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 'The Heart Surgery Forum' source. Sat, 28 Jan 2012 07:18:12 +0100 http://www.medworm.com/index.php?rid=5513578&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167756%26dopt%3DAbstract Conclusion: Fast-track recovery after cardiac surgery decreases the intensive care LOS and the total duration of intubation. It is a cost-effective strategy compared with conventional recovery protocols; however, it does not reduce the total hospital LOS or the incidence of complications. PMID: 22167756 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513578 Thu, 01 Dec 2011 05:00:00 +0100 5513578 http://www.medworm.com/index.php?rid=5513577&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167757%26dopt%3DAbstract Conclusions: The technique of mitral valve replacement with normothermic CPB without cross-clamping of the aorta may be safely used for the majority of patients requiring mitral valve replacement without causing deterioration in neurocognitive functions. PMID: 22167757 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513577 Thu, 01 Dec 2011 05:00:00 +0100 5513577 http://www.medworm.com/index.php?rid=5513576&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167758%26dopt%3DAbstract Conclusion: The intraoperative level of MLC-2v expression was predictive of the patients' NYHA class after valve replacement surgery. This result suggests that future studies evaluating the use of preoperative specimens (such as biopsy or peripheral blood samples) for measurement of MLC-2v levels could lead to a valuable preoperative tool for the assessment of candidates for valve replacement. PMID: 22167758 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513576 Thu, 01 Dec 2011 05:00:00 +0100 5513576 http://www.medworm.com/index.php?rid=5513575&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167759%26dopt%3DAbstract Conclusion: The OPCAB technique is still evolving. Low-volume centers have higher rates of conversion to CPB. Hypotension due to an impaired left ventricular function can be successfully treated by using an IABP. Although blood loss can be managed with BTs, use of a cell saver helps to reduce the number of BTs. We conclude that our technique of total arterial OPCAB using a cell saver can be safely performed in a low-volume center. PMID: 22167759 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513575 Thu, 01 Dec 2011 05:00:00 +0100 5513575 http://www.medworm.com/index.php?rid=5513574&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167760%26dopt%3DAbstract Authors: Pasic M, Berger F, D'Ancona G, Dreysse S, Buz S, Drews T, Hetzer R, Unbehaun A, Kukucka M Abstract We were faced with a difficult question: how to treat a high-risk patient with severe aortic valve stenosis and a secundum atrial septal defect (ASD II). An 85-year-old woman with progressive dyspnea and pedal edema and in New York Heart Association class IV was treated with concomitant transapical aortic valve implantation and transcatheter closure of the ASD II. The combined procedure and postoperative course were completely uneventful. At 2 years after the clinical follow-up, the patient is doing well. This case report demonstrates, for the first time, the feasibility, safety, and effectiveness of simultaneous application of 2 transcatheter methods-aortic valve implantatio... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513574 Thu, 01 Dec 2011 05:00:00 +0100 5513574 http://www.medworm.com/index.php?rid=5513572&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167761%26dopt%3DAbstract We report the case of a 22-year-old woman with a diagnosis of isolated prosthetic TV endocarditis secondary to recurrent abortion. The patient had progressed to multiorgan failure and disseminated intravascular coagulation during her clinical course. Because of the high operative risk and uncontrolled infection, we performed an unusual surgical approach that has not previously been reported. Resection of infected valvular tissue without replacement of the prosthesis led to a rapid convalescence period and complete cure. PMID: 22167761 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513572 Thu, 01 Dec 2011 05:00:00 +0100 5513572 http://www.medworm.com/index.php?rid=5513571&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167762%26dopt%3DAbstract Conclusions: Clampless performance of proximal bypass anastomoses combined with OPCAB is associated with a very low incidence of stroke complications. Short-term follow-up has shown excellent results regarding bypass patency and other adverse events. Prospective randomized trials are required to confirm the advantage of this technique. PMID: 22167762 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513571 Thu, 01 Dec 2011 05:00:00 +0100 5513571 http://www.medworm.com/index.php?rid=5513570&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167763%26dopt%3DAbstract Conclusions: Stroke after coronary bypass surgery with cardiopulmonary bypass is mainly related to diffuse atherosclerotic disease. PMID: 22167763 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513570 Thu, 01 Dec 2011 05:00:00 +0100 5513570 http://www.medworm.com/index.php?rid=5513569&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167764%26dopt%3DAbstract We describe a technique of cannulating the ascending aorta in patients with acute aortic dissection that can be performed rapidly in hemodynamically unstable patients under ultrasound-epiaortic and transesophageal (TEE) guidance. PMID: 22167764 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513569 Thu, 01 Dec 2011 05:00:00 +0100 5513569 http://www.medworm.com/index.php?rid=5513568&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167765%26dopt%3DAbstract Conclusions: The majority of patients with a HOCM diagnosis underwent MV replacement for the correction of MV pathology. Referral to centers with special expertise in treating patients with HOCM may positively affect the operative outcomes of this patient subset. PMID: 22167765 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513568 Thu, 01 Dec 2011 05:00:00 +0100 5513568 http://www.medworm.com/index.php?rid=5513567&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167766%26dopt%3DAbstract Conclusions: The Bentall and De Bono procedure for aortic root pathologies was performed at the professionally permissive level from the beginning, even in a low-volume environment. It showed one good example of a learning curve. The risk-adjusted cumulative sum analysis based on the Japan SCORE was a very useful tool for monitoring the performance. PMID: 22167766 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513567 Thu, 01 Dec 2011 05:00:00 +0100 5513567 http://www.medworm.com/index.php?rid=5513566&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22167767%26dopt%3DAbstract Conclusion: Perioperative administration of GLN during the first 24 hours has cardioprotective effects in IHD patients following CPB. This technique enhances the troponin concentration at 24 hours after surgery and is associated with improved myocardial function. PMID: 22167767 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5513566 Thu, 01 Dec 2011 05:00:00 +0100 5513566 http://www.medworm.com/index.php?rid=5328905&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997647%26dopt%3DAbstract Conclusion: Biatrial ablation surgical procedures were more effective in controlling atrial fibrillation than procedures limited to the left atrium. PMID: 21997647 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328905 Sat, 01 Oct 2011 04:00:00 +0100 5328905 http://www.medworm.com/index.php?rid=5328904&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997648%26dopt%3DAbstract Conclusions: Women are less likely than men to receive mitral valve repair. Although the higher hospital mortality of women presenting for mitral valve surgery was accounted for by their worse preoperative profiles, this sex disparity reflects the current reality in surgical practice and identifies an important area for future improvement in the care of patients with valvular heart disease. PMID: 21997648 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328904 Sat, 01 Oct 2011 04:00:00 +0100 5328904 http://www.medworm.com/index.php?rid=5328903&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997649%26dopt%3DAbstract Conclusions: Although <50% of bypasses were placed to areas with myocardial ischemia, the CFR was low in the majority of nonischemic regions, a finding that may have important prognostic relevance. PET/CT fusion imaging could potentially influence planning for CABG and provide incremental prognostic information. PMID: 21997649 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328903 Sat, 01 Oct 2011 04:00:00 +0100 5328903 http://www.medworm.com/index.php?rid=5328902&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997650%26dopt%3DAbstract Conclusions: The use of EVH in Chinese patients was not related to adverse events and may be safely used for CABG procedures. Preoperative duplex mapping, systemic heparinization before harvesting, minimal surgical manipulation, and sectioning of side branches at least 2 mm distal to the origin may help improve the quality of vein grafts harvested with EVH and maximize the benefit of this less-invasive technique. PMID: 21997650 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328902 Sat, 01 Oct 2011 04:00:00 +0100 5328902 http://www.medworm.com/index.php?rid=5328901&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997651%26dopt%3DAbstract Conclusions: Inflammation and oxidative stress markers were lower in the group of patients who underwent beating-heart valve surgery with low-volume ventilation. These results reflect less of an ischemic insult and lower inflammation compared with the results for the patients who underwent conventional operations. PMID: 21997651 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328901 Sat, 01 Oct 2011 04:00:00 +0100 5328901 http://www.medworm.com/index.php?rid=5328900&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997652%26dopt%3DAbstract Conclusion: A standardized OPCAB approach is safe for patients with a severely decreased EF, and its use does not come at the cost of less complete revascularization. PMID: 21997652 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328900 Sat, 01 Oct 2011 04:00:00 +0100 5328900 http://www.medworm.com/index.php?rid=5328899&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997653%26dopt%3DAbstract We report a case of acute aortic dissection in a 30-year-old female patient in her 26th week of gestation. Ascending aorta resection and interposition of a 26-mm Dacron graft was carried out without circulatory arrest by means of a double-felt "sandwich" technique on both anastomoses. The patient was discharged from the hospital 10 days after her initial admission. At the 34th week of gestation, the patient delivered a healthy baby by cesarean section. Because our patient was hemodynamically unstable, our aim at the 26th week of gestation was to perform a simplified surgical procedure, to avoid circulatory arrest, and to maintain a high perfusion pressure, in order to save the patient's life and to decrease the potential risk of damage to the fetus. PMID: 21997653 [PubMed - in process]... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328899 Sat, 01 Oct 2011 04:00:00 +0100 5328899 http://www.medworm.com/index.php?rid=5328898&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997654%26dopt%3DAbstract Conclusions: Among low-risk patients (defined according to EuroSCORE criteria) who underwent left anterior descending coronary artery bypass, the results obtained with the on-pump and off-pump methods showed no significant differences with respect to morbidity or mortality. PMID: 21997654 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328898 Sat, 01 Oct 2011 04:00:00 +0100 5328898 http://www.medworm.com/index.php?rid=5328897&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997655%26dopt%3DAbstract Conclusions: We conclude that high-volume hemofiltration can be helpful as an adjuvant treatment for refractory shock after pericardiocentesis for chronic cardiac tamponade. The mechanism of the observed hemodynamic improvement remains to be investigated. PMID: 21997655 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328897 Sat, 01 Oct 2011 04:00:00 +0100 5328897 http://www.medworm.com/index.php?rid=5328896&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997656%26dopt%3DAbstract Conclusion: IPC is beneficial for protecting against neurologic damage after transient aortic occlusion in a rabbit model; however, the protective mechanisms are not clear. PMID: 21997656 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328896 Sat, 01 Oct 2011 04:00:00 +0100 5328896 http://www.medworm.com/index.php?rid=5328895&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997657%26dopt%3DAbstract We present the case of a diabetic gentleman who was admitted to the hospital with an infected right foot. Swabs were positive for Staphylococcus aureus and Pseudomonas aeruginosa. His right big toe was amputated. Postoperatively, the patient experienced recurrent episodes of chest pain. He was therefore transferred to the coronary care unit, where he deteriorated rapidly. The patient was subsequently transferred to intensive care. Transthoracic and transesophageal echocardiograms revealed evidence of aortic dissection, but this finding was not confirmed in a computed tomography scan. The patient subsequently experienced cardiac arrest and died. The postmortem examination revealed no aortic dissection but did show a vegetation on the mitral valve with a fistula that tracked into a ruptured ... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328895 Sat, 01 Oct 2011 04:00:00 +0100 5328895 http://www.medworm.com/index.php?rid=5328894&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997658%26dopt%3DAbstract We present a patient with congenitally corrected transposition of the great arteries who underwent surgical replacement of the tricuspid valve with a bioprosthesis and reconstruction of the left ventricular outflow tract with bovine conduit. PMID: 21997658 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328894 Sat, 01 Oct 2011 04:00:00 +0100 5328894 http://www.medworm.com/index.php?rid=5328893&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997659%26dopt%3DAbstract Authors: Kubota H, Endo H, Tsuchiya H, Yoshimoto A, Takahashi Y, Inaba Y, Sudo K Abstract To reduce the risk of stroke during open surgery for the treatment of descending thoracic or thoracoabdominal aortic diseases, we attempted to insert a proximal elephant trunk to stabilize the atherosclerosis at the site of the proximal anastomosis. Although the patients had dense atherosclerotic lesions, they recovered well without neurologic complications. This technique is simple and may be effective for preventing stroke when replacing the descending thoracic or thoracoabdominal aorta through a left thoracotomy. PMID: 21997659 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5328893 Sat, 01 Oct 2011 04:00:00 +0100 5328893 http://www.medworm.com/index.php?rid=5157399&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859637%26dopt%3DAbstract Authors: Shih YJ, Lin YC, Tsai YT, Lin CY, Lee CY, Yang HY, Tsai CK, Tsai CS PMID: 21859637 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157399 Sun, 31 Jul 2011 23:00:00 +0100 5157399 http://www.medworm.com/index.php?rid=5157398&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859638%26dopt%3DAbstract Conclusions: Morbidity and survival seemed to be more dependent on preoperative patient characteristics than the type of surgery in this group of patients. Combined CABG and valvular surgery was a risk factor for late mortality. PMID: 21859638 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157398 Sun, 31 Jul 2011 23:00:00 +0100 5157398 http://www.medworm.com/index.php?rid=5157397&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859639%26dopt%3DAbstract Conclusions: African-Americans and Hispanics present for MV surgery with worse preoperative profiles and undergo mitral repair less often compared to whites. Although in-hospital mortality was not influenced by race, African-Americans and Hispanics had a more protracted hospital course even following adjustment. The disparity in mitral procedure selection among racial groups was present only prior to adjustment for important baseline characteristics. Nevertheless, this racial difference reflects current reality in surgical practice and identifies an important area for future improvement in the care of patients with valvular heart disease. PMID: 21859639 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157397 Sun, 31 Jul 2011 23:00:00 +0100 5157397 http://www.medworm.com/index.php?rid=5157396&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859640%26dopt%3DAbstract Conclusions:These findings indicate that high-dose mucosolvin has certain protective effects on respiratory functions in infants undergoing heart operations with CPB and that it that has no adverse effects. PMID: 21859640 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157396 Sun, 31 Jul 2011 23:00:00 +0100 5157396 http://www.medworm.com/index.php?rid=5157395&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859641%26dopt%3DAbstract Conclusion: Transaortic repair of the mitral valve is feasible in patients undergoing minimally invasive aortic valve replacement. PMID: 21859641 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157395 Sun, 31 Jul 2011 23:00:00 +0100 5157395 http://www.medworm.com/index.php?rid=5157394&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859642%26dopt%3DAbstract Conclusion: Our study demonstrated superior rates of survival and freedom from reintervention after AVR with aortic homografts. Implantation with a pulmonary graft was associated with a higher risk of redo surgery, owing to earlier degenerative alterations. PMID: 21859642 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157394 Sun, 31 Jul 2011 23:00:00 +0100 5157394 http://www.medworm.com/index.php?rid=5157393&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859643%26dopt%3DAbstract Conclusion: In experienced hands surgical shave resection is the gold standard for the treatment of PFE even in atypical presentations. PMID: 21859643 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157393 Sun, 31 Jul 2011 23:00:00 +0100 5157393 http://www.medworm.com/index.php?rid=5157392&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859644%26dopt%3DAbstract We report the case of a 22-year-old woman who presented after an episode of transient sudden loss of consciousness. The transthoracic echocardiography (TTE) and transesophageal echocardiography evaluations showed an echogenic mass that originated in the right ventricle and protruded into the tricuspid valve during systole. While operating on the patient, we found a sessile tumor that originated exclusively from the moderator band of the right ventricle. The tumor was completely resected through the tricuspid valve. An immunohistochemistry examination of the tumor confirmed the diagnosis of a malignant fibrous histiocytoma (MFH) (undifferentiated pleomorphic sarcoma). To our knowledge, this case is the first of moderator band involvement among the 50 cases of primary MFH of the heart that h... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157392 Sun, 31 Jul 2011 23:00:00 +0100 5157392 http://www.medworm.com/index.php?rid=5157391&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859645%26dopt%3DAbstract Conclusion: AEF is a catastrophic complication of TEVAR. Conservative treatment is often associated with fatal results. If possible, these patients should be treated with secondary major surgical procedures. PMID: 21859645 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157391 Sun, 31 Jul 2011 23:00:00 +0100 5157391 http://www.medworm.com/index.php?rid=5157390&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859646%26dopt%3DAbstract We describe the surgical management of a free-floating thrombus in the aortic arch in a patient with severe mitral stenosis, a left atrial appendage (LAA) clot, and an iliac artery thrombus. A 60-year-old woman complaining of dyspnea and pain in her right leg was referred to our multidisciplinary clinic. After a brief history was taken, an electrocardiography evaluation showed atrial fibrillation. Color Doppler sonography of the lower limb arteries showed decreased blood flow in distal branches of the internal iliac artery of the right leg. Transthoracic and transesophageal echocardiography evaluations revealed severe mitral stenosis, a large LAA clot, and a large mobile mass (2 × 1.5 × 1.5 cm) in the distal aortic arch. Additional investigations with computed tomographic angiography rev... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157390 Sun, 31 Jul 2011 23:00:00 +0100 5157390 http://www.medworm.com/index.php?rid=5157389&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859647%26dopt%3DAbstract We report the case of a 14-year-old female patient with a symptomatic congenital coronary fistula starting from the left main coronary artery and draining to the coronary sinus. The patient underwent surgical ligation of the fistula and had an excellent outcome. PMID: 21859647 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157389 Sun, 31 Jul 2011 23:00:00 +0100 5157389 http://www.medworm.com/index.php?rid=5157388&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859648%26dopt%3DAbstract Authors: Michel S, Schmitz C, Ueberfuhr P, Bigdeli AK, Wolf M, Bruegger C, Schmauss D, Weis M, Reichart B, Sodian R Abstract In an aging population, numerous patients who underwent previous coronary artery bypass grafting (CABG) are presenting with end-stage ischemic cardiomyopathy. Although redo CABG and cardiological interventions are possible treatment options, orthotopic heart transplantation remains an ultimate option for these patients. However, there is high morbidity and mortality on the waiting list, and mechanical circulatory support is a life-saving concept [Hetzer 2006; Taylor 2009].We developed a simplified and safe technique for implantation of a biventricular assist device as a redo in complex patients after previous CABG and end-stage heart failure. PMID: 218596... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157388 Sun, 31 Jul 2011 23:00:00 +0100 5157388 http://www.medworm.com/index.php?rid=5157387&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859649%26dopt%3DAbstract In conclusion, considering probable cardiac metastasis in patients presenting with respiratory symptoms with medical history of soft tissue sarcomas would be life saving. The case is discussed, and a review of the literature in relation to the metastatic involvement of the heart by MLS is presented. PMID: 21859649 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157387 Sun, 31 Jul 2011 23:00:00 +0100 5157387 http://www.medworm.com/index.php?rid=5157386&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859650%26dopt%3DAbstract Authors: Pan J, Li QG, Zhou Q, Zhang J, Wang Q, Wu Z, Wang DJ Abstract Aortopulmonary window with subaortic stenosis and ventricular septal defect is an uncommon congenital cardiac malformation that is repaired using cardiopulmonary bypass. The authors describe a 3-year-old patient on whom we performed surgery through a minimal right vertical infra-axillary thoracotomy. This minimally invasive surgery is likely to be applicable in a few cases. PMID: 21859650 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157386 Sun, 31 Jul 2011 23:00:00 +0100 5157386 http://www.medworm.com/index.php?rid=5157385&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859651%26dopt%3DAbstract We describe the case of a 59-year-old woman who had a giant ASA with patent foramen ovale. The aneurysm was successfully removed. Although the detailed mechanism involved in the degeneration of the atrial septum is unclear, we recommend that such damage be surgically repaired to reduce the risk of cerebral embolism or heart failure in symptomatic patients. Surgery is recommended for larger ASA. PMID: 21859651 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157385 Sun, 31 Jul 2011 23:00:00 +0100 5157385 http://www.medworm.com/index.php?rid=5157384&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859652%26dopt%3DAbstract Conclusions: Known mechanisms of cardiovascular damage generated by environmental pollution are cross linked with described papillary fibroelastomas' etiological cascade. Evidence is suggested for a common origin. These results provide intriguing but inconclusive insights into pathophysiological pathways that may link exposure to environmental pollution and development of papillary fibroelastomas. PMID: 21859652 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5157384 Sun, 31 Jul 2011 23:00:00 +0100 5157384 http://www.medworm.com/index.php?rid=5008973&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21719410%26dopt%3DAbstract Authors: PMID: 21719410 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=5008973 Tue, 31 May 2011 23:00:00 +0100 5008973 http://www.medworm.com/index.php?rid=4961414&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676678%26dopt%3DAbstract Authors: Gopaldas RR, Bakaeen FG, Chu D, Coselli JS, Cooley DA The future of cardiothoracic surgery faces a lofty challenge with the advancement of percutaneous technology and minimally invasive approaches. Coronary artery bypass grafting (CABG) surgery, once a lucrative operation and the driving force of our specialty, faces challenges with competitive stenting and poor reimbursements, contributing to a drop in applicants to our specialty that is further fueled by the negative information that members of other specialties impart to trainees. In the current era of explosive technological progress, the great diversity of our field should be viewed as a source of excitement, rather than confusion, for the upcoming generation. The ideal future cardiac surgeon must be a "surgeon-innovator,... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961414 Tue, 31 May 2011 23:00:00 +0100 4961414 http://www.medworm.com/index.php?rid=4961413&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676679%26dopt%3DAbstract Conclusions: In patients with correctly functioning MP, sources of thromboembolism are observed 4 times more often in case of the positive history of thromboembolism. The most common source of thromboembolism is thrombosis of MP ring. Age and heart failure predispose multiple sources of thromboembolism. One might consider control TEE after mechanical valve implantation, but only in selected group of patients without embolic events but with a higher risk of thromboembolism. PMID: 21676679 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961413 Tue, 31 May 2011 23:00:00 +0100 4961413 http://www.medworm.com/index.php?rid=4961412&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676680%26dopt%3DAbstract We present a case and advocate the use of temporary circulatory support and pulmonary embolectomy in what would otherwise have been a fatal scenario. PMID: 21676680 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961412 Tue, 31 May 2011 23:00:00 +0100 4961412 http://www.medworm.com/index.php?rid=4961411&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676681%26dopt%3DAbstract Conclusion: We found good long-term survival and durability. Older patients had excellent freedom from explantation, whereas younger patients fared worse. As our population ages, this information becomes increasingly important. Assessing the durability of this pericardial aortic valve may aid in predicting the durability of the transcatheter aortic valves that share the same leaflets. PMID: 21676681 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961411 Tue, 31 May 2011 23:00:00 +0100 4961411 http://www.medworm.com/index.php?rid=4961410&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676682%26dopt%3DAbstract Conclusion: TAVI is technically feasible in high-risk patients after previous mechanical mitral valve replacement; however, careful patient selection is mandatory with respect to preoperative clinical status and anatomic dimensions regarding the distance between aortic annulus and mitral valve prosthesis. PMID: 21676682 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961410 Tue, 31 May 2011 23:00:00 +0100 4961410 http://www.medworm.com/index.php?rid=4961409&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676683%26dopt%3DAbstract Conclusion: Administration of cilostazol before spinal cord ischemia reduced neurologic injury and produced clinical improvement by attenuating oxidative stress in this rat spinal cord I/R model. PMID: 21676683 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961409 Tue, 31 May 2011 23:00:00 +0100 4961409 http://www.medworm.com/index.php?rid=4961408&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676684%26dopt%3DAbstract Conclusion: Despite the significant risk of mortality and morbidity in patients with current CCF, cardiac surgery to reverse the cause should not be delayed in these patients, because doing so may lead to further deterioration. Other risk factors, however, should be taken into consideration on an individual basis. PMID: 21676684 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961408 Tue, 31 May 2011 23:00:00 +0100 4961408 http://www.medworm.com/index.php?rid=4961407&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676685%26dopt%3DAbstract Authors: Conti AA Many outstanding scientists have given their names to anatomic structures through time. Recently the use of eponyms has been at the center of a very interesting debate in the columns of prestigious medical journals. Even if some authors have questioned their adoption, not only do the names of great figures in the history of medicine appear inextricably linked to human body structures but they also have been widely adopted. Eponyms enliven medical study and practice by representing major mnemonic aids for students and learners and opening intriguing scenarios on the history of health. Given that physicians frequently are unaware of exactly "who stands behind" a name, this article presents a reconstruction of how eponyms for cardiac structures have developed through tim... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961407 Tue, 31 May 2011 23:00:00 +0100 4961407 http://www.medworm.com/index.php?rid=4961406&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676686%26dopt%3DAbstract In this study, we reviewed the 28 patients diagnosed with isolated interrupted aortic arch (IAA) who reached adult age (> 20 years), aimed to review the validity of the Celoria-Patton classification in the literature, and reported the first microscopic pathology of the IAA in an adult. PMID: 21676686 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961406 Tue, 31 May 2011 23:00:00 +0100 4961406 http://www.medworm.com/index.php?rid=4961405&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676687%26dopt%3DAbstract We report the case of a 42-year-old woman with both intravenous and intracardiac extension of leiomyomatosis who underwent 3 operations within 9 years. During the last admission, she underwent a successful single-stage surgical approach while under cardiopulmonary bypass with circulatory arrest. A postoperative histopathologic examination of the resected specimen confirmed the diagnosis. PMID: 21676687 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961405 Tue, 31 May 2011 23:00:00 +0100 4961405 http://www.medworm.com/index.php?rid=4961404&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676688%26dopt%3DAbstract We describe a case of continuous and severely symptomatic chylous pericardial effusion after coronary artery bypass grafting in which the diagnosis was established by lipid electrophoresis. Initial conservative management failed, and ligation of the thoracic duct and pericardial fenestration were finally required for a successful outcome. PMID: 21676688 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961404 Tue, 31 May 2011 23:00:00 +0100 4961404 http://www.medworm.com/index.php?rid=4961403&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676689%26dopt%3DAbstract Authors: Tchantchaleishvili V, Dibardino DJ, Bolman RM Our report describes a case of temporary bilateral blindness in a patient after undergoing mitral valve replacement with a mechanical prosthesis and coronary artery bypass grafting. PMID: 21676689 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961403 Tue, 31 May 2011 23:00:00 +0100 4961403 http://www.medworm.com/index.php?rid=4961402&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676690%26dopt%3DAbstract We describe a case of postoperative myocardial ischemia due to an uncommon and quickly reversible cause: mechanical compression of a vein graft by a 19F flexible silicone mediastinal drainage tube. PMID: 21676690 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961402 Tue, 31 May 2011 23:00:00 +0100 4961402 http://www.medworm.com/index.php?rid=4961401&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676691%26dopt%3DAbstract