthesis. METHODS: A systematic review was undertaken according to the Preferred Reporting Instructions for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by using Medline (PubMed), Cochrane, Web of Science, Embase, and Scopus databases. Rates of long-term survival (primary outcome), reoperation, major bleeding, thromboembolism, stroke, structural valve deterioration, and endocarditis were compared between subjects receiving biologic and mechanical prostheses. Findings were grouped into patients aged
Source: The Heart Surgery Forum - February 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Borger P, Charles EJ, Smith ED, Mehaffey JH, Hawkins RB, Kron IL, Ailawadi G, Teman N Tags: Heart Surg Forum Source Type: research

Survival of Patients with Primary Cardiac Tumors in an 11-Year Single Center Study.
Abstract BACKGROUND: Primary cardiac tumors are rare, but few studies have examined the relationship between risk factors and the prognosis. The aim of this study was to provide a survival analysis and risk factors for mortality in patients with primary cardiac tumors. METHODS: We retrospectively enrolled 71 patients diagnosed with primary cardiac tumors from June 2006 to November 2017 in our hospital. Patients' population characteristics, treatment information, pathology, and follow-up data were obtained and analyzed. RESULTS: Of the 71 patients, 60 cases were benign, and 11 cases were malignant. Sex, a...
Source: The Heart Surgery Forum - February 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Maimaitiaili A, Zhang WM, Guo YZ, Elmaik D, Tang NH, Zhang ZG Tags: Heart Surg Forum Source Type: research

A New Perspective in Comparing Injuries Caused by Short-Duration External and Internal Forces in Saphenous Vein.
Abstract BACKGROUND: Great saphenous vein (GSV) graft failure is one of the major reasons for repeat bypass grafting. A comparison of the effects of simultaneous, short-duration, externally squeezing and internally distending forces on the same segment of ex-vivo human GSV has not yet been published, although similar studies have compared the experimental injury of different ex-vivo human veins. METHODS: Approximately 8-cm-long segments of GSV were harvested from each of the 15 patients. For each specimen, one end of the vein piece was occluded at a distance of 1 cm with an external cross-clamp for 5 min and ...
Source: The Heart Surgery Forum - February 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Denli Yalvac ES, Cumbul A, Uslu U, Soztutar E, Bilisli E, Balak N Tags: Heart Surg Forum Source Type: research

Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years.
CONCLUSION: Endovascular repair is the preferred approach for isolated IAAs. Because of the retrospective nature of data sets, larger cohorts are necessary for better definition of morbidity and mortality rates. PMID: 31013215 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Goksel OS, Gok E, Onalan MA, Güven K, Capar G, Cinar B, Alpagut IU Tags: Heart Surg Forum Source Type: research

Negative Pressure versus Conventional Sternal Wound Dressing in Coronary Surgery Using Bilateral Internal Mammary Artery Grafts.
CONCLUSION: The routine use of INPWT may not significantly reduce the risk of SWI in patients undergoing BIMA grafting. In view of previous reports showing a benefit with the use of this method, a large randomized study is justified to assess the efficacy of INPWT in patients undergoing cardiac surgery. PMID: 31013216 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - February 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ruggieri VG, Olivier ME, Aludaat C, Rosato S, Marticho P, Saade YA, Lefebvre A, Poncet A, Rubin S, Biancari F Tags: Heart Surg Forum Source Type: research

Follow-up on ECMO after Cardiac Surgery: How Can We Evaluate Therapy?
Abstract Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides temporary cardiorespiratory support for patients in cardiogenic shock despite high-dose inotropic therapy and use of an intra-aortic balloon pump (IABP) [Muehrcke 1996]. Postcardiotomy cardiogenic shock has an incidence of 2%-6% after routine adult cardiac surgery [Hernandez 2007]. There are 0.5%-1.5% of patients who are refractory to medical and device therapy, and cardiogenic shock can lead to multiorgan dysfunction and mortality [Rastan 2010]. Prolonged cardiorespiratory support, which can be achieved with ECMO, may provide time for my...
Source: The Heart Surgery Forum - January 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hajiyev V, Erkenov T, Smechowski A, Soeren J, Fritzsche D Tags: Heart Surg Forum Source Type: research

