Cardiovascular & Thoracic Surgery This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 19.

Pulmonary Sequestration Presenting as an Esophageal Submucosal Tumor.
We present the case of a patient whose initial symptom was mild dysphagia. Esophagoscopy showed the presence of a submucosal tumor in the lower-third section of the esophagus. The tumor was excised via video-assisted thoracoscopic surgery. The histopathology results indicated extrapulmonary sequestration. To our knowledge, such a case of extralobar sequestration presenting as an esophageal submucosal tumor has not yet been reported. PMID: 23303580 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kao MW, Tsai JH, Lee JM Tags: Thorac Cardiovasc Surg Source Type: research

Re: ‘Vitamin D Deficiency and PAD: A Close and Often Overlooked Relationship’ Vitamins and Homocysteine Metabolism
We reported that in PAD patients successfully treated for hyperhomocysteinemia, Nɛ–Hcy–Lys is still associated with disease progression and higher risk of adverse cardiovascular events. Moreover, high intake of vitamins C and E and carotenes is associated with lower tHcy.
Source: European Journal of Vascular and Endovascular Surgery - January 9, 2013 Category: Surgery Authors: P. Mazur, A. Undas Tags: Correspondence Source Type: research

The utility of lung epithelium specific biomarkers in cardiac surgery: a comparison of biomarker profiles in on- and off-pump coronary bypass surgery
Conclusions: Our results show that increases in plasma of SP-D and CC16 correlate with clinical lung injury after coronary artery bypass surgery. Therefore, lung epithelium specific proteins seem to be a useful biomarker for measuring lung injury in the setting of cardiac surgery.
Source: Journal of Cardiothoracic Surgery - January 9, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Gerwin EngelsY GuWillem van OeverenGerhard RakhorstMassimo MarianiMichiel Erasmus Source Type: research

RCT: Effect of IV paracetamol on postsurgical morphine requirements in neonates and infants
Source: JAMA Area: News Intravenous (IV) paracetamol is suggested for use as an opioid-sparing analgesic for children requiring surgery or emergency care, however data on its efficacy and toxicity in infants and children is limited. To investigate, this single-centre, randomised, double-blind Dutch study was conducted in 71 neonates or infants younger than 1 year who were undergoing major thoracic (noncardiac) or abdominal surgery, randomised to continuous morphine or intermittent IV paracetamol up to 48 hours post-surgery. All patients received a loading dose of morphine 30 minutes before the end of surgery an...
Source: NeLM - News - January 9, 2013 Category: Drugs & Pharmacology Source Type: news

Automatic referral of patients after thoracic surgery to the pain team
Source: Anaesthesia - January 9, 2013 Category: Anesthesiology Authors: S. Soni, S. Maitre, S. Thomas, M. Koertzen Tags: Errata Source Type: research

2013 ACCF/AHA Guideline for the Management of ST‐Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Source: Catheterization and Cardiovascular Interventions - January 8, 2013 Category: Cardiovascular & Thoracic Surgery Tags: Abstract Source Type: research

Quantification of carbonic anhydrase gene expression in ventricle of hypertrophic and failing human heart
Conclusions: These results, combined with in vitro data that CA inhibition prevents and reverts CH, suggest that increased carbonic anhydrase expression is a prognostic molecular marker of cardiac hypertrophy.
Source: BMC Cardiovascular Disorders - January 8, 2013 Category: Cardiology Authors: Bernardo AlvarezAnita QuonJohn MullenJoseph Casey Source Type: research

Hypertrophic Cardiomyopathy in Childhood The Gradient Is Not the Disease. Excessive Use of Experimental Invasive Interventions
We read with much interest the study of Sreeram et al. (1) from Germany and United Kingdom in which the authors used the novel strategy of radiofrequency ablation of the ventricular septum to produce intramuscular scars and reduce outflow tract obstruction in young children with hypertrophic cardiomyopathy (HCM). The study population is unique for HCM: 1) sizable for this age group (mean age: 10 years, with children as young as 2 years [n = 2] and with 25% 6 years of age or younger); 2) symptoms attributed to HCM although seemingly very modest (i.e., tiredness in 28 patients), with some being virtually asymptomatic; and 3)...
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - January 7, 2013 Category: Cardiology Source Type: research

