1,843,385 results match your criteria Cardiovascular revascularization medicine : including molecular interventions[Journal]


Relationship between health-related quality of life and blood pressure control in patients with uncontrolled hypertension.

J Clin Hypertens (Greenwich) 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

We sought to investigate the psychosocial characteristics of patients with uncontrolled hypertension and examine factors that influence blood pressure (BP) control. A total of 1011 patients with uncontrolled hypertension were enrolled in 13 tertiary hospitals. Uncontrolled hypertension was defined as systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg despite on antihypertensive therapy. Read More

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http://dx.doi.org/10.1111/jch.13941DOI Listing

Differential effect of cardiac resynchronization therapy in patients with diabetes mellitus: a long-term retrospective cohort study.

ESC Heart Fail 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiology, University Heart Center Zurich, Raemistr. 100, Zurich, 8091, Switzerland.

Aims: Cardiac resynchronization therapy (CRT) has become an important therapy in patients with heart failure with reduced left ventricular ejection fraction (LVEF). The effect of diabetes on long-term outcome in these patients is controversial. We assessed the effect of diabetes on long-term outcome in CRT patients and investigated the role of diabetes in ischaemic and non-ischaemic cardiomyopathy. Read More

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http://dx.doi.org/10.1002/ehf2.12876DOI Listing

Ageing-associated increase in SGLT2 disrupts mitochondrial/sarcoplasmic reticulum Ca homeostasis and promotes cardiac dysfunction.

J Cell Mol Med 2020 Jul 11. Epub 2020 Jul 11.

Departments of Biophysics, Ankara University Faculty of Medicine, Ankara, Turkey.

The prevalence of death from cardiovascular disease is significantly higher in elderly populations; the underlying factors that contribute to the age-associated decline in cardiac performance are poorly understood. Herein, we identify the involvement of sodium/glucose co-transporter gene (SGLT2) in disrupted cellular Ca -homeostasis, and mitochondrial dysfunction in age-associated cardiac dysfunction. In contrast to younger rats (6-month of age), older rats (24-month of age) exhibited severe cardiac ultrastructural defects, including deformed, fragmented mitochondria with high electron densities. Read More

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http://dx.doi.org/10.1111/jcmm.15483DOI Listing

Hypertension burden and challenges across the hypertension treatment cascade among adults enrolled in HIV care in northern Tanzania.

J Clin Hypertens (Greenwich) 2020 Jul 11. Epub 2020 Jul 11.

Duke Global Health Institute, Duke University, Durham, NC, USA.

Failure to address hypertension among people living with HIV (PLWH) may undermine the significant progress made toward reducing mortality among this high-risk population in sub-Saharan Africa (SSA). Here, the authors report hypertension prevalence, diagnosis, and treatment among patients enrolled in HIV care in Tanzania. Patients attending an HIV clinic were consecutively screened for hypertension. Read More

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http://dx.doi.org/10.1111/jch.13929DOI Listing

Can percutaneous coronary interventions be performed safely in leukemia patients?

Catheter Cardiovasc Interv 2020 Jul;96(1):64-65

Brookwood Baptist Health, Birmingham, Alabama.

Patients with leukemia are often denied percutaneous coronary intervention (PCI), and those who do undergo PCI are older and sicker. There is a minor increase in vascular complications and no increase in retroperitoneal bleeds, suggesting transfusions may be given for reasons unrelated to the PCI. Since cardiac complications are not increased in leukemia patients, the increased mortality observed in after PCI in acute leukemia may be related more to underlying malignancy. Read More

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http://dx.doi.org/10.1002/ccd.29076DOI Listing

Women with chronic kidney disease undergoing transcatheter aortic valve replacement: Caveat emptor.

Catheter Cardiovasc Interv 2020 Jul;96(1):208-209

Division of Cardiovascular Medicine, Department of Medicine, State University of New York at Stony Brook, Stony Brook, New York, USA.

Over 60% of women presenting for transcatheter aortic valve replacement (TAVR) have coexisting chronic kidney disease (CKD). In women undergoing TAVR, CKD was associated with significantly higher rates of adverse events, including a twofold higher rate of risk-adjusted mortality at 1 year. This study is an important step forward in our understanding of risk stratification in women with CKD undergoing TAVR and suggests that measures to optimize outcomes warrant further investigation in this high-risk group of patients. Read More

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http://dx.doi.org/10.1002/ccd.29080DOI Listing

Intervention in coronary bifurcation lesions: Staying on top of the proximal optimization technique (POT).

