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Validity of direct bilateral axillary arterial cannulation in emergency surgery for acute type A aortic dissection J. Card. Surg. (IF 1.6) Pub Date : 2022-12-29 Ryo Suzuki, Hiroshi Kurazumi, Ryosuke Nawata, Toshiki Yokoyama, Kazumasa Matsunaga, Sarii Tsubone, Yutaro Matsuno, Kimitaka Tomisada, Bungo Shirasawa, Akihito Mikamo, Kimikazu Hamano
To assess the validity and long-term outcomes of direct bilateral axillary arterial cannulation for acute type A aortic dissection.
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Evaluation of midterm outcomes after Shone's complex surgery: Analysis of reoperation and mortality risk factors J. Card. Surg. (IF 1.6) Pub Date : 2022-12-29 Firat Husnu Altin, Oktay Korun, Okan Yurdakok, Murat Cicek, Yigit Kilic, Arif Selcuk, Orhan Bulut, Emine Hekim Yilmaz, Selma Oktay Ergin, Ahmet Sasmazel, Numan Ali Aydemir
The midterm results of patients who underwent biventricular repair surgery for Shone's complex were examined, and mortality and reoperation risk factors were evaluated.
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Subannular procedures on papillary muscles for secondary mitral valve regurgitation repair J. Card. Surg. (IF 1.6) Pub Date : 2022-12-14 Francesco Guccione, Marco Moscarelli, Roberta Sampognaro, Massimo Salardino, Daniela Bacarella, Nogara Angela, Khalil Fattouch
CONFLICT OF INTEREST The authors declare no conflict of interest.
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Safety of apixaban and rivaroxaban compared to warfarin after cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-12-07 Kushal D. Naik, Bryan A. Whitson, Eric M. McLaughlin, Nancy B. Matre, Alan J. Rozycki
Direct oral anticoagulants (DOACs) are frequently prescribed for the management of atrial fibrillation and venous thrombosis. There is a lack of published data on the utilization of DOACs in individuals who have undergone recent cardiac surgery. The purpose of this study was to evaluate the safety and efficacy of apixaban and rivaroxaban compared to warfarin in patients postcardiac surgery.
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Letter to the Editor: "Urinary TIMP-2 and IGFBP-7 protein levels as early predictors of acute kidney injury after cardiac surgery". J. Card. Surg. (IF 1.6) Pub Date : 2022-12-05 Suhaib Ahmaed, Rahat Ahmed Memon
The journal's article "Urinary TIMP-2 and IGFBP-7 protein levels as early predictors of acute kidney injury after cardiac surgery" piqued our attention.
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Impact of rapid rehabilitation surgery on perioperative nursing in patients undergoing cardiac surgery: A meta-analysis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-30 Wenjuan Feng, Jing Zhou, Yu Lei, Wenmin Chen, Yongpin Miao, Xintong Fu, Jinghong Pi, Min Zhang, Zhuhui Na, Wenrong Lou
To systematically evaluate the effect of enhanced recovery after surgery (ERAS) on perioperative nursing of patients undergoing cardiac surgery.
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Multicenter experience with valve-in-valve transcatheter aortic valve replacement compared with primary, native valve transcatheter aortic valve replacement J. Card. Surg. (IF 1.6) Pub Date : 2022-11-30 Michael P. Robich, Alexander Iribarne, David Butzel, Anthony W. DiScipio, Harold L. Dauerman, Bruce J. Leavitt, Joseph P. DeSimone, Megan Coylewright, James M. Flynn, Benjamin M. Westbrook, Peter N. Ver Lee, Mina Zaky, Reed Quinn, David J. Malenka
Valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) offers an alternative to reoperative surgical aortic valve replacement. The short- and intermediate-term outcomes after ViV TAVR in the real world are not entirely clear.
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Midterm results of latent outflow tract obstruction in hypertrophic cardiomyopathy after septal myectomy: A propensity score-matched study J. Card. Surg. (IF 1.6) Pub Date : 2022-11-30 Bo Han, Shengwei Wang, Jiyong Li, Changwei Ren, Yongqiang Lai
The midterm clinical outcomes of patients with latent left ventricular outflow tract (LVOT) obstruction who undergo septal myectomy are unclear. Therefore, this study aimed to evaluate the clinical outcomes of patients with latent LVOT obstruction who underwent septal myectomy.
