1,801 results match your criteria Heart Surgery Forum[Journal]


Addition of Vitamin B Complex to Prime Solution in Cobalamin-Deficient Patients to Prevent Postoperative Delirium.

Heart Surg Forum 2019 Feb 25;22(2):E082-E087. Epub 2019 Feb 25.

Cardiovascular Surgery Department, Medicine Faculty, Bozok University, Yozgat, Turkey.

Objective: In this study, we investigated whether the addition of vitamin B complex to prime solution for cardiopulmonary bypass (CPB) in cobalamin-deficient patients undergoing on-pump coronary artery bypass grafting (CABG) helps prevent the development of postoperative delirium (POD).

Materials And Methods: In the present study, 69 of 138 patients with serum vitamin B12 levels <200 pg/mL based on the blood sample taken within 1 week prior to on-pump CABG between January 2013 and December 2017 were enrolled. The control group included 69 patients. Read More

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http://dx.doi.org/10.1532/hsf.2171DOI Listing
February 2019

Preparing for the Lurch into a Surgery Clerkship.

Heart Surg Forum 2019 Apr 18;22(2):E172-E179. Epub 2019 Apr 18.

Division of Cardiac Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.

Over our combined nearly 50 years as surgical educators, we have been asked many times by medical students how they should prepare for and function in a Surgery Clerkship. It is still easy for me (C.G. Read More

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http://dx.doi.org/10.1532/hsf.2447DOI Listing

Opening Pandora's Box - Presumed ST Segment Elevation Myocardial Infarction with Symptomatic Ventricular Tachycardia is Cured by Resection of a Huge Left Ventricular Aneurysm.

Heart Surg Forum 2019 Apr 16;22(2):E170-E171. Epub 2019 Apr 16.

Cardioangiologisches Centrum Bethanien (CCB), Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.

A 76-year-old male patient with history of hypertension, type 2 diabetes, and smoking was admitted to the emergency department with chest pain. The patient reported severe and sudden chest pain accompanied by cold sweating, dizziness, and palpitations. Read More

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http://dx.doi.org/10.1532/hsf.2287DOI Listing

Risk Factors for Predicting Mortality among Old Patients with Acute Myocardial Infarction during Hospitalization.

Heart Surg Forum 2019 Apr 16;22(2):E165-E169. Epub 2019 Apr 16.

Department of Cardiology, Fuxing Hospital, Capital Medical University, Beijing 100038, China.

Objective: To explore the risk factors to predict mortality among acute myocardial infarction (AMI) patients aged ≥ 80 years during their hospitalization.

Methods: A cohort of AMI patients aged ≥ 80 years hospitalized in our hospital were recruited from 2005 to 2014. Variables, including demographics, medical history, hemodynamic condition and laboratory results, were collected and analyzed to find risk factors predicting mortality during hospitalization. Read More

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http://dx.doi.org/10.1532/hsf.2265DOI Listing

Primary Left Atrial Angiosarcoma Presenting as Acute Coronary Syndrome.

Heart Surg Forum 2019 Apr 12;22(2):E162-E164. Epub 2019 Apr 12.

Department of Cardiovascular Diseases, University Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia.

Primary cardiac neoplasms are extremely rare and often overlooked as differential diagnosis. Angiosarcomas are the most common primary malignant neoplasms of the heart often with nonspecific symptoms. We present a 43-year-old woman admitted to our hospital with chest pain and inferoposterolateral myocardial infarction. Read More

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https://journal.hsforum.com/index.php/HSF/article/view/2381
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http://dx.doi.org/10.1532/hsf.2381DOI Listing
April 2019
3 Reads

Surgical Treatment of Rare Giant Inferoposterior Left Ventricular Aneurysm: A Case Report.

Heart Surg Forum 2019 Apr 12;22(2):E159-E161. Epub 2019 Apr 12.

Department of Cardiovascular Surgery, Bakirkoy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

We present the case of a 63-year-old male with post-myocardial infarction causing a giant left ventricular aneurysm and