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Cardiology Surgery

Kyongjune B Lee, Gregory D Trachiotis, Jonathan S Reiner, Christian D Nagy
Transcatheter technology has revolutionized the treatment of valvular disease in the field of cardiology and cardiac surgery. We present an interesting case of a patient with prior double valve replacements, which had degenerated after a decade, with symptoms of decompensated heart failure. The patient was successfully treated with double valve-in-valve transcatheter aortic and tricuspid valve replacement.
March 14, 2019: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Ulrich P Jorde, Aman M Shah, Daniel B Sims, Shivank Madan, Nida Siddiqi, Anne Luke, Omar Saeed, Snehal R Patel, Sandhya Murthy, Jooyoung Shin, Johanna Oviedo, Sade Watts, William Jakobleff, Stephen Forest, Sasa Vukelic, Dimitri Belov, Yoram Puius, Grace Minamoto, Victoria Muggia, Anthony Carlese, Sharon Leung, Marjan Rahmanian, Jonathan Leff, Daniel Goldstein
BACKGROUND: Continuous flow-left ventricular assist devices (CF-LVADS) have revolutionized the management of advanced heart failure. Device complications continue to limit survival, but enhanced management strategies have shown promise. This study compared outcomes for HeartmateII recipients before and after implementation of a multidisciplinary continuous support Heart Team (HTMCS) strategy. METHODS: Between 1/2012-12/2016, 124 consecutive patients underwent primary HeartmateII implantation at our institution...
March 7, 2019: Annals of Thoracic Surgery
Eilon Ram, Alexander Kogan, Boris Orlov, Ehud Raanani, Leonid Sternik
The mortality rate after the development of ventricular septal defect (VSD) remains high despite progress in pharmaceutical therapy, invasive cardiology, and surgical techniques. Although early surgical repair of postinfarction VSD is associated with a high mortality rate, in hemodynamic unstable patients surgery cannot always be postponed and surgical repair may be required urgently. We present two cases of patients diagnosed with postinfarction VSD who were in cardiogenic shock with multiorgan failure despite optimal treatment...
February 2019: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Frank Edwin
Resource constraints in many sub-Saharan African countries undermine efforts to provide the full spectrum of pediatric cardiology and cardiac surgery. Palliation of the child born with functionally single ventricle is the lowest priority for policymakers when viewed from the perspective of cost-effectiveness. This commentary focuses on the relative importance of different criteria that policymakers and the general public consider important in setting health-care priorities as it relates to palliation of the patient with functionally single ventricle in sub-Saharan Africa...
March 2019: World Journal for Pediatric & Congenital Heart Surgery
Necla Benlier, Mustafa Bilge Erdoğan, Serdar Keçioğlu, Nuri Orhan, Hülya Çiçek
BACKGROUND: Recently, the role of inflammation in coronary artery disease and the association of inflammatory biomarkers with adverse outcomes have been investigated in many studies. We investigated the relationship between high serum mobility group box 1 protein levels and established risk factors for coronary artery disease. METHODS: Fifty-five patients who presented to our Cardiovascular Surgery Clinic and subsequently underwent coronary artery bypass surgery for coronary artery disease and 50 healthy subjects presenting to the cardiology outpatient clinic without any cardiovascular problem were included in the study...
February 28, 2019: Asian Cardiovascular & Thoracic Annals
Shyam Sathanandam, Stephanie Whiting, Jorden Cunningham, David Zurakowski, Leah Apalodimas, B Rush Waller, Ranjit Philip, Athar M Qureshi
BACKGROUND: Patent ductus arteriosus (PDA) is highly prevalent in extremely low birth weight (ELBW), preterm infants. There are diverse management approaches for the PDA in ELBW infants. The objectives of this research were to identify current PDA management practices among cardiologists and neonatologists in the United States, describe any significant differences in management, and describe areas where practices align. METHODS: A survey of 10 questions based on the management of PDA in ELBW infants was conducted among 100 prominent neonatologists from 74 centers and 103 prominent cardiologists from 75 centers...
January 2019: Congenital Heart Disease
Leah Apalodimas, Benjamin Rush Waller Iii, Ranjit Philip, Judy Crawford, Jorden Cunningham, Shyam Sathanandam
OBJECTIVES: Patent ductus arteriosus (PDA) is a common finding in preterm infants. A hemodynamically significant PDA may require intervention for closure. This article aims to describe a transcatheter PDA closure (TCPC) program for preterm infants and the components of a comprehensive outpatient follow-up strategy. SETTING: A multidisciplinary team approach including neonatology, cardiology, anesthesiology, medical transport team, pulmonology, cardiac surgery, neurodevelopmental specialist, nutrition, speech therapy, social work, research collaborators, and other health care specialists is integral to the dedicated care and promotion of wellness of extremely low birth weight (ELBW) infants...
