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JOURNAL ARTICLE
Farhad Bakhtiary, Miriam Silaschi, Ali Ahmad El-Sayed, Saad Salamate, Bart Meuris
OBJECTIVES: Patients with failed stentless aortic prostheses are a challenging population to treat, as re-operative procedures may be complex and catheter based treatments are associated with a high rate of proecedural events. Re-operative surgery using sutureless valves may be an alternative. METHODS: In this multicentre experience we assess outcomes of 17 patients who underwent re-operative surgery using the Perceval valve (Corcym UK Limited, London, UK) insideFreestyle prosthesis (Medtronic Inc...
May 2, 2024: Interdiscip Cardiovasc Thorac Surg
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JOURNAL ARTICLE
Živojin S Jonjev, Adam Adam, Novica Kalinić, Ranko Zdravković, Strahinja Mrvić
INTRODUCTION: Coronary artery bypass grafting (CABG) has been considered to be the proven therapeutic choice for coronary artery disease. However, percutaneous coronary intervention (PCI) with drug-eluting stents is increasingly used for extensive coronary artery disease with contradictory results. The aim of this study is to compare immediate- and mid-term results of CABG where skeletonized internal mammary artery (IMA) was used as in situ graft versus PCI with serolimus drug eluted stents (SES) in single-vessel left anterior descending artery (LAD) disease...
May 2024: Indian Journal of Thoracic and Cardiovascular Surgery
#3
JOURNAL ARTICLE
Mircea Robu, Bogdan Radulescu, Irina Maria Margarint, Cornel Robu, Ovidiu Stiru, Andrei Iosifescu, Silvia Preda, Mihai Cacoveanu, Cristian Voica, Vlad Anton Iliescu, Horatiu Moldovan
Background and objectives: The relationship between cerebral perfusion and new postoperative ischemic stroke in obese patients is not well defined. The aim of this study was to investigate the association between selective bilateral anterograde cerebral perfusion and new postoperative ischemic stroke in obese patients with emergency surgery for acute type A aortic dissection. Materials and methods: A total of 292 patients with emergency surgery for acute type A aortic dissection were included in this study...
April 19, 2024: Medicina
#4
JOURNAL ARTICLE
Maja Hanuna, German Herz, Andre L Stanzl, Yupeng Li, Christoph S Mueller, Christine E Kamla, Clemens Scherer, Dietmar Wassilowsky, Gerd Juchem, Martin Orban, Sven Peterss, Christian Hagl, Dominik Joskowiak
Background: Extracorporeal life support (ECLS) therapy for refractory postcardiotomy cardiogenic shock (rPCS) is associated with high early mortality rates. This study aimed to identify negative predictors of mid-term survival and to assess health-related quality of life (HRQoL) and recovery of the survivors. Methods: Between 2017 and 2020, 142 consecutive patients received ECLS therapy following cardiac surgery. The median age was 66.0 [57.0-73.0] years, 67.6% were male and the median EuroSCORE II was 10.5% [4...
April 12, 2024: Journal of Clinical Medicine
#5
JOURNAL ARTICLE
Jan Hlavicka, Larissa Gettwart, Julian Landgraf, Razan Salem, Florian Hecker, Enis Salihi, Arnaud Van Linden, Thomas Walther, Tomas Holubec
BACKGROUND: Minimally invasive aortic valve replacement (AVR) via upper ministernotomy (MiniAVR) is a standard alternative to full sternotomy access. Minimally invasive cardiac surgery has been proven to provide a number of benefits to patients. The aim of this study was to compare the short- and long-term outcomes after MiniAVR versus conventional AVR via full sternotomy (FS) using a biological prosthesis in an elderly higher-risk population. METHODS: Between January 2006 and July 2009, 918 consecutive patients received AVR ± additional procedures with different prostheses at our center...
March 31, 2024: Journal of Cardiovascular Development and Disease
#6
JOURNAL ARTICLE
Rohan Magoon, Armaanjeet Singh, Ramesh Kashav, Jasvinder K Kohli, Iti Shri, Noopur Bansal, Vijay Grover
BACKGROUND AND AIMS: Cardiac surgery often necessitates considerable post-operative vasoactive-inotropic support. Given an encouraging literature on the prognostic potential of leucoglycemic index (LGI) [serum glucose (mg/dl) × total leucocytes count (cells/mm3 )/1000], we aimed to evaluate whether intensive care unit (ICU)-admission LGI can predict post-operative vasopressor-inotropic requirements following cardiac surgery on cardio-pulmonary bypass (CPB). MATERIAL AND METHODS: The data of patients undergoing cardiac surgery at our tertiary care center between January 2015 and December 2020 was retrospectively reviewed...