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Low acceptance rate of COVID-19 vaccination and reduced quality of life among heart transplant recipients during the COVID-19 pandemic J. Card. Surg. (IF 1.6) Pub Date : 2022-11-29 Qingsong Wu, Yue Shen, Linfeng Xie, Jiaxin Zhang, Zhihuang Qiu, Mirong Tang, Liangwan Chen
To investigate the impact of the current coronavirus disease 2019 (COVID-19) pandemic on the quality of life (QoL) and status of COVID-19 vaccination in heart transplant recipients (HTRs).
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Health-related quality of life impacts upon 5-year survival after coronary artery bypass surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Muath Bishawi, Brack Hattler, G. Hossein Almassi, Jacquelyn A. Quin, Frederick L. Grover, Joseph F. Collins, Ramin Ebrahimi, Daniel H. Wolbrom, A. Laurie Shroyer
Poor preoperative health-related quality of life (HRQoL) has been associated with reduced short-term survival after coronary artery bypass graft (CABG) surgery; however, its impact on long-term mortality is unknown. This study's objective was to determine if baseline HRQoL status predicts 5-year post-CABG mortality.
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Contemporary utilization of the axillary artery in cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Michael P. Rogers, Anthony J. DeSantis, Kristina Gemayel, Swaroop R. Bommareddi, Manuel Caceres Polo, Robert L. Hooker
The axillary artery is a reliable inflow vessel when addressing pathology of the aortic root and aortic arch that may preclude standard central cannulation strategies. This narrative review examines the use of the axillary artery in cardiac surgery. Anatomy, indications for use, cannulation strategies, and potential complications will be discussed.
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An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Jenna L. Mandel, Colin C. Yost, Jake L. Rosen, Kyle W. Prochno, Kellen J. Round, Caroline M. Komlo, Thomas Sloane Guy
Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).
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A comprehensive review of cerebral oximetry in cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Christina C. Moore, Soojie Yu, Oscar Aljure
Patients who undergo cardiac surgery are at increased risk of stroke, postoperative cognitive decline, and delirium. These neurocognitive complications have led to increased costs, intensive care unit stays, morbidity, and mortality. As a result, there is a significant push to mitigate any neurological complications in cardiac surgery patients. Near-infrared spectroscopy to measure regional cerebral
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Transapical aortic valve replacement for quadricuspid aortic valve with severe aortic regurgitation which caused multiorgan failure J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Weimin Zhang, Li-na Guan, Bao-zhu Wang, Qiang Huo
We present the case of a patient who underwent successful transapical aortic valve implantation in a severe quadricuspid aortic valve (QAV) with severe regurgitation and multiorgan failure.
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Giant intracardiac medullary thyroid cancer metastasis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Jérémy Tricard, Anaëlle Chermat, Ezedin Abdelkafi, Alessandro Piccardo
We report an unusual case of giant intracardiac medullary thyroid cancer metastasis. A 76-year-old woman with a 9-year history of medullary thyroid cancer presented an unexpected 7.5 cm mass in the right ventricle. Complete resection and tricuspid valve replacement led to 40 months survival.
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Routine endoscopic robotic cardiac tumor resection using an 8-mm working port and percutaneous cannulation J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Jake L. Rosen, Colin C. Yost, Daniella H. Wong, Jenna L. Mandel, Kyle W. Prochno, Caroline M. Komlo, Nathan Ott, T. Sloane Guy
Prior studies have demonstrated robotic excision of cardiac tumors as a safe and effective treatment option. The procedure is performed with five incisions: three robotic arm ports, one atrial retractor port, and one working port. We report our unique initial experience in robotic tumor removal. To our knowledge, this is one of the first reports demonstrating cardiac myxoma and fibroelastoma removal
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A new perspective: Fat tissue and adipokines in rheumatic heart valves J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Ting Xie, Danna Wu, Jie Zhang, Ping Qiao, Xuan Chen, Debin Liu, Mei Xiang, Haitao Li, Xingjiu Cai, Zhichuan Lin, Wenkai Yang, Xinzhong Chen, Hao Chen, Cong Liu
To observe fat tissue and the expression of adipokines in rheumatic heart valves and explore the possible role of fat tissue and adipokines in the pathology of rheumatic heart disease (RHD).
