journal
https://read.qxmd.com/read/38178341/long-term-survival-benefits-of-porcine-versus-pericardial-bioprostheses-in-elderly-patients-undergoing-isolated-aortic-valve-replacement-a-32-year-study
#21
JOURNAL ARTICLE
George Ebra, Ernest A Traad, Paul A Kurlansky
BACKGROUND: The elderly population is growing at an unprecedented rate. Aortic valve disease increases with age. Bioprostheses are the valves of choice for older patients; however, the optimal tissue valve remains undetermined. The purpose of this investigation was to perform a life-of-patient survival comparison of the prototypical porcine and pericardial prostheses in elderly patients. METHODS: The study population (N = 1480) consisted of patients 65 years of age and older who underwent isolated aortic valve replacement from 1990 through 2005 with a Carpentier-Edwards Porcine (n = 650) or Pericardial (n = 830) bioprosthesis...
December 27, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178340/on-pump-beating-heart-coronary-artery-surgery-in-patients-requiring-urgent-revascularization
#22
JOURNAL ARTICLE
Yasin Kilic, Izatullah Jalalzai, Ebubekir Sonmez, Bilgehan Erkut
BACKGROUND: When acute coronary syndrome patients necessitate immediate revascularization, heart-on-pump coronary artery bypass grafting may be regarded as a viable substitute for conventional on-pump surgery. Our clinical experience and initial outcomes of heart-on-pump coronary surgery in patients with acute coronary syndrome are detailed in this article. METHOD: This research endeavor was a retrospective analysis that spanned the years March 2011 to August 2023...
December 27, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178337/preoperative-sarcopenia-assessment-using-pectoralis-muscle-mass-indicated-poor-mid-term-cardiac-surgery-prognosis
#23
JOURNAL ARTICLE
Yojiro Machii, Fumihiro Kitashima, Yuki Hayashi, Atsushi Harada, Keita Kamata, Naoki Eguchi, Masashi Tanaka
BACKGROUND: Many studies have defined sarcopenia based on psoas muscle mass using abdominal computed tomography (CT). We hypothesized that sarcopenia can be assessed by measuring pectoralis muscle mass on chest CT and aimed to examine its relationship with the postoperative prognosis of cardiac surgery. METHODS: This retrospective study included 189 patients who underwent cardiac surgery via median sternotomy between July 2020 and June 2022. We excluded patients <70 years old, urgent/emergent cases, no chest CT within 90 days before surgery, and cases in which evaluation of the pectoralis muscle was impossible with CT...
December 27, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178333/development-and-validation-of-a-novel-nomogram-for-predicting-perioperative-acute-kidney-injury-following-isolated-off-pump-coronary-artery-bypass-grafting-surgery
#24
JOURNAL ARTICLE
Shoulei Chen, Cheng Luo, Chen Fang, Yugui Li, Xiongwei Cai, Guoxing Ling, Haitao Song, Sida Fan, Linsheng Mi, Sai Zheng, Baoshi Zheng
BACKGROUND: The aim of this work was to create a novel model for predicting acute kidney injury (AKI) after off-pump coronary artery bypass graft (OPCABG). METHODS: The individuals who underwent OPCABG were randomly separated into a derivation group and a validation group, at a 7:3 ratio. The primary outcome was AKI under the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. To optimize feature selection and construct a nomogram, both least absolute shrinkage and selection operator regression (LASSO) and logistic regression analysis were utilized...
December 27, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178358/risk-factors-of-postoperative-infection-in-newborns-with-congenital-heart-disease
#25
JOURNAL ARTICLE
Lifeng Zhang, Wujisi Guleng
AIMS: This study aims to explore the risk factors of postoperative infection in newborns with congenital heart disease. METHODS: From January 2019 to January 2023, 78 neonates with congenital heart disease who were diagnosed and treated in our hospital with postoperative infection as well as an age- and sex-matched non-infected group (n = 78) were enrolled. After collecting the data and clinical information of 156 children, we compared the differences in the days of catheter indwelling, days of mechanical ventilation, times of blood transfusion, days of intensive care unit (ICU) stay, and survival status between postoperative infection and non-infection groups...