2024: Journal of Anaesthesiology, Clinical Pharmacology
#7
JOURNAL ARTICLE
Hong Pan, Zhenzhou Shi, Shuting Wang, Jinquan Bai, Tong Zhang
OBJECTIVE: Acute type A aortic dissection (ATAAD) is a life-threatening cardiovascular disease that requires an effective predictive model to predict and assess a patient's risk of death. Our study aimed to construct a model for predicting the risk of 30-day death in patients with ATAAD and the prediction accuracy of the German Registry of Acute Aortic Dissection Type A (GERAADA) Score and the European System for Cardiac Operative Risk Evaluation (EuroSCORE II) was verified. MATERIALS AND METHODS: Between June 2019 and June 2023, 109 patients with ATAAD underwent surgical treatment at our hospital (35 in the death group and 74 in the survival group)...
April 16, 2024: European Journal of Radiology
#8
JOURNAL ARTICLE
Helmut Mair, Stephanie Ulrich, Dow Rosenzweig, Johannes Goeppl, Christopher Jurma, Ferdinand Vogt, Benedikt Baumer, Frank Vogel, Peter Lamm
BACKGROUND: Patients requiring coronary artery bypass grafting (CABG) are often loaded with antithrombotic drugs (AT) and are at an increased risk for perioperative bleeding complications. Active AT removal by a hemoadsorption cartridge integrated in the cardiopulmonary bypass circuit is increasingly used in this setting to reduce bleeding, and herein we describe the extension of this application in patients on AT undergoing off-pump coronary artery bypass (OPCAB). METHODS: Ten patients (80% male; mean age: 67...
April 18, 2024: Journal of Cardiothoracic Surgery
#9
JOURNAL ARTICLE
Johanna Vogelhuber, Tetsu Tanaka, Refik Kavsur, Tadahiro Goto, Can Öztürk, Miriam Silaschi, Georg Nickenig, Sebastian Zimmer, Marcel Weber, Atsushi Sugiura
BACKGROUND: We assessed the safety profile of tricuspid transcatheter edge-to-edge repair (TEER) in patients with right ventricular (RV) dysfunction. METHODS: We identified patients undergoing TEER to treat tricuspid regurgitation from June 2015 to October 2021 and assessed tricuspid annular plane systolic excursion (TAPSE) and RV fractional area change (RVFAC). RV dysfunction was defined as TAPSE <17 mm and RVFAC <35%. The primary end point was 30-day mortality after TEER...
April 17, 2024: Circulation. Cardiovascular Interventions
#10
JOURNAL ARTICLE
Yusuke Misumi, Masashi Kawamura, Daisuke Yoshioka, Takuji Kawamura, Ai Kawamura, Yoshito Ito, Tsubasa Mikami, Masaki Taira, Kazuo Shimamura, Shigeru Miyagawa
BACKGROUND: For patients with nonischemic dilated cardiomyopathy (NIDCM), the indications for and results of mitral surgery remain controversial. We reviewed a strategy of mitral repair and replacement for clinically relevant secondary mitral regurgitation (MR) in patients with NIDCM. METHODS: We retrospectively reviewed 65 patients with advanced NIDCM (LVEF < 40%) who underwent mitral surgery. Of them, 47 (72%) underwent mitral annuloplasty and 18 (28%) replacement for secondary MR...