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Reconsideration and surgical technique report of root repair management of acute Stanford type A aortic dissection J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Luchen Wang, Yanxiang Liu, Yaojun Dun, Xiaogang Sun
Currently, there is a lack of expert consensus and clinical guidelines about the treatment strategy for aortic roots in patients with acute Stanford type A aortic dissection with aortic sinuses less than 45 mm in diameter and without combined connective tissue disorder. The physiological aortic sinus plays a key role in the protection of the aortic valve and cardiac function. Thus, we invented a “watching
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Pre-emptive intraoperative administration of PCC4 in cardiac surgery patients at high risk of bleeding: A pilot study J. Card. Surg. (IF 1.6) Pub Date : 2022-11-24 Joseph Elder, Jennifer McComb, Seth Lirette, Bruce Herndon, Gerald Yancey, Asim Mohammed, Hannah Copeland
Four-factor prothrombin complex (PCC4), a concentrate of factors II, VII, IX, and X and proteins C and S, has been used selectively for reversal of oral anticoagulation before surgery. There is data to support PCC4 as opposed to supplemental fresh frozen plasma (FFP) to manage postoperative bleeding following cardiac surgery. The preemptive, intraoperative use of PCC4 in cardiothoracic surgery has
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The influence of metabolic syndrome in heart valve intervention. A multi-centric study J. Card. Surg. (IF 1.6) Pub Date : 2022-11-22 Marco Moscarelli, Domenico Paparella, Gianni D. Angelini, Francesco Giannini, Gaetano Contegiacomo, Alfredo Marchese, Giuseppe Nasso, Alberto Albertini, Khalil Fattouch, Giuseppe Speziale
The effect of metabolic syndrome (MetS), defined as insulin resistance along with two or more of: obesity, atherogenic dyslipidaemia and elevated blood pressure, on postoperative complications after isolated heart valve intervention remains controversial. We hypothesized that MetS may negatively influence the postoperative course in these patients.
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Prophylactic LVAD for high-risk patients undergoing cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-22 Atul K. Jaidka, Sabe De, David Drullinsky, Atul Dave Nagpal, Michael W. A. Chu
Postcardiotomy cardiogenic shock (PCS) is associated with poor prognosis. Medical therapy with afterload reduction, contractility optimization and systemic vasopressors often fails, and mechanical support is required. The aim of this study was to propose a strategy of prophylactic left ventricular assist device (LVAD) for high-risk patients undergoing cardiac surgery.
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Single-center experience of LVAD implantation in patients with sickle-cell trait: A retrospective analysis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-22 Khalid Al Khamees, Elena Grasso, Ahmed Ibrahim, Hassane Abdallah, Mohamad I. Adbelhamed, Omer Sayin, Roberto Lorusso
The most worrisome complications in patients supported by left ventricular assist device (LVAD) are pump thrombosis, embolism, and bleeding. The actual rate of these events in patients with sickle-cell disease (SCD) has not well investigated. The aim of our study is to evaluate the outcomes of LVAD implantation in patients with sickle-cell hemoglobinopathy at our institution.