Catheter Cardiovasc Interv 2020 Jul;96(1):40-41

Department of Cardiovascular Sciences, Fortis Escorts Heart Institute, New Delhi, India.

Proximal optimization technique (POT) restores the stent to the fractal geometry of coronary bifurcations and is the final step when using two-stent strategy. Optimal positioning of balloon during final POT is vital to achieve best results without side branch compromise. In vitro studies provide valuable insights to define procedural strategies and help achieve best outcomes for coronary bifurcation lesions. Read More

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http://dx.doi.org/10.1002/ccd.29078DOI Listing

Peripheral vascular disease in women: Are we analyzing the costs correctly?

Catheter Cardiovasc Interv 2020 Jul;96(1):143-144

Lankenau Medical Center, Main Line Health System, Wynnewood, Pennsylvania, USA.

Women treated with a peripheral vascular intervention, on average, have more comorbidities and cost more per hospital admission than women treated with a percutaneous coronary intervention. The impact of critical limb ischemia on these results is likely significant, but not available in these data. Physicians need to be more aware of the differences in the risks and manifestations of cardiovascular disease in women. Read More

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http://dx.doi.org/10.1002/ccd.29086DOI Listing

NAFLD is related to Postprandial Triglyceride-enrichment of HDL Particles in Association with Endothelial and HDL Dysfunction.

Liver Int 2020 Jul 11. Epub 2020 Jul 11.

Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.

NAFLD is closely related with the metabolic syndrome (MetS) and increased risk of cardiovascular disease. Liver fat associates with postprandial hypertriglyceridemia, potentially contributing to triglyceride-enrichment of high-density-lipoproteins (HDL-TG), and subsequent HDL-dysfunction. We assessed liver fat by MR-spectroscopy, and its association with HDL physiochemical properties, and endothelial function, measured as flow-mediated dilation (FMD), before and following 3 consecutive meals, in 36 men with type 2 diabetes (T2DM), with the MetS, and controls. Read More

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http://dx.doi.org/10.1111/liv.14597DOI Listing

Increased Inflammasome Activity in Subcutaneous Adipose Tissue of Patients with Metabolic Syndrome.

Diabetes Metab Res Rev 2020 Jul 11. Epub 2020 Jul 11.

VA Medical Center, Mather, California.

Aims: The metabolic syndrome (MetS) is an inflammatory disorder associated with an increased risk for diabetes and atherosclerotic cardiovascular disease (ASCVD). Studies in patients and animal models of obesity and diabetes have shown increased NOD-like receptor family pyrin domain containing 3 (NLPR3) inflammasome activity. However, there is scanty data on the activity of the NLRP3 inflammasome in patients with nascent MetS. Read More

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http://dx.doi.org/10.1002/dmrr.3383DOI Listing

High-protein diet more effectively reduces hepatic fat than low-protein diet despite lower autophagy and FGF21 levels.

Liver Int 2020 Jul 11. Epub 2020 Jul 11.

Department of Clinical Nutrition, German Institute of Human Nutrition Potsdam-Rehbrücke (DIfE), Nuthetal, 14558, Germany.

Background And Aims: Non-alcoholic fatty liver disease (NAFLD) is becoming increasingly prevalent and nutrition intervention remains the most important therapeutic approach for NAFLD. Our aim was to investigate whether low- (LP) or high-protein (HP) diets are more effective in reducing liver fat and reversing NAFLD and which mechanisms are involved.

Methods: 19 participants with morbid obesity undergoing bariatric surgery were randomized into two hypocaloric (1500-1600 kcal/day) diet groups, a low protein (10E% protein) and a high protein (30E% protein), for three weeks prior to surgery. Read More

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http://dx.doi.org/10.1111/liv.14596DOI Listing

Use of a pectus bar for surgical stabilization of cardiopulmonary resuscitation induced flail chest.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Yangsan, South Korea.