January 2019: Congenital Heart Disease
Paraskevi Theocharis, Nicola Viola, Nikolaos D Papamichael, Markku Kaarne, Tara Bharucha
OBJECTIVES: Subaortic stenosis (SAS) can present as various types of obstruction of the left ventricular outflow tract (LVOT) below the level of the aortic valve. Even though corrective surgery has been identified as the most effective treatment, SAS more frequently reoccurs requiring reoperation in a significant proportion of the patients. Previous studies have focused on predictors of recurrence in various subgroups of patients with SAS, but rarely in the overall population of patients with SAS...
February 25, 2019: European Journal of Cardio-thoracic Surgery
Brenton S Bauer, Ai Len Nguyen-Phan, Michael K Ong, Boback Ziaeian, Kim-Lien Nguyen
BACKGROUND: Cardiovascular electronic consultation is a new service line in consultative medicine and enables care without in-person office visits. We aimed to evaluate accessibility and time saved as measures of efficiency, determine the safety of cardiology electronic consultations, and assess satisfaction by responding cardiologists. METHODS: Using a mixed-methods approach and a modified time-driven, activity-based, costing framework, we retrospectively analysed cardiology electronic consultations...
February 25, 2019: Journal of Telemedicine and Telecare
Faouzi Addad, Abdallah Mahdhaoui, Jeridi Gouider, Essia Boughzela, Samir Kamoun, Mohamed Rachid Boujnah, Habib Haouala, Habib Gamra, Faouzi Maatouk, Ali Ben Khalfallah, Salem Kachboura, Hedi Baccar, Nejeh Ben Halima, Ali Guesmi, Khaled Sayahi, Wissem Sdiri, Ali Neji, Ahmed Bouakez, Sami Milouchi, Kais Battikh, Yves Jullieres, Nicolas Danchin, Jean Jacques Monsuez, Genevieve Mulak, Albert Hagege, Vincent Bataille, Rafik Chettaoui, Mohamed Sami Mourali
BACKGROUND: The FAST-MI Tunisia registry was set up by the Tunisian Society of Cardiology and Cardiovascular Surgery to assess the demographic and clinical characteristics, management and hospital outcome of patients with ST-elevation myocardial infarction (STEMI). METHODS: Data for 459 consecutive patients (mean age 60.8 years; 88.5% male) with STEMI, treated in 16 public hospitals (representing 72.2% of public hospitals in Tunisia treating STEMI patients), were collected prospectively...
2019: PloS One
Benjamin Gandesbery, Krista Dobbie, Emer Joyce, Laura Hoeksema, Silvia Perez Protto, Eiran Z Gorodeski
BACKGROUND: Secondary palliative care (SPC) provides several benefits for patients with cardiovascular disease, but historically, it has been underutilized in this population. Prior research suggests a low rate of SPC consultation by surgical teams in general, but little is known about how surgical teams utilize SPC in the setting of severe cardiovascular disease. AIM: To determine if surgical team assignment affects the probability of SPC for inpatients dying of cardiovascular disease...
April 2019: American Journal of Hospice & Palliative Care
Laszlo Kiraly, Balint Kiraly, Krisztian Szigeti, Csaba Zsolt Tamas, Sandor Daranyi
Education and training of morphology for medical students, and professionals specializing in pediatric cardiology and surgery has traditionally been based on hands-on encounter with congenitally malformed cardiac specimens. Large international archives are no longer widely available due to stricter data protection rules, a reduced number of autopsies, attrition rate of existing specimens, and most importantly due to a higher survival rate of patients. Our Cardiac Archive houses about 400 cardiac specimens with congenital heart disease...
January 2019: Quantitative Imaging in Medicine and Surgery
Shankar Prinja, Yashpaul Sharma, Jyoti Dixit, Shyam Kumar Singh Thingnam, Rajesh Kumar
BACKGROUND: Lack of data on the cost of cardiac care is an impediment to evidence-based planning, especially for determining provider payment rates under publically financed health insurance schemes. OBJECTIVE: This study estimates the unit costs of outpatient consultation, hospitalization, intensive care, selected surgical procedures and diagnostics for providing cardiac care for valvular heart disease at a tertiary hospital in India. METHODS: We undertook an economic costing of cardiac care using both patient and health system perspectives...
February 19, 2019: PharmacoEconomics Open
Luis Efrén Santos-Martínez, Víctor Manuel Lozano-Torres, César Antonio Flores-García, Patricia Soto-Márquez, Nielzer Armando Rodríguez-Almendros, Luis Raúl Meza-López, Jesús Zaín Campos-Larios, Moisés Cuttiel Calderón-Abbo
Background: Currently the options for treatment of chronic thromboembolic pulmonary hypertension can be pulmonary endarterectomy, pulmonary angioplasty and pharmacological treatment. Objective: To show the feasibility of performing pulmonary endarterectomy in a cardiology hospital. Methods: From December 2013 to June 2014 a serie of consecutive cases was studied according to the guidelines of the Fifth World Symposium of Pulmonary Hypertension...
