MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Cardiac Surgery' source. Fri, 19 Mar 2010 17:46:19 +0100 http://www.medworm.com/index.php?rid=3378113&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01001.x Aortico-left ventricular tunnel (ALVT) is a rare congenital cardiac defect that bypasses the aortic valve via a para-valvular connection from the left ventricle to the aorta. In most cases, the tunnel arises from the right aortic sinus. In this case report, we are presenting a case of ALVT, of which the aortic orifice arose from the left aortic sinus, requiring special attention to avoid the left coronary artery injury at the time of surgical repair. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3378113 Thu, 18 Mar 2010 00:00:00 +0100 3378113 http://www.medworm.com/index.php?rid=3365968&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01018.x Cardiogenic shock following acute myocardial infarction affects 5% to10% of patients and carries a grave prognosis. The dismal prognosis associated with post-MI cardiogenic shock, allied with surgical and technological advancements, has shifted the treatment paradigm toward wider use of mechanical circulatory support devices (MCSD). Current experience demonstrates that better outcomes may be achieved with early MCSD deployment (prior to the onset of end-organ dysfunction). However, perceived limitations with existing devices mean that they remain infrequently applied. There is an urgent need for increased awareness of MCSD options among clinicians treating post-MI shock patients.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3365968 Mon, 15 Mar 2010 00:00:00 +0100 3365968 http://www.medworm.com/index.php?rid=3358680&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01011.x The treatment of Kommerell's diverticulum continues to evolve given advances in aortic surgery, cardiopulmonary bypass management, and endovascular techniques. This case report details the repair of a diverticulum of Kommerell in a Jehovah's witness with a right-sided aortic arch and reviews the surgical literature.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3358680 Fri, 12 Mar 2010 00:00:00 +0100 3358680 http://www.medworm.com/index.php?rid=3354110&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01023.x We present the case of a young adult presenting with significant mitral regurgitation associated with a defect in the anterior mitral leaflet early after an uneventful Manougian's procedure performed with a prosthetic patch. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354110 Thu, 11 Mar 2010 00:00:00 +0100 3354110 http://www.medworm.com/index.php?rid=3354116&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01021.x A myocardial mass was found on the left ventricle wall of a four-year-old Chinese girl diagnosed with pulmonary valve stenosis and patent foramen ovale. Surgical valvotomy and partial excision of the myocardial mass were performed, and a biopsy of the myocardial mass revealed myocardial lipomatous infiltration. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354116 Wed, 10 Mar 2010 00:00:00 +0100 3354116 http://www.medworm.com/index.php?rid=3354115&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01025.x Conclusions: Although definitive source identification remains elusive, we believe that the majority of bleeding arises in the small bowel, possibly due to angiodysplasias, similar to the pathophysiology encountered in patients with aortic stenosis and GI bleeding. As we move toward wider use of the HMII and other axial continuous-flow devices in both bridge-to-transplant patients and for destination therapy, more studies will be necessary to understand the mechanisms of this obscure GI bleeding and develop treatment strategies to minimize its development. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354115 Wed, 10 Mar 2010 00:00:00 +0100 3354115 http://www.medworm.com/index.php?rid=3354114&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01013.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354114 Wed, 10 Mar 2010 00:00:00 +0100 3354114 http://www.medworm.com/index.php?rid=3354113&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01017.x Objective outcome measures (i.e., survival, mortality, morbidity, complication rate, symptom recurrence, and need for re-interventions) have long been used as benchmarks for successful cardiac surgery, including coronary artery bypass grafting (CABG). Along with these objectively measurable outcome indicators, acquired improvement by cardiac surgery in subjectively experienced health-related quality of life (HRQoL) has gained importance during the last decade in cardiac surgical research. If an increasing proportion of adult patients referred for CABG are elderly, octogenarians or even nonagenarians, the acquired HRQoL benefit from bypass surgery should be considered to be at least as important an outcome measure as potentially marginal improvement in life expectancy or longevity alone. To... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354113 Wed, 10 Mar 2010 00:00:00 +0100 3354113 http://www.medworm.com/index.php?rid=3354112&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01019.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354112 Wed, 10 Mar 2010 00:00:00 +0100 3354112 http://www.medworm.com/index.php?rid=3354111&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01022.x We present the case of a 71-year-old man presenting with acute type B aortic dissection and concomitant aneurysm of the distal aortic arch, who underwent an uneventful hybrid procedure, which involved subclavian-to-subclavian bypass before endovascular stent-graft placement to the aortic arch. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3354111 Wed, 10 Mar 2010 00:00:00 +0100 3354111 http://www.medworm.com/index.php?rid=3342319&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01016.x We report on a 68-year-old man with congenital left main to pulmonary artery fistula associated with bicuspid aortic valve and moderate aortic stenoses, who underwent successful aortic valve replacement with ligation of CAF and also review the natural history, pathophysiology, and management of CAF. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3342319 Mon, 08 Mar 2010 00:00:00 +0100 3342319 http://www.medworm.com/index.php?rid=3334969&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01002.x This case report describes a partial aortic root remodeling, which applied a valve-sparing technique, with an adventitial inversion technique for an acute type A aortic dissection with intimal tear extending into the noncoronary sinus of Valsalva. Postoperative computed tomography at six months showed no dissection or pseudoaneurysm in the aortic root. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3334969 Fri, 05 Mar 2010 00:00:00 +0100 3334969 http://www.medworm.com/index.php?rid=3322058&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00979.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3322058 Tue, 02 Mar 2010 00:00:00 +0100 3322058 http://www.medworm.com/index.php?rid=3322057&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00982.x We describe an unusual presentation of cardiac tamponade as superior vena cava syndrome post minimally invasive mitral valve repair. The tamponade was caused by local compression of junction between the right atrium and superior vena cava. This case illustrates the importance of using transesophageal echocardiogram in postoperative management of cardiac surgery patients. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3322057 Tue, 02 Mar 2010 00:00:00 +0100 3322057 http://www.medworm.com/index.php?rid=3318146&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01015.x Conclusions: The Biovalsalva prosthesis should be considered for patients requiring a biological aortic root replacement. It offers an "off-the-shelf" preassembled composite biological valve conduit with excellent hemostatic and hemodynamic properties. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3318146 Mon, 01 Mar 2010 00:00:00 +0100 3318146 http://www.medworm.com/index.php?rid=3318149&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01007.x A 57-year-old man developed transient global amnesia within an hour of bolus unfractionated heparin administration on day 4 post-mitral valve replacement. Both immunoglobulin G-specific enzyme-linked immunosorbent assay and serotonin release assay were strongly positive for the antibodies that cause heparin-induced thrombocytopenia. The patient's cognitive functions returned to normal following discontinuation of unfractionated heparin and warfarin and commencement of lepirudin infusion. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3318149 Sun, 28 Feb 2010 00:00:00 +0100 3318149 http://www.medworm.com/index.php?rid=3318148&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01008.x In this report, we present a case of a primary synovial sarcoma of the left ventricle. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3318148 Sun, 28 Feb 2010 00:00:00 +0100 3318148 http://www.medworm.com/index.php?rid=3318147&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01009.x We successfully used the ultrasonically activated scalpel to secure hemostasis in a temporary pacemaker-dependent patient following repair of Ebstein's anomaly. The advantages of using this modality are briefly discussed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3318147 Sun, 28 Feb 2010 00:00:00 +0100 3318147 http://www.medworm.com/index.php?rid=3302036&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00998_2.x (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302036 Wed, 24 Feb 2010 00:00:00 +0100 3302036 http://www.medworm.com/index.php?rid=3302044&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01004.x In this report, we present the case of a 20-year-old man with Behcet's disease and endocardial fibroelastosis of the right ventricle involving tricuspid valve resulting in a tumor mass that was resected along with tricuspid valve replacement. The clinical and pathological features of this rare entity are reviewed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302044 Tue, 23 Feb 2010 00:00:00 +0100 3302044 http://www.medworm.com/index.php?rid=3302043&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01005.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302043 Tue, 23 Feb 2010 00:00:00 +0100 3302043 http://www.medworm.com/index.php?rid=3302042&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01006.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302042 Tue, 23 Feb 2010 00:00:00 +0100 3302042 http://www.medworm.com/index.php?rid=3302041&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01010.x We present a case of blunt chest trauma resulting in an isolated aortic valve rupture treated with aortic valve replacement. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302041 Tue, 23 Feb 2010 00:00:00 +0100 3302041 http://www.medworm.com/index.php?rid=3302040&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01012.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302040 Tue, 23 Feb 2010 00:00:00 +0100 3302040 http://www.medworm.com/index.php?rid=3302039&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01014.x Conclusions: Based on our experience, omitting ventricular decompression in resternotomy in hypothermia and arrested circulation or low-flow cardiopulmonary bypass can be safely used, and the presence of aortic regurgitation does not seem to influence the outcome. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302039 Tue, 23 Feb 2010 00:00:00 +0100 3302039 http://www.medworm.com/index.php?rid=3302038&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00997.x A dramatic shift in the durability and reliability of ventricular assist device (VAD) therapy is taking hold due to the newer generations of continuous flow VADs that are either in clinical trials or under consideration by the Food and Drug Administration (FDA) for commercial approval. To expand the pool of potential mechanical circulatory support (MCS) patients, device reliability will need to prove to be greatly enhanced over previous generations of VADs and functional capacity and quality of life will need to improve substantially over baseline. Improved patient selection should have the simultaneously beneficial effects of improving outcomes while expanding the MCS patient population. The critical factors determining the likelihood of expansion of the MCS field include, but are not lim... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302038 Tue, 23 Feb 2010 00:00:00 +0100 3302038 http://www.medworm.com/index.php?rid=3302037&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00998_1.x (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3302037 Tue, 23 Feb 2010 00:00:00 +0100 3302037 http://www.medworm.com/index.php?rid=3287462&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00996.x The use of implantable ventricular assist devices for the treatment of advanced, decompensated heart failure as a bridge to heart transplantation has experienced considerable evolution over the past decade. Improvements in the management and prevention of serious adverse events, and introduction of new continuous-flow rotary pumps that are smaller, more durable, and associated with fewer serious adverse advents has expanded the use of this therapy to a larger population of patients for bridge to transplant indication. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3287462 Fri, 19 Feb 2010 00:00:00 +0100 3287462 http://www.medworm.com/index.php?rid=3287464&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.01000.x Background: Patients with very low left ventricular ejection fraction (LVEF) are at high risk for valve surgery. We herein present our experience with beating heart valve surgery in such patients. Methods: From May 2000 to October 2006, 346 consecutive patients underwent beating heart valve surgery. Of these, 50 patients had LVEF (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3287464 Thu, 18 Feb 2010 00:00:00 +0100 3287464 http://www.medworm.com/index.php?rid=3287463&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00995.x We describe one such case of left ventricular pseudoaneurysm developing following pericardiocentesis and presenting one year after the procedure, and its successful surgical management. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3287463 Thu, 18 Feb 2010 00:00:00 +0100 3287463 http://www.medworm.com/index.php?rid=3258614&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00994.x An alternative technique of coronary button transfer and Lecompte maneuver for anomalous left coronary artery (ALCAPA) arising from left lateral pulmonary sinus is described. This technique was used by us successfully in four patients aged 6 months to 3.5 years, weighing from 4.7 to 16 kg. The importance of trapdoor technique and Lecompte maneuver is discussed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258614 Wed, 10 Feb 2010 00:00:00 +0100 3258614 http://www.medworm.com/index.php?rid=3258630&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00976.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258630 Tue, 09 Feb 2010 00:00:00 +0100 3258630 http://www.medworm.com/index.php?rid=3258629&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00977.x We present a case of aneurysmal dilatation of the ascending aorta treated with aortic valve sparing root replacement 43 years after the TOF repair. Histological examination of the aortic wall revealed medial necrosis. The implications of those finding and the timing of surgery are discussed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258629 Tue, 09 Feb 2010 00:00:00 +0100 3258629 http://www.medworm.com/index.php?rid=3258628&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00978.x Isolation of the left innominate artery (IA) with right aortic arch is a rare congenital anomaly in which the IA loses its connection to the aorta and is connected to the pulmonary artery via a left ductus arteriosus. Here, we report a case of a 9-month-old girl with incomplete isolation of the IA and double outlet right ventricle. Along with repair of the intracardiac anomaly, the IA was reimplanted to aortic arch to ensure adequate blood flow from the aorta. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258628 Tue, 09 Feb 2010 00:00:00 +0100 3258628 http://www.medworm.com/index.php?rid=3258627&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00980.x Conclusion: Resection of extensive caval leiomyosarcoma allows the best chance of cure and is possible without DHCA. Perioperative planning and coordination and adherence to oncologic techniques is critical. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258627 Tue, 09 Feb 2010 00:00:00 +0100 3258627 http://www.medworm.com/index.php?rid=3258626&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00981.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258626 Tue, 09 Feb 2010 00:00:00 +0100 3258626 http://www.medworm.com/index.php?rid=3258625&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00983.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258625 Tue, 09 Feb 2010 00:00:00 +0100 3258625 http://www.medworm.com/index.php?rid=3258624&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00984.x Cardiac cell therapies offer distinct and exciting advantages over current treatments to prevent postinfarction heart failure because they can reverse ventricular remodeling and improve function, but only if the implanted stem cells contribute biological functions and achieve prolonged engraftment within the hostile environment of the damaged heart. Unfortunately, function is diminished in autologous stem cells isolated from older patients and those with comorbidities, and so clinical trials testing the implantation of healthy, allogeneic bone marrow[ndash]derived stromal cells (MSCs) isolated from young donors are currently underway. MSCs are unique because, in addition to exerting paracrine effects that restore blood flow and recruit endogenous stem cells to the infarct, they exhibit imm... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258624 Tue, 09 Feb 2010 00:00:00 +0100 3258624 http://www.medworm.com/index.php?rid=3258623&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00985.x Conclusion: GI complications are rare events, but early diagnosis is essential. Unfortunately few of the risk factors we have defined are specific and are often indicators of ill patients. A low threshold to initiate laboratory evaluation and/or imaging studies should be employed if a patient shows signs of deviating from the normal course following cardiac surgery. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258623 Tue, 09 Feb 2010 00:00:00 +0100 3258623 http://www.medworm.com/index.php?rid=3258622&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00986.x Conclusions: Surgical pulmonary embolectomy should be considered early in the management of hemodynamically stable patients with PE who show evidence of RV dilation and/or failure, as it is associated with satisfactory outcomes. Conversely, pulmonary embolectomy has dismal results under salvage conditions. Revision of current guidelines for the surgical management of this condition may be warranted. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258622 Tue, 09 Feb 2010 00:00:00 +0100 3258622 http://www.medworm.com/index.php?rid=3258621&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00987.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258621 Tue, 09 Feb 2010 00:00:00 +0100 3258621 http://www.medworm.com/index.php?rid=3258620&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00988.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258620 Tue, 09 Feb 2010 00:00:00 +0100 3258620 http://www.medworm.com/index.php?rid=3258619&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00989.x Conclusions: Occlusion of a broad-based appendage as seen with human LAA is feasible with this novel band technique. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258619 Tue, 09 Feb 2010 00:00:00 +0100 3258619 http://www.medworm.com/index.php?rid=3258618&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00990.x A 59-year-old man presented with a three-month history of back pain, and enhanced computed tomography demonstrated an acutely expanding aneurysm of the descending thoracic aorta with slight erosion of the corresponding vertebrae. Because of suspected infectious or inflammatory etiology, he was managed with a combination of emergency aortic repair using prosthetic graft with omental flap and antibiotic chemotherapy. Haemophilus influenzae was identified from perioperative specimens and the postoperative course was uneventful. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258618 Tue, 09 Feb 2010 00:00:00 +0100 3258618 http://www.medworm.com/index.php?rid=3258617&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00991.x We present a subacute Type A dissection associated with malperfusion of multiple vascular beds (mesenteric, renal, and iliofemoral) managed with a complication-specific approach utilizing endovascular thoracoabdominal aortic repair prior to ascending repair. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258617 Tue, 09 Feb 2010 00:00:00 +0100 3258617 http://www.medworm.com/index.php?rid=3258616&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00992.x Conclusions: Although most cases required extended procedures for late reoperation after repair of acute AAD, reoperations can be performed safely by careful choice of appropriate operative methods and strategies. Our data suggest that ascending aortic replacement is an effective initial procedure for patients with acute AAD. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258616 Tue, 09 Feb 2010 00:00:00 +0100 3258616 http://www.medworm.com/index.php?rid=3258615&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00993.x Papillary fibroelastomas are rare benign cardiac tumors. Although they have minimal hemodynamic effects, their propensity for embolization can result in serious morbidity. The pathophysiology and management of these tumors is the subject of this review. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3258615 Tue, 09 Feb 2010 00:00:00 +0100 3258615 http://www.medworm.com/index.php?rid=3235556&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00966.x We present a case of a 30-year-old male active drug user with anterior leaflet endocarditis treated successfully with valve repair. This was achieved through excision of the vegetation with part of the leaflet. Bovine pericardium was used to close the defect. The edges were reinforced with Teflon pledgeted polytetrafluoroethylene Gore-Tex neochordae (W.L. Gore & Associates, Flagstaff, AZ, USA). An annuloplasty ring was used to reinforce the whole annulus. Repair was competent and the patient recovered well. This technique is simple and effective and should be considered for similar cases. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3235556 Wed, 03 Feb 2010 00:00:00 +0100 3235556 http://www.medworm.com/index.php?rid=3235557&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00959.x We report a case of a patient who developed an aortic dissection with rupture. This presumably was a delayed injury following blunt thoracic trauma and highlights that concerns for aortic pathology even in this patient population. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3235557 Tue, 02 Feb 2010 00:00:00 +0100 3235557 http://www.medworm.com/index.php?rid=3153133&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00973.x Conclusion: Surgical excision using cardiopulmonary bypass combined with medical therapy provides the most optimal treatment for cardiac echinococcosis.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3153133 Fri, 08 Jan 2010 00:00:00 +0100 3153133 http://www.medworm.com/index.php?rid=3322059&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00973.x Conclusion: Surgical excision using cardiopulmonary bypass combined with medical therapy provides the most optimal treatment for cardiac echinococcosis.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3322059 Thu, 07 Jan 2010 00:00:00 +0100 3322059 http://www.medworm.com/index.php?rid=3153134&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2010.00956.x We report the case of a young man with LDS successfully treated for aortic root, arch, and thoracoabdominal pathology.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3153134 Thu, 07 Jan 2010 00:00:00 +0100 3153134 http://www.medworm.com/index.php?rid=3138923&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00970.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3138923 Mon, 04 Jan 2010 00:00:00 +0100 3138923 http://www.medworm.com/index.php?rid=3138922&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00971.x Conclusion: LVA repair with Dor procedure can be performed with low mortality. With appropriate repair of LVA and coronary revascularization, patients may have benefit both for survival and also for clinical status.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3138922 Mon, 04 Jan 2010 00:00:00 +0100 3138922 http://www.medworm.com/index.php?rid=3118698&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00962.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3118698 Thu, 24 Dec 2009 00:00:00 +0100 3118698 http://www.medworm.com/index.php?rid=3118699&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00958.x In this report we represent a case of a patient with extensive atherosclerotic aorta, in whom a saphenous vein graft was placed between the acute marginal and the posterior-descending branches of the right coronary artery during an off-pump coronary artery bypass grafting surgery.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3118699 Wed, 23 Dec 2009 00:00:00 +0100 3118699 http://www.medworm.com/index.php?rid=3108239&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00967.x We report successful repair of a rare type of anomalous origin left main coronary artery from the nonfacing pulmonary artery sinus in an adult patient presenting with cardiac arrest as first symptom. Intraoperative findings and surgical technique are discussed.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3108239 Mon, 21 Dec 2009 00:00:00 +0100 3108239 http://www.medworm.com/index.php?rid=3108240&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00963.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3108240 Sun, 20 Dec 2009 00:00:00 +0100 3108240 http://www.medworm.com/index.php?rid=3092506&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00968.x Removal of fully intravascular pacing leads may be cumbersome. Herein, we report a technique that may be used to remove intravascular leads using laser technology through a subclavian approach, and discuss the process of lead removal as well as management of potential bleeding from the surgical site. We also address the advantages and pitfalls of this technique as compared to other surgical options.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3092506 Wed, 16 Dec 2009 00:00:00 +0100 3092506 http://www.medworm.com/index.php?rid=3092510&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00957.x We describe the case of a newborn with symptomatic left coronary-right ventricular fistula, which was managed operatively with off-pump ligation and on-table angiogram for confirmation of fistula obliteration and normal distribution of flow in the coronary artery. We point out the advantages of on-table angiography to evaluate and potentially treat residual structural pathology after cardiac surgery.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3092510 Tue, 15 Dec 2009 00:00:00 +0100 3092510 http://www.medworm.com/index.php?rid=3092509&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00960.x We present a case of infective endocarditis of the aortic valve with an unusual manifestation: a cardiac tamponade due to a pseudoaneurysm of the left ventricle.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3092509 Tue, 15 Dec 2009 00:00:00 +0100 3092509 http://www.medworm.com/index.php?rid=3092508&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00961.x We report a case of a 70-year-old woman admitted with symptoms of decompensated heart failure. Magnetic resonance imaging revealed lipomatous hypertrophy of the interatrial septum with partial upper right atrial inflow obstruction, partial obstruction of the right ventricular outflow tract, and excessive accumulation of adipose tissue in the pericardial space. The patient underwent excision of the septal lipomatous mass, which relieved the right ventricular outflow obstruction.