Torsades de Pointes in Intravenous Drug Abuse-Associated Infective Endocarditis.
Abstract Intravenous drug abuse rates in the United States have increased exponentially in recent years. Ohio is one of 5 states with the highest age-adjusted drug overdose death rates, with drug overdose causing 39.1 of every 100,000 deaths. In patients who survive, the associated morbidity poses a significant public health burden. Infective endocarditis, defined as an infection of the endocardium of the heart, is a potentially lethal consequence of bacteremia related to intravenous drug abuse. Methicillin-sensitive Staphylococcus aureus (MSSA) is the most commonly implicated organism and may affect the tricuspid...
Source: The Heart Surgery Forum - December 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Eapen S, Firstenberg M Tags: Heart Surg Forum Source Type: research

N-Acetylcysteine for Preventing of Acute Kidney Injury in Chronic Kidney Disease Patients Undergoing Cardiac Surgery: A Metaanalysis.
Abstract OBJECTIVE: The aim of this study was to determine whether N-acetylcysteine (NAC) has an effect on acute kidney injury (AKI) in chronic kidney disease patients undergoing cardiac surgery. METHODS: We reviewed literature through PubMed, Medline through PubMed and OVID, The Cochrane Library, Wan Fang Database, China Biology Medicine Database, Chinese Periodical Database, China Knowledge Resource Integrated Database, and Chinese Clinical Trial Registry (1980 to July 10, 2018). Two investigators independently collected the data and assessed the quality of each study. RevMan 5.3 was used for the present me...
Source: The Heart Surgery Forum - December 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: He G, Li Q, Li W, Wang L, Yang J, Zeng F Tags: Heart Surg Forum Source Type: research

The Disparate Effects of Epinephrine and Norepinephrine on Hyperglycemia in Cardiovascular Surgery.
Abstract Hyperglycemia is a metabolic derangement that frequently develops after cardiovascular surgery. The perioperative administration of inotropic and vasoactive agents, such as epinephrine and norepinephrine, are common in the management of cardiac surgery patients and are known to contribute to the development of postoperative hyperglycemia. We hypothesized that hemodynamic support with epinephrine exacerbates postoperative hyperglycemia to a greater degree than does treatment with norepinephrine. This literature review outlines the mechanisms by which epinephrine and norepinephrine alter glucose homeostasis...
Source: The Heart Surgery Forum - December 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Phadke D, Beller JP, Tribble C Tags: Heart Surg Forum Source Type: research

Adjusting preoperative risk models of post heart transplant survival to a European cohort in the age of a new cardiac allocation score in Europe.
Conclusion IMPACT, Meld-XI and RSS were suitable to predict posttransplant graft failure only in a high and low risk cohort. CABDES Score, might be an alternative scoring system, with donor age and eGFR beeing the strongest predictors. Implementation of the IMPACT score within the new Eurotransplant Cardiac Allocation Score for patient prioritization for heart transplantation, should be reevaluated. PMID: 30604679 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - December 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sargut TA, Pergantis P, Knosalla C, Knierim J, Hummel M, Falk V, Schoenrath F Tags: Heart Surg Forum Source Type: research

String Music: Creating Coronary Artery and other Vascular Anastomoses.
Abstract This initial version of this treatise was written as I (Curt Tribble) was learning to do coronary anastomoses over 30 years ago, and I worried that I was not being taught very well how go about it doing them. It seemed to me that my teachers were channeling Dr. Alain Carpentier, who often answered questions about his mitral valve repair techniques by saying, "Oh, you just know." These frustrations were compounded by the fact that the best cardiovascular techniques books, including even those texts dedicated to coronary artery bypass techniques, did not describe these anastomotic techniques in de...
Source: The Heart Surgery Forum - December 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tribble CG, Derryberry S Tags: Heart Surg Forum Source Type: research

A A Novel Risk Score to Predict New Onset Atrial Fibrillation in Patients Undergoing Isolated Coronary Artery Bypass Grafting.
CONCLUSION: The PAFAC score is easy to calculate and can be used upon ICU admission to reliably identify patients at high risk of developing AF after isolated CABG. PMID: 30604674 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - December 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lin SZ, Crawford TC, Suarez-Pierre A, Magruder JT, Carter MV, Cameron DE, Whitman GJ, Lawton J, Baumgartner WA, Mandal K Tags: Heart Surg Forum Source Type: research

