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Source: The Journal of Thoracic and Cardiovascular Surgery
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Total 276 results found since Jan 2013.
The impact of CHADS2 score on late stroke after the Cox maze procedure
Conclusions: The risk of stroke or transient ischemic attack in patients after a surgical Cox maze procedure was low and not associated with CHADS2 score or warfarin use. Given the known risks of warfarin, we recommend discontinuation of anticoagulation 3 months after the procedure if the patient has no evidence of atrial fibrillation, has discontinued antiarrhythmic medications, and is without any other indication for systemic anticoagulation.
Source: The Journal of Thoracic and Cardiovascular Surgery - July 23, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Mitchell Pet, Jason O. Robertson, Marci Bailey, Tracey J. Guthrie, Marc R. Moon, Jennifer S. Lawton, Andrew Rinne, Ralph J. Damiano, Hersh S. Maniar Tags: Acquired Cardiovascular Disease Source Type: research
Early mitral valve surgery for chronic severe mitral regurgitation optimizes left ventricular performance and left ventricular mass regression
Objective: The optimal timing of mitral valve surgery for severe mitral regurgitation is controversial. We aimed to evaluate the changes in left ventricular performance using ventricular energetics and left ventricular mass regression after the surgery to determine the appropriate surgical timing in asymptomatic patients with severe mitral regurgitation.Methods: Fifty consecutive asymptomatic or minimally symptomatic patients who electively underwent the surgery for severe mitral regurgitation were studied retrospectively. Contractility (end-systolic elastance), afterload (effective arterial elastance), and efficiency (ven...
Source: The Journal of Thoracic and Cardiovascular Surgery - June 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ken-ichi Imasaka, Yukihiro Tomita, Yoshihisa Tanoue, Ryuji Tominaga, Eiki Tayama, Hirofumi Onitsuka, Tomohiro Ueda Tags: Acquired Cardiovascular Disease Source Type: research
Clampless technique during coronary artery bypass grafting for proximal anastomoses in the hostile aorta
Conclusions: We have found that clampless fibrillating heart surgery with circulatory arrest for proximal anastomoses is a safe and effective technique for revascularizing patients with significant ascending aortic disease who are at high risk for cerebral embolic complications.
Source: The Journal of Thoracic and Cardiovascular Surgery - June 18, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Rawn Salenger, Evelio Rodriquez, Jimmy T. Efird, Catherine A. Gouge, Paolo Trubiano, Edward F. Lundy Tags: Acquired Cardiovascular Disease Source Type: research
Right anterior minithoracotomy versus conventional aortic valve replacement: A propensity score matched study
Conclusions: Right anterior minithoracotomy in patients undergoing isolated aortic valve surgery is associated with a lower incidence of postoperative atrial fibrillation and blood transfusion and shorter ventilation time and hospital length of stay. Prospective randomized trials are needed to confirm our data.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Mattia Glauber, Antonio Miceli, Daniyar Gilmanov, Matteo Ferrarini, Stefano Bevilacqua, Pier A. Farneti, Marco Solinas Tags: Acquired Cardiovascular Disease Source Type: research
Drug-eluting stents versus coronary artery bypass graft surgery in left main coronary artery disease: A meta-analysis of early outcomes from randomized and nonrandomized studies
Conclusions: Patients treated by drug-eluting stents in randomized controlled trials and observational studies in the current literature are often a preselected subgroup with less complex lesions compared with the overall target population. Results drawn from these studies should be viewed with caution. Coronary artery bypass grafting is associated with a lower incidence of major adverse cardiac and cerebrovascular events at 1 year and beyond, and thus should be regarded as the standard of treatment. However, drug-eluting stents may have a role for selected patients with percutaneously amenable left main disease who are po...
Source: The Journal of Thoracic and Cardiovascular Surgery - March 12, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Christopher Cao, Con Manganas, Paul Bannon, Michael Vallely, Tristan D. Yan Tags: Acquired Cardiovascular Disease Source Type: research
The RECOVER I: A multicenter prospective study of Impella 5.0/LD for postcardiotomy circulatory support
Objectives: Cardiogenic shock after cardiac surgery is accompanied by a high mortality rate. Early institution of hemodynamic support with a versatile, easy to insert left ventricular assist device might help bridge patients to recovery or to the next therapy, and improve the outcomes.Methods: Patients developing cardiogenic shock or low cardiac output syndrome after being weaned off cardiopulmonary bypass were enrolled in a prospective single-arm feasibility study (RECOVER I). The primary safety endpoint was the frequency of major adverse events (death, stroke) at 30 days or discharge, whichever was longer. The primary ef...
Source: The Journal of Thoracic and Cardiovascular Surgery - March 12, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Bartley P. Griffith, Mark B. Anderson, Louis E. Samuels, Walter E. Pae, Yoshifumi Naka, O. Howard Frazier Tags: Cardiothoracic Transplantation Source Type: research