December 26, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178357/association-between-left-ventricular-longitudinal-strain-gls-and-prognosis-of-the-patients-undergoing-heart-valve-surgery-with-preserved-left-ventricular-ejection-fraction
#26
JOURNAL ARTICLE
Yin-Ying Xue, Shang-Yu Chen, Ji-Lai Xiao, Xiao Shen, Huan Xu, Liang Hong, Xiao-Chun Song, Cui Zhang
PURPOSE: Global longitudinal strain (GLS) seems accurate for detecting subclinical myocardial dysfunction. This study aimed to determine the association between GLS and postoperative intensity of inotropic support in the patients undergoing heart valve surgery with preserved left ventricular ejection fraction. METHODS: 74 patients with preserved left ventricular ejection fraction who underwent valve surgery during the period between March 2021 and June 2022 were included in this prospective observational study...
December 26, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178353/microbiology-of-infective-endocarditis-in-united-states-veterans-association-between-causative-organism-and-short-and-long-term-outcomes
#27
JOURNAL ARTICLE
John Duggan, Alex Peters, Sarah Halbert, Jared Antevil, Gregory D Trachiotis
BACKGROUND: Previous studies have elucidated the relationship between causative organism and outcomes in infective endocarditis, however this relationship has not been studies in United States Veterans. The aim of this manuscript is to evaluate the association between causative organism and short-term and long-term outcomes in United States (US) Veterans with infective endocarditis (IE) requiring surgical management between 2010-2020. METHODS: We analyzed 489 patients with surgically treated IE from the Veterans Affairs (VA) Surgical Quality Improvement Program and the VA Informatics and Computing Infrastructure databases...
December 26, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178352/a-retrospective-clinical-study-on-cardiovascular-complications-from-colorectal-cancer
#28
JOURNAL ARTICLE
Ting Yin, Jianqi Yang, Xiaojing Liu, Jiaqi Huang, Erxun Dai
OBJECTIVE: To investigate the incidence and risk factors of cardiovascular complications amongst patients with colorectal cancer (CRC). METHODS: A retrospective cohort study was conducted on 2085 patients diagnosed with CRC in two tertiary hospitals in China between 2015 and 2020. The patients' medical records were reviewed to identify cardiovascular complications, including myocardial infarction, heart failure, stroke, hypertension, coronary heart disease, heart failure, and arrhythmia...
December 26, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178350/can-inflammation-indices-preoperatively-predict-acute-kidney-injury-after-cardiac-surgery
#29
JOURNAL ARTICLE
Serkan Yildirim
BACKGROUND: Coronary artery disease is a condition characterized by atherosclerosis and inflammation in the vessel wall. In patient undergoing surgery, a systemic inflammatory-like condition occurs in the postoperative period through mediators that develop due to acute stress. METHODS: 581 patients enrolled from the hospital records from 2019 and 2022 retrospectively. Systemic immune inflammation index (SII), systemic inflammation response index (SIRI) and aggregated index of systemic inflammation (AISI) values were calculated from peripheral blood samples taken at hospital admission using the formula SII = platelet (P) × neutrophil (N) / lymphocyte (L), SIRI = N × monocyte (M) / L, AISI = (N × M × P) / L...
December 26, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178349/identification-of-anesthetic-induced-cardiovascular-biomarkers-in-off-pump-coronary-artery-bypass-grafting-surgery-using-weighted-gene-co-expression-network-analysis-and-machine-learning
#30
JOURNAL ARTICLE
Jinxiu Hou, Jing Li
BACKGROUND: This study aimed to select anesthesia-induced zinc finger protein-related gene biomarkers that predict cardiovascular function during off-pump coronary artery bypass grafting (OPCABG). METHODS: Gene expression data from GSE4386 included 20 post-anesthesia and 20 pre-anesthesia atrial tissue samples. Zinc finger protein-related genes (ZFPRGs) were searched in the UniProt database and anesthesia-induced differentially expressed genes (DEGs) were identified Weighted gene co-expression network analysis (WGCNA) was used to screen hub genes, and three machine learning algorithms were used to further screen for cardiovascular biomarkers...
