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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

A traveler in transit: A case of an impending thrombus entrapped in a patent foramen ovale
We report a case of a 50 ‐year‐old male taxi driver who was diagnosed with a massive saddle pulmonary embolism, leg deep venous thromboembolism, and pending paradoxical embolus through a PFO with systemic embolization. The patient had an inferior vena cava (IVC) filter inserted immediately followed by surgical thromboem bolectomy and closure of PFO. He was discharged home 1 month after surgery. Surgery is the treatment of choice for preventing systemic embolization particularly cryptogenic stroke and its sequelae from pending paradoxical embolus. Preoperative IVC filter is a useful adjunct to prevent ongoing thromb oem...
Source: Journal of Cardiac Surgery - August 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Angelo Citarella, Anas Boulemden, Dharsicka Nadarajah, Giulia Apicella, Amr Mahmoud, Selvaraj Shanmuganathan Tags: CASE REPORT Source Type: research

Trends in HeartMate 3: What we know so far
ConclusionHeartMate 3 has reduced the rate of disabling stroke and pump thrombosis. However, despite increased hemocompatibility due to specialized design features, the residual risk of both surgical, and gastrointestinal bleeding remains a major adverse outcome. Different anticoagulation management and surgical techniques have been evaluated to address the remaining complications.
Source: Journal of Cardiac Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Allison T. Lanfear, Mohanad Hamandi, Joy Fan, J. Michael DiMaio, Timothy J. George Tags: REVIEW ARTICLE Source Type: research

Silent Valsalva thrombus between the native Valsalva and balloon-expandable transcatheter heart valve: multicentre Japanese registry analysis.
CONCLUSIONS: Valsalva thrombus was detected in 8.9% of patients following balloon-expandable THV implantation and was common in the LCC, but it did not increase the risk of adverse events after TAVI. PMID: 31746754 [PubMed - in process]
Source: EuroIntervention - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Procedural Characteristics and Clinical Outcomes in Patients Undergoing Percutaneous Coronary Intervention for Left Main Trifurcation Disease: The EXCEL trial.
CONCLUSIONS: Despite the greater inherent complexity, procedural and long-term clinical outcomes following PCI of distal LM trifurcations with everolimus-eluting stents in a modest-sized cohort from the EXCEL trial were similar compared with treatment of distal LM bifurcation disease without trifurcations. These findings support PCI as a treatment strategy for selected patients with distal LM trifurcation disease. PMID: 31793882 [PubMed - as supplied by publisher]
Source: EuroIntervention - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Surgical excision of a free floating ascending aortic thrombus
ConclusionFree ‐floating ascending aortic thrombus is a rare source of peripheral embolization. We advocate for emergent surgical resection to prevent further embolization and stroke.
Source: Journal of Cardiac Surgery - December 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Alex R. Dalal, Armita Kabirpour, John W. MacArthur Tags: IMAGES IN CARDIAC SURGERY Source Type: research

HVAD Cannula Position and Hemocompatibility-related Adverse Events
ConclusionsHVAD cannula coronal angle was associated with reduced right ventricular function and HRAE. Prospective studies evaluating surgical techniques to ensure optimal device positioning and its effects on HRAEs are warranted.
Source: The Annals of Thoracic Surgery - February 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

HVAD Cannula Position and Hemocompatibility-related Adverse Events.
CONCLUSIONS: HVAD cannula coronal angle was associated with reduced right ventricular function and HRAE. Prospective studies evaluating surgical techniques to ensure optimal device positioning and its effects on HRAEs are warranted. PMID: 32035046 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Imamura T, Narang N, Nitta D, Fujino T, Nguyen A, Chung B, Holzhauser L, Kim G, Raikhelkar J, Kalantari S, Smith B, Juricek C, Rodgers D, Ota T, Song T, Jeevanandam V, Sayer G, Uriel N Tags: Ann Thorac Surg Source Type: research