A flail chest can occur when cardiopulmonary resuscitation causes extensive rib fractures. Despite successful cardiopulmonary resuscitation, if the flail chest is not treated, the patient may not survive regardless of the correction of the primary condition that caused the cardiac arrest. Therefore, if flail chest persists despite the appropriate conservative management to correct the flail chest, active surgical management is essential. Read More

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http://dx.doi.org/10.1111/jocs.14773DOI Listing

Decreased RPM reduces von Willebrand factor degradation with the EVAHEART LVAS: implications for device-specific LVAD management.

J Card Surg 2020 Jul;35(7):1477-1483

Evaheart Inc, Houston, Texas.

Background: Continuous-flow left ventricular assist devices (LVADs) produces supraphysiologic shear stress that causes von Willebrand factor (VWF) degradation and a bleeding diathesis. Reduction of revolutions per minute (RPM) with axial-flow LVADs does not decrease shear stress enough to reduce VWF degradation and bleeding. However, it is unknown if RPM reduction with centrifugal flow LVADs may minimize VWF degradation. Read More

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http://dx.doi.org/10.1111/jocs.14620DOI Listing

Anomalous origin of left vertebral artery from descending thoracic aorta: A rare variant.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

We present a case of a 4-year-old child operated previously for cyanotic congenital heart disease where the follow-up computed tomography (CT) angiography revealed anomalous origin of the left vertebral artery from the descending thoracic aorta. This case also highlights the potential implications of this variant and the value of CT angiography in diagnosing this anomaly. Read More

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http://dx.doi.org/10.1111/jocs.14786DOI Listing

Alcohol septal ablation: A useful tool in our arsenal against hypertrophic obstructive cardiomyopathy.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.

Objective: Affecting 1 in 500 individuals; hypertrophic cardiomyopathy is an autosomal dominant cardiovascular disorder which is prevalent throughout the world. Surgical myectomy (SM) and alcohol septal ablation (ASA) are two methods currently used for the management of drug refractory hypertrophic obstructive cardiomyopathy (HOCM). ASA may prove to be a useful, less invasive treatment in patients with HOCM METHODS: Electronic literature search was conducted to identify articles that discussed methods to treat drug refractory HOCM. Read More

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http://dx.doi.org/10.1111/jocs.14815DOI Listing

Bolus potassium in frustrated ventricular fibrillation storm: Evidence are growing!

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.

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http://dx.doi.org/10.1111/jocs.14732DOI Listing

Probability of sinus rhythm conversion and maintenance in cardiac re-synchronization therapy patients with atrial fibrillation during 5-year follow-up.

J Cardiovasc Electrophysiol 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiac Surgery, Kerckhoff-Klinik, Bad Nauheim, Germany.

Introduction: There is a high prevalence of atrial fibrillation (AF) in patients with heart failure presented for cardiac resynchronization therapy (CRT). It remains unclear whether an atrial lead should be implanted in these patients. We, therefore, analyzed outcomes and course of rhythm in AF patients undergoing CRT implantation during long-term follow-up. Read More

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http://dx.doi.org/10.1111/jce.14668DOI Listing

Long-term risk of heart failure and mortality following mitral valve surgery in patients with and without right ventricular pacemaker.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Medicine, Section of Cardiovascular Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.

Objectives: Patients undergoing mitral valve surgery are at risk of developing postoperative conduction blocks and have a high incidence of heart failure (HF). Mitral valve surgery often results in reduced left ventricular systolic ejection fraction following surgery and the imposition of dyssynchrony with right ventricular (RV) pacing may further compromise stroke volume. Our aim was to investigate the risks of HF and mortality in patients with vs without RV pacemaker placement (PPM) after mitral valve surgery. Read More

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http://dx.doi.org/10.1111/jocs.14847DOI Listing

Acquired von Willebrand syndrome secondary to mitral and aortic regurgitation.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, National Hospital Organization Tokyo Medical Center, Meguro, Tokyo, Japan.

Background: The association of aortic valve stenosis with gastrointestinal bleeding was first described by Edward Heyde in 1958. Since then, there have been numerous case reports of Heyde syndrome in the medical literature worldwide.

Aims: Recently, the definition of Heyde syndrome has been updated to include the combination of aortic valve stenosis, intestinal angiodysplasia, and acquired von Willebrand factor syndrome (AVWS). Read More

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http://dx.doi.org/10.1111/jocs.14796DOI Listing

Coronary artery thromboembolism: Unexpected presentation of left atrial myxoma covered with thrombus.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Pathology, Dr Lutfi Kirdar Kartal Egitim ve Arastirma Hastanesi, Istanbul, Turkey.