December 18, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178336/elevated-ast-alt-de-ritis-ratio-is-a-risk-factor-of-drainage-volume-after-aortic-arch-surgery
#31
JOURNAL ARTICLE
Weidong Yan, Qiaoni Zhang, Tianlong Wang, Jing Sun, Xiangyang Qian, Bingyang Ji
BACKGROUND: To examine the correlation between the preoperative elevated aspartate aminotransferase (AST)/alanine transaminase (ALT) (De Ritis) ratio and the drainage volume in patients after aortic arch surgery. METHODS: This retrospective cohort study was conducted from January 2017 to December 2018. The exposure factor was the preoperative AST/ALT ratio and the primary outcome was the total amount of the drainage volume. The optimal AST/ALT ratio cutoff value was determined by the maximum Youden index...
December 18, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178335/the-postoperative-platelet-to-creatinine-ratio-as-a-prognostic-index-of-in-hospital-mortality-in-patients-with-acute-type-a-aortic-dissection
#32
JOURNAL ARTICLE
Yaman Wang, Shengfeng Qiu, Ying Chen, Xiangjun Cheng, Jun Zhou
BACKGROUND: The purpose of the investigation was to assess the value of post-operation platelet to creatinine ratio (PCR) in predicting in-hospital mortality among patients with acute type A aortic dissection (TAAAD). METHODS: A retrospective study was carried out from January 2017 to December 2019. The best cutoff value of post-operation PCR was assessed by receiver operating characteristic (ROC) curve. Patients were divided into survivors and nonsurvivors. Univariate and multivariate logistic analyses were carried out to identify independent risk factors influencing in-hospital mortality...
December 18, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178354/a-comparative-study-of-64-slice-coronary-ct-angiography-ccta-and-myocardial-perfusion-imaging-mpi-in-the-identification-of-coronary-artery-stenosis
#33
JOURNAL ARTICLE
Bin Li, Dandan Wu
OBJECTIVE: The aim of this study was to compare the diagnostic accuracy of 64-Slice Coronary Computer Tomography Angiography (CCTA) and Myocardial Perfusion Imaging (MPI) in the identification of significant coronary artery stenosis (>50% luminal narrowing). METHODS: A total of 120 patients suspected of having coronary artery disease were divided into two groups, with 60 patients in each group. Group 1 underwent CCTA and group 2 underwent MPI. Diagnostic accuracy parameters, image quality, radiation exposure, and procedure time were compared...
December 13, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178351/a-single-centre-retrospective-research-evaluation-of-the-effect-of-extended-intervention-model-based-on-case-management-of-treatment-compliance-and-cardiac-function-on-patients-with-chronic-heart-failure
#34
JOURNAL ARTICLE
Songna Ren, Xuemian Yang, Yuan Niu, Xiaohui Hao, Suosuo Wang, Songjie Ren, Yiqing Liu
OBJECTIVE: To explore the effect of case management-based extended intervention model on treatment compliance and cardiac function in patients with chronic heart failure. METHODS: This study retrospectively analysed the clinical data of 203 patients with chronic heart failure at Xingtai Third Hospital from January 2019 to January 2022. In accordance with different intervention programs, the patients were divided into a study group (SG, n = 102) and a reference group (RG, n = 101)...
December 13, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178348/costs-and-readmissions-associated-with-type-a-aortic-dissections-at-high-and-low-volume-centers
#35
JOURNAL ARTICLE
Alice L Zhou, Lekha V Yesantharao, Eric W Etchill, Iulia Barbur, Benjamin L Shou, Hamza Aziz, Chun W Choi, Jennifer S Lawton, Ahmet Kilic
BACKGROUND: Costs and readmissions associated with type A aortic dissection repairs are not well understood. We investigated statewide readmissions, costs, and outcomes associated with the surgical management of type A aortic dissection repairs at low- and high-volume centers. METHODS: We identified all adult type A aortic dissection patients who underwent operative repair in the Maryland Health Services Cost Review Commission's database (2012-2020). Hospitals were stratified into high- (top quartile of total repairs) or low-volume centers...
