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Journal of Cardiac Surgery

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https://read.qxmd.com/read/30742333/surgical-resection-of-the-giant-right-coronary-artery-aneurysm
#1
Yohsuke Yanase, Akihito Ohkawa, Ryosuke Numaguchi, Hiroshi Sato, Naomi Yasuda, Yosuke Kuroda, Ryo Harada, Toshiro Ito, Hirosato Doi, Nobuyoshi Kawaharada
A 74-year-old man had undergone two-vessel coronary artery bypass grafting (CABG), 19 years ago, with the left internal mammary artery (LITA) to the left anterior descending artery and the saphenous vein graft (SVG) to the posterior descending artery. In outpatient care, a thoracic aortic aneurysm was suspected by the chest X-ray. In the computed tomography, appeared the distal arch aortic aneurysm, abdominal aortic aneurysm (AAA), and giant right coronary artery aneurysm (rCAA). The diameter of rCAA was 70 mm and it oppressed the right atrium and ventricle of the heart...
February 11, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30740775/rapid-evaluation-of-acute-pulmonary-embolism-with-thromboembolism-in-transit
#2
Seok In Lee, Yu Jin Kim, Kook Yang Park, Chul-Hyun Park
We report a case of thromboembolism-in-transit through a patent foramen ovale that could cause systemic embolism in a patient with pulmonary embolism. An accurate and quick diagnosis by transthoracic echocardiography and computed tomography allowed emergent surgical thromboembolectomy to be performed without complications. Integral diagnostic workup should be performed in case of acute pulmonary thromboembolism whether the patient is hemodynamically stable or not.
February 10, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30735576/longitudinal-outcomes-of-dialysis-dependent-patients-undergoing-isolated-coronary-artery-bypass-grafting
#3
Valentino Bianco, Arman Kilic, Thomas G Gleason, Edgar Aranda-Michel, Forozan Navid, Ibrahim Sultan
BACKGROUND: Dialysis-dependent patients have a higher risk of short-term morbidity and mortality following cardiac surgery. However, longitudinal survival and readmissions in this patient population after isolated coronary artery bypass grafting (CABG) are lacking in the literature. METHODS: All patients undergoing isolated CABG from 2011 to 2017 were included. Perioperative data were retrospectively extracted from a prospectively maintained cardiac surgical database with a primary focus on longitudinal mortality and readmissions...
February 7, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30731032/a-new-technique-of-managing-paravalvular-leak-using-a-folding-pericardium-patch
#4
Tingting Tao, Junnan Zheng, Yiming Ni
Paravalvular leakage (PVL) is one of the most well-recognised complications of prosthetic valve replacement. The size of the leakage is usually about one to two stitches. We would like to introduce a new technique to manage this complication by using a folding pericardium patch, which can surely overcome the disadvantage of second-time valve replacement. By now, we have applied this new technique to at least four cases, all of them worked well. Thus, we present our new technique that can be considered as a good alternative management of intraoperative PVLs, especially in aortic position...
February 7, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30710496/severe-lvad-related-infections-requiring-surgical-treatment-incidence-predictors-effect-on-survival-and-impact-of-device-selection
#5
Randall Z Olmsted, Andre Critsinelis, Chitaru Kurihara, Masashi Kawabori, Tadahisa Sugiura, Andrew B Civitello, Jeffrey A Morgan
BACKGROUND: Left ventricular assist devices (LVADs) are being used more frequently for treating refractory, advanced heart failure. However, infection remains a frequent complication. In this study, we analyzed the incidence of severe infections in LVAD recipients to determine its impact on survival. METHODS: From May 2009 through March 2016, 437 patients with advanced heart failure underwent implantation of a continuous-flow LVAD (n = 314, HeartMate II LVAD [Abbott Laboratories, Abbott Park, IL]; n = 123 HeartWare HVAD [Medtronic, Minneapolis, MN])...
February 2, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30702184/hepatic-vein-redirection-to-improve-pulmonary-arteriovenous-malformations-after-fontan-completion-in-patients-with-absence-of-inferior-vena-cava-and-hemiazygos-continuation
#6
Yosuke Kugo, Shigemitsu Iwai, Sanae Yamauchi, Moyu Hasegawa, Hiroaki Kawata
Pulmonary arteriovenous malformation is an important complication after Fontan completion in patients with univentricular circulation. Lack of hepatic venous flow in a pulmonary artery has been identified as a cause of pulmonary arteriovenous malformation. We report our experience with a case of redirection of the hepatic vein to the hemiazygos vein using a conduit via left thoracotomy and median sternotomy for the correction of unequal distribution of hepatic venous flow in the pulmonary arteries. The pulmonary arteriovenous malformation improved, leading to increased arterial saturation levels...