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Role of cardiac magnetic resonance (CMR) in planning ventricular septal myomectomy in patients with hypertrophic obstructive cardiomyopathy (HOCM) J. Card. Surg. (IF 1.6) Pub Date : 2022-11-22 Fawaz Alenezi, Hasan Alajmi, Richa Agarwal, Brittany A. Zwischenberger
Septal myectomy is currently the gold standard treatment for symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM). The procedure needs to be tailored and performed in a personalized fashion, taking into consideration the anatomic and physiologic heterogeneity of this disease. The extent and location of surgical myectomy will depend on the location of the hypertrophy, with the goal
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Erratum J. Card. Surg. (IF 1.6) Pub Date : 2022-11-22
This erratum corrects the following: Commentary: Infections in LVAD patients. Journal of Cardiac Surgery, Volume 37, Issue 8, Pages 2307-2308. First published: 01 May 2022 doi:10.1111/jocs.16576 and Invited Commentary: Infections in LVAD patients. Journal of Cardiac Surgery, Volume 37, Issue 7, Pages 2090-2091. First published: 19 May 2022 doi:10.1111/jocs.16591 These two Commentaries are identical
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The association of pre-transplant atrial fibrillation with in-hospital outcomes in patients undergoing orthotopic liver transplantation: A propensity score matching analysis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Michael Dangl, Jelani K. Grant, Louis Vincent, Bertrand Ebner, Jennifer Maning, Odunayo Olorunfemi, Gerardo Zablah, Rhea Sancassani, Rosario Colombo
In this study, we sought to evaluate the prevalence and association of pre-transplant atrial fibrillation (AF) on 30-day postoperative outcomes in patients undergoing orthotopic liver transplant (OLT).
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Reconstruction of aortic sinus using patches in patients with acute type A aortic dissection J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Zengxiao Zou, Chaojie Wang, Wenqian Zhang, Zhixiong Wu, Rongjun Zou, Liang Hong, Wenliu Xu, Ge Wang, Songtao Tan, Xiaoping Fan
Acute type A aortic dissection involving the aortic sinus is often combined with varying degrees of aortic regurgitation, while the structure of the aortic valve is often undamaged. The aim of this study was to evaluate the clinical effects of reconstruction of the aortic sinus using patches in patients with acute type A aortic dissection.
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Effect of long-term nursing intervention on quality of life and social support of patients with coronary heart disease after percutaneous coronary intervention J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Haijuan Hu, Yishu Zhao, Jianhua Ma
To assess the effect of long-term nursing intervention on the quality of life and social support of patients after percutaneous coronary intervention (PCI).
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Clinical performance of a novel bioprosthetic surgical aortic valve in a German high-volume center J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Ali El-Sayed Ahmad, Sabrina Giammarino, Saad Salamate, Wolfgang Fehske, Sami Sirat, Mohamed Amer, Peter Bramlage, Farhad Bakhtiary, Mirko Doss
Bioprosthetic surgical aortic valve replacement (SAVR) is increasingly adopted in younger patients. We aimed to analyze mid-term follow-up data after SAVR to assess the performance of the prosthesis.
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Acquired atrioesophageal fistula: Need it be lethal? Sizing up the problem, diagnostic modalities, and best management J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Hannah G. Povey, Aravinda Page, Stephen Large
An atrioesophageal fistula is a devastating complication of ablation for atrial fibrillation. For the surgeon facing this dreaded complication, it may be a ‘once in a lifetime’ case. This review aims to describe the clinical problem and evaluate the outcome of different surgical techniques to start guiding cardiothoracic surgeons toward those which offer the best chance of survival.
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Postoperative cardiac troponin I as an indicator of surgical outcomes: A systematic review J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Syed Hassan Ahmed, Neha Pervez, Syeda Tayyaba Rehan, Taha Gul Shaikh, Summaiyya Waseem
Cardiac surgeries are generally associated with high morbidity and mortality. To prevent any adverse outcomes, it is crucial to identify patients at risk of developing postoperative complications and initiate relevant therapeutic interventions. Several biomarkers are used to determine postoperative myocardial injury but they either lack sensitivity and specificity or are elevated for a short time.
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Coil embolization with open frozen hybrid graft for complex left subclavian artery/proximal descending aortic aneurysm in a young patient J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Samantha Guimaron, François Côté, François Dagenais
An LSCA aneurysm is a rare disease. When and how to operate are debated. While open surgery was initially considered the sole option, emerging endovascular techniques have been described. The present report describes a novel hybrid technique to treat an LSCA aneurysm combined to a proximal descending aneurysm in a young 25-year-old patient.