Transcatheter Tricuspid Valve-in-Valve Replacement Resulting in 4 Different Prosthetic Heart Valves in a Single Patient
This fluoroscopic image shows the heart of a 71-year-old man with a history of rheumatic fever complicated by aortic, mitral, and tricuspid valve disease that required 3 open heart surgeries over the previous 27 years (A and Online Video 1). A single tilting-disc mechanical prosthesis (Medtronic Hall #25; Medtronic, Minneapolis, Minnesota), a double-leaflet mechanical prosthesis (St-Jude #29; St. Jude Medical, St. Paul, Minnesota), and a bioprosthetic valve (Carpentier-Edwards #25, Irvine, California) can be seen in the aortic, mitral, and tricuspid positions, respectively. The patient presented with progressive right-side...
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - January 7, 2013 Category: Cardiology Source Type: research

Supplement on Primary Hyperparathyroidism
Primary hyperparathyroidism (PHPT) is a relatively common endocrine disorder that has evolved from a symptomatic hypercalcemic disorder associated with overt skeletal and renal complications to a condition that is now recognized at an earlier asymptomatic stage. This special supplement of the Journal of Clinical Densitometry (JCD) is dedicated to the diagnosis and management of this current phenotype of PHPT. We cover in detail advances in diagnosis, presentation, and impact of the disease on BMD and fracture risk. Also discussed are aspects of PHPT in the context of cognitive, cardiovascular, gastrointestinal, and musculo...
Source: Journal of Clinical Densitometry - January 7, 2013 Category: Radiology Authors: Aliya A. Khan, Maria Luisa Brandi, John T. Potts, John P. Bilezikian Tags: Editorial Source Type: research

A systematic review of abusive visceral injuries in childhood-Their range and recognition.
CONCLUSIONS: Visceral injuries may affect any organ of the body, predominantly abdominal viscera. A non-motor vehicle related duodenal trauma in a child aged<five years warrants consideration of abuse as an etiology. In the absence of clear evidence for a screening strategy, clinical vigilance is warranted in any young child with suspected abuse for the presence of abdominal injury, where the absence of abdominal bruising or specific symptoms does not preclude significant injury. PMID: 23306146 [PubMed - as supplied by publisher]
Source: Child Abuse and Neglect - January 7, 2013 Category: Child Development Authors: Maguire SA, Upadhyaya M, Evans A, Mann MK, Haroon MM, Tempest V, Lumb RC, Kemp AM Tags: Child Abuse Negl Source Type: research

ABO Blood Type Does Not Influence the Risk of Cardiovascular Complications and Mortality after Vascular Surgery.
CONCLUSION: Non-O blood type is not associated with either 30-day cardiovascular complications or long-term mortality in vascular surgery patients. PMID: 23305785 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 7, 2013 Category: Surgery Authors: Bakker EJ, Valentijn TM, Hoeks SE, van de Luijtgaarden KM, Leebeek FW, Verhagen HJ, Stolker RJ Tags: Eur J Vasc Endovasc Surg Source Type: research

Increased occurrence of spinal fractures related to ankylosing spondylitis: a prospective 22-year cohort study in 17,764 patients from a national registry in Sweden.
CONCLUSIONS: Despite the improved treatment of AS the annual number of vertebral fractures requiring inpatient care increased during the last two decades. Possible explanations are population growth, greater awareness of fractures, improved diagnostics, improved emergency care reducing fatalities, and a higher activity level of patients receiving modern medical therapy. Obviously the improvement of medical treatment did not reduce the susceptibility of these patients to unstable fractures. Thus the restrictive injury prevention recommendations for patients with AS cannot be defused, but must be critically revised to improv...
Source: Patient Safety in Surgery - January 7, 2013 Category: Surgery Authors: Robinson Y, Sandén B, Olerud C Tags: Patient Saf Surg Source Type: research