April 12, 2024: Journal of Cardiothoracic Surgery
#11
MULTICENTER STUDY
Marianna Adamo, Giulio Russo, Matteo Pagnesi, Edoardo Pancaldi, Hannes Alessandrini, Martin Andreas, Luigi P Badano, Daniel Braun, Kim A Connelly, Paolo Denti, Rodrigo Estevez-Loureiro, Neil Fam, Mara Gavazzoni, Rebecca T Hahn, Claudia Harr, Joerg Hausleiter, Dominique Himbert, Daniel Kalbacher, Edwin Ho, Azeem Latib, Edith Lubos, Sebastian Ludwig, Laura Lupi, Philipp Lurz, Vanessa Monivas, Georg Nickenig, Daniela Pedicino, Giovanni Pedrazzini, Alberto Pozzoli, Denise Pires Marafon, Roberta Pastorino, Fabien Praz, Joseph Rodes-Cabau, Christian Besler, Anne Rebecca Schöber, Joachim Schofer, Andrea Scotti, Kerstin Piayda, Horst Sievert, Gilbert H L Tang, Alessandro Sticchi, David Messika-Zeitoun, Holger Thiele, Florian Schlotter, Ralph Stephan von Bardeleben, John Webb, Julien Dreyfus, Stephan Windecker, Martin Leon, Francesco Maisano, Marco Metra, Maurizio Taramasso
BACKGROUND: Data on the prognostic role of the TRI-SCORE in patients undergoing transcatheter tricuspid valve intervention (TTVI) are limited. OBJECTIVES: The aim of this study was to evaluate the performance of the TRI-SCORE in predicting outcomes of patients undergoing TTVI. METHODS: TriValve (Transcatheter Tricuspid Valve Therapies) is a large multicenter multinational registry including patients undergoing TTVI. The TRI-SCORE is a risk model recently proposed to predict in-hospital mortality after tricuspid valve surgery...
April 8, 2024: JACC. Cardiovascular Interventions
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JOURNAL ARTICLE
Nikolaos Schizas, Ilias Samiotis, Georgia Nazou, Dimitrios C Iliopoulos, Ioannis Anagnostopoulos, Maria Kousta, Nafsika Papaioannou, Mihalis Argiriou, Panagiotis Dedeilias
BACKGROUND: Perceval-S has become a reliable and commonly used option in surgical aortic valve replacement (AVR) since its first implantation in humans 15 years ago. Despite the fact that this aortic valve has been proven efficient enough in the short and mid-term period, there is still lack of evidence for the long-term outcomes. MATERIALS AND METHODS: This is an observational retrospective study in a high-volume cardiovascular center. Pertinent data were collected for all the patients in whom Perceval-S was implanted from 2013 to 2020...
April 9, 2024: Journal of Cardiothoracic Surgery
#13
JOURNAL ARTICLE
Miriam Silaschi, Franca Cattelaens, Hossien Alirezaei, Johanna Vogelhuber, Susanne Sommer, Atsushi Sugiura, Max Schulz, Tetsu Tanaka, Mitsumasa Sudo, Sebastian Zimmer, Georg Nickenig, Marcel Weber, Farhad Bakhtiary, Nihal Wilde
Background: Minimally invasive mitral valve surgery (MIC-MVS) has been established as preferred treatment of mitral regurgitation (MR), but mitral transcatheter edge-to-edge valve repair (M-TEER) is routinely performed in patients at high surgical risk and is increasingly performed in intermediate risk patients. Methods: From 2010 to 2021, we performed 723 M-TEER and 123 isolated MIC-MVS procedures. We applied a sensitivity analysis by matching age, left ventricular ejection fraction (LVEF), EuroSCORE II and etiology of MR...
February 28, 2024: Journal of Clinical Medicine
#14
JOURNAL ARTICLE
Yun Xie, Qin Guo, Bo Yang, Pan Xie, Jingxiao Zhang, Wei Lu, Claudio Ronco, Gengru Jiang
INTRODUCTION: Cardiac surgery-associated acute kidney injury (CSA-AKI) is a common complication associated with increased morbidity and mortality. Tissue inhibitor metalloproteinases-2 • insulin-like growth factor-binding protein 7 (TIMP-2•IGFBP7) determines tubular stress markers, which may occur prior to tubular damage. Previous studies on the use of TIMP-2•IGFBP7 for the prediction of CSA-AKI showed divergent results. Therefore, this study aimed to explore the predictive value of TIMP-2•IGFBP7 measurements for the early detection of acute kidney injury (AKI) and short-term adverse outcomes after cardiac surgery...
April 8, 2024: Cardiorenal Medicine
#15
JOURNAL ARTICLE
Kerstin Piayda, Julian Tim Heilemann, Stanislav Keranov, Luisa Schulz, Mani Arsalan, Christoph Liebetrau, Won-Keun Kim, Felix J Hofmann, Pascal Bauer, Sandra Voss, Christian Troidl, Samuel T Sossalla, Christian W Hamm, Holger M Nef, Oliver Dörr
Background: Currently available risk scores fail to accurately predict morbidity and mortality in patients with severe symptomatic aortic stenosis who undergo transcatheter aortic valve implantation (TAVI). In this context, biomarkers like matrix metalloproteinase-2 (MMP-2) and galectin-3 (Gal-3) may provide additional prognostic information. Methods: Patients with severe aortic stenosis undergoing consecutive, elective, transfemoral TAVI were included. Baseline demographic data, functional status, echocardiographic findings, clinical outcomes, and biomarker levels were collected and analyzed...