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Effectiveness of intra-operative topical amiodarone for prevention of postcardiac surgery new-onset atrial fibrillation: A review of current evidence J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Xingyu Chen, Cam Sartor, Shetuan Zhang, Adrian Baranchuk, Amanda Ross-White, Angel Luis Fernandez, Mohammad El-Diasty
Postoperative atrial fibrillation (POAF) is one of the most common complications following cardiac surgery and is associated with increased morbidity. Intraoperative topical amiodarone application on epicardial tissue has been shown to reduce systemic concentrations while maintaining therapeutic myocardial concentrations, thereby, lowering the risk of extracardiac adverse effects associated with oral
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The effect of socioeconomic factors on patient outcomes in cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Tyson McLeish, Benjamin D. Seadler, Raphael Parrado, Lisa Rein, David L. Joyce
Healthcare delivery is heterogenous; the reasons for this are numerous and complex. Patient-specific factors including geography, income, insurance status, age, and gender have been shown to bias surgical outcomes. Utilizing a prospectively collected all-payer database, we aim to evaluate the influence of socioeconomic factors on mortality and length of stay (LOS) after common cardiac surgical procedures
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Pearls, pitfalls, and surgical indications of the Intuity TM heart valve: A rapid deployment bioprosthesis. A systematic review of the literature J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Aleksander Dokollari, Gianluca Torregrossa, Serge Sicouri, Altin Veshti, Rafik Margaryan, Matteo Cameli, Giulia Elena Mandoli, Massimo Maccherini, Gianfranco Montesi, Francesco Cabrucci, Lindita Coku, Rakesh Arora, Qiao Ri Li, Massimo Bonacchi, Sandro Gelsomino
To highlight short- and long-term clinical outcomes of the Intuity TM rapid deployment prosthesis for surgical aortic valve replacement.
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Novel hybrid total artificial heart with integrated oxygenator J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Steven G. Chopski, Krianthan Govender, Alexandra May, Ellen Garven, Randy M. Stevens, Vakhtang Tchantchaleishvili, Amy L. Throckmorton
There continues to be an unmet therapeutic need for an alternative treatment strategy for respiratory distress and lung disease. We are developing a portable cardiopulmonary support system that integrates an implantable oxygenator with a hybrid, dual-support, continuous-flow total artificial heart (TAH). The TAH has a centrifugal flow pump that is rotating about an axial flow pump. By attaching the
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Brain and lower body protection during aortic arch surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Antonio M. Calafiore, Ruggero de Paulis, Severino Iesu, Domenico Paparella, Gianni Angelini, Mattia Scognamiglio, Paolo Centofanti, Salvatore Nicolardi, Pierpaolo Chivasso, Carlo Canosa, Salvatore Zaccaria, Luigi de Martino, Diego Magnano, Giuseppe Mastrototaro, Michele Di Mauro
Deep hypothermic circulatory arrest (DHCA) at ≤20°C for aortic arch surgery has been widely used for decades, with or without cerebral perfusion (CP), antegrade (antegrade cerebral perfusion [ACP]), or retrograde. In recent years nadir temperature progressively increased to 26°C–28°C (moderately hypothermic circulatory arrest [MHCA]), adding ACP. Aim of this multicentric study is to evaluate early
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Successive surgical repair of a progressive aortic dissection in a case of Loeys–Dietz Syndrome J. Card. Surg. (IF 1.6) Pub Date : 2022-11-20 Presheet Pathare, Mohamed Elbayomi, Rene Tandler, Michael Weyand, Frank Harig
The Frozen Elephant Trunk technique is a well-established treatment for aortic dissections (Stanford Type A) involving the aortic arch and descending aorta. The Thoraflex™ Hybrid prosthesis (Vascutek Ltd.), consisting of a proximal flexible conduit and a distal self-expanding covered stent, has consistently shown positive results in the treatment of this condition.
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Repair of ATAAD with a 3D-printing assisted pre-windowed coated stent: A case report J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Fang Hu, Zi-qian Zhang, Xin-hui Zheng, Tao Li, Zhao-xu Deng
Acute type A aortic dissection (ATAAD) is a life-threatening vascular disease. We report a case of ATAAD treated with interventional therapy using 3D-printing assisted pre-windowing coated stent combined with in situ window-opening technology. There were few complications and the patient experienced an uneventful recovery.