Mitral Valve Repair: Isolated Posterior Compared to Anterior or Bileaflet Pathology
Conclusions:Anterior and bileaflet MV disease can be repaired with early and mid‐term results similar to those of posterior MV disease. All patients with severe MR due to anterior or posterior pathology should be considered equally for early valve repair.
Source: Journal of Cardiac Surgery - January 7, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Dan Spiegelstein, Leonid Sternik, Boris Orlov, Amihai Shinfeld, Micha S. Feinberg, Ateret Malachy, Ehud Raanani Tags: Original Article Source Type: research

Hybrid Treatment of a Complex Aortic Arch Aneurysm with an Aberrant Left Vertebral Artery
We report a case of an elderly male with significant comorbidities and a dominant aberrant left vertebral artery originating on an aneurysmal aortic arch. The patient underwent a successful staged hybrid procedure with aortic arch debranching and left vertebral artery transposition onto the left common carotid artery, followed by endovascular aneurysmal repair.
Source: Journal of Cardiac Surgery - January 7, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Emmanuel Moss, Feras Khaliel, Josephine Pressacco, Philippe Demers, Raymond Cartier Tags: Surgical Technique Source Type: research

Perioperative application of N-terminal pro-brain natriuretic peptide in patients undergoing cardiac surgery
Conclusions: Preoperative plasma NT-proBNP level presents a high individual variability in patients undergoing cardiac surgery. NYHA classification, ejection fraction, pulmonary arterial pressure, LVEDD, atrial fibrillation, preoperative plasma creatinine, and cTnT levels are significantly associated with preoperative NT-proBNP levels. Preoperative NT-proBNP is a valuable marker in predicting postoperative outcomes.
Source: Journal of Cardiothoracic Surgery - January 7, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Hua LiuChunsheng WangLan LiuYamin ZhuangXiaomei YangYing Zhang Source Type: research

An unruptured, thrombosed 10 cm right coronary artery aneurysm mimicking a pericardial cyst
Giant coronary artery aneurysms are a rare and potentially life-threatening condition. A 47 year old male presented with a progressive 6 month history of dyspnea and acute right sided chest pain. During the patients work-up, a 10 cm x 10 cm right coronary artery aneurysm was discovered on CT scan and confirmed by cardiac catheterization. The patient was emergently taken to the operating room for aneurysmal resection with placement of a greater saphenous vein bypass graft. There were no post-operative complications and the etiology of this patient's aneurysm was determined to be a congenital ectatic dilation of his right co...
Source: Journal of Cardiothoracic Surgery - January 7, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Aakash ChauhanHarsha MusunuruRichard HallettMark WalshSzabolcs SzaboWalter Halloran Source Type: research

Feasibility of transapical aortic valve replacement through a left ventricular apical diverticulum
Transapical aortic valve replacement is an established technique performed in high-risk patients with symptomatic aortic valve stenosis and vascular disease contraindicating trans-vascular and trans-aortic procedures. The presence of a left ventricular apical diverticulum is a rare event and the treatment depends on dimensions and estimated risk of embolisation, rupture, or onset of ventricular arrhythmias. The diagnosis is based on standard cardiac imaging and symptoms are very rare. In this case report we illustrate our experience with a 81 years old female patient suffering from symptomatic aortic valve stenosis, respir...
Source: Journal of Cardiothoracic Surgery - January 7, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Enrico FerrariMathieu Van SteenbergheJegaruban NamasivayamDenis BerdajsLars NiclaussLudwig von Segesser Source Type: research

France shaken by fresh scandal over weight-loss drug linked to deaths
Drug company boss faces manslaughter investigation as victims complain of delays in compensationA weight-loss drug believed to have killed hundreds of people in France's biggest pharmaceutical scandal has sparked fresh controversy as victims complain of delays in state compensation and a leading drug-company boss has been placed under formal investigation for manslaughter.The amphetamine derivative Mediator was marketed to overweight diabetics but often prescribed to healthy women as an appetite suppressant when they wanted to lose a few pounds.According to the French health ministry, it has killed at least 500 people from...
Source: Guardian Unlimited Science - January 6, 2013 Category: Science Authors: Angelique Chrisafis Tags: The Guardian Diets and dieting World news Pharmaceuticals industry Europe Drugs Life and style France Business Science Source Type: news