Extracorporeal Membrane Oxygenation in Extreme Obesity: A Case Report and Review of the Literature.
Abstract The use of extracorporeal membrane oxygenation (ECMO) in the treatment of acute respiratory distress syndrome (ARDS) has been described as early as 1972 [Hill 1972]. Though a subsequent randomized trial showed no survival benefit over conventional mechanical ventilation [Zapol 1979], protective ventilation strategies and evolving extracorporeal technology improvements have led to a resurgence in the use of ECMO for patients with ARDS. The most recent randomized clinical trial, Conventional Ventilation or ECMO for Severe Adult Respiratory Failure (CESAR), showed a significant mortality reduction in ARDS pa...
Source: The Heart Surgery Forum - November 30, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Azouz V, Hill S, Firstenberg M Tags: Heart Surg Forum Source Type: research

Letter To The Editor.
Abstract We read the letter of F. Rudman et al [Rudman 2017] about our article entitled "Utility of Omentoplasty in Mediastinitis Treatment following Sternotomy" [Colak 2016]. We thank them for their evaluations. PMID: 30604672 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 26, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Colak A, Kaya U, Ceviz M, Becit N, Sevil F, Kocak H Tags: Heart Surg Forum Source Type: research

A Case of Successful Iliofemoral Vein Stenting from Great Saphenous Vein Access.
We report the first successful case of iliofemoral vein stenting from great saphenous vein access. PMID: 30604670 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jung HW, Ahn CM, Ko YG Tags: Heart Surg Forum Source Type: research

Use of the ClearSight ® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience.
Use of the ClearSight® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience. Heart Surg Forum. 2018 Nov 14;21(6):E476-E483 Authors: Gellert G, Bramlage P Abstract During interventional and structural cardiology procedures, such as mitral valve (MitraClip, BMV), aortic valve (TAVR, BAV), tricuspid valve (MitraClip), left atrial appendage (Watchman, Lariat), atrial septum (ASD/PFO closure), and coronary artery intervention (high-risk PCI), among others, patients are at a high risk of hemodynamic instability and...
Source: The Heart Surgery Forum - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gellert G, Bramlage P Tags: Heart Surg Forum Source Type: research

Association between Circulatory and Plaque Resistin Levels with Carotid Plaque Instability and Ischemic Stroke Events.
duk M Abstract ses of ischemic stroke. The risk of ischemic stroke increases with the degree of carotid stenosis and plaque vulnerability. The aim of this study was to investigate the association of circulating and plaque resistin levels with plaque vulnerability and ischemic stroke events in patients with moderate- to high-grade carotid artery stenosis. METHODS: 40 patients with ischemic stroke events and 38 neurologically asymptomatic patients scheduled for carotid endarterectomy were recruited for this study. Fasting blood samples for laboratory analysis were collected preoperatively and serum resistin lev...
Source: The Heart Surgery Forum - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jurin I, Paić F, Bulimbašić S, Rudež I, Đerek L, Jurin H, Knežević A, Starcevic B, Ajduk M Tags: Heart Surg Forum Source Type: research

Giant Left Atrial Appendage Aneurysm: Surgical Treatment to Prevent Potential Complications.
We present a rare case of a 26-year-old female with a giant left atrial appendage aneurysm. The left atrial appendage was incidentally detected during her pregnancy. Six months later after her parturition, the patient was referred to our department and successfully received surgical treatment prophylactically to prevent potential complications. To the best of our knowledge, only about 100 cases of LAAA have been reported. PMID: 30604668 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Teng P, Ni Y, Sun Q, Zhao H Tags: Heart Surg Forum Source Type: research