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Chordal cutting for ischemic mitral regurgitation. J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Berhane Worku,Ivan Gambardella
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Ministernotomy aortic valve replacement: The cost of preference. J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Berhane Worku,Iosif Gulkarov,Ivan Gambardella
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Myocardial recovery in a patient with dilated cardiomyopathy after short-term biventricular assist device support J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Khaled Alotaibi, Abeer Bakhsh, Fahmi Alkhaf, Ahmed Amro, Mohammad Albarrak, Tarek Tantawy, Amr A. Arafat, Adam I. Adam
Management of patients with end-stage heart failure is still challenging. We report a case of idiopathic dilated cardiomyopathy who went through a challenging course. The case was presented as acute heart failure syndrome, which rapidly declined into cardiogenic shock and cardiac arrest that required an extracorporeal membrane oxygenator, then biventricular assist device implantation for circulatory
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Management and outcomes of ventricular septal defects after acute myocardial infarction: A multicenter retrospective study J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Pierre-Guillaume Piriou, Patrice Guerin, Julien Plessis, Thomas Senage, Thibaut Manigold, Vincent Auffret, Romain Didier, Robin Le Ruz, Charles-Henri David, Jean-Christian Roussel, Vincent Letocart
The mortality rate of patients with post-myocardial infarction (MI) ventricular septal defects (VSDs) is high, and the benefit of surgery is unclear. We aimed to investigate the management and outcomes of post-MI VSD over a 10-year period in a large cohort.
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Idiopathic focal fibrosing mediastinitis with unilateral pulmonary arterial and venous involvement J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Vidiyala Pujitha, Niraj Nirmal Pandey, Balaji Arvind, Sanjeev Kumar
We report a case of a 1-year-old girl where computed tomography (CT) angiography demonstrated presence of ill-defined heterogenous soft tissue thickening obliterating the mediastinal fat planes in right peri-hilar region and encasing the hilar right pulmonary artery and its segmental branches leading to marked narrowing with nonvisualization of the right-sided pulmonary veins. The case highlights the
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Mini-sternotomy versus full sternotomy for isolated aortic valve replacement: A single-center experience J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Ryaan EL-Andari, Abigail White, Nicholas M. Fialka, Shubham Shan, Vinod K. Manikala, Yonghze Hong, Shaohua Wang
Minimally invasive approaches to isolated aortic valve replacement (AVR) are well-described and widely utilized. While there are numerous proposed benefits, there is limited literature describing significant morbidity or mortality benefits for minimally invasive isolated AVR resulting in hesitancy in its universal adoption. In this retrospective study, we compare the 5-year outcomes of patients undergoing
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Comparison of minimally invasive versus conventional thoracic aortic operations: Early and midterm results in a series of 624 patients J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Paolo Berretta, Giulia Chiuselli, Michele Galeazzi, Riccardo Codecasa, Jacopo Alfonsi, Lucio Braconi, Olimpia Bifulco, Fabio Rapisarda, Pietro Giorgio Malvindi, Massimo Bonacchi, Pierluigi Stefano, Marco Di Eusanio
Despite minimally invasive techniques having gained wider application in cardiac surgery, current evidence on minithoracic aortic surgery is still limited. The aim of this study was to compare early and midterm outcomes of patients undergoing operations of the proximal thoracic aorta through ministernotomy (MS) versus full sternotomy (FS).