Letter to the Editor
A síndrome da veia cava superior representa o conjunto de sinais e sintomas decorrentes da sua obstrução. A síndrome tem como principais etiologias tumores malignos, como o carcinoma broncogênico, o linfoma e a metástase mediastinal. O câncer de pulmão é responsável por 80% dos casos, os linfomas mediastinais por 15%, e 5% correspondem às demais causas. Este relato de caso objetiva apresentar um caso incomum dessa síndrome, ocorrido em um paciente do sexo masculino após ferimento penetrante no tórax, resultando em pseudoaneurisma de arco aórtico e a síndrome da veia cava superior.The superior vena cava synd...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic assisted minimally invasive surgery for atrial septal defect correction
A síndrome da veia cava superior representa o conjunto de sinais e sintomas decorrentes da sua obstrução. A síndrome tem como principais etiologias tumores malignos, como o carcinoma broncogênico, o linfoma e a metástase mediastinal. O câncer de pulmão é responsável por 80% dos casos, os linfomas mediastinais por 15%, e 5% correspondem às demais causas. Este relato de caso objetiva apresentar um caso incomum dessa síndrome, ocorrido em um paciente do sexo masculino após ferimento penetrante no tórax, resultando em pseudoaneurisma de arco aórtico e a síndrome da veia cava superior.The superior vena cava synd...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aneurysm of the left atrium in a child with patent ductus arteriosus and mitral valve prolapse
A síndrome da veia cava superior representa o conjunto de sinais e sintomas decorrentes da sua obstrução. A síndrome tem como principais etiologias tumores malignos, como o carcinoma broncogênico, o linfoma e a metástase mediastinal. O câncer de pulmão é responsável por 80% dos casos, os linfomas mediastinais por 15%, e 5% correspondem às demais causas. Este relato de caso objetiva apresentar um caso incomum dessa síndrome, ocorrido em um paciente do sexo masculino após ferimento penetrante no tórax, resultando em pseudoaneurisma de arco aórtico e a síndrome da veia cava superior.The superior vena cava synd...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic pseudoaneurysm as cause of superior vena cava syndrome: a case report
A síndrome da veia cava superior representa o conjunto de sinais e sintomas decorrentes da sua obstrução. A síndrome tem como principais etiologias tumores malignos, como o carcinoma broncogênico, o linfoma e a metástase mediastinal. O câncer de pulmão é responsável por 80% dos casos, os linfomas mediastinais por 15%, e 5% correspondem às demais causas. Este relato de caso objetiva apresentar um caso incomum dessa síndrome, ocorrido em um paciente do sexo masculino após ferimento penetrante no tórax, resultando em pseudoaneurisma de arco aórtico e a síndrome da veia cava superior.The superior vena cava synd...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Accessory mitral leaflet: an uncommon form of subaortic stenosis
Criança de três anos, com estenose subvalvar aórtica sem definição precisa ao ecocardiograma, apresentando como diagnóstico cirúrgico um folheto mitral acessório.Three-years-old boy presenting with a subvalvar aortic stenosis without a precise definition by echocardiography, where the surgical approach revealed an accessory mitral leaflet.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison between multiplanar and rendering modes in the assessment of fetal atrioventricular valve areas by 3D/4D ultrasonography
CONCLUSIONS: There was no systematic error between modes and thus the observed values for the area of fetal atrioventricular valves can be used for comparisons needs to be corrected. However, relatively large variations may be observed when repeating the measurement area by different modes.OBJETIVO: Avaliar a concordância entre as medidas das áreas das valvas atrioventriculares (mitral e tricúspide) fetais realizadas por ultrassonografia tridimensional (3D) pelo software spatio-temporal image correlation (STIC) usando os modos multiplanar e renderizado. MÉTODOS: Estudo prospectivo de corte transversal avaliando fetos d...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pioneering transcatheter aortic valve Implant (Inovare®) via transfemoral
We present a patient with severe aortic valvular bioprosthesis dysfunction implanted for 11 years, presenting with acute pulmonary edema due to severe valvular insufficiency with severe systolic dysfunction (EF
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Analysis of ordinances regulating the national policy of high complexity cardiovascular care
This study aimed to update knowledge regarding to noninvasive ventilation (NVI) on postoperative of cardiac surgery in addition at investigating if exists superiority of any modalities NVI in relation to the others. The literature review was performed on the period between 2006 and 2011, on PubMed, SciELO and Lilacs databases crossing the keywords: artificial respiration, continuous positive airway pressure, intermittent positive-pressure ventilation, cardiac surgery and their corresponding in English. Based on the criteria adopted, nine articles were selected being six of them use NVI, through the modalities such as conti...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