January 31, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30637803/castleman-s-disease-presenting-as-a-mediastinal-mass-with-recurrent-pericardial-effusions
#7
Hongduan Liu, Xiaojun Xie, Ming-Bin Deng, Fengxu Yu, Cuiwei Zhang
No abstract text is available yet for this article.
January 14, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30636173/mid-term-outcomes-of-simultaneous-coronary-artery-bypass-graft-surgery-and-septal-myectomy-in-patients-with-hypertrophic-obstructive-cardiomyopathy-a-case-controlled-study
#8
Shengwei Wang, Hao Cui, Bing Tang, Changsheng Zhu, Liukun Meng, Qinjun Yu, Xiaohong Huang, Rong Wu, Shuiyun Wang
BACKGROUND: The mid-term outcome of patients with hypertrophic obstructive cardiomyopathy (HOCM) undergoing coronary artery bypass graft (CABG) is unclear. MATERIALS AND METHODS: We studied 44 patients with HOCM and coronary artery disease (CAD) who underwent septal myectomy and CABG) between 2011 and 2017. The control group was matched in a ratio of 4:1 based on age, sex, body mass index, hypertension, and chest pain. RESULTS: Compared to patients without CAD, patients with CAD had a higher long-term cardiovascular mortality rate (0...
January 12, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30636172/outcomes-after-extracorporeal-life-support-for-postcardiotomy-cardiogenic-shock
#9
Matteo Pozzi, Francesca Alvau, Xavier Armoiry, Daniel Grinberg, Elisabeth Hugon-Vallet, Catherine Koffel, Philippe Portran, Giovanni Scollo, Jean Luc Fellahi, Jean Francois Obadia
BACKGROUND AND AIM OF THE STUDY: Extracorporeal life support (ECLS) may be necessary in refractory postcardiotomy cardiogenic shock (PCS) unresponsive to optimal medical treatment. We sought to analyze the results and temporal outcomes of ECLS for PCS. METHODS: We performed an observational analysis of our prospective database. In order to analyze the temporal trends of ECLS for PCS, patients were divided into two groups according to the period of ECLS implantation: Group I from January 2007-June 2012, Group II from July 2012-December 2017...
January 12, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30629770/evaluation-of-the-safety-and-efficacy-of-a-new-hemostatic-powder-using-a-quantitative-surface-bleeding-severity-scale
#10
Abbas Ardehali, William D Spotnitz, Rachel W Hoffman, Steven A Olson, Grant V Bochicchio, Mark C Hermann, Shankar Lakshman, Nick C Dang, Valerie Centis, Dan L Gillen, Ian J Schorn, Russell H Spotnitz
AIMS OF THE STUDY: The safety and efficacy of a hemostatic powder (HP) versus a control agent, absorbable gelatin sponge and thrombin (G + T), were assessed, using a validated, quantitative bleeding severity scale. METHODS: Subjects were randomized to receive HP (256 subjects) or G + T (132 subjects) for treatment of minimal, mild, or moderate bleeding at 20 investigational sites. The primary efficacy endpoint was non-inferiority of HP relative to G + T for success at achieving hemostasis within 6 minutes...
January 10, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625258/descending-aorta-to-right-pulmonary-artery-fistula
#11
Chun-Hung Hsueh, Chieh-Jen Wu, Tung-Ho Wu, Yi-Pin Chou, Hsing-Lin Lin
No abstract text is available yet for this article.
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625257/chronic-opioid-use-after-coronary-bypass-surgery
#12
Sameer A Hirji, Samantha Landino, Claudia Cote, Jiyae Lee, Vwaire Orhurhu, Rohan M Shah, Siobhan McGurk, Tsuyoshi Kaneko, Prem Shekar, Marc P Pelletier
BACKGROUND: Opioid dependence has become a major health care issue. Pain management of invasive surgical procedures with opioids may potentially contribute to this epidemic. We sought to determine the association of opioid-prescribing patterns with chronic opioid use. METHODS: We retrospectively reviewed all patients undergoing isolated coronary artery bypass graft (CABG) procedures during 2016 at a single institution. Prescribing patterns and medication usage were compared between opioid-naïve and opioid-exposed patients (patients with reported opioid use within 30 days prior to surgery)...
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625256/branched-xenopericardial-roll-graft-replacement-of-an-infected-aortic-arch-graft
#13
Hiroshi Kubota, Hidehito Endo, Hikaru Ishii, Hiroshi Tsuchiya, Norihiko Ohura, Yu Takahashi
Which graft material is the optimal graft material for the treatment of aortic graft infections is still a matter of controversy. We used a branched xenopericardial roll graft to replace an infected aortic arch graft as a "rescue" operation. The patient is alive and well 37 months postoperatively without recurrence of the infection and any surgical complication. This procedure may have the possibility to serve as an option for the treatment of aortic arch graft infection.