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Peripheral cannulation and endoaortic balloon occlusion for management of porcelain aorta during cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Kevin E. Hodges, Raphaelle A. Chemtob, Anand R. Mehta, Gosta B. Pettersson
Porcelain aorta with extensive calcification of the ascending aorta complicates cardiac surgery and increases perioperative risk. Aortic cannulation and cross-clamping in these patients increase the risk of serious complications including perioperative embolic stroke. Although different techniques have been proposed, surgery in these patients remains a challenge. We present the clinical implications
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Outcomes of acute type A aortic dissection during the COVID-19 pandemic: An analysis of the Society of Thoracic Surgeons Database J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 George J. Arnaoutakis, Tyler J. Wallen, Nimesh Desai, Tomas D. Martin, Vinod H. Thourani, Vinay Badhwar, Zachary K. Wegerman, Rebecca Young, Maria Grau-Sepulveda, Brittany Zwischenberger, Thomas M. Beaver, Jeffrey P. Jacobs, Ibrahim Sultan
There have been reported reductions of hospital presentation for acute cardiovascular conditions such as myocardial infarction and acute type A aortic dissection (ATAAD) in the United States during the COVID-19 pandemic. This study examined presentation patterns and outcomes of ATAAD in North America immediately before, and during, the COVID-19 pandemic.
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Right anterior minithoracotomy for redo aortic valve replacement after coronary artery bypass grafting with bilateral internal thoracic artery: A case report J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Hironobu Nishiori, Tomoki Sakata, Goro Matsumiya
A 63-year-old male, with a history of coronary artery bypass grafting using bilateral internal thoracic artery (ITA) grafts, underwent surgical aortic valve replacement (AVR). Avoiding the graft injury, we selected the right anterior minithoracotomy approach under cardiac arrest with systemic hyperkalemia with remaining bilateral ITA grafts open. Deep hypothermia was induced to obtain more reliable
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Successful biventricular repair in a 14-year-old patient of asplenia with congenital heart disease syndrome J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Yujie Weng, Yibo Gong, Yifeng Yang, Jinlan Chen, Sijie Wu
Heterotaxy syndrome is a rare disease, and asplenia with congenital heart disease syndrome, also known as Ivemark syndrome, is a special form of heterotaxy syndrome. These patients usually have severe cardiovascular malformations and a poor prognosis. Their surgical outcomes are rarely satisfactory. We report the case of a 14-year-old patient who underwent successful corrective surgery treatment.
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Pulmonary hypertension associated with cardiopulmonary bypass and cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Fayez H. Fayad, Frank W. Sellke, Jun Feng
Pulmonary hypertension (PH) is frequently associated with cardiovascular surgery and is a common complication that has been observed after surgery utilizing cardiopulmonary bypass (CPB). The purpose of this review is to explain the characteristics of PH, the mechanisms of PH induced by cardiac surgery and CPB, treatments for postoperative PH, and future directions in treating PH induced by cardiac
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Pulmonary artery sarcoma treated with pulmonary endarterectomy and leaflet reconstruction using Ozaki technique J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Gokhan Arslanhan, Koray Ak, Fatih Öztürk, Alperen Türker, Emine Bozkurtlar, Sinan Arsan, Bedrettin Yıldızeli
Pulmonary arterial intimal sarcomas (PAIS) are rare malignancies with a poor prognosis. Sarcomas present with signs and symptoms mimicking pulmonary thromboembolic disease, delaying the diagnosis. We present a 29-year-old male patient diagnosed with PAIS in the right and main pulmonary arteries extending to the left pulmonary leaflet. The patient was treated with pulmonary endarterectomy and pulmonary
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Mortality after sternal reconstruction with pectoralis major flap vs omental flap for postsurgical mediastinitis: A systematic review and meta-analysis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Gianmarco Cancelli, Talal Alzghari, Arnaldo Dimagli, Katia Audisio, Anas Dabsha, Lamia Harik, Roberto Perezgrovas Olaria, Giovanni J. Soletti, Michelle Demetres, Mario Gaudino
Deep sternal wound infections are rare but severe complications after median sternotomy and can be managed with sternal reconstruction. The use of pectoralis major flap (PMF) has traditionally been the first-line approach for flap reconstruction but the advantage in patients' survival when compared to the omental flap (OF) transposition is still not clear. We performed a study-level meta-analysis evaluating