A reflection on the performance of pediatric cardiac surgery in the State of São Paulo
This study aimed to update knowledge regarding to noninvasive ventilation (NVI) on postoperative of cardiac surgery in addition at investigating if exists superiority of any modalities NVI in relation to the others. The literature review was performed on the period between 2006 and 2011, on PubMed, SciELO and Lilacs databases crossing the keywords: artificial respiration, continuous positive airway pressure, intermittent positive-pressure ventilation, cardiac surgery and their corresponding in English. Based on the criteria adopted, nine articles were selected being six of them use NVI, through the modalities such as conti...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reflections engendered as a practicing translator concerning the language of Anatomy
This study aimed to update knowledge regarding to noninvasive ventilation (NVI) on postoperative of cardiac surgery in addition at investigating if exists superiority of any modalities NVI in relation to the others. The literature review was performed on the period between 2006 and 2011, on PubMed, SciELO and Lilacs databases crossing the keywords: artificial respiration, continuous positive airway pressure, intermittent positive-pressure ventilation, cardiac surgery and their corresponding in English. Based on the criteria adopted, nine articles were selected being six of them use NVI, through the modalities such as conti...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Noninvasive mechanical ventilation in the postoperative cardiac surgery period: update of the literature
This study aimed to update knowledge regarding to noninvasive ventilation (NVI) on postoperative of cardiac surgery in addition at investigating if exists superiority of any modalities NVI in relation to the others. The literature review was performed on the period between 2006 and 2011, on PubMed, SciELO and Lilacs databases crossing the keywords: artificial respiration, continuous positive airway pressure, intermittent positive-pressure ventilation, cardiac surgery and their corresponding in English. Based on the criteria adopted, nine articles were selected being six of them use NVI, through the modalities such as conti...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gaseous microemboli in cardiac surgery with cardiopulmonary bypass: the use of veno-arterial shunt as a preventive method
This study analyzed studies with different methodological approaches, but that address the issue. The result suggests the denitrogenation of blood by hyperoxia dissolved microbubbles in the blood and venoarterial shunt can balance the respiratory parameters changed with hyperoxia.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Assesment of CABDEAL score as predictor of neurological dysfunction after on-pump coronary artery bypass grafting surgery
INTRODUÇÃO: As complicações neurológicas são temidas no pós-operatório das cirurgias cardíacas, sendo importante causa de óbito e de gastos hospitalares. Sua predição ainda é incerta. OBJETIVO: Avaliar a aplicabilidade de um escore pré-operatório como preditor de disfunção neurológica no pós-operatório de revascularização miocárdica (RM) com circulação extracorpórea (CEC). MÉTODOS: Estudo prospectivo que avaliou 77 pacientes submetidos à RM no período de fevereiro a outubro de 2011. Utilizando-se o escore CABDEAL (creatinine, age, body mass index, diabetes, emergency surgery, abnormality on ECG...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Replacement of pulmonary artery trunk in sheep using tubular valved heterograft in non-aldehydic preservation
CONCLUSIONS: Prostheses preserved in L-Hydro® were more resistant to calcification when compared with glutaraldehyde preserved.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Time of arrival of patients with acute myocardial infarction to the emergency department
CONCLUSIONS: The perception of signs and symptoms of AMI by the patient was a decisive factor when seeking out specialized treatment. Those with the lowest Delta-T presented better prognosis.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Influence of fresh frozen plasma as a trigger factor for kidney dysfunction in cardiovascular surgery