Subclinical valve thrombosis in transcatheter aortic valve implantation: A systematic review and meta-analysis.
Recent high-resolution CT studies after transcatheter aortic valve insertion (TAVI) have reported high prevalence of subclinical valve thrombosis (SCVT), potentially contributing to increased risk of late stroke. We aimed to investigate SCVT after TAVI patients with focus on prevalence, predisposing factors, management, and potential sequelae.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kei Woldendorp, Mathew P. Doyle, Deborah Black, Martin Ng, Anthony Keech, Stuart Grieve, Paul G. Bannon Source Type: research

Commentary: Subclinical valve thrombosis —Are all transcatheter aortic valves created equal?
Transcatheter aortic valve insertion (TAVI) technology presents new opportunities but also new challenges, including subclinical valve thrombosis (SCVT). In this edition of the Journal, Woldendorp and colleagues1 report a meta-analysis investigating SCVT after TAVI focusing on prevalence, predisposing factors, management, and consequences. Twelve studies that screened for SCVT using multidetector computed tomography (MDCT) were included comparing stroke risk between patients with SCVT and those without, as well as the effects of antiplatelet therapy and oral anticoagulation (OAC) on preventing SCVT.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sajiram Sarvananthan, Clifford William Barlow Tags: Commentary Source Type: research

Techniques and outcomes of total aortic arch repair with frozen elephant trunk for DeBakey I dissections.
This report focuses on the techniques and outcomes of TAR with FET for acute/chronic aortic dissection. A review of pooled literature including 27 observational studies showed in-hospital mortality, permanent stroke, and spinal cord injury rates of 8.4 %, 5.9 % and 2.6 % for acute aortic dissections, and 7.5 %, 4.0 % and 4.6 % for chronic aortic dissections, respectively. In most of the studies, complete false lumen thrombosis rate was achieved in 80% of patients at the level of FET for acute and chronic aortic dissections. Mid-term outcomes are equally promising. For chronic aortic dissections, positive remodeling of the ...
Source: The Journal of Cardiovascular Surgery - April 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kawajiri H, Khasawneh MA, Pochettino A, Oderich GS Tags: J Cardiovasc Surg (Torino) Source Type: research

Isolated surgical left atrial appendage closure: Revisiting utility and indications in a burgeoning era of percutaneous therapy
ConclusionIt is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options.
Source: Journal of Cardiac Surgery - April 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Paula M. Hernandez, Sanjay Divakaran, Dale S. Adler, Daniel R. Storms, Tsuyoshi Kaneko, Bibhu D. Mohanty Tags: CASE REPORT Source Type: research

Factor Xa inhibitors in patients with continuous-flow left ventricular assist devices
ConclusionsFactor Xa inhibitors may be viable treatment options for CF-LVAD patients for whom warfarin therapy has failed. Large prospective studies are necessary to confirm these results.
Source: General Thoracic and Cardiovascular Surgery - April 26, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total Arch Replacement with Concomitant Retrograde Stent Graft Deployment via Ministernotomy in Acute Aortic Dissection.
CONCLUSIONS: Retrograde TEVAR in combination with total arch replacement via an upper ministernotomy might be safe and effective in treating acute type A aortic dissection, with fairly low mortality and perioperative complications, and a very good rate of total false lumen thrombosis in midterm follow up. PMID: 32364906 [PubMed - as supplied by publisher]
Source: The Heart Surgery Forum - March 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tran TQ, Nguyen AT Tags: Heart Surg Forum Source Type: research

Cannula migration through an undiagnosed patent foramen ovale and embolic cerebrovascular accident in a patient with femoral venoarterial extracorporeal membrane oxygenation
We present a case report of a patient with a pulmonary embolus placed on venoarterial extracorporeal membrane oxygenation who developed venous cannula migration through an undiagnosed patent foramen ovale causing an ischemic stroke due to a thrombus and requiring thrombectomy and device closure of the atrial defect.
Source: Journal of Cardiac Surgery - May 6, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tyler M. Gunn, John C. Gurley, Suresh Keshavamurthy Tags: CASE REPORT Source Type: research