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Cardiovascular mechanism of donor brain death and heart recipient survival J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Christopher W. Jensen, Oliver K. Jawitz, Abigail R. Benkert, Philip J. Spencer, Benjamin S. Bryner, Jacob N. Schroder, Carmelo A. Milano
Heart donation after donor brain death from cardiac arrest despite successful resuscitation may be associated with worse recipient outcomes due to potential graft ischemia or underlying rhythmic/structural defects. However, selected grafts from such donors often have normal cardiac function and anatomy. We investigated whether a cardiovascular mechanism of donor brain death (CV-DBD) was associated
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Acid citrate dextrose formula A versus unfractionated heparin for anticoagulation of salvaged red blood cells in cardiac surgery J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Gabor Erdoes, Christiane von Stegmann und Stein, Balthasar Eberle, Daniel Gerber
Red blood cell salvage plays an important role in reducing the use of allogeneic blood transfusion during cardiac surgery. While there is consensus as to the benefit of employing cell salvage systems, there are no clear recommendations on the anticoagulant used for salvaged blood. In eight patients undergoing elective cardiac surgery at our university hospital's cardiovascular center, the authors describe
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Tricuspid valve detachment for ventricular septal defect closure: A meta-analysis of existing evidence J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Dou Yuan, Liping Chen, Xiaoling Zhang, Yongjun Qian
Ventricular septal defect (VSD) is one of the most common congenital cardiac defects. However, in some cases, VSD sites are difficult to expose due to obstruction from chordal attachments and leaflets of the tricuspid valve (TV). To systematically review the efficacy and safety of tricuspid valve detachment, (TVD) versus conventional surgical repair (non-TVD) in the treatment of ventricular septal
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Risk factors for development of acute renal failure in 5077 coronary artery bypass grafting patients in the current era J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Jia-Yi Zhou, Xiao-Cheng Liu, Qin Yang, Guo-Wei He
Acute renal failure (ARF) is one of the major complications after coronary artery bypass grafting (CABG) surgery. The risk factors are changing along with the technical evolution. The aim of this study was to identify the risk factors for ARF requiring dialysis after CABG surgery in the current era.
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Arterial switch operation with coronary button extension and neo-pulmonary trunk realignment for a rare coronary pattern J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Akira Yamaguchi, Hideyuki Kato, Muneaki Matsubara, Bryan J. Mathis, Yuji Hiramatsu
Coronary anatomy is key for arterial switch operations as reimplantation for coronary artery patterns originating from the same sinus is often challenging. We experienced an extremely rare coronary artery anatomy case (Leiden convention: 1 R, 1LCx) and successfully performed an arterial switch operation with coronary button extension and neo-pulmonary trunk realignment maneuver.
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Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Mattan Arazi, Liza Grosman-Rimon, Shachar Yehezkeel, Jordan Rimon, Jacob Gohari, Sagi Gleitman, Erez Kachel
Deep sternal wound infection (DSWI) is a serious complication following cardiac surgery, and demands early intervention as any delay in diagnosis and management may lead to increased morbidity and mortality. DSWI is associated with increased length of hospitalization (LOH) and economic burden in this patient population. The aim of this study was to determine predictors for increased length of hospitalization
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Eight-year outcomes of aortic valve replacement with the Carpentier-Edwards PERIMOUNT Magna Ease valve J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Steven Tsui, Michael Rosenbloom, James Abel, Jeffrey Swanson, Axel Haverich, Joseph Zacharias, Gilbert Schorlemmer, Gideon Cohen, Michael Moulton, Rüdiger Lange
The Carpentier-Edwards PERIMOUNT Magna Ease valve is a third-generation bioprosthesis for aortic valve replacement (AVR). This is a postapproval study reporting on its 8-year outcomes.
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Novel interrupted aortic arch: A case report J. Card. Surg. (IF 1.6) Pub Date : 2022-11-15 Yang Gan, Pei Zhang, Ruili Liao, Yongmei Nie, Yong Fu
Interrupted aortic arch (IAA) is a rare and fatal malformation. Most patients with IAA are diagnosed in early childhood because of the severity of their symptoms. IAA is classified into three morphologic types (A, B, or C), depending on the site of the interruption. In our case, this patient did not have a common brachiocephalic trunk, left carotid artery, or left subclavian artery, IAA classification