CONCLUSION: It was possible to associate that fresh frozen plasma transfusion is a risk factor for postoperative kidney dysfunction after cardiovascular surgery.OBJETIVO: A disfunção renal é uma complicação importante no cenário de pós-operatório de cirurgia cardiovascular. Como fatores de risco conhecidos no intraoperatório para o seu desenvolvimento destacam-se a circulação extracorpórea, a hemodiluição, drogas antifibrinolíticos e a transfusão sanguínea. O objetivo deste estudo é identificar os fatores de risco na transfusão de sangue e derivados para o desenvolvimento de disfunção renal em paciente...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative coronary grafts flow measurement using the TTFM flowmeter: results from a domestic sample
CONCLUSION: Flowmeter use represents higher safety both for patients and surgeons. Even under legal aspects, the documentation provided by the device can avoid future questionings.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Biocompatibility of Ricinus comunnis polymer compared to titanium implant used in artificial hearts: experimental study in guinea pigs
CONCLUSION: Macroscopic and microscopic results showed that the castor oil polymer implant has no significant statistical difference compared to the titanium implant tissue reaction.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Initial experience with minimally invasive cardiac operations
CONCLUSIONS: Our initial results with minimally invasive operations demonstrated that it was safe and with good clinical results. Patient satisfaction is quite high. After the learning phase has been transversed, minimally invasive operations may be an excellent alternative for many patients with congenital and acquired diseases.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long term mortality of deep sternal wound infection after coronary artery bypass surgery
CONCLUSION: The presence of deep sternal wound infection or mediastinitis increased mortality in long-term follow-up in this sample of the Brazilian population according to the same pattern displayed by the developed countries.INTRODUÇÃO: A infecção esternal profunda e a mediastinite determinam elevada mortalidade intra-hospitalar. Estudos prévios demonstram que esses pacientes também apresentam maior mortalidade cardiovascular em longo prazo. No entanto, os dados são escassos para o Brasil. OBJETIVO: O objetivo deste estudo é avaliar a mortalidade e a incidência de eventos cardiovasculares em longo prazo em pacie...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Proposal of an individual scientometric index with emphasis on ponderation of the effective contribution of the first author: h-fac índex
Na avaliação individual do desempenho científico, cinco índices cientométricos têm sido mais utilizados: o índice h, o índice g, o índice h-major, o índice h contemporâneo e o índice h normalizado. Propomos um índice alternativo ("Índice h-fac"), que pondera positivamente a participação do primeiro autor e que, por ter característica dinâmica, monitora continuamente seu desempenho, sendo facilmente adaptável a situações particulares individuais ou de diferentes grupos de pesquisa. Resulta da média geométrica entre o índice h original, conforme proposto por Hirsh, e um fator de correção ("fac"; "fi...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Inspiratory muscle training improves tidal volume and vital capacity after CABG surgery
OBJETIVO: Avaliar a função pulmonar e força da musculatura respiratória no período pós-operatório e verificar o efeito do treinamento muscular inspiratório sobre as medidas de desempenho da musculatura respiratória em pacientes submetidos à revascularização do miocárdio. MÉTODOS: Estudo randomizado, incluindo 47 pacientes submetidos à revascularização do miocárdio com circulação extracorpórea. Os pacientes foram divididos em grupo controle (GC), 24 pacientes, e grupo estudo (GE) 23 pacientes, com idade média de 66,33 ± 10,20 anos e 61,83 ± 8,61 anos, respectivamente. O GE foi submetido à fisioterap...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter aortic valve-in-valve implantation: a selection change?
CONCLUSION: The transcatheter "valve-in-valve" procedure for bioprosthesis dysfunction is safe with low morbidity. This possibility may change prosthesis choice during the first aortic valve replacement, favoring bioprostheses.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Associated factors with survivals in patients undergoing orthotopic heart transplant using retrograde blood microcardioplegia
CONCLUSION: The use of myocardial protection with retrograde cardioplegic solution may reduce the risks associated morbidity due to cold ischemia time during the heart transplant, and we suggest that this benefit may be even greater in cases of cold ischemia time longer ensuring protection to the myocardium.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