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625255/trans-carotid-endovascular-repair-of-ascending-aortic-pseudoaneurysms
#14
Jessica K Millar, Ibrahim Sultan, Martin Back, Tomas D Martin, Thomas M Beaver, George J Arnaoutakis
We present an endovascular technique to repair an ascending aortic pseudoaneurysm in a patient with multiple previous sternotomies using access via the right common carotid artery.
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625253/clinical-features-and-surgical-results-of-cardiac-myxoma-in-carney-complex
#15
Ke Wei, Hong-Wei Guo, Shu-Ya Fan, Xiao-Gang Sun, Sheng-Shou Hu
BACKGROUND: We sought to analyze clinical features and surgical results of 10 cases of cardiac myxomas in Carney complex (CNC). METHODS: Between January 2003 and December 2013, 10 patients with cardiac myxomas in CNC underwent surgical resection. Associated cardiac lesions included moderate and severe mitral regurgitation in two cases, and moderate tricuspid regurgitation in one case. Age, gender, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resections of cardiac myxoma were compared between isolated cardiac myxomas and cardiac myxomas in CNC...
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625252/surgical-transaxillary-placement-of-the-impella-5-0-ventricular-assist-device
#16
Luca Bertoglio, Maria Katsarou, Mara Scandroglio, Letizia Bertoldi, Roberto Chiesa, Federico Pappalardo
OBJECTIVE: The aim of this study is to evaluate the open transaxillary placement of the Impella 5.0 with a modified surgical technique. METHODS: From January to July 2018, nine patients (eight males; mean age 60 years) underwent surgical transaxillary Impella 5.0 (Abiomed Inc., Danvers, MA) implantation. Patient and periprocedural data were recorded in a prospectively maintained institutional database. The primary endpoint was technical success. The secondary endpoints were: neurological complications (peripheral or central), bleeding, and wound infection, duration of Impella support, and device failure requiring device replacement...
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625246/minimally-invasive-management-of-central-ecmo-after-ascending-aortic-surgery
#17
Roberto Lorusso, Elham Bidar, Ehsan Natour, Samuel Heuts
A small percentage of ascending aortic surgical procedures require temporary mechanical circulatory support, of which veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is the most established technique. We present a surgical technique for minimally invasive central V-A ECMO management, avoiding resternotomy or ventricular compression, while maintaining antegrade blood flow and permitting sternal closure following ascending aortic surgery.
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625245/posterior-leaflet-augmentation-using-a-left-atrial-wall-patch-for-severe-left-atrioventricular-valve-regurgitation-after-repair-of-an-atrioventricular-defect
#18
Keisuke Nakanishi, Shiori Kawasaki, Atsushi Amano
No abstract text is available yet for this article.
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30625244/severe-structural-deterioration-of-small-aortic-bioprostheses-treated-with-valve-in-valve-transcatheter-aortic-valve-implantation
#19
Tomasz Stankowski, Sleiman Sebastian Aboul-Hassan, Farzaneh Seifi-Zinab, Volker Herwig, Miroslava Kubikova, Axel Harnath, Dirk Fritzsche, Bartłomiej Perek
OBJECTIVES: The aim of this study was to evaluate outcomes of valve-in-valve transcatheter aortic valve implantation (VIV-TAVI) in patients with degenerated small bioprostheses. METHODS: Outcomes of consecutive 27 high-risk patients (logistic EuroSCORE 35.5 ± 18.5%) with a mean age of 81.0 ± 5.9 years who underwent VIV-TAVI for degenerated small bioprostheses (19 mm-11.1%; 20 mm-11.1%; 21 mm-77.8%) were analyzed. Medtronic CoreValve (n = 11) or CoreValve Evolut-R prostheses (n = 16) were implanted...
January 9, 2019: Journal of Cardiac Surgery
https://read.qxmd.com/read/30597665/vasopressin-therapy-in-cardiac-surgery
#20
REVIEW
Jordan H Kunkes, William L Baker, Jonathan A Hammond, Jason Gluck
BACKGROUND: Arginine vasopressin (AVP) is a naturally occurring peptide with diverse effects mediated through selective V1 and V2 receptors. About 10% of patients undergoing cardiopulmonary bypass develop postoperative vasodilatory shock requiring high-dose catecholamines. We sought to examine the role of AVP therapy in cardiac surgery. METHODS: A search of Medline was conducted through September 2018 using key words and medical subject headings (MeSH) relating to AVP, copeptin, and cardiac surgery...
December 30, 2018: Journal of Cardiac Surgery
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