Cardiac myxomas are benign primer cardiac tumors of the heart. They can be fatal with a thromboembolic presentation. Myocardial infarction is one of these unusual thromboembolic presentations. Read More

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http://dx.doi.org/10.1111/jocs.14830DOI Listing

Massive coronary spasm of the native coronary system after coronary artery bypass grafting: Two patients with different outcomes.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiac Surgery, Faculty of Medicine, National Institute of Cardiovascular Diseases, Comenious University, Bratislava, Slovakia.

We report the cases of two patients who developed a massive spasm of the native coronary system in the immediate postoperative period, following a coronary artery bypass grafting operation with different outcomes. The first patient was hemodynamic stable and it was manifested as ischemic electrocardiographic changes in different leads (ST elevation or depression). He was treated with intracoronary and intravenous administration of nitroglycerin and calcium channel blocker and had a favorable outcome. Read More

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http://dx.doi.org/10.1111/jocs.14849DOI Listing

Atretic right superior vena cava with left superior vena cava draining directly into left atrium with absent coronary sinus in an adult with partial atrioventricular canal defect and complete heart block.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular and Thoracic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

The association of atretic right superior vena cava with persistent left superior vena cava draining directly into left atrium with absent coronary sinus in atrioventricular canal defect is virtually unknown in adults with no case reported so far. Though atretic right superior vena cava with persistent left superior vena cava is an extremely rare venous anomaly seen in congenital heart disease, it has important clinical implications in cardiac surgery and interventional cardiology. Atrial arrhythmias and right bundle branch block are common with advancing age in partial atrioventricualr canal defect but complete heart block has scarcely been reported in the medical literature. Read More

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http://dx.doi.org/10.1111/jocs.14818DOI Listing

Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant omne iter incipit primus.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Heart-lung transplant (HLT) is a widely accepted modality for certain patients with advanced and refractory cardiopulmonary disease. Some of these patients are critically ill on the transplant waiting list, and venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be used as a bridge to transplantation. Although the experience with ECMO as a bridge to lung transplant is promising, there is limited evidence to use ECMO as a bridge to HLT. Read More

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http://dx.doi.org/10.1111/jocs.14779DOI Listing

Outcomes of type A intramural hematoma: Influence of diabetes mellitus.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, The First Affiliated Hospital of Xiamen University, Teaching Hospital of Fujian Medical University, Xiamen, Fujian, China.

Objectives: We aimed to investigate whether uncomplicated type A intramural hematoma (IMHA) patients with type 2 diabetes mellitus (DM) who underwent a "wait-and-watch strategy" and tight glycemic control had similar clinical outcomes as patients without DM who received the same treatment strategy.

Methods: Between January 2010 and December 2016, uncomplicated IMHA patients with and without diabetes mellitus were included and were propensity score-matched to improve the balance between the two groups. Cox proportional hazard models were constructed to identify the specific factors associated with aorta-related mortality. Read More

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http://dx.doi.org/10.1111/jocs.14812DOI Listing

Authors' response to letter to the editor: "Therapeutic strategy of dialysis catheter-associated massive thrombus".

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiovascular Surgery, Department of Surgery, The University of Alabama at Birmingham, Birmingham, Alabama.

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http://dx.doi.org/10.1111/jocs.14727DOI Listing

Cardiac manifestations in COVID-19 patients-A systematic review.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.

Objectives: The coronavirus disease-2019 (COVID-19) pandemic has resulted in the worst global pandemic of our generation, affecting 215 countries with nearly 5.5 million cases. The association between COVID-19 and the cardiovascular system has been well described. Read More

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http://dx.doi.org/10.1111/jocs.14808DOI Listing

Transcatheter aortic valve implantation and its impact on mitral valve geometry and function.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.

Background: The aim of this study was to evaluate the impact of transcatheter aortic valve implantation (TAVI) on mitral valve geometry and function.