Conclusions: Some mechanisms in adult type VSDs are essential for protecting the pulmonary vasculature. We tried to review these protective mechanisms: hypertrophied AMBs and NIBs. PMID: 21676691 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961401 Tue, 31 May 2011 23:00:00 +0100 4961401 http://www.medworm.com/index.php?rid=4961400&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676692%26dopt%3DAbstract Authors: Strecker T, Schmid A, Zielezinski T, Rösch J, Agaimy A Cardiac hemangiomas are quite rare benign tumors of vascular origin often detected incidentally during routine examinations. Here we present the diagnostic evaluation and excisional biopsy of such a cardiac tumor in a 20-year-old man. PMID: 21676692 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961400 Tue, 31 May 2011 23:00:00 +0100 4961400 http://www.medworm.com/index.php?rid=4961399&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676693%26dopt%3DAbstract Authors: Schullerer D, Emmert MY, Jacobs S, Plass AR An aneurysm of the sinus of Valsalva ruptures in about 35% of all cases and only leads to acute symptoms in 25% of all patients. This paper illustrates a case of a patient who was scheduled for an elective operation due to an aneurysm of the right coronary sinus of Valsalva, which ruptured and led to the necessity of an emergency surgery. PMID: 21676693 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4961399 Tue, 31 May 2011 23:00:00 +0100 4961399 http://www.medworm.com/index.php?rid=4812480&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521672%26dopt%3DAbstract Conclusions: Excision of atrial myxoma can be performed using a variety of intraoperative approaches and closure techniques, all with acceptable postoperative morbidity and low mortality rates. To date, no recurrences have been found at median 2-year follow-up. PMID: 21521672 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812480 Thu, 31 Mar 2011 23:00:00 +0100 4812480 http://www.medworm.com/index.php?rid=4812479&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521673%26dopt%3DAbstract Conclusions: Using an interventional transcatheter approach to AVI (thereby eliminating CPB from the procedure and reducing surgical trauma) does not attenuate the patient's innate inflammatory response. PMID: 21521673 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812479 Thu, 31 Mar 2011 23:00:00 +0100 4812479 http://www.medworm.com/index.php?rid=4812478&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521674%26dopt%3DAbstract Conclusion: Congenital MVR is rare and often misdiagnosed in adults. Mitral valve repair is feasible in the majority of patients, with excellent immediate and medium-term results. PMID: 21521674 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812478 Thu, 31 Mar 2011 23:00:00 +0100 4812478 http://www.medworm.com/index.php?rid=4812477&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521675%26dopt%3DAbstract Authors: PMID: 21521675 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812477 Thu, 31 Mar 2011 23:00:00 +0100 4812477 http://www.medworm.com/index.php?rid=4812476&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521676%26dopt%3DAbstract In this report, we present a patient with a leiomyosarcoma that was resected completely. The tumor was located in the left atrium, mimicked a myxoma, and protruded into the left ventricle during diastole. PMID: 21521676 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812476 Thu, 31 Mar 2011 23:00:00 +0100 4812476 http://www.medworm.com/index.php?rid=4812475&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521677%26dopt%3DAbstract Authors: Schachner T, Laufer G, Wiedemann D, Chevtchik O A 14-year-old female patient with Marfan syndrome was resuscitated because of pericardial tamponade following orthopedic surgery to correct scoliosis. The emergency sternotomy revealed injury to a posterolateral branch of the circumflex artery caused by pericardial perforation by the stump of a previously resected rib. Cardiopulmonary bypass immediately restored the circulation, and the primarily dilated, noncontractile heart regained its contractile function. The small posterolateral branch was sewn over, and the sharp edge of the rib stump was smoothed by abrasion and covered with a Gore-Tex membrane. The patient recovered completely during the remainder of her postoperative stay. PMID: 21521677 [PubMed - in process] (Sourc... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812475 Thu, 31 Mar 2011 23:00:00 +0100 4812475 http://www.medworm.com/index.php?rid=4812474&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521678%26dopt%3DAbstract Authors: Strecker T, Zimmermann S, Wachter DL, Agaimy A Aortic dissection is a very serious condition mainly caused by degenerative diseases of the connective tissue and hypertension. Ascending aortic dissection as a consequence of aortitis in association with giant cell arteritis is very rarely seen. In this article we report on the successful surgical repair of a Stanford type A aortic dissection caused by giant cell arteritis in a 74-year-old patient. We could visualize this dissection via echocardiography and computed tomography. Histopathology confirmed this rare complication of giant cell aortitis. PMID: 21521678 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812474 Thu, 31 Mar 2011 23:00:00 +0100 4812474 http://www.medworm.com/index.php?rid=4812473&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521679%26dopt%3DAbstract We present a complex case of aortic valve endocarditis in a critically ill patient, highlight the difficult management issues, and report a good outcome. PMID: 21521679 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812473 Thu, 31 Mar 2011 23:00:00 +0100 4812473 http://www.medworm.com/index.php?rid=4812472&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521680%26dopt%3DAbstract Conclusions: The change from conventional CABG to TOPCAB was effective in decreasing the incidence and severity of stroke, in developing a team routine and a positive team attitude, and in producing excellent benchmarking results. The presence of a training and communication deficiency at the beginning of the study suggested an area for further improvement. After 6 years TOPCAB had largely replaced conventional CABG. PMID: 21521680 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812472 Thu, 31 Mar 2011 23:00:00 +0100 4812472 http://www.medworm.com/index.php?rid=4812471&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521681%26dopt%3DAbstract Conclusion: These outcomes clearly demonstrate that OPCAB is a safe and effective procedure for myocardial revascularization. This retrospective, nonrandomized observational study has shown that the patients who underwent OPCAB had reduced morbidity and mortality, as well as decreased resource use, compared with those who underwent CCAB. PMID: 21521681 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812471 Thu, 31 Mar 2011 23:00:00 +0100 4812471 http://www.medworm.com/index.php?rid=4812470&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521682%26dopt%3DAbstract Conclusions: Although fibrinolytic therapy is generally recommended for the treatment of PVT for specific patient groups, our results suggest that it may be as efficacious and safe as surgery, depending on patient selection. PMID: 21521682 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812470 Thu, 31 Mar 2011 23:00:00 +0100 4812470 http://www.medworm.com/index.php?rid=4812469&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521683%26dopt%3DAbstract Conclusions: Dexmedetomidine may help to eliminate the emergence of agitation and can be a good treatment choice for the delirium state after cardiac surgery. PMID: 21521683 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812469 Thu, 31 Mar 2011 23:00:00 +0100 4812469 http://www.medworm.com/index.php?rid=4812468&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21521684%26dopt%3DAbstract Authors: Keck JP, Mort TC Airway management in the intensive care setting provides unique challenges that can be quite daunting, even for the most experienced practitioner. Airways are usually intubated for long periods, multiple comorbidities often interfere with "routine" airway management practices, and patients are often physiologically disadvantaged or hemodynamically unstable. Strapped with this calamity, the first responder to a patient with an acutely compromised airway is often someone less experienced with global airway management skills. As anesthesiologists, we are very familiar with the skill sets necessary to handle these predicaments, and as intensivists, we have the fortunate opportunity to share that wealth of information and experience. Airway care in the intensive ca... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812468 Thu, 31 Mar 2011 23:00:00 +0100 4812468 http://www.medworm.com/index.php?rid=4812467&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21527376%26dopt%3DAbstract Authors: PMID: 21527376 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4812467 Tue, 01 Feb 2011 00:00:00 +0100 4812467 http://www.medworm.com/index.php?rid=4528848&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345770%26dopt%3DAbstract Conclusion: Monitoring and management of cerebral rSO2 in diabetic CAB patients avoid profound cerebral desaturation and are associated with significantly lower incidences of complications and shorter postoperative lengths of stay.Implication Statement: A post hoc analysis of the diabetic cohort of a prospective, randomized, and blinded study of CAB patients revealed that those in whom cerebral oxygen saturation was actively monitored and maintained demonstrated significantly lower incidences of complications, resulting in shorter ICU and postoperative hospital stays compared with an unmonitored control group. PMID: 21345770 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528848 Tue, 01 Feb 2011 00:00:00 +0100 4528848 http://www.medworm.com/index.php?rid=4528847&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345771%26dopt%3DAbstract Conclusion: Although emergency percutaneous interventions are lifesaving in some cases, these results clearly demonstrate that coronary bypass grafting should be the intervention of choice for myocardial revascularization in patients with critical LMCA occlusion. PMID: 21345771 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528847 Tue, 01 Feb 2011 00:00:00 +0100 4528847 http://www.medworm.com/index.php?rid=4528846&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345772%26dopt%3DAbstract Conclusion: The pulmonary artery perfusion mode used in this experiment could relieve CPB-induced lung injury effectively. Improving cellular tolerance to hypoxia and decreasing inflammatory reaction may be the important mechanisms. Moreover, this mode is convenient and does not interfere with the intended operations, which is promising for clinical use. PMID: 21345772 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528846 Tue, 01 Feb 2011 00:00:00 +0100 4528846 http://www.medworm.com/index.php?rid=4528845&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345773%26dopt%3DAbstract Conclusions: SBUF during CPB can produce an immediate improvement in lung gas exchange capacity, which may effectively minimize pulmonary dysfunction in adult patients undergoing cardiac surgery. PMID: 21345773 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528845 Tue, 01 Feb 2011 00:00:00 +0100 4528845 http://www.medworm.com/index.php?rid=4528844&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345774%26dopt%3DAbstract This report also identified several pre- and intraoperative interventions that may help reduce blood transfusions, including off-pump procedures, preoperative autologous blood donation, normovolemic hemodilution, and routine cell saver use.A multimodal approach to blood conservation, with highrisk patients receiving all available interventions, may help preserve vital organ perfusion and reduce blood product utilization. In addition, because positive intravenous fluid balance is a significant factor affecting hemodilution during cardiac surgery, especially when CPB is used, strategies aimed at limiting intraoperative fluid balance positiveness may also lead to reduced blood product utilization.This review discusses currently available techniques that can be used intraoperatively in an atte... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528844 Tue, 01 Feb 2011 00:00:00 +0100 4528844 http://www.medworm.com/index.php?rid=4528843&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345775%26dopt%3DAbstract Conclusion: Earlier reconstruction of the pulmonary valve and the RVOT may preserve ventricular performance for a long period. Nevertheless, the porcine pulmonary prosthesis has shown satisfactory results when it has been used for the reconstruction of different types of RV obstructions. PMID: 21345775 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528843 Tue, 01 Feb 2011 00:00:00 +0100 4528843 http://www.medworm.com/index.php?rid=4528842&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345776%26dopt%3DAbstract Conclusion: Continuous wound infusion of ropivacaine 0.33% 2 mL/h using an elastomeric system was not reliable and did not improve postoperative pain control in patients after open abdominal aortic surgery. PMID: 21345776 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528842 Tue, 01 Feb 2011 00:00:00 +0100 4528842 http://www.medworm.com/index.php?rid=4528841&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345777%26dopt%3DAbstract Authors: Hosoba S, Suzuki T, Koizumi Y, Asai T Coronary ostial stenosis in otherwise normal coronary vessels is a rare complication of syphilitic aortitis. A 47-year-old man with no coronary risk factors developed severe isolated ostial stenosis in the left main coronary artery and right coronary artery. He underwent coronary artery bypass grafting using the bilateral internal thoracic arteries and gastroepiploic artery and recovered uneventfully. PMID: 21345777 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528841 Tue, 01 Feb 2011 00:00:00 +0100 4528841 http://www.medworm.com/index.php?rid=4528840&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345778%26dopt%3DAbstract Conclusion: This combined procedure performed through the same anterolateral incision was technically feasible and may be a promising, minimally invasive approach for selected patients. PMID: 21345778 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528840 Tue, 01 Feb 2011 00:00:00 +0100 4528840 http://www.medworm.com/index.php?rid=4528839&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345779%26dopt%3DAbstract Authors: Kettner J, Skalsky I, Levcik M Severe aortic stenosis (AS) has a poor prognosis when associated with left ventricular dysfunction and congestive heart failure. Despite a relatively high operative mortality, most patients with severe AS and a depressed left ventricular ejection fraction (LVEF) should be considered candidates for aortic valve replacement. The CentriMag left ventricular assist system (Levitronix) can be used for perioperative or postcardiotomy circulatory support for the failing heart. In this case report, we report the successful use of the Levitronix CentriMag device as perioperative support in a high-risk patient with severe AS, significant mitral insufficiency, and a poor LVEF with advanced organ failure. PMID: 21345779 [PubMed - in process] (Source: The ... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528839 Tue, 01 Feb 2011 00:00:00 +0100 4528839 http://www.medworm.com/index.php?rid=4528838&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345780%26dopt%3DAbstract In this report, we describe a 2-step procedure consisting of a final hybrid approach for multiple mVSDs in the infant following initial coarctation repair with pulmonary artery banding in the newborn. At 7 months, sternotomy and debanding were performed, the right ventricle was punctured under transesophageal echocardiographic guidance, and the 8-mm device was implanted into the septal defect. Color Doppler echocardiography results showed complete closure of all VSDs by 11 months after surgery, probably via a mechanism of a localized inflammatory response reaction, ventricular septum growth, and implant endothelization. PMID: 21345780 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528838 Tue, 01 Feb 2011 00:00:00 +0100 4528838 http://www.medworm.com/index.php?rid=4528837&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345781%26dopt%3DAbstract Authors: Gukop P, Kakouros N, Hosseini MT, Valencia O, Kourliouros A, Sarsam M, Chandrasekaran V Thrombotic occlusion of saphenous vein grafts (SVG), the conduits most commonly used in coronary artery bypass grafting (CABG) surgery, causes significant morbidity and mortality. There is class 1A evidence that early aspirin administration following CABG reduces thrombotic SVG occlusion, as well as overall morbidity and mortality. The American Heart Association/American College of Cardiology and the European Association of Cardiothoracic Surgeons have issued guidelines recommending that 150 to 325 mg aspirin be administered within 6 hours following CABG. We carried out a clinical audit of our practice to identify any reasons for deviation from these standards of care and to implement any c... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528837 Tue, 01 Feb 2011 00:00:00 +0100 4528837 http://www.medworm.com/index.php?rid=4528836&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345782%26dopt%3DAbstract Conclusions: The ascending aorta pseudoaneurysm can be safely operated on with femorofemoral bypass without hypothermic cardiac arrest. PMID: 21345782 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4528836 Tue, 01 Feb 2011 00:00:00 +0100 4528836 http://www.medworm.com/index.php?rid=4278592&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169141%26dopt%3DAbstract Conclusion: The feasibility and the benefit of the hybrid treatment for aortic arch aneurysm are confirmed. PMID: 21169141 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278592 Wed, 01 Dec 2010 00:00:00 +0100 4278592 http://www.medworm.com/index.php?rid=4278591&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169142%26dopt%3DAbstract Conclusion: A partial attenuation in the inflammatory response is possible with fenoldopam infusion. The elevation in serum endotoxin levels was not affected by dopexamine or fenoldopam infusion. PMID: 21169142 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278591 Wed, 01 Dec 2010 00:00:00 +0100 4278591 http://www.medworm.com/index.php?rid=4278590&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169143%26dopt%3DAbstract Conclusion: The Glenn operation, which is performed at an early age, prepares the pulmonary bed to receive the ICPC. The midterm results of the intracardiac Fontan procedure seem to be good. The modified surgical procedure (IAC) can be a good alternative technique to the Fontan procedure in suitable patients. PMID: 21169143 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278590 Wed, 01 Dec 2010 00:00:00 +0100 4278590 http://www.medworm.com/index.php?rid=4278589&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169144%26dopt%3DAbstract Authors: Zhang M, Wu QC, Zhang C, Li Q, Jiang YJ, Chen D Unilateral pulmonary vein atresia is a rare abnormality that usually presents in infants with recurrent hemoptysis and pneumonia. Presentation in adulthood without additional congenital heart disease is rare but does occur. Anatomic variations in the pulmonary vessels that supply and drain the affected lung can explain the mildly symptomatic process. The diagnosis of isolated unilateral pulmonary vein atresia is usually made angiographically. Pneumonectomy is indicated once symptoms or complications are present so that irreversible pulmonary hypertension can be avoided. PMID: 21169144 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278589 Wed, 01 Dec 2010 00:00:00 +0100 4278589 http://www.medworm.com/index.php?rid=4278588&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169145%26dopt%3DAbstract In this report, we assess a very rare pathology in which 3 right pulmonary veins (superior, middle, and inferior) drain into the SVC-RA junction with respect to diagnostic methods and in the light of 2 cases involving patients in 2 different age groups. PMID: 21169145 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278588 Wed, 01 Dec 2010 00:00:00 +0100 4278588 http://www.medworm.com/index.php?rid=4278587&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169146%26dopt%3DAbstract We report a successful case of complicated Neisseria meningitidis septic shock with disseminated intravascular coagulopathy requiring extracorporeal support. PMID: 21169146 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278587 Wed, 01 Dec 2010 00:00:00 +0100 4278587 http://www.medworm.com/index.php?rid=4278586&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169147%26dopt%3DAbstract We present a practical alternative technique for the control of sternal bleeding during cardiac surgery with the use of ABS. PMID: 21169147 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278586 Wed, 01 Dec 2010 00:00:00 +0100 4278586 http://www.medworm.com/index.php?rid=4278585&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169148%26dopt%3DAbstract Authors: Zimrin D, Friedrich G, Griffith B, Bonatti J PMID: 21169148 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278585 Wed, 01 Dec 2010 00:00:00 +0100 4278585 http://www.medworm.com/index.php?rid=4278584&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169149%26dopt%3DAbstract Conclusions: Preoperative respiratory status showed no major influence on postoperative respiratory outcome in selected patients. Longer operative, CPB, and aortic crossclamping times led to reversible lung injury after TECAB. Prolonged SLV times, however, did not increase the postoperative time to extubation or the length of ICU stay in TECAB patients. PMID: 21169149 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278584 Wed, 01 Dec 2010 00:00:00 +0100 4278584 http://www.medworm.com/index.php?rid=4278583&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169150%26dopt%3DAbstract Authors: Arusoglu L, Reiss N, Morshuis M, Schoenbrodt M, Hakim-Meibodi K, Gummert J The CardioWest™ total artificial heart (SynCardia Systems, Tuscon, AZ, USA) is the only FDA-approved total artificial heart determined as a bridge to human heart transplantation for patients dying of biventricular heart failure. Implantation provides immediate hemodynamic restoration and clinical stabilization, leading to end-organ recovery and thus eventually allowing cardiac transplantation. Occasionally, implantation of a total artificial heart is not feasible for anatomical reasons. For this patient group, we have developed an alternative technique using the paracorporeal Thoratec biventricular support system (Thoratec, Pleasanton, CA, USA) as a modified total artificial heart. A detailed descript... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278583 Wed, 01 Dec 2010 00:00:00 +0100 4278583 http://www.medworm.com/index.php?rid=4278582&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169151%26dopt%3DAbstract We report a case in which a patient received a right internal mammary artery bypass graft to the left anterior descending artery and a left internal mammary artery jump graft to 2 obtuse marginal branches. The procedure was performed through 5 ports on the arrested heart using the daVinci S robotic surgical system. This is the first reported triple bypass grafting procedure using an arrested heart approach. PMID: 21169151 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278582 Wed, 01 Dec 2010 00:00:00 +0100 4278582 http://www.medworm.com/index.php?rid=4278581&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169152%26dopt%3DAbstract We describe a case of a 65-year-old female patient who presented with shortness of breath when bending forward. A tumor highly suspicious for an angiosarcoma was identified by computed tomography and was suggestive of infiltration into the superior vena cava (SVC) and the majority of the right atrium. Surgical intervention on such an infiltrative tumor would not have been indicated. Magnetic resonance imaging, however, demonstrated that the tumor was not infiltrating the SVC and that its extension into the right atrium caused a low flow phenomenon. Surgical removal of the tumor and reconstruction of the right atrium with bovine pericardium was performed successfully. Adjuvant treatment with chemotherapy and radiation was performed afterward. The patient is free from tumor recurrence 3 mont... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278581 Wed, 01 Dec 2010 00:00:00 +0100 4278581 http://www.medworm.com/index.php?rid=4278580&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169153%26dopt%3DAbstract Conclusions: This early experience suggests that TECAB is feasible in patients with a preoperatively placed IABP. Both the beating heart and arrested heart versions can be used in this patient population, further broadening the spectrum of applicability of this procedure. PMID: 21169153 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278580 Wed, 01 Dec 2010 00:00:00 +0100 4278580 http://www.medworm.com/index.php?rid=4278579&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169154%26dopt%3DAbstract We report on a patient in whom dissection of the left main coronary artery, the left anterior descending artery, and a diagonal branch occurred during catheterization. Clear signs of myocardial ischemia indicated immediate surgery. Coronary artery bypass grafting was carried out within a very short time frame and the patient survived. This case demonstrates the value of an expeditious surgical treatment strategy. PMID: 21169154 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278579 Wed, 01 Dec 2010 00:00:00 +0100 4278579 http://www.medworm.com/index.php?rid=4278578&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169155%26dopt%3DAbstract Conclusion: Knowledge of the salient features of the available medications will allow the cardiologist and surgeon to design the optimal strategy for each patient. PMID: 21169155 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278578 Wed, 01 Dec 2010 00:00:00 +0100 4278578 http://www.medworm.com/index.php?rid=4278577&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169156%26dopt%3DAbstract We report the use of a short-term biventricular assist device (Levitronix CentriMag) for 94 days in a 55-year-old man with refractory ventricular arrhythmias after combined heart surgery. Despite serious complications while the patient was on the assist device, including severe intestinal bleeding with the necessity of discontinuing anticoagulation for 10 days and, ultimately, hemicolectomy, the circulatory support was completed with successful heart transplantation. PMID: 21169156 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278577 Wed, 01 Dec 2010 00:00:00 +0100 4278577 http://www.medworm.com/index.php?rid=4278576&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169157%26dopt%3DAbstract Authors: Wiedemann D, Bonaros N, Weiss H, Laufer G, Kocher A A 75-year-old male patient developed hematemesis due to gastric cancer 1 week before scheduled aortic valve replacement for severe aortic stenosis. A gastrectomy was urgently required, but the risk of intraoperative cardiac decompensation was judged as too high because of the severity of his cardiac disease. On the other hand, cardiopulmonary bypass posed an exceedingly high risk of bleeding from the stomach cancer. Concomitant aortic valve replacement and gastrectomy were performed successfully. PMID: 21169157 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278576 Wed, 01 Dec 2010 00:00:00 +0100 4278576 http://www.medworm.com/index.php?rid=4278575&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21169158%26dopt%3DAbstract This report describes the management of biventricular assist device (BIVAD) implantation in a patient with necrotic pancreatitis. BIVADs provide mechanical support for ventricular ejection in the failing heart and have become an accepted treatment for end-stage heart failure. They also have proved to be a successful bridge to heart transplantation. As their popularity has grown, the number of patients with BIVADs presenting for noncardiac surgery is increasing. We report the successful management of an implanted extracorporeal BIVAD in a patient with end-stage heart failure and with pancreatic stents in a case of necrotic pancreatitis. Historical, physical, laboratory, and imaging data allowed conservative management leading to a favorable outcome. PMID: 21169158 [PubMed - in process] ... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4278575 Wed, 01 Dec 2010 00:00:00 +0100 4278575 http://www.medworm.com/index.php?rid=4168937&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21067997%26dopt%3DAbstract Authors: PMID: 21067997 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4168937 Fri, 01 Oct 2010 00:00:00 +0100 4168937 http://www.medworm.com/index.php?rid=4088813&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961825%26dopt%3DAbstract Conclusions: In patients with acute type A aortic dissections who have life-threatening bleeding, early administration of rFVIIa may safely normalize coagulation variables, decrease transfusion requirements, and enhance hemostasis. PMID: 20961825 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088813 Thu, 30 Sep 2010 23:00:00 +0100 4088813 http://www.medworm.com/index.php?rid=4088812&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961826%26dopt%3DAbstract Conclusion: In situ skeletonized BITA grafting provides better long-term survival in dialysis patients with multivessel disease. PMID: 20961826 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088812 Thu, 30 Sep 2010 23:00:00 +0100 4088812 http://www.medworm.com/index.php?rid=4088811&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961827%26dopt%3DAbstract Conclusions: The outcomes of CABG surgery patients are good in Trinidad and Tobago and are comparable to standards in developed countries when evaluated with the EuroSCORE. The proportion of patients undergoing off-pump CABG is high. PMID: 20961827 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088811 Thu, 30 Sep 2010 23:00:00 +0100 4088811 http://www.medworm.com/index.php?rid=4088810&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961828%26dopt%3DAbstract Conclusions: IT can significantly attenuate the systemic inflammatory response and improve a damaged cardiac function, but it does not reduce the in-hospital mortality rate. PMID: 20961828 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088810 Thu, 30 Sep 2010 23:00:00 +0100 4088810 http://www.medworm.com/index.php?rid=4088809&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961829%26dopt%3DAbstract Conclusions: Closure of mVSDs can be successfully performed in a hybrid technique on the beating heart with 2 stab wound incisions; however, further modifications need to be developed before clinical application. PMID: 20961829 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088809 Thu, 30 Sep 2010 23:00:00 +0100 4088809 http://www.medworm.com/index.php?rid=4088808&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961830%26dopt%3DAbstract Conclusions: In a clinically relevant closed-chest pig model of myocardial infarction, these data suggest the following: (1) Ischemic postconditioning reduces infarct size following prolonged reperfusion, and (2) this cardioprotective effect is likely achieved via antiapoptotic mechanisms. PMID: 20961830 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088808 Thu, 30 Sep 2010 23:00:00 +0100 4088808 http://www.medworm.com/index.php?rid=4088807&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961831%26dopt%3DAbstract Conclusions: In this retrospective study, pericardial reconstruction with the ECM implant contributed directly to a statistically significant and clinically meaningful reduction in the rate of postoperative AF in patients undergoing primary isolated CABG. A prospective multicenter randomized trial has been planned to further test this approach. PMID: 20961831 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088807 Thu, 30 Sep 2010 23:00:00 +0100 4088807 http://www.medworm.com/index.php?rid=4088806&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961832%26dopt%3DAbstract Conclusion: The convergent procedure effectively combines surgical and electrophysiological AF expertise to provide a viable treatment option to patients with persistent AF or LSPAF. Long-term follow-up is under way. PMID: 20961832 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088806 Thu, 30 Sep 2010 23:00:00 +0100 4088806 http://www.medworm.com/index.php?rid=4088805&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961833%26dopt%3DAbstract Authors: Jiang S, Zhang T, Ren C, Wang Y Prosthetic valve thrombosis is a rare but life threatening complication of mechanical heart valve prosthesis. A 44-year-old woman diagnosed with rheumatic heart disease with severe mitral valve stenosis, moderate tricuspid valve insufficiency, and atrial fibrillation underwent transeptal mitral valve replacement and tricuspid valvuloplasty in our department. Heparin and warfarin were routinely used postoperatively. Although the international normalized ratio (INR), activated partial thromboplastin time ratio, and platelet count were satisfactory, the patient presented with severe dyspnea suddenly 10 days after discharge; echocardiogram showed that the prosthetic posterior leaflet was immobile. The patient suffered cardiac arrest suddenly during ... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088805 Thu, 30 Sep 2010 23:00:00 +0100 4088805 http://www.medworm.com/index.php?rid=4088804&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961834%26dopt%3DAbstract Conclusions: Tissue Doppler is a reliable method to deliver information about the topography of first onset of myocardial excitation. Further development of this method with a higher regional resolution and integration of color Doppler as well as 3-D echocardiography may eventually lead to the development of a completely noninvasive and echo-based electromechanical mapping system. PMID: 20961834 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088804 Thu, 30 Sep 2010 23:00:00 +0100 4088804 http://www.medworm.com/index.php?rid=4088803&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961835%26dopt%3DAbstract In this report, we describe subacute mitral regurgitation secondary to anterior leaflet rupture following percutaneous balloon mitral valvuloplasty and the management strategy in a 54-year-old female patient. Such a complication is rare in experienced hands in the current era. PMID: 20961835 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088803 Thu, 30 Sep 2010 23:00:00 +0100 4088803 http://www.medworm.com/index.php?rid=4088802&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961836%26dopt%3DAbstract We describe a patient who had a diagnosis of CPF while undergoing investigation for a cryptogenic stroke. PMID: 20961836 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088802 Thu, 30 Sep 2010 23:00:00 +0100 4088802 http://www.medworm.com/index.php?rid=4088801&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961837%26dopt%3DAbstract Authors: Iyigun T, Ciloglu U, Ariturk C, Civelek A, Tosun R A 17-year-old female patient with a history of surgery for primary femoral and metastatic lung osteosarcoma was admitted to our clinic with palpitations. Upon evaluation, a metastatic osteosarcoma in the left ventricle was diagnosed. Based on the collaborative decision of the oncology and cardiovascular surgery clinics, surgery was performed and the patient was discharged without any problems. According to the recommendation of the oncology clinic, chemotherapy was postponed for 6 months after surgery. Five months postoperatively, however, she had a recurrence with 2 tumors. Based on the collaborative decision, chemotherapy was initiated and in 2 months the size of the recurrent tumors had diminished. The patient is still unde... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088801 Thu, 30 Sep 2010 23:00:00 +0100 4088801 http://www.medworm.com/index.php?rid=4088800&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961838%26dopt%3DAbstract In this report, we present the management strategy for a 23-year-old female patient with TAR syndrome who underwent mitral valve repair. PMID: 20961838 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088800 Thu, 30 Sep 2010 23:00:00 +0100 4088800 http://www.medworm.com/index.php?rid=4088799&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961839%26dopt%3DAbstract We describe 3 cases of AORPA that successfully underwent complete surgical correction without extracorporeal circulation. PMID: 20961839 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088799 Thu, 30 Sep 2010 23:00:00 +0100 4088799 http://www.medworm.com/index.php?rid=4088798&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961840%26dopt%3DAbstract Conclusion: This case demonstrates the utility of a transthoracic intra-aortic balloon pump as a preoperative means of stabilization in very high risk patients with severe peripheral vascular disease in whom the conventional approaches are not possible. PMID: 20961840 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088798 Thu, 30 Sep 2010 23:00:00 +0100 4088798 http://www.medworm.com/index.php?rid=4088797&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20961841%26dopt%3DAbstract Conclusions: This study is the first to demonstrate the presence of HHV-6 in atherosclerotic vascular tissues. HHV-7 and HHV-8 were not found in atherosclerotic tissues; however, further research on broader study groups and with different protocols is needed to determine whether these viruses play a role in the formation of atherosclerosis. PMID: 20961841 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=4088797 Thu, 30 Sep 2010 23:00:00 +0100 4088797 http://www.medworm.com/index.php?rid=3885619&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719720%26dopt%3DAbstract Conclusions: The clinical feasibility of the system was proved. The system provides better visualization and position control and can effectively increase the safety of the procedure. This system has the potential of making Port Access a more attractive technique. PMID: 20719720 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885619 Sat, 31 Jul 2010 23:00:00 +0100 3885619 http://www.medworm.com/index.php?rid=3885618&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719721%26dopt%3DAbstract Conclusions: The risk factors for readmission after cardiac surgery with fast-track recovery may differ according to the type of operation. A strict control of volume balance and blood transfusion may further help prevent the occurrence of the most frequent cause of readmission, respiratory failure. PMID: 20719721 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885618 Sat, 31 Jul 2010 23:00:00 +0100 3885618 http://www.medworm.com/index.php?rid=3885617&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719722%26dopt%3DAbstract Conclusion: Carvedilol significantly suppresses apoptosis in our ex vivo setting. This finding warrants further studies to evaluate the potential beneficial effects of carvedilol in suppressing ischemia/reperfusion injury in clinical settings. PMID: 20719722 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885617 Sat, 31 Jul 2010 23:00:00 +0100 3885617 http://www.medworm.com/index.php?rid=3885616&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719723%26dopt%3DAbstract Conclusion: Cases must be carefully considered before administering propafenone hydrochloride, but the results of this study indicate that propafenone hydrochloride may prevent the development of PAF. PMID: 20719723 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885616 Sat, 31 Jul 2010 23:00:00 +0100 3885616 http://www.medworm.com/index.php?rid=3885615&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719724%26dopt%3DAbstract Conclusion: We found Dermacyn to be safe and more effective as a wound-irrigation agent than povidone-iodine for preventing sternotomy wound infection. PMID: 20719724 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885615 Sat, 31 Jul 2010 23:00:00 +0100 3885615 http://www.medworm.com/index.php?rid=3885614&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719725%26dopt%3DAbstract Conclusion: The biodegradable ring annuloplasty technique may be used easily and safely in moderate and severe cases of tricuspid regurgitation; however, larger clinical series are necessary to confirm our promising results. PMID: 20719725 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885614 Sat, 31 Jul 2010 23:00:00 +0100 3885614 http://www.medworm.com/index.php?rid=3885613&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719726%26dopt%3DAbstract Conclusions: Comparing HG with other valve prostheses, survival and graft durability seem to be confirmed. They are vulnerable to infections. The hemodynamic performance is good, and hemorrhagic or thrombo-embolic events are rare. PMID: 20719726 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885613 Sat, 31 Jul 2010 23:00:00 +0100 3885613 http://www.medworm.com/index.php?rid=3885612&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719727%26dopt%3DAbstract Conclusions: Preoperative atorvastatin treatment in patients with coronary artery disease increases plasma NO levels before and after reactive hyperemia prior to surgery. CABG surgery with CPB significantly impairs endothelial-derived NO levels, with or without preoperative atorvastatin treatment. Preoperative nitroglycerine use is correlated with higher NO levels after CABG. PMID: 20719727 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885612 Sat, 31 Jul 2010 23:00:00 +0100 3885612 http://www.medworm.com/index.php?rid=3885611&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719728%26dopt%3DAbstract Conclusions: A novel treatment consisting of hydrogel injection into the base of the LV between the 2 papillary muscles was found to be feasible and effective for reducing functional MR in a canine model. PMID: 20719728 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885611 Sat, 31 Jul 2010 23:00:00 +0100 3885611 http://www.medworm.com/index.php?rid=3885610&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719729%26dopt%3DAbstract Authors: Abe T, Ito T, Sunada M, Yoshizumi T, Kawamura A, Yamana K Severe calcification of the ascending aorta and the aortic arch complicates cardiac surgery. The optimal approach in such patients is unknown. Four valve surgeries were performed with balloon occlusion without hypothermic circulatory arrest. All patients had femoral arterial cannulation, and all 3 patients who required an aortotomy had right axillary artery cannulation as well. A balloon catheter was inserted just proximal to the brachiocephalic artery via a purse-string stitch. Good cardiac arrest was obtained in all cases, and a good bloodless field was obtained in all 3 aortic valve cases. There were no balloon-related complications. The patients all showed good postoperative courses. Balloon occlusion of the ascendi... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885610 Sat, 31 Jul 2010 23:00:00 +0100 3885610 http://www.medworm.com/index.php?rid=3885609&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719730%26dopt%3DAbstract Conclusions: Flow reduction of the ITA graft ipsilateral to an upper-extremity arteriovenous fistula develops during postoperative hemodialysis, even when the skeletonization technique is used. PMID: 20719730 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885609 Sat, 31 Jul 2010 23:00:00 +0100 3885609 http://www.medworm.com/index.php?rid=3885608&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719731%26dopt%3DAbstract Authors: Bell D, Marasco S, Almeida A, Rowland M With the recent withdrawal of the antifibrinolytic aprotinin from the market, tranexamic acid (TxA) has become more widely used. This change has led to increasing concern about the side-effect profile of TxA, particularly the incidence of postoperative seizures. In this case series, we describe 7 patients over an 18-month period who had open-chamber cardiac surgery and developed seizures in the postoperative period. This incidence is increased compared with that of a cohort of patients in the previous 36 months who did not receive TxA (0.66% versus 0%; P < .05). The exact mechanism of TxA-induced seizures is thought to be via inhibition of gamma-aminobutyric acid receptors in neurons. Data from the neurosurgical literature show a well... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885608 Sat, 31 Jul 2010 23:00:00 +0100 3885608 http://www.medworm.com/index.php?rid=3885607&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719732%26dopt%3DAbstract Authors: Tuygun AK, Balci AY, Tuygun A, Günay R, Sensöz Y, Yurtseven N, Alkan P A 68-year-old male patient with acute coronary syndrome was referred to our center. He also received a diagnosis of diaphragmatic hernia after a clinical examination. The patient underwent a simultaneous aorta coronary bypass operation and repair of the congenital diaphragm hernia. During the operation, the patient was observed to have an atrial septal defect. Our handling of the case is discussed in light of the literature. PMID: 20719732 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885607 Sat, 31 Jul 2010 23:00:00 +0100 3885607 http://www.medworm.com/index.php?rid=3885606&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719733%26dopt%3DAbstract We report the case of a 7-day-old boy who underwent operation for transposition of the great arteries with a ventricular septal defect. An intraseptal hematoma occurred postoperatively. Because of the rarity of this complication, the optimal strategy for treating this problem is not known. We opted for a conservative approach. In the "Discussion," we elaborate on the existing literature. PMID: 20719733 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885606 Sat, 31 Jul 2010 23:00:00 +0100 3885606 http://www.medworm.com/index.php?rid=3885605&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719734%26dopt%3DAbstract We report an elective single-stage operation in which the ascending aorta was replaced and an extracardiac bypass from the ascending to the descending aorta was performed with excellent results. PMID: 20719734 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885605 Sat, 31 Jul 2010 23:00:00 +0100 3885605 http://www.medworm.com/index.php?rid=3885604&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719735%26dopt%3DAbstract Authors: Jiang S, Zhang T, Sheng W, Gao C We studied the clinical characteristics and operative treatment of left ventricular outflow tract obstruction (LVOTO) caused by a congenital accessory mitral valve (AMV). Two patients were admitted to our department. Preoperatively, case 1 was diagnosed as congenital heart disease with severe LVOTO and an anterior mitral valve cleft. The patient in case 2 had a congenital atrial septal defect combined with AMV and mild LVOTO, as well as mild mitral valve regurgitation. In case 1, LVOTO was caused by a type I (fixed) AMV. In case 2, the AMV was type II (mobile type). Both AMV were resected, and the concomitant cardiac disorders were treated simultaneously. The operations were successful, and the LVOTO almost disappeared. Patients with LVOTO caus... The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885604 Sat, 31 Jul 2010 23:00:00 +0100 3885604 http://www.medworm.com/index.php?rid=3885603&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719736%26dopt%3DAbstract We report an unusual case of AR in a 72-year-old man due to an aortic root pouch. The diagnosis AR was made by cardiac echocardiography, and the cause was revealed by cardiac catheterization and 64-slice cardiac computed tomography. During aortic valve replacement, a saccular pouch between the noncoronary cusp and the right coronary cusp of the aortic valve was noted. PMID: 20719736 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885603 Sat, 31 Jul 2010 23:00:00 +0100 3885603 http://www.medworm.com/index.php?rid=3885602&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719737%26dopt%3DAbstract Authors: Jun F, Shun ZY, Min LY, Xue QG, Yan TH, Hao Q, Li XX A 46-year-old man presented with large bilateral aneurysm of the axillary arteries combined with Marfan syndrome. Treatment consisted of axillary aneurysm resection and vessel replacement. Postoperative computed tomographic angiography confirmed good flow in the bilateral axillary artery, and the patient recovered without complication. PMID: 20719737 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885602 Sat, 31 Jul 2010 23:00:00 +0100 3885602 http://www.medworm.com/index.php?rid=3885601&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20719738%26dopt%3DAbstract We present the case of a 54-year-old man with a delayed acute Stanford A aortic dissection following an off-pump coronary artery bypass surgery in preexisting chronic type B disease. Such a case of an iatrogenic acute aortic dissection poses a significant challenge and dilemma in choosing the best technique for coronary revascularization in this group of patients. The pathophysiology and technical options are discussed. PMID: 20719738 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3885601 Sat, 31 Jul 2010 23:00:00 +0100 3885601 http://www.medworm.com/index.php?rid=3656011&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534411%26dopt%3DAbstract Conclusions: A standardized OPCAB approach in patients with a severely decreased EF is safe and may benefit this subset of patients with respect to fewer postoperative complications. Although complete revascularization is the optimal approach for these patients, they benefit from avoiding cardiopulmonary bypass. PMID: 20534411 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656011 Mon, 31 May 2010 23:00:00 +0100 3656011 http://www.medworm.com/index.php?rid=3656010&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534412%26dopt%3DAbstract CONCLUSIONS: Complex coronary pathology as measured by the SYNTAX score did not affect the long-term outcome after CABG in this study. PMID: 20534412 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656010 Mon, 31 May 2010 23:00:00 +0100 3656010 http://www.medworm.com/index.php?rid=3656009&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534413%26dopt%3DAbstract CONCLUSION: Prophylactic tranexamic acid reduces bleeding and the need for transfusion. This effect exists in patients using clopidogrel but is less prominent. Preoperative use may be beneficial in patients using clopidogrel without any need for delaying the surgical procedure. PMID: 20534413 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656009 Mon, 31 May 2010 23:00:00 +0100 3656009 http://www.medworm.com/index.php?rid=3656008&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534414%26dopt%3DAbstract CONCLUSIONS: We have shown that use of the da Vinci S Surgical System to perform on-pump ASD repairs on the beating heart without cross-clamping the aorta is feasible, safe, and effective. PMID: 20534414 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656008 Mon, 31 May 2010 23:00:00 +0100 3656008 http://www.medworm.com/index.php?rid=3656007&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534415%26dopt%3DAbstract We report a case involving CABG for triple-vessel disease and unstable angina. Reexploration was necessary 24 hours after the operation because of the sudden onset of pronounced bleeding. Perforation of the ascending aorta caused by friction of the chest tube was found. Bleeding was controlled by means of a purse string suture with 4-0 Prolene. Use of pericardium membrane between the heart and the chest tube and the choice of smaller and more flexible Silastic chest tubes in high-risk patients can probably reduce the incidence of this complication. PMID: 20534415 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656007 Mon, 31 May 2010 23:00:00 +0100 3656007 http://www.medworm.com/index.php?rid=3656006&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534416%26dopt%3DAbstract This study will be completed with all patients followed up for 12 months and compared with a control group. PMID: 20534416 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656006 Mon, 31 May 2010 23:00:00 +0100 3656006 http://www.medworm.com/index.php?rid=3656005&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534417%26dopt%3DAbstract CONCLUSION: We conclude that by avoiding full sternotomy, the approach of minimal surgical access contributes to an improved postoperative stability of the chest and less surgical pain. On the other hand, the limited exposure of the heart is a disadvantage of minimally invasive valve repair. Minimally invasive surgical valve repair is safe and feasible with excellent outcomes and is well tolerated in the elderly. Care must be taken to follow the learning curve for operation duration and to treat surgical complications. PMID: 20534417 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656005 Mon, 31 May 2010 23:00:00 +0100 3656005 http://www.medworm.com/index.php?rid=3656004&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534418%26dopt%3DAbstract CONCLUSIONS: Prophylactic tricuspid annuloplasty on the donor heart was able to reduce significantly the degree of valvular insufficiency, even in cardiac transplantation with bicaval anastomosis; however, it did not modify significantly the hemodynamic performance of the allograft during the investigation period. It is very important to extend the observation period and casuistics to verify other benefits that this technique may offer. PMID: 20534418 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656004 Mon, 31 May 2010 23:00:00 +0100 3656004 http://www.medworm.com/index.php?rid=3656003&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534419%26dopt%3DAbstract CONCLUSION: Clinically observed pathologic configurations of the MV can be accurately reproduced ex vivo by altering the tethering and coapting forces acting on mitral leaflets. Our results support the mechanism of mitral regurgitation in which increased tethering forces and decreased coapting forces acting on the leaflets create the regurgitant orifice. PMID: 20534419 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656003 Mon, 31 May 2010 23:00:00 +0100 3656003 http://www.medworm.com/index.php?rid=3656002&cid=s_37102_157_f&fid=37102&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20534420%26dopt%3DAbstract CONCLUSION: Epicardial implantation of a CRT system concomitantly with CABG facilitates the early postoperative period, improves LV systolic function, improves the quality of life, and decreases LV dyssynchrony. Moreover, mortality in the CABG + CRT group was significantly lower than in the CABG group. PMID: 20534420 [PubMed - in process] (Source: The Heart Surgery Forum) The Heart Surgery Forum journals http://www.medworm.com/rss/comments.php?id=3656002 Mon, 31 May 2010 23:00:00 +0100 3656002