April 8, 2024: Biomarkers: Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals
#16
JOURNAL ARTICLE
Rona Lee Suelo-Calanao, Andrea D'Alessio, Sandra Hutton, George Krasopoulos, Vijayakumar Muppiri, Carly Cartwright, Parvez Ahmed, Nicolas Nikolaidis, Mahmoud Loubani
OBJECTIVE: The premise of this retrospective study was to evaluate the intraoperative use of closed incision negative pressure therapy (ciNPT) to help reduce the incidence of postoperative sternal wound infections (SWI) in multimorbid patients with an elevated risk of developing an SWI post cardiac surgery versus a cohort that received standard of care dressings. METHODS: Data of all adult patients were collected from each cardiothoracic surgery units across three hospitals in the United Kingdom...
April 8, 2024: Interdiscip Cardiovasc Thorac Surg
#17
JOURNAL ARTICLE
Monirah A Albabtain, Elham A Almathami, Haneen Alghosoon, Faisal F Alsubaie, Ibrahim M Abdelaal, Huda Ismail, Adam I Adam, Amr A Arafat
BACKGROUND: Atrial fibrillation after cardiac surgery (POAF) is associated with increased morbidity and mortality. Several scores were used to predict POAF, with variable results. Thus, this study assessed the performance of several scoring systems to predict POAF after mitral valve surgery. Additionally, we identified the risk factors for POAF in those patients. METHODS: This retrospective cohort included 1381 recruited from 2009 to 2021. The patients underwent mitral valve surgery, and POAF occurred in 233 (16...
April 2024: Journal of Arrhythmia
#18
JOURNAL ARTICLE
Juan Esteban de Villarreal-Soto, Juan Francisco Oteo-Domínguez, Daniel Martínez-López, Elsa Carolina Ríos-Rosado, Beatriz Vera-Puente, Jean Carlo Olivo-Soto, Fernando Arízaga-Arce, Pablo García-Pavía, Víctor Manuel Ospina Mosquera, Susana Villar García, Jessica García Suárez, Miguel Ángel Cavero, Carlos Esteban Martín-López, Alberto Forteza-Gil
OBJECTIVES: Extended septal myectomy and alcohol septal ablation are two invasive treatments for hypertrophic obstructive cardiomyopathy. We aim to compare which of these techniques achieves a higher reduction in gradients, improvement in NYHA class and reduction in medical treatment. METHODS: This is a single-center observational and retrospective analysis. This is a single-center observational and retrospective analysis. We have used multivariable regression analyses to assess the association of ablation/myectomy with different outcomes...
April 3, 2024: Interdiscip Cardiovasc Thorac Surg
#19
JOURNAL ARTICLE
Rong-Cheng Xie, Yu-Ting Wang, Xue-Feng Lin, Xiao-Ming Lin, Xiang-Yu Hong, Hong-Jun Zheng, Lian-Fang Zhang, Ting Huang, Jie-Fei Ma
BACKGROUND: Weaning patients from mechanical ventilation is a critical clinical challenge post cardiac surgery. The effective liberation of patients from the ventilator significantly improves their recovery and survival rates. This study aimed to develop and validate a clinical prediction model to evaluate the likelihood of successful extubation in post-cardiac surgery patients. METHOD: A predictive nomogram was constructed for extubation success in individual patients, and receiver operating characteristic (ROC) and calibration curves were generated to assess its predictive capability...
April 15, 2024: Heliyon
#20
JOURNAL ARTICLE
Nora Göbel, Simone Holder, Franziska Hüther, Yasemin Anguelov, Dorothee Bail, Ulrich Franke
OBJECTIVE: The extent of surgery and the role of the frozen elephant trunk (FET) for surgical repair of acute aortic dissection type I are still subjects of debate. The aim of the study is to evaluate the short- and long-term results of acute surgical repair of aortic dissection type I using the FET compared to standard proximal aortic repair. METHODS: Between October 2009 and December 2016, 172 patients underwent emergent surgery for acute type I aortic dissection at our center...
2024: Frontiers in Cardiovascular Medicine
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