Methods: Eighty-four patients underwent TAVI. Forty-four (52%) patients received a balloon-expandable valve and 40 (48%) were implanted with a self-expandable valve. Read More

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http://dx.doi.org/10.1111/jocs.14734DOI Listing

Is shortage of heart donors a real problem? Insights from a Brazilian Mid-West heart transplant program.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, Instituto de Cardiologia do Distrito Federal, Brasilia, Distrito Federal, Brazil.

Background And Aim Of The Study: In developed countries, the shortage of viable donors is the main limiting factor of heart transplantation. The aim of this study is to determine whether the same reality applies to Brazil.

Methods: Between January 2012 and December 2014, 299 adult heart donor offers were studied in terms of donor profiles and reasons for refusal. Read More

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http://dx.doi.org/10.1111/jocs.14781DOI Listing

Surgical vs transfemoral aortic valve replacement in low-risk patients: An updated meta-analysis of trial and registry data.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, UK.

Background: Transfemoral aortic valve replacement (TAVR) has been studied extensively in patients with improving safety and efficacy in high to intermediate-risk patients with aortic stenosis. TAVR has been now approved for patients with low surgical risk.

Objective: The purpose of this study is to integrate the evidence from randomized controlled trials (RCT) and large registry data comparing TAVR to surgical aortic valve repair (SAVR). Read More

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http://dx.doi.org/10.1111/jocs.14802DOI Listing

Protek Duo Rapid Deployment cannulation utilized to bridge to durable heartware left ventricular assist device.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, Florida.

A 43-year-old gentleman was transferred for management of acute on chronic cardiogenic shock (left ventricular ejection fraction < 10%). Upon arrival, we inserted a left axillary intra-aortic balloon pump for hemodynamic support. He underwent an emergent left and right-heart catheterization which showed patent stents and coronaries, in the setting of severely elevated pulmonary artery and pulmonary capillary wedge pressure. Read More

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http://dx.doi.org/10.1111/jocs.14775DOI Listing

Surgical results and pathological analysis of cardiac fibroma in the adolescent and the adult.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Backgrounds: Disparities may exist between the adolescent and the adult patients with cardiac fibromas in the symptoms, surgical outcomes, and pathological characteristics. The aim of this study was to compare short and midterm surgical outcomes of cardiac fibromas and to compare the biomarker expressions of tumor tissue samples between the adult and the adolescent.

Methods: Consecutive patients with the diagnosis of cardiac fibroma were admitted and received surgeries. Read More

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http://dx.doi.org/10.1111/jocs.14790DOI Listing

Current trends in the management of acute type A aortic intramural hematoma.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.

Within the spectrum of acute aortic syndromes, intramural hematoma (IMH) is a distinct lesion that is characterized by crescentic or circumferential thickening of the aortic wall in the absence of an intimal defect. The reported incidence of IMH among all type A acute aortic syndromes ranges from 3.5% to 28. Read More

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http://dx.doi.org/10.1111/jocs.14819DOI Listing

Prospective randomized trial of endoscopic vs open radial artery harvest for CABG: Clinical outcome, patient satisfaction, and midterm RA graft patency.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiology, King Fahd Military Medical Complex, Dhahran, KSA.

Background And Aim: Endoscopic radial artery (RA) harvest (ERAH) is an alternative to open RA harvest (ORAH) technique. Our aim was to ascertain clinical outcomes, patent satisfaction, and 1-year angiographic patency rates after ERAH and ORAH.

Patients And Methods: A total of 50 patients undergoing coronary artery bypass grafting were prospectively randomized to two groups. Read More

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http://dx.doi.org/10.1111/jocs.14706DOI Listing

Pasteurella Multiocida infection resulting in a descending thoracic aorta mycotic pseudoaneurysm.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Vascular Surgery, College of Medicine, University of Florida, Gainesville, Florida.

Objective: Highlight our management of a Pasteurella Multiocida-infected descending thoracic aorta mycotic pseudoaneurysm.

Methods: Report a case of a canine bite resulting in a P. Multiocida descending thoracic aorta mycotic pseudoaneurysm. Read More

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http://dx.doi.org/10.1111/jocs.14776DOI Listing

Late tricuspid regurgitation and right ventricular remodeling after tricuspid annuloplasty.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Cardio-Thoracic Surgery Unit, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands.