Single-Stage Complete Repair versus Multistage Repair of Tetralogy of Fallot with Borderline Pulmonary Arteries.
Abstract BACKGROUND: Tetralogy of Fallot is the most common cyanotic congenital heart defect. Borderline pulmonary anatomy has been associated with a higher risk of mortality and morbidity. Strategies to manage this condition-namely, single- or multistage repair-have long been debated. OBJECTIVE: The overall outcomes of patients with tetralogy of Fallot with borderline pulmonary arteries (McGoon ratio 1.3 to 1.7) with regard to the need for a single-stage or multistage repair and the outcome of each surgical management were evaluated. PATIENTS AND METHODS: A retrospective, nonrandomized comparative study...
Source: The Heart Surgery Forum - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Dawoud MA, Abd Al Jawad MN, Hikal T, Samir K Tags: Heart Surg Forum Source Type: research

Surgical Treatment for Hypertrophic Obstructive Cardiomyopathy with Concomitant Mitral Valve Abnormalities: A Cohort of 26 Cases.
Abstract BACKGROUND: We sought to analyze the pathological characteristics of hypertrophic obstructive cardiomyopathy (HOCM) with concomitant mitral valve abnormalities and to discuss the surgical treatment strategies. METHODS: The clinical data of 26 HOCM patients treated from January 2014 to March 2016 were retrospectively analyzed. There were 19 males and 7 females with a mean age of 47 ± 16 years (range, 10-70 years). Echocardiography showed HOCM, systolic anterior motion of the mitral apparatus, and concomitant mitral regurgitation. Modified Morrow procedure with expanded resection area was perfor...
Source: The Heart Surgery Forum - November 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Song BR, Ren Y, Zhang HJ Tags: Heart Surg Forum Source Type: research

Perioperative Results and Risk Factors for In-Hospital Mortality In Patients With Stanford Type A Aortic Dissection Undergoing Sun's Procedure - A Single Center Study.
CONCLUSION: Acute Stanford type A aortic dissection is a severe, complex disease with high in-hospital mortality, though the Sun's procedure is an effective surgical approach in treating this kind of disease in some center. Body mass index and cardiopulmonary bypass time are independent risk factors for in-hospital mortality. PMID: 30604664 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 6, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wu Y, Jiang R, Xu P, Wang G, Wang J, Yang S Tags: Heart Surg Forum Source Type: research

The Role of Angle in the Evaluation of Ablation Accuracy in Pulmonary Vein Isolation Navigated by Image Integration.
CONCLUSION: Our finding indicates that both the angle and the distance can be significantly reduced by navigation with image integration, but that the angle exhibited better sensitivity than the conventional index of distance. We suggest that the angle should be considered as a new index for ablation accuracy. PMID: 30604665 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - November 6, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen SW, Cai LD, Asakawa T, Zhou GQ, Wei Y, Qi BZ, Ling ZY, Wu HQ, Xu J, Liu SW Tags: Heart Surg Forum Source Type: research

On Becoming a Surgical Intern: Navigating the Lurch from Medical School to Internship.
Abstract There are three major transitions in the educational trajectory of those heading into a career in surgery. The first transition is from the first year or two of medical school to the clerkships of the third year.  The second is the transition from medical school into the first postgraduate year of residency training. The third, which is widely held to be the toughest transition of all, is from residency into independent practice.  This review, which could be called 'a rookie's survival guide,' will address the second of those 'lurches,' that of the transition from medical school into a surgical ...
Source: The Heart Surgery Forum - October 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tribble CG Tags: Heart Surg Forum Source Type: research

Comparison of Continuous and Interrupted Suturing Techniques in Ventricular Septal Defect Closure.
CONCLUSION: Complication rates were similar between the patient groups operated on by using continuous and interrupted suturing techniques in our study, suggesting that neither technique is superior for VSD closure surgery. PMID: 30311897 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - October 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sen O, Kadirogullari E, Aydin U, Guler S, Haydin S Tags: Heart Surg Forum Source Type: research

Planned Concomitant Left and Right Ventricular Assist Device Insertion to Avoid Long-term Biventricular Mechanical Support: Bridge to Right Ventricular Recovery.
CONCLUSION: Planned implantation of a temporary RVAD in high risk patients may avoid the need for biventricular mechanical support in the future. PMID: 30311895 [PubMed - in process] (Source: The Heart Surgery Forum)
Source: The Heart Surgery Forum - October 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Salna M, Shudo Y, Teuteberg JJ, Banerjee D, Ha RV, Woo YJ, Hiesinger W Tags: Heart Surg Forum Source Type: research