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3092508 Tue, 15 Dec 2009 00:00:00 +0100 3092508 http://www.medworm.com/index.php?rid=3092507&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00965.x Conclusion: Pooling current evidence provided inconclusive evidence to make clinical practice recommendations for or against routine surgical intervention of moderate MR at the time of AVR for AS. The incidence of this pathology makes further clinical trial studies warranted.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3092507 Tue, 15 Dec 2009 00:00:00 +0100 3092507 http://www.medworm.com/index.php?rid=3066780&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00942.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3066780 Tue, 08 Dec 2009 00:00:00 +0100 3066780 http://www.medworm.com/index.php?rid=3039550&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00946.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3039550 Mon, 30 Nov 2009 00:00:00 +0100 3039550 http://www.medworm.com/index.php?rid=3039549&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00949.x We describe a 32-year-old man with chest pain and a giant right atrial diverticulum who underwent surgical resection. Examination of resected atrial tissue showed extreme wall thinning, central aneurysmal formation, and focal endocardial fibrosis consistent with idiopathic dilatation of the right atrium. It is unclear what the best treatment of right atrial diverticulum are, nor are the risks of thromboembolism, arrhythmia, and rupture of the diverticulum clearly defined, either for patients as a whole or for symptomatic or asymptomatic subgroups. However, to reduce the risk of sudden death we recommend surgical resection of large diverticula. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3039549 Mon, 30 Nov 2009 00:00:00 +0100 3039549 http://www.medworm.com/index.php?rid=3039548&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00955.x Migrating wires as a result of sternal nonunion present clinical challenges. Cardiac Computed Tomographic Angiography helps locate these wires precisely, enabling detailed surgical planning. Sternal wire migration is an infrequent complication following median sternotomy. It is usually encountered among patients with sternal dehiscence. Understanding the location and spatial relationships of structures to the wire can be challenging. (64 slice) with high spatial and temporal resolution affords the possibility of enhancing presurgical planning. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3039548 Mon, 30 Nov 2009 00:00:00 +0100 3039548 http://www.medworm.com/index.php?rid=3022756&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00951.x Physiologic changes associated with anesthesia and technical aspects of noncardiac surgical procedure expose patients with severely depressed myocardial function to an enormous risk of perioperative complications and morbidity. In cases when these patients require mechanical circulatory support while undergoing emergent or elective operations, perioparative monitoring becomes of paramount importance. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=3022756 Tue, 24 Nov 2009 00:00:00 +0100 3022756 http://www.medworm.com/index.php?rid=2980882&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00945.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2980882 Wed, 11 Nov 2009 00:00:00 +0100 2980882 http://www.medworm.com/index.php?rid=2980881&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00952.x We present the case of a 21-year-old man with congenital aortic stenosis and small aortic root, who had an intraoperative diagnosis of ARCA. After posterior root enlargement through the noncoronary sinus, ARCA was mobilized from the aortic root and reimplanted into the right coronary sinus. Postoperative follow-up of the patient was uneventful. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2980881 Wed, 11 Nov 2009 00:00:00 +0100 2980881 http://www.medworm.com/index.php?rid=2980880&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00953.x We report the case of a 77-year-old woman with a Kommerell's diverticulum aneurysm, who underwent a successful hybrid repair, combining surgical off-pump bypass of the aortic arch vessels followed by endovascular aneurysm repair. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2980880 Wed, 11 Nov 2009 00:00:00 +0100 2980880 http://www.medworm.com/index.php?rid=2939061&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00947.x Vascular rings are a relatively rare entity caused by abnormal development of the fetal aortic arches. Most patients with vascular rings present in infancy or early childhood with respiratory (inspiratory) symptoms. The treatment of patients with symptomatic vascular rings is generally straight-forward, focusing on surgical division of the ring. The majority of patients are "cured" by this simple procedure. However, a small percentage of patients do not follow this typical course. The purpose of this manuscript is to review and discuss three patients who demonstrated unusual manifestations of vascular rings. Two patients required reoperation after double aortic arch repair and one had successful treatment of an aberrant right subclavian artery. (J Card Surg ****;**:**-**) (Source: Journal ... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2939061 Wed, 28 Oct 2009 00:00:00 +0100 2939061 http://www.medworm.com/index.php?rid=2930755&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00944.x We, herein, report a patient with persistent left superior vena cava with enlarged coronary sinus and absent right superior vena cava. This anomaly, diagnosed intraoperatively during the third open-heart surgery in the course of transesophageal echocardiography examination, was not mentioned during the patient's previous two cardiac operations. Challenges in intraoperative management and implications for subsequent treatments are discussed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2930755 Mon, 26 Oct 2009 00:00:00 +0100 2930755 http://www.medworm.com/index.php?rid=2927123&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00941.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2927123 Mon, 26 Oct 2009 00:00:00 +0100 2927123 http://www.medworm.com/index.php?rid=2927122&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00943.x We report occurrence of this lesion in the right atrium in two male patients. These were accompanied by calcific occlusion of the inferior vena cava and right pulmonary artery. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2927122 Mon, 26 Oct 2009 00:00:00 +0100 2927122 http://www.medworm.com/index.php?rid=2927121&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00948.x Conclusions: Cusp shaving is a feasible option that can be performed with low risk for concomitant aortic insufficiency. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2927121 Mon, 26 Oct 2009 00:00:00 +0100 2927121 http://www.medworm.com/index.php?rid=2927120&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00950.x Modified biatrial approach to the mitral valve is described. The hockey-stick incision combines the advantage of excellent exposure with low surgical risk and easy reconstruction. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2927120 Mon, 26 Oct 2009 00:00:00 +0100 2927120 http://www.medworm.com/index.php?rid=2890294&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00938.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2890294 Tue, 13 Oct 2009 23:00:00 +0100 2890294 http://www.medworm.com/index.php?rid=2890295&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00940.x In this report, we present our experience with successful pulmonary valve repair for pulmonary regurgitation in a 15-year-old patient who had undergone percutaneous pulmonary balloon valvuloplasty for pulmonary stenosis in the neonatal period. The pathological findings and the technique of repair are described in detail as the number of such patients is expected to increase in future. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2890295 Mon, 12 Oct 2009 23:00:00 +0100 2890295 http://www.medworm.com/index.php?rid=2886273&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00910.x We report the case of a 48-year-old man affected by angiosarcoma of the right atrium who presented with subacute cardiac tamponade. Extensive resection of the atrial wall infiltrated by the tumor, followed by autologous pericardial free atrial wall reconstruction, was successfully carried out. In spite of the optimal early outcome, the patient died 15 months later because of multiple osteal metastases. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2886273 Sun, 11 Oct 2009 23:00:00 +0100 2886273 http://www.medworm.com/index.php?rid=2871403&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00932.x Conclusions: iNOS expression is significantly decreased in the IMA compared to the SV in patients with diabetes mellitus undergoing CABG surgery. The degree of iNOS expression is unrelated to the level of glycemic control at the time of conduit harvest, but is associated with serum LDL levels in the SV, but not in the IMA grafts. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871403 Tue, 06 Oct 2009 23:00:00 +0100 2871403 http://www.medworm.com/index.php?rid=2871402&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00933.x We report the case of a patient who presented with sudden onset of paraplegia following an acute ascending aortic dissection extending to the arch, descending, and abdominal aorta. The paraplegia was fully reversed following an emergent replacement of the ascending aorta and hemi-arch repair. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871402 Tue, 06 Oct 2009 23:00:00 +0100 2871402 http://www.medworm.com/index.php?rid=2871401&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00934.x A two-stage surgical repair of a one-month-old infant with truncus arteriosus with unilateral absence of a proximal pulmonary artery (PA) with a closed ipsilateral ductus arteriosus was successfully performed. In the first palliation, translocation of the discontinuous, closed, and undeveloped PA to the adjacent area of the other PA was useful for making a pulmonary arterial confluence at timing of the subsequent radical operation. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871401 Tue, 06 Oct 2009 23:00:00 +0100 2871401 http://www.medworm.com/index.php?rid=2871400&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00935.x A 74-year-old woman showed electrocardiographic signs of severe lateral ischemia with no hemodynamic consequence after mitral valve repair for severe mitral regurgitation. An angiogram showed interruption of the proximal circumflex artery. The patients then underwent an on-pump beating heart marginal branch revascularization. A new angiogram performed before discharge showed a widely patent graft. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871400 Tue, 06 Oct 2009 23:00:00 +0100 2871400 http://www.medworm.com/index.php?rid=2871399&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00936.x Kommerell's diverticulum of an aberrant left subclavian artery associated with a right-sided aortic arch is a rare congenital aortic anomaly. This communication reports two cases of this congenital anomaly leading to severe dysphagia. Both cases were successfully repaired with a staged open approach rather than an endovascular approach, which would not have addressed the presenting symptom of dysphagia. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871399 Tue, 06 Oct 2009 23:00:00 +0100 2871399 http://www.medworm.com/index.php?rid=2871398&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00937.x We present a case of simultaneous resection of myxoma and papillary fibroelastoma. Transesophageal echocardiography showed typical characteristics of each tumor. The myxoma was completely excised with a surgical margin, and the papillary fibroelastoma was shaved, preserving the cusp of the aortic valve. Pathohistologic examination confirmed the diagnosis. We discuss the echocardiographic characteristics and preferred surgical approaches for the two tumors. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871398 Tue, 06 Oct 2009 23:00:00 +0100 2871398 http://www.medworm.com/index.php?rid=2871397&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00939.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2871397 Tue, 06 Oct 2009 23:00:00 +0100 2871397 http://www.medworm.com/index.php?rid=2851379&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00913.x Conclusion: Presence of a large VSD and relatively preserved pulmonary vascular system in adults is associated with several PFMA. Preoperative awareness and concurrent surgical treatment of these alterations seem to be crucial to improve the expected benefit of surgical repair of VSD in this subgroup of the patients. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2851379 Tue, 29 Sep 2009 23:00:00 +0100 2851379 http://www.medworm.com/index.php?rid=2842327&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00903.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2842327 Mon, 28 Sep 2009 23:00:00 +0100 2842327 http://www.medworm.com/index.php?rid=2807362&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00902.x Vacuum-assisted closure (VAC) has been used with success in the management of adults and children with sternal infections. However, this technique has not been applied previously to neonates requiring delayed sternal closure as the sole modality of therapy. In this article, we describe the management of two newborns with hypoplastic left heart syndrome in whom complete sternal wound healing was accomplished solely by using the VAC system. The implications of this new modality of treatment are discussed. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2807362 Wed, 16 Sep 2009 23:00:00 +0100 2807362 http://www.medworm.com/index.php?rid=2807361&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00916.x We report a male patient suffering left ventricular noncompaction cardiomyopathy in combination with low-gradient aortic stenosis. Preoperative echocardiography and magnetic resonance imaging revealed the diagnosis. After aortic valve replacement, the clinical course was uneventful. Two years of follow-up confirmed that the general prognosis was primarily affected by impaired ventricular function, thrombembolism, and arrhythmias. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2807361 Wed, 16 Sep 2009 23:00:00 +0100 2807361 http://www.medworm.com/index.php?rid=2800175&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00926.x A 72-year-old woman with pulmonary artery intimal sarcoma was successfully treated with surgery. With heightened clinical awareness and technological advancement, more and more cases were diagnosed definitely before operation. Computed tomography of the chest showed a mass in right ventricular extending to pulmonary trunk and the left pulmonary artery. The patient underwent complete surgical resection and repair of the pulmonary artery with no evidence of recurrence during the 12-month follow-up, suggesting that early identification and aggressive surgical intervention would improve survival. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2800175 Mon, 14 Sep 2009 23:00:00 +0100 2800175 http://www.medworm.com/index.php?rid=2796264&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00923.x Conclusions: Status 1 patients successfully bridged to heart transplantation with LVADs had similar long-term clinical outcomes compared to those treated with inotropic agents. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796264 Sun, 13 Sep 2009 23:00:00 +0100 2796264 http://www.medworm.com/index.php?rid=2796263&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00924.x Conclusions: Aprotinin leads to significantly less genomic expression variability following CPB compared to Amicar and has a differential effect on specific genomic pathways. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796263 Sun, 13 Sep 2009 23:00:00 +0100 2796263 http://www.medworm.com/index.php?rid=2796262&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00925.x Conclusion: Total arch replacement with the SET procedure has emerged as a viable option for complicated type B dissections and is associated with low morbidity and mortality. At mid-term follow-up, most patients have either thrombosed or have had no further increase in the false lumen of the descending aorta. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796262 Sun, 13 Sep 2009 23:00:00 +0100 2796262 http://www.medworm.com/index.php?rid=2796261&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00927.x A free-floating tumor thrombus in the left atrium is an unusual metastasis of non-small cell lung cancer. Surgical resection of free-floating tumor thrombus prior to adjuvant therapy relieves cardiac symptoms such as exertional dyspnea, and prevents life-threatening complications including systemic embolization, mitral obstruction, or sudden death. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796261 Sun, 13 Sep 2009 23:00:00 +0100 2796261 http://www.medworm.com/index.php?rid=2796260&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00928.x Conclusions: Noncoronary cusp replacement for aortic root remodeling in patients with ascending aortic aneurysm is a technically simple and durable operation. Short- and mid-term results of this method were favorable compared to the Bentall procedure. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796260 Sun, 13 Sep 2009 23:00:00 +0100 2796260 http://www.medworm.com/index.php?rid=2796259&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00929.x The aim of our study is the presentation of some interesting images of a case with symptomatic penetrating atherosclerotic ulcer (PAU) of the thoracic aorta and its endovascular treatment. Penetrating atherosclerotic ulcer is an ulcerating atherosclerotic lesion that penetrates the elastic lamina and is correlated with intramural hematoma (IMH) formation into the media layer of the aortic wall. PAU is more common in the elderly with severe atherosclerosis, hypertension, and hyperlipidemia. Transesophageal echocardiography, computed tomography, and magnetic resonance imaging are the common diagnostic tools. Surgical treatment may become necessary in cases involving the ascending aorta or in cases of intramural haematoma formation. In the era of minimally invasive surgery stent-grafting is i... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2796259 Sun, 13 Sep 2009 23:00:00 +0100 2796259 http://www.medworm.com/index.php?rid=2757445&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00785.x Conclusions: Bilateral axillary artery perfusion is a useful method for protection of the brain during either thoracic aortic or cardiac surgery when the patients have an extensively diseased aorta. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757445 Tue, 01 Sep 2009 23:00:00 +0100 2757445 http://www.medworm.com/index.php?rid=2757444&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00879.x Revascularization of the subclavian artery during complex arch surgeries may be challenging. Options include ligation of the subclavian artery with or without in situ revascularization. In cases of complex reoperations of the arch, or in the presence of large arch aneurysms with a leftward displacement of the subclavian artery, in situ revascularization may be difficult or impossible. Furthermore, an aberrant subclavian artery also obviates in situ revascularization through a sternal approach. We herein report our experience with the use of an extra-anatomical bypass to revascularize the subclavian artery in these circumstances. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757444 Tue, 01 Sep 2009 23:00:00 +0100 2757444 http://www.medworm.com/index.php?rid=2757443&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00880.x We report a safe technique using a transabdominal approach to such lesions that allows exposure to the level of the intrapericardial IVC and right atrium permitting safe resection of the tumor thrombus without median sternotomy, CBP, or deep hypothermic circulatory arrest. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757443 Tue, 01 Sep 2009 23:00:00 +0100 2757443 http://www.medworm.com/index.php?rid=2757442&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00881.x Conclusion: Our study suggests that, although incomplete revascularization may not result in increased short-term morbidity and mortality, it increases the incidence of mid-term MACE. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757442 Tue, 01 Sep 2009 23:00:00 +0100 2757442 http://www.medworm.com/index.php?rid=2757441&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00885.x The optimal technique for myocardial protection and cardioplegia delivery during totally endoscopic robotic surgery is still under evolution. Cardioplegia delivery with endovascular clamping of the aorta is a common method used for this purpose but has several disadvantages and may lead to serious complications. Here we describe an alternative cardioplegia delivery method during totally endoscopic atrial septal defect closure and mitral valve repair. The method using a transthoracic aortic clamp and an antegrade cardioplegia cannula without any thoracotomy seems to be a safe and reproducible technique, which may enhance myocardial protection and prevent some of the complications of the endoclamp technique during robotically assisted cardiac surgery. (J Card Surg ****;**:**-**) (Source: Jou... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757441 Tue, 01 Sep 2009 23:00:00 +0100 2757441 http://www.medworm.com/index.php?rid=2757440&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00887.x Conclusions: The use of extracorporeal circulation and deep hypothermic circulatory arrest provides a good method for radical excision of renal carcinomas involving the IVC with satisfactory morbidity and long-term survival results. Cooperation of urologists and cardiac surgeons is necessary for this type of operation. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757440 Tue, 01 Sep 2009 23:00:00 +0100 2757440 http://www.medworm.com/index.php?rid=2757439&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00889.x We report a case of a two-year-old child with congenital aneurysm of the LAA with a large thrombus in it. He presented with an episode of seizures with left-sided hemiparesis. Diagnosis was based on transthoracic echocardiography and magnetic resonance imaging. The patient was successfully treated by surgical resection of the aneurysm and removal of the thrombus. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757439 Tue, 01 Sep 2009 23:00:00 +0100 2757439 http://www.medworm.com/index.php?rid=2757438&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00890.x A 75-year-old woman underwent emergency coronary artery bypass surgery after acute anterior wall myocardial infarction. Because of the presence of a local peritonitis, an emergency laparotomy was performed in which necrotizing Meckel's diverticulum was found and resected. Microscopically, sections through the diverticulum revealed a fresh thrombus occluded the arterial lumen of diverticulum. The patient had an uneventful postoperative course. We believe that the cause of Meckel's diverticulum ischemia was the development of atrial fibrillation with left atrium thrombus formation followed by embolic obliteration of Meckel's diverticulum feeding artery. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757438 Tue, 01 Sep 2009 23:00:00 +0100 2757438 http://www.medworm.com/index.php?rid=2757437&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00892.x We present such an unusual entity here of a coronary cameral fistula between the left anterior descending artery and the left ventricle that was repaired surgically. Coronary cameral fistula is a rare but surgically curable congenital heart defect. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757437 Tue, 01 Sep 2009 23:00:00 +0100 2757437 http://www.medworm.com/index.php?rid=2757436&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00897.x Conclusions: Excellent clinical outcomes can be obtained using standard techniques of mitral valve repair of the degenerative valve. MR recurrence is low but nonnegligible, emphasizing the necessity for long-term postoperative echocardiographic follow-up in these patients. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757436 Tue, 01 Sep 2009 23:00:00 +0100 2757436 http://www.medworm.com/index.php?rid=2757435&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00899.x Conclusions: Edge-to-edge valve plasty is an easy, effective, and acceptable additional procedure to correct severe tricuspid regurgitation in patients with congenital heart disease. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2757435 Tue, 01 Sep 2009 23:00:00 +0100 2757435 http://www.medworm.com/index.php?rid=2637660&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00812.x A patient with acute Type A dissection required complex root repair with composite graft. She developed life-threatening hemorrhage at the root of the aorta, which could not be controlled with usual measures. A modification of the original Cabrol shunt allowed for successful control of bleeding. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2637660 Thu, 23 Jul 2009 23:00:00 +0100 2637660 http://www.medworm.com/index.php?rid=2637659&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00857.x Conclusion: Cardiac CT and MRI are valuable in characterizing and preoperative planning of primary cardiac paragangliomas. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2637659 Thu, 23 Jul 2009 23:00:00 +0100 2637659 http://www.medworm.com/index.php?rid=2637658&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00888.x Conclusions: The expression of RhoA/Rho kinase mRNA and protein and function in the RA were significantly stronger than in the IMA, suggesting that RhoA/Rho kinase pathway may be one mechanism by which RA is more susceptible to spasm than IMA. Rho kinase inhibitors can be effective drug candidates to prevent and treat vasospasm. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2637658 Thu, 23 Jul 2009 23:00:00 +0100 2637658 http://www.medworm.com/index.php?rid=2637657&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00901.x Percutaneous approaches for treating mitral regurgitation are under investigation, including repair with the MitraClip® percutaneous mitral repair system (Evalve, Inc., Menlo Park, CA, USA), which has undergone extensive preclinical and clinical evaluation in the EVEREST I and II trials. The procedure involves the transcatheter placement of one or two MitraClip devices under echocardiographic and fluoroscopic guidance to restore leaflet coaptation. A desirable feature of any percutaneous mitral valve (MV) repair system is that the device should not impede subsequent surgical repair if needed. To date, the majority of reported MV surgeries after MitraClip device implantation have occurred earlier, within one year of treatment. We herein describe four previously unreported cases of successf... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2637657 Thu, 23 Jul 2009 23:00:00 +0100 2637657 http://www.medworm.com/index.php?rid=2507985&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00772.x Conclusion: In proximal aortic operations requiring prolonged periods of cerebral protection, the mortality and neurological morbidity are not determined by the type of cerebral protection method only. Factors like hypertension and diabetes may play a role in the development of temporary neurological dysfunction. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507985 Sun, 21 Jun 2009 23:00:00 +0100 2507985 http://www.medworm.com/index.php?rid=2507984&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00787.x Conclusion: Edge-to-edge mitral valve plasty procedure has no significant impairment on left ventricular diastolic function. A double-orifice mitral valve has similar hemodynamic behavior with a physiological valve. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507984 Sun, 21 Jun 2009 23:00:00 +0100 2507984 http://www.medworm.com/index.php?rid=2507983&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00790.x Conclusions: Delineation of the mechanisms responsible for donor heart dysfunction (DHD) would be presented. Furthermore, an attempt would be made to apply this knowledge into the clinical practice in order to increase the suitability of donor hearts for transplantation. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507983 Sun, 21 Jun 2009 23:00:00 +0100 2507983 http://www.medworm.com/index.php?rid=2507982&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00811.x Open-heart surgery during pregnancy is challenging because it requires attention to both mother and fetus. A 31-year-old pregnant woman underwent surgery for a large ascending aorta aneurysm threatening rupture in the 12th week and then went on to a cesarean section at 38 weeks, which produced a healthy baby. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507982 Sun, 21 Jun 2009 23:00:00 +0100 2507982 http://www.medworm.com/index.php?rid=2507981&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00813.x A rare case of a unilateral re-expansion pulmonary edema following one-lung ventilation for minimally invasive mitral valve reconstruction in cardiopulmonary bypass is described. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507981 Sun, 21 Jun 2009 23:00:00 +0100 2507981 http://www.medworm.com/index.php?rid=2507980&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00818.x We report a patient with univentricular heart, heterotaxy syndrome with total anomalous pulmonary venous connection, and an intrapulmonary vertical vein draining into the left superior vena cava who underwent a successful bidirectional Glenn shunt without cardiopulmonary bypass. A polytetrafluoroethylene tube interposition graft was used between the superior vena cava and the pulmonary artery. This condition is unusual and physiologic palliation, rather than anatomic correction as described in this report, may be appropriate for managing this condition. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507980 Sun, 21 Jun 2009 23:00:00 +0100 2507980 http://www.medworm.com/index.php?rid=2507979&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00819.x We describe a case of postinfarction posterior true aneurysm with associated mitral incompetence. Both lesions were treated through an intracardiac approach. The posterior mitral leaflet was detached posteriorly to close the aneurysm with a patch, and the valve replaced sparing all subvalvular apparatus. This technique seems to be safe and allows to treat both lesions avoiding ventriculotomy. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507979 Sun, 21 Jun 2009 23:00:00 +0100 2507979 http://www.medworm.com/index.php?rid=2507978&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00820.x Remote ischemic conditioning is a novel concept of protection against ischemia-reperfusion injury. Brief controlled episodes of intermittent ischemia of the arm or leg may confer a powerful systemic protection against prolonged ischemia in a distant organ. This conditioning phenomenon is clinically applicable and can be performed before[mdash]preconditioning, during[mdash]perconditioning, or after[mdash]postconditioning prolonged distant organ ischemia. The remote ischemic conditioning may have an immense impact on clinical practice in the near future. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507978 Sun, 21 Jun 2009 23:00:00 +0100 2507978 http://www.medworm.com/index.php?rid=2507977&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00821.x A 49-year-old male patient suffering from end-stage ischemic cardiomyopathy with a left ventricular ejection fraction below 15% was presented to redo coronary artery bypass grafting (CABG). Coronary angiogram demonstrated an occluded left anterior descending artery and occluded right coronary artery, perfused retrogradely from the circumflex artery. Since positron emission tomography did not demonstrate viable left ventricular myocardium except for the basis of the left ventricle, CABG was considered futile. Cardiac transplantation was contra-indicated due to pharmacologically unresponsive pulmonary artery hypertension. The patient successfully underwent left ventricular assist device implantation in combination with right coronary artery revascularization. The article reflects the regimen... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507977 Sun, 21 Jun 2009 23:00:00 +0100 2507977 http://www.medworm.com/index.php?rid=2507976&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00822.x (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507976 Sun, 21 Jun 2009 23:00:00 +0100 2507976 http://www.medworm.com/index.php?rid=2507975&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00823.x Conclusion: In this review we highlight the possible pathophysiological mechanisms implicated in the observed postoperative lung dysfunction. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507975 Sun, 21 Jun 2009 23:00:00 +0100 2507975 http://www.medworm.com/index.php?rid=2507974&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00847.x Objective: The aim of this study was to evaluate the relationship between coronary run-off and myocardial viability in jeopardized regions. Method: We studied 50 patients (40 male, mean age: 55.63 ± 10.54 years) with coronary artery stenosis >70% and ejection fraction (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507974 Sun, 21 Jun 2009 23:00:00 +0100 2507974 http://www.medworm.com/index.php?rid=2507973&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00853.x Conclusions: Because of similar clinical features, pulmonary artery sarcomas are often confused with other pulmonary vascular obstructive diseases. Computed tomography scanning and gadolinium-enhanced magnetic resonance imaging could be useful methods for differential diagnosis. The prognosis is very poor. The survival time after resection varies from several months to several years depending on the presence of recurrence or metastasis. Early diagnosis and radical surgical resection presents the only opportunity for a potential cure. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507973 Sun, 21 Jun 2009 23:00:00 +0100 2507973 http://www.medworm.com/index.php?rid=2507991&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00771.x Conclusion: Application of the CSD is safe and simple in patients with dilated cardiomyopathy and without any apparent negative effects. Further studies are needed to identify optimal patient selection criteria as well as optimal timing of surgery and to assess the long-term effects of this treatment. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507991 Sun, 14 Jun 2009 23:00:00 +0100 2507991 http://www.medworm.com/index.php?rid=2507990&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00780.x A patient with acute right ventricular infarction was treated with coronary artery bypass grafting. A few days later developed right ventricular failure and required insertion of a right ventricular assist device through a sternotomy approach (TandemHeart®, CardiacAssist, Inc., Pittsburgh, PA, USA). We herein report a technique in which the removal of the right ventricular assist device is performed under local anesthesia without a sternotomy incision. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507990 Sun, 14 Jun 2009 23:00:00 +0100 2507990 http://www.medworm.com/index.php?rid=2507989&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00784.x Conclusions: LAVVR results in significant clinical improvement and lasting recovery in ventricular chamber function and size. Valve repair offers survival advantage and should be aggressively attempted; however, it is only achievable in 50% of cases. Valve replacement is necessary in cases associated with complex LAVV morphology or following repair failure. At intermediate follow-up, patients continue to be at risk of major valve-related morbidity, requirement for re-intervention, and cardiac death. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507989 Sun, 14 Jun 2009 23:00:00 +0100 2507989 http://www.medworm.com/index.php?rid=2507988&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00798.x The appearance of re-stenosis after repair of an interrupted aortic arch may be a surgical challenge due to adhesions. Here, we describe an approach using off-pump coronary artery bypass grafting techniques to reach the descending aorta through a median sternotomy in a patient with aortic arch stenosis after conduit repair. The 17-year-old patient with diagnoses of interrupted aortic arch and ventricular septal defect presented after two previous operations (one left lateral thoracotomy and one median sternotomy) with a stenosed vascular graft between ascending and descending aorta. Surgery was done via re-sternotomy without cardio-pulmonary bypass. An extraanatomic graft was used to connect ascending and descending aorta. When performing the distal anastomosis, the heart was exposed using... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507988 Sun, 14 Jun 2009 23:00:00 +0100 2507988 http://www.medworm.com/index.php?rid=2507987&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00800.x Conclusion: We describe a simple technique of interlocking wires that provides excellent stabilization of the sternum after midline stenotomy in high-risk patients. This technique utilizes the benefit of figure-eight wires, provides the continuity of the weave and effectively prevents cutting of the wires through the sternum without compromising its blood supply. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507987 Sun, 14 Jun 2009 23:00:00 +0100 2507987 http://www.medworm.com/index.php?rid=2507986&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00844.x Conclusion: Despite local cell transplantation, autologous BMCs improve global contractility and enhance remote capillary density and collagen content in doxorubicin-induced cardiomyopathy. However, BMCs failed to transdifferentiate into new cardiomyocytes. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2507986 Sun, 14 Jun 2009 23:00:00 +0100 2507986 http://www.medworm.com/index.php?rid=2440403&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00858.x Conclusions: Posttransplant malignancies have different risk factors and variable clinical impact. Older age at transplantation, smoking history, and more episodes of treated rejection were related to increased incidence of nonlymphoid malignancy incidence after heart transplantation, whereas no variable was associated with lymphoid malignancy. Skin cancers have a benign course, while solid organ malignancies and lymphomas carry an unfavorable prognosis. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440403 Thu, 28 May 2009 04:00:00 +0100 2440403 http://www.medworm.com/index.php?rid=2440402&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00859.x Conclusion: Our technique provides extensive augmentation of the aortic arch with a tension-free, wide and non-circumferential suture line which preserves potential for growth. The technique described may avoid persistent or repeat arch obstruction. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440402 Thu, 28 May 2009 04:00:00 +0100 2440402 http://www.medworm.com/index.php?rid=2440401&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00861.x (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440401 Thu, 28 May 2009 04:00:00 +0100 2440401 http://www.medworm.com/index.php?rid=2440400&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00862.x Conclusions: Right anterior minithoracotomy is safe for isolated aortic valve replacement. Preoperative 64-MSCT allows a better planning and definition of contraindications to this approach. This is a valuable technique in selected patients for isolated aortic valve replacement. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440400 Thu, 28 May 2009 04:00:00 +0100 2440400 http://www.medworm.com/index.php?rid=2440399&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00863.x In this report we present successful surgical treatment of coronary artery to pulmonary artery fistula combined with myocardial revascularization. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440399 Thu, 28 May 2009 04:00:00 +0100 2440399 http://www.medworm.com/index.php?rid=2440398&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00865.x Conclusions: In a porcine model of acute coronary occlusion simulating urgent CABG surgery, the intraoperative infusion of nesiritide limits myocardial injury. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2440398 Thu, 28 May 2009 04:00:00 +0100 2440398 http://www.medworm.com/index.php?rid=2688379&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2009.00862.x (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2688379 Wed, 27 May 2009 23:00:00 +0100 2688379 http://www.medworm.com/index.php?rid=2287005&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00750.x A 49-year-old male patient presented with a paravalvular leakage 18 years after aortic valve replacement. The patient received a mechanical valve and was weaned uneventfully from cardiopulmonary bypass. After a drop in the pressure curve of the left radial artery an additional line was placed in the proximal ascending aorta showing normal systemic pressure. Transesophageal echocardiography showed a massive circular thrombosis of the distal aortic arch. The patient received a covered stent to expand the residual aortic lumen and left the hospital in good health. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2287005 Mon, 23 Mar 2009 04:00:00 +0100 2287005 http://www.medworm.com/index.php?rid=2287004&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00782.x Conclusions: Reimplantation valve-sparing aortic root replacement in patients greater than 60 years old can be performed with satisfactory perioperative and midterm results. Long-term results are needed to define the durability of this technique and its role in this subset of patients. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2287004 Mon, 23 Mar 2009 04:00:00 +0100 2287004 http://www.medworm.com/index.php?rid=2229525&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00775.x This study aimed to provide a functional anatomical perspective for performance and recovery of the heart during pericardiectomy based on anatomical dissection and surgical notes. En bloc specimens were harvested from 16 fresh cadavers and pericardial segments were measured in terms of percentage cover over surface area of the myocardium. Retrospective analysis of 116 surgical reports of pericardiectomy performed over a period of 20 years was conducted. Surgical notes were compared for median sternotomy and anterolateral left thoracotomy. Results from anatomical study indicated that although the anterior pericardium between the phrenic nerves constitutes about 58% of total selected pericardial area, total pericardium accessible over left ventricle from that approach was only 26%. When orie... Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2229525 Mon, 02 Mar 2009 05:00:00 +0100 2229525 http://www.medworm.com/index.php?rid=2229524&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00788.x Conclusion: Harvesting the radial artery using the HS is less time consuming and decreased the use of hemostatic clips rather atraumatic with good quality graft. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2229524 Mon, 02 Mar 2009 05:00:00 +0100 2229524 http://www.medworm.com/index.php?rid=2229523&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00796.x Conclusions: Antegrade cerebral perfusion is of paramount importance in cases of aortic atherosclerosis or aortic dissection. The axillary artery provides an excellent site for safe antegrade perfusion, which may play a role in preventing stroke. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2229523 Mon, 02 Mar 2009 05:00:00 +0100 2229523 http://www.medworm.com/index.php?rid=2158796&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00778.x Conclusion: We believe that staged operation to treat coronary artery disease and malignancy can be performed safely. The use of off-pump technique to revascularize the myocardium can be performed without any complications. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=2158796 Tue, 03 Feb 2009 05:00:00 +0100 2158796 http://www.medworm.com/index.php?rid=1966453&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00758.x Conclusions: The modified B-T shunt that was developed on basis of the classic fashion remains the preferable palliative procedure aiming at enhancing pulmonary blood flow for neonates and infants with complicated cyanotic congenital heart defects. The modified B-T shunt is technically simpler with less dissection, and blood flow to the respective arm is not jeopardized. It has been proved to be of low risk, excellent palliation, and is associated with excellent pulmonary artery growth, has become the most effective palliative shunt procedure of today. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=1966453 Tue, 18 Nov 2008 05:00:00 +0100 1966453 http://www.medworm.com/index.php?rid=1966452&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00761.x Conclusion: In 14 patients with symptomatic factor V Leiden who underwent cardiac surgery, we observed a considerable number of fatal and nonfatal thromboembolic events in the perioperative period and during a 32 months' follow-up. As conducted in three patients, continued anticoagulation with coumarin was safe and prevented perioperative thromboembolic events. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=1966452 Tue, 18 Nov 2008 05:00:00 +0100 1966452 http://www.medworm.com/index.php?rid=1966451&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00747.x Conclusions: Epicardial unipolar radiofrequency ablation on the beating heart does not necessarily create a complete linear conduction block. An alternative ablation device that creates a transmural lesion is needed, and intraoperative electrophysiologic assessment of the lesion should be crucial in off-pump AF surgery. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=1966451 Tue, 18 Nov 2008 05:00:00 +0100 1966451 http://www.medworm.com/index.php?rid=1966450&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00760.x Conclusion: Better short- and long-term results were observed in the re-revascularization group. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=1966450 Tue, 18 Nov 2008 05:00:00 +0100 1966450 http://www.medworm.com/index.php?rid=1966449&cid=s_29171_157_f&fid=29171&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1540-8191.2008.00762.x Conclusion: Coronary insufficiency after reconstruction of the aortic root is an uncommon but acutely life-threatening occurrence. This lethal condition may present with difficulty in weaning from cardiopulmonary bypass; echocardiographic signs of major wall motion abnormalities; and electrocardiographic evidence of ischemia, pump failure, and ventricular arrhythmias. Rescue CABG in this situation is life-saving. Immediate rescue CABG should be performed if coronary ischemia is suspected after composite graft replacement of the aortic root. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery) Journal of Cardiac Surgery journals http://www.medworm.com/rss/comments.php?id=1966449 Tue, 18 Nov 2008 05:00:00 +0100 1966449