December 13, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178346/a-novel-risk-score-to-predict-thirty-day-readmissions-after-acute-type-a-aortic-dissections
#36
JOURNAL ARTICLE
Danial Ahmad, Edgar Aranda-Michel, Derek Serna-Gallegos, George J Arnaoutakis, James A Brown, Sarah Yousef, Rashmi Rao, Yisi Wang, Julie Phillippi, Ibrahim Sultan
BACKGROUND: Readmissions following acute type A aortic dissections (ATAAD) are associated with potentially worse clinical outcomes and increased hospital costs. Predicting which patients are at risk for readmission may guide patient management prior to discharge. METHODS: The National Readmissions Database was utilized to identify patients treated for ATAAD between 2010 and 2018. Univariate mixed effects logistic regression was used to assess each variable. Variables were assigned risk points based off the bootstrapped (bias-corrected) odds ratio of the final variable model according to the Johnson's scoring system...
December 13, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178339/female-gender-in-cardiac-surgery-is-it-still-a-significant-risk-a-retrospective-study-in-saudi-arabia
#37
JOURNAL ARTICLE
Khaled Ebrahim Al-Ebrahim, Abdullah Hisham Baghaffar, Mazin Adel Fatani, Lamis Awad Alassiri, Shomokh Abdullah Albishri, Atheer Mohammed Althaqafi, Reem Abdulkhaliq Alghamdi, Nura Fikri Alshoaibi, Seba Saad Algarni, Marah Meshal Alsulami, Saud Abdulaziz Albukhari, Abdullah Khalid Alassiri, Ahmed Abdelrahman Elassal
BACKGROUND: Female sex is considered an independent predictor for mortality and morbidity following cardiac surgery. This study is to review the outcomes of adult cardiac surgery between males and females in a Saudi tertiary referral hospital. METHOD: This was a retrospective study for 925 adult patients operated on for ischemic coronary artery disease and acquired aortic and mitral valvular heart disease from 2015 to August 2023. We analyzed patient characteristics, intraoperative data, and postoperative results to compare outcomes between males and females...
December 13, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178360/peak-blood-lactate-at-24-h-after-ecmo-can-predict-30-day-mortality-in-infants-after-complex-cardiac-surgery
#38
JOURNAL ARTICLE
Fanwei Meng, Jianchao Li, Weijie Liang, Haoju Dong, Bing Li, Xiaoliang Qian, Leiyi Yang, Zhaoyun Cheng
OBJECTIVE: Peak blood lactate at 24 h after extracorporeal membrane oxygenation (ECMO) can predict 30-day mortality in infants after complex cardiac surgery. METHODS: Twenty-eight infants with ECMO after complex congenital heart disease surgery were selected from March 2019 to March 2022 in our hospital. The infants were divided into survival group (n = 11) and non-survival group (n = 17) according to 30-day survival after discharge from hospital. The risk factors at 30-day mortality after discharge were analyzed by Cox regression analysis...
December 7, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178334/correlation-between-mean-platelet-volume-and-gensini-score-in-patients-with-coronary-heart-disease-in-different-diabetic-states
#39
JOURNAL ARTICLE
Qining Qiu, Guohong Zhu, Gang Peng, Lumin Wang, Hao Lu, Ye Xu, Wenjun Zhang, Yun Shen, Yanrong Ye, QianZhou Lv, Qingle Wang
SUBJECT: To investigate the correlation between mean platelet volume (MPV) levels and Gensini scores in stable coronary heart disease (CHD) patients with or without diabetes. METHODS: A retrospective analysis was conducted on 2525 patients with stable CHD in Zhongshan Hospital, Fudan University. There were 1274 in the low MPV group and 1251 in the high MPV group, divided by a median MPV level of 10.9 fL. In the total population, 1605 patients were non-diabetic and 920 were diabetic...
December 7, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38178359/central-catheter-induced-cardiac-tamponade-in-neonates-two-case-reports
#40
JOURNAL ARTICLE
Hyungtae Kim, Kwang Ho Choi
Intraoperative central venous catheter (CVC) insertion has become a routine procedure for pediatric cardiac surgery patients at our center. The case in which large amounts of pericardial effusion resulting in cardiac tamponade other than direct puncture of the catheter is a rare, but often causes fatal complications. Two of our patients suffered cardiac collapse after surgery owing to cardiac tamponade. Both the patients were successfully treated with pericardiocentesis, and the pericardial fluid had a high glucose level...
November 6, 2023: Heart Surgery Forum
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