January 28, 2019: Revista Médica del Instituto Mexicano del Seguro Social
Monica M Colvin, Jennifer L Cook, Patricia P Chang, Daphne T Hsu, Michael S Kiernan, Jon A Kobashigawa, JoAnn Lindenfeld, S Carolina Masri, Dylan V Miller, E Rene Rodriguez, Dolly B Tyan, Adriana Zeevi
Sensitization, defined as the presence of circulating antibodies, presents challenges for heart transplant recipients and physicians. When present, sensitization can limit a transplantation candidate's access to organs, prolong wait time, and, in some cases, exclude the candidate from heart transplantation altogether. The management of sensitization is not yet standardized, and current therapies have not yielded consistent results. Although current strategies involve antibody suppression and removal with intravenous immunoglobulin, plasmapheresis, and antibody therapy, newer strategies with more specific targets are being investigated...
February 19, 2019: Circulation
Dariusz Dudek, Waldemar Banasiak, Wojciech Braksator, Jacek Dubiel, Tomasz Grodzicki, Piotr Hoffman, Mariusz Kuśmierczyk, Grzegorz Opolski, Piotr Ponikowski, Jacek Różański, Jerzy Sadowski, Wojciech Wojakowski, Marcin Grabowski, Katarzyna Bondaryk, Jacek Walczak, Izabela Pieniążek, Maciej Grys, Anna Lesiak-Bednarek, Piotr Przygodzki
There is a great need for innovative technologies that will improve the health and quality of life (QoL) of Polish patients with cardiac problems. It is important that the safety and effectiveness of the technology are confirmed by scientific evidence on which guidelines and clinical recommendations are based. Scientific evidence for medical devices is also increasingly important for decision-making in finance approval from public funds. New technologies in cardiology and cardiac surgery contribute to improved patient QoL, increased treatment effectiveness and facilitated diagnosis...
February 14, 2019: Cardiology Journal
Roberta Senger, Michelle Dornelles Santarem, Sílvia Goldmeier
OBJECTIVES: To create and implement a computerized clinical registry to verify in the short-, medium- and long-term the mortality and the incidence of significant surgical outcomes in adult patients submitted to cardiovascular surgeries. METHODS: This is a prospective, observational registry-based study aimed at documenting the characteristics of patients undergoing cardiovascular surgery. RESULTS: Variables were standardized according to international references from the Society of Thoracic Surgeons (STS), American College of Cardiology (ACC), Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS) and the Department of Informatics of SUS (DATASUS)...
January 2019: Revista da Associação Médica Brasileira
O E Konovalov, J M Beisenbaieva
The article presents the results of analysis of indices of morbidity and mortality of diseases of blood circulation system of population of the Southern Kazakhstan oblast in 2004-2015. The analysis was applied to annual activities reports of the Regional cardiologic Center in 2013-2016. Thus, in 2016 the Center accepted 4237 patients and 80.7% out of them in emergence order. In overall, treatment in the Regional cardiologic Center was applied to 59.4% of respondents. All respondents were residents of municipal center an only 25...
November 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Néstor Báez-Ferrer, María Manuela Izquierdo-Gómez, Belén Marí-López, Javier Montoto-López, Amelia Duque-Gómez, Javier García-Niebla, Julio Miranda-Bacallado, Alejandro de la Rosa Hernández, Ignacio Laynez-Cerdeña, Juan Lacalzada-Almeida
Ischemic mitral regurgitation (IMR) is a frequent complication after acute myocardial infarction (AMI) associated with a worse prognosis. The pathophysiological mechanisms of IMR are not fully understood, but it is known to be a complex process in which ventricular remodelling is the main causal factor. The various imaging techniques in cardiology and echocardiography fundamentally have contributed significantly to clarify the mechanisms that cause and progressively aggravate IMR. At present, different therapeutic options, the most important of which are cardio-surgical, address this problem...
December 2018: Journal of Thoracic Disease
John U Doherty, Smadar Kort, Roxana Mehran, Paul Schoenhagen, Prem Soman, Gregory J Dehmer, John U Doherty, Paul Schoenhagen, Thomas M Bashore, Nicole M Bhave, Dennis A Calnon, Blase Carabello, John Conte, Timm Dickfeld, Daniel Edmundowicz, Victor A Ferrari, Michael E Hall, Brian Ghoshhajra, Praveen Mehrotra, Tasneem Z Naqvi, T Brett Reece, Randall C Starling, Molly Szerlip, Wendy S Tzou, John B Wong, John U Doherty, Gregory J Dehmer, Steven R Bailey, Nicole M Bhave, Alan S Brown, Stacie L Daugherty, Larry S Dean, Milind Y Desai, Claire S Duvernoy, Linda D Gillam, Robert C Hendel, Christopher M Kramer, Bruce D Lindsay, Warren J Manning, Manesh R Patel, Ritu Sachdeva, L Samuel Wann, David E Winchester, Michael J Wolk
This document is the second of 2 companion appropriate use criteria (AUC) documents developed by the American College of Cardiology, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. The first document1 addresses the evaluation and use of multimodality imaging in the diagnosis and management of valvular heart disease, whereas this document addresses this topic with regard to structural (nonvalvular) heart disease...
February 7, 2019: Journal of the American Society of Echocardiography
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