The real world in diagnosis and treatment of acute coronary syndrome in Brazil
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

A RBCCV nas redes sociais
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracellular matrix scaffolds for cartilage and bone regeneration.
Abstract Regenerative medicine approaches based on decellularized extracellular matrix (ECM) scaffolds and tissues are rapidly expanding. The rationale for using ECM as a natural biomaterial is the presence of bioactive molecules that drive tissue homeostasis and regeneration. Moreover, appropriately prepared ECM is biodegradable and does not elicit adverse immune responses. Successful clinical application of decellularized tissues has been reported in cardiovascular, gastrointestinal, and breast reconstructive surgery. At present, the use of ECM for osteochondral tissue engineering is attracting interest. Recent d...
Source: Trends in Biotechnology - January 5, 2013 Category: Biotechnology Authors: Benders KE, Weeren PR, Badylak SF, Saris DB, Dhert WJ, Malda J Tags: Trends Biotechnol Source Type: research

Ethical Concerns of Congresses and Joint Winter Meetings of the Spanish Society of Pneumology and Thoracic Surgery.
Abstract The pharmaceutical industry contributes to the development of new drugs, provides funding for research and collaborates in continuing medical education. Although this relationship with medical practice is beneficial and desirable, commercial interests could potentially eclipse patient benefits and compromise professional integrity. Congresses and meetings of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR) agglutinate different spheres of knowledge, including aspects such as bioethics, management and communication, always centered on patient and their well-being. SEPAR congresses and meetings...
Source: Archivos de Bronconeumologia - January 5, 2013 Category: Respiratory Medicine Authors: Chiner E, Fernández-Fabrellas E, de Lucas P Tags: Arch Bronconeumol Source Type: research

Predicting symptoms of post-traumatic stress among patients undergoing orthopedic surgery on the basis of routinely collected cardiovascular data
The present study examined whether in-hospital assessments of heart rate and blood pressure predicted symptoms of post-traumatic stress (PTS) in 110 patients undergoing total knee replacement surgery. After controlling for conceptually relevant factors, in-hospital cardiovascular functioning predicted symptoms of PTS three months following surgery. Specifically, lower pre-surgical and post-surgical systolic and diastolic blood pressure predicted more symptoms of avoidance and PTS (total). In contrast, higher heart rate prior to and shortly following surgery predicted marginally more intrusive thoughts. The present findings...
Source: Journal of Health Psychology - January 4, 2013 Category: Psychiatry & Psychology Authors: Cremeans-Smith, J. K., Krupko, T. A., Greene, K., Delahanty, D. L. Tags: Articles Source Type: research

Transabdominal cardiophrenic lymph node dissection (CPLND) via incised diaphragm replace conventional video-assisted thoracic surgery for cytoreductive surgery in advanced ovarian cancer.
CONCLUSION: Transabdominal CPLND via incised diaphragm is feasible as a part of the cytoreductive surgery without significant morbidities by gynecologic oncologist. This procedure could substitute the conventional video-assisted thoracic surgery. PMID: 23290988 [PubMed - as supplied by publisher]
Source: Gynecologic Oncology - January 3, 2013 Category: Cancer & Oncology Authors: Yoo HJ, Lim MC, Song YJ, Jung YS, Kim SH, Yoo CW, Park SY Tags: Gynecol Oncol Source Type: research

Novel applications of an injectable radio-opaque hydrogel tissue marker for management of thoracic malignancies.
CONCLUSIONS: This cadaveric series demonstrates the excellent visibility of a radio-opaque injectable hydrogel marker in the human thorax by multiple common imaging techniques. The hydrogel marker forms a well-localized bleb within tissue, which can assist with triangulation of disease during minimally invasive thoracic surgery. Esophageal applications include radiographic delineation of tumor defined by endoscopy, and image guidance for radiotherapy. Future in-vivo studies are warranted, because radiopaque injectable compounds are promising alternatives to metal fiducials. PMID: 23287908 [PubMed - as supplied by publisher]
Source: Chest - January 3, 2013 Category: Respiratory Medicine Authors: de Souza Lawrence L, Ford E, Gilbert C, Yarmus L, Meneshian A, Feller-Kopman D, Hales R Tags: Chest Source Type: research