Background: The aim of the present retrospective study was to evaluate the influence of preoperative right ventricular (RV) and tricuspid valve (TV) remodeling on the fate of tricuspid annuloplasty (TA) and right ventricle.

Methods: From May 2009 to December 2015, 423 patients who had undergone TA for functional tricuspid regurgitation (TR) were included in the study. Residual and recurrent TR were defined as moderate or more TR at discharge and follow-up, respectively. Read More

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http://dx.doi.org/10.1111/jocs.14840DOI Listing

Outcomes of coronary artery bypass grafting in patients with human immunodeficiency virus infection.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Surgery, Division of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

Background: With early and effective antiretroviral therapy and improved survival for persons living with human immunodeficiency virus infection (PLHIV), this patient population now faces an increasingly elevated risk of cardiovascular disease. However, the data on outcomes after coronary artery bypass grafting (CABG) for revascularization of coronary artery disease (CAD) in HIV+ patients is limited.

Methods: We conducted a retrospective analysis of 16 patients undergoing isolated CABG at the Medical University of Vienna from 2005 to 2018, who were HIV+ on admission. Read More

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http://dx.doi.org/10.1111/jocs.14828DOI Listing

Giant right coronary artery aneurysm in the setting of the acute coronary syndrome: A case report.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiac Surgery, AlMana General Hospital, AL Khobar, Saudi Arabia.

Giant right coronary artery (RCA) aneurysm is a rare coronary artery pathology. We describe a 45-year-old gentleman who presented with unstable angina of recent onset. Diagnostic workup including chest computed tomography angiography and left heart catheterization demonstrated three-vessel coronary artery disease with giant proximal RCA aneurysm. Read More

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http://dx.doi.org/10.1111/jocs.14717DOI Listing

Impridone enhances vascular relaxation via FOXO1 pathway.

Clin Exp Pharmacol Physiol 2020 Jul 11. Epub 2020 Jul 11.

Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia.

Cardiovascular complications are a side effect of cancer therapy, potentially through reduced blood vessel function. ONC201(TIC10) is currently used in Phase 2 clinical trials to treat high-grade gliomas. TIC10 is a Phosphatidylinositol 3-kinase (PI3K)/AKT/extracellular signal-regulated kinase (ERK) inhibitor that induces apoptosis via upregulation of TNF-related apoptosis-inducing ligand, which via stimulation of FOXO and death receptor could increase eNOS upregulation. Read More

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http://dx.doi.org/10.1111/1440-1681.13377DOI Listing

Spontaneous contained rupture of the nonaneurysmal ascending aorta: Diagnostic importance of pericardial effusion.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Networkx, University of Toronto, Toronto, Canada.

A 58-year-old man with a history of hypertension, dyslipidemia, and an obtuse marginal branch coronary stent developed the sudden onset of chest pain. A contrast computed tomography demonstrated a penetrating ulcer of nondilating ascending aorta and a small pericardial effusion. Coronary angiography showed three-vessel disease. Read More

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http://dx.doi.org/10.1111/jocs.14801DOI Listing

Cardiac Resynchronization Therapy in Patients with Atrial Fibrillation.

J Cardiovasc Electrophysiol 2020 Jul 11. Epub 2020 Jul 11.

Department of Internal Medicine, Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.

Atrial fibrillation (AF) is the most common cardiac arrhythmia and often occurs with heart failure (HF) [1]. AF prevalence increases with increasing severity of HF: for instance its prevalence ranges from 5 percent in patients with New York Heart Association (NYHA) functional class I HF to 40 percent in patients with NYHA class IV HF [2]. This article is protected by copyright. Read More

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http://dx.doi.org/10.1111/jce.14665DOI Listing

Why does the interventricular septum "resist" the scalpel?

Authors:
Samer Kassem

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, Centro Cardiologico Monzino, IRCCS, Milan, Italy.

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http://dx.doi.org/10.1111/jocs.14774DOI Listing

Successful resection of a huge schwannoma of the aortic root with 5-years follow-up.

Authors:
Zhixiong Huang

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, Cardiovascular Institute, Fu Wai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China.

Primary benign schwannomas of the heart are very rare. We report the case of a patient with a huge schwannoma of unique aortic origin. The complete resection of the rare tumor has been successfully performed. Read More

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http://dx.doi.org/10.1111/jocs.14797DOI Listing

Giant ascending aortic aneurysm after aortic valve replacement.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiology, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Giant ascending aortic aneurysms are rare clinical entities and are accompanied by a high annual risk of rupture. We present the imaging, intraoperative, and pathology findings of such a case. Read More

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http://dx.doi.org/10.1111/jocs.14755DOI Listing

Four pathways for hydatid pulmonary embolism.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia.

Introduction: Hydatid pulmonary embolism (HPE) is rare but remains an etiology that needs to be considered and kept in mind, especially in endemic areas, as regards nonthrombotic embolism.

Methods: Between 2000 and 2014, 10 patients were treated in our department for the presence of hydatid material in the pulmonary arterial circulation. Through these 10 cases, we try to assess the radioclinical characteristics and results of the surgical treatment. Read More

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http://dx.doi.org/10.1111/jocs.14754DOI Listing

Rates, predictors, and outcomes of early readmissions after tricuspid valve surgery.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiovascular Medicine, University of Texas McGovern School of Medicine, Houston, Texas.

Background: The data on readmissions following tricuspid valve repair/replacement (TVR) are scarce. We examined rates, predictors, causes, and outcomes of readmissions after TVR, using the National Readmission Database.

Methods: The International Classification of Diseases-9th version was used to identify the patients who underwent isolated TVR or concomitant aortic, mitral, and coronary bypass surgeries. Read More

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http://dx.doi.org/10.1111/jocs.14729DOI Listing

Left innominate vein creation using left internal jugular vein tunneled to right internal jugular vein.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Pediatric Cardiovascular and Thoracic Surgery, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.

Background: Left innominate vein occlusion is a known complication of pacemaker and central venous catheter placement. For dialysis-dependent patients with an arteriovenous fistula (AVF), this can prevent successful hemodialysis and may require surgical intervention.

Case Report: An 8-month-old male was diagnosed with hemolytic uremic syndrome and became dialysis-dependent at 11 months of age. Read More

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http://dx.doi.org/10.1111/jocs.14654DOI Listing

Cardiac tamponade masquerading as headache: A diagnostic conundrum.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiovascular Surgery, Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.

Cardiac tamponade and its protean presentations are well documented. Tamponade presenting after recent cardiac surgery in a patient on anticoagulation is not unknown. However, severe headache as a presenting feature of tamponade is not documented. Read More

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http://dx.doi.org/10.1111/jocs.14809DOI Listing

Left thoracotomy approach for left ventricular pseudoaneurysm due to myocardial infarction after mitral valve replacement for papillary muscle rupture.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

A 59-year-old man with acute mitral regurgitation due to papillary muscle rupture after myocardial infarction was admitted to our hospital. He underwent emergent mitral valve replacement with a mechanical valve by median sternotomy. Although postoperative echocardiography showed no sign of a ventricular aneurysm, echocardiography performed 5 weeks after the surgery showed enlarging left ventricular pseudoaneurysm of the inferior to the posterior cardiac wall. Read More

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http://dx.doi.org/10.1111/jocs.14851DOI Listing

An octogenarian patient with double thoracic saccular aortic aneurysms in conjunction with a Kommerell diverticulum treated with a staged hybrid repair.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, Takaishi Fujii Cardiovascular Hospital, Takaishi-shi, Osaka, Japan.

Background: A Kommerell diverticulum (KD) and aberrant subclavian artery (ASA) are an aortic vascular anomaly.

Case Report: We describe a case of a KD with a right ASA and two asymptomatic thoracic saccular aortic aneurysms in an 83-year-old man, which were treated with a total arch replacement, frozen elephant trunk technique, and staged thoracic endovascular aortic repair.

Conclusions: Some reports on the treatment of a KD and ASA have been reported thus far in the literature. Read More

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http://dx.doi.org/10.1111/jocs.14795DOI Listing

Mitro-aortic valve-in-valve procedures: Many challenges in little space.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Monzino, Milan, Italy.

Multiple valve replacements are known to carry additional risk of morbidity and mortality in redo context. Currently, a transcatheter-based valve-in-valve approach could be useful in reducing potential serious consequences. On the other hand, this approach poses several technical challenges regarding the device and the procedural aspects. Read More

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http://dx.doi.org/10.1111/jocs.14806DOI Listing
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