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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

Straddling embolus across patent foramen ovale in a case of pulmonary embolism
We present a case of a 37-year-old male who had deep venous thrombosis with acute massive pulmonary embolism and stroke. Transesophageal echocardiography revealed large straddling thrombus in patent foramen ovale along with branch pulmonary artery embolus. Patent foramen ovale was closed and pulmonary artery embolus was removed surgically. We conclude that surgery is the best mode of management in the presence of patent foramen ovale.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 6, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Significance of Spontaneous Echo Contrast on Extracorporeal Membrane Oxygenation
Conclusions SEC on VA-ECMO resulted in an increased risk of intracardiac thrombus and stroke. Maintaining pulsatility while the patient is on ECMO may result in a decreased chance of developing SEC and stroke.
Source: The Annals of Thoracic Surgery - February 16, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Manual thrombectomy efficiency in relationship to the area at risk in patients with myocardial infarction with TIMI 0 ‐1 coronary flow: Insights from an all comers registry
ConclusionIn comparison with the group where MT was inefficient, efficient MT may modestly reduce final infarct size without a significant clinical benefit. In comparison with PCI‐only, no difference was found regarding stroke. © 2017 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Andr é Luz, Inês Silveira, Bruno Brochado, Patrícia Rodrigues, Maria João Sousa, Raquel Santos, Maria Trêpa, Mário Santos, João Silveira, Severo Torres, Adelino F. Leite‐Moreira, Henrique Carvalho Tags: Coronary Artery Disease Source Type: research

Thrombotic valvular dysfunction with transcatheter mitral interventions for postsurgical failures
ConclusionThrombotic related dysfunction post‐TMVR occurred in 15% (2/13) of patients and one patient had abnormal leaflet thickening that may have been thrombus related. Dual‐antiplatelet therapy was used in all 3 cases suggesting the possible need for oral anticoagulation postmitral valve‐in‐valve therapy. © 2017 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 9, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Marvin H. Eng, Adam Greenbaum, Dee Dee Wang, Janet Wyman, DNP, Heider Arjomand, Pradeep Yadav, Hassan Nemeh, Gaetano Paone, Mayra Guerrero, William O'Neill Tags: Valvular and Structural Heart Diseases Source Type: research

Building a bioartificial heart: Obstacles and opportunities
The growing numbers of patients with heart failure, both in the United States and around the globe, has led to a pressing need for new therapies. Heart transplantation is a very restricted option due to the limited number of donor hearts available —currently approximately 2800 per year in the United States. Transplant patients also have to take immunosuppressive drugs for the rest of their lives. Ventricular assist devices, used either as bridge to transplant or destination therapy, can prolong patient survival, but present a number of comp lications, including thrombosis, stroke, and infection.
Source: The Journal of Thoracic and Cardiovascular Surgery - January 13, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Martha S. Lundberg, J. Timothy Baldwin, Denis B. Buxton Tags: Feature Expert opinion Source Type: research

Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience CONGENITAL
CONCLUSIONS In our experience, AV repair in the paediatric population provides excellent results in terms of both overall survival and valve-related reoperation. It obviates the need for chronic anticoagulation and in most cases delays the time at which more complex surgery such as the Ross procedure should be undertaken.
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Poncelet, A. J., El Khoury, G., De Kerchove, L., Sluysmans, T., Moniotte, S., Momeni, M., Detaille, T., Rubay, J. E. Tags: Basic research vascular CONGENITAL Source Type: research

Unfractionated heparin versus bivalirudin in patients undergoing primary percutaneous coronary intervention: a SWEDEHEART study.
CONCLUSIONS: In this large, nationwide observational study we found low and similar rates of early ST in UFH only and bivalirudin treated patients undergoing primary PCI. Mortality was higher in UFH compared with bivalirudin treated patients. PMID: 28044990 [PubMed - as supplied by publisher]
Source: EuroIntervention - January 5, 2017 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Evidence for and risks of endovascular treatment of asymptomatic acute type B aortic dissection.
Abstract Acute aortic dissection is a challenging disease to manage. Type B aortic dissection has traditionally been divided temporally into acute and chronic cases but more recently this classification has been modified to include a sub-acute phase. Computed tomography is the imaging technique used most frequently in diagnosis and management. Active management of blood pressure is essential and should include beta-blockade unless contra-indicated. In-hospital outcomes are generally acceptable in patients with medically managed acute uncomplicated type B aortic dissection, with up to 90% of patients surviving to h...
Source: The Journal of Cardiovascular Surgery - January 2, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Clough RE, Nienaber CA Tags: J Cardiovasc Surg (Torino) Source Type: research

Initial Experience With Minimally Invasive Surgical Exclusion of the Left Atrial Appendage With an Epicardial Clip
Conclusions: Isolated epicardial left atrial clipping is a safe treatment option in high-risk patients with AF. Long-term success in preventing stroke is still to be determined, but short-term results are very encouraging.
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Predictors of Atrial Fibrillation After Coronary Artery Bypass Grafting: A  Bayesian Analysis
Conclusions This prospective Bayesian analysis identified five independent preoperative predictors of POAF after isolated CABG with cardiopulmonary bypass: CHA2DS2-VASc score, severe obesity, preoperative β-blocker use, preoperative antiplatelet therapy, and renal failure. The main interest in the CHA2DS2-VASc score as a predictor of POAF is that it is a simple and widely used bedside tool. Patients with these independent predictors of POAF may constitute a target population to test preventive strategies, such as non-antiarrhythmic and antiarrhythmic drugs.
Source: The Annals of Thoracic Surgery - December 18, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Remodeling After Endovascular Repair of Complicated Acute Type B Aortic  Dissection
Conclusions TEVAR for complicated aTBAD results in low 30-day and 1-year mortality rates, with higher reintervention rates than observed with open operations. TEVAR is effective in thrombosing and stabilizing the size of the thoracic FL. The abdominal aortic FL remains patent and must be carefully scrutinized for long-term aneurysm formation.
Source: The Annals of Thoracic Surgery - December 17, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter left atrial appendage occlusion in patients with atrial fibrillation and a high bleeding risk using aspirin alone for post-implant antithrombotic therapy.
CONCLUSIONS: LAAO with the ACP or Amulet was safely performed with ASA monotherapy after implantation without an increased risk of device-related thrombosis or stroke. PMID: 27973336 [PubMed - as supplied by publisher]
Source: EuroIntervention - December 16, 2016 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Aortic Remodeling After Endovascular Repair of Complicated Acute Type B Aortic  Dissection.
CONCLUSIONS: TEVAR for complicated aTBAD results in low 30-day and 1-year mortality rates, with higher reintervention rates than observed with open operations. TEVAR is effective in thrombosing and stabilizing the size of the thoracic FL. The abdominal aortic FL remains patent and must be carefully scrutinized for long-term aneurysm formation. PMID: 27993378 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Duwayri YM, Chen EP, Li C, Zehner CA, Binongo JN, Veeraswamy RK Tags: Ann Thorac Surg Source Type: research

Surgical Treatment for Thrombus Straddling a Patent Foramen Ovale
We present a case of a 41-year-old female with deep vein thrombosis after abdominal surgery. The patient quickly developed severe pulmonary embolism and stroke representative of paradoxical embolism. Echocardiography showed a thrombus straddling a patent foramen ovale, which was confirmed intraoperatively. An accurate diagnosis and rapid treatment decisions are crucial for preventing patient deterioration in the form of new pulmonary embolisms or stroke.
Source: Revista Brasileira de Cirurgia Cardiovascular - December 12, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Twenty ‐five year outcomes following composite graft aortic root replacement
ConclusionsComposite graft aortic root replacement is associated with low operative risk, excellent long‐term survival, and low incidence of reoperation and late events.
Source: Journal of Cardiac Surgery - November 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Salvior C.M. Mok, Wei ‐Guo Ma, Ahmed Mansour, Paris Charilaou, Alan S. Chou, Sven Peterss, Maryann Tranquilli, Bulat A. Ziganshin, John A. Elefteriades Tags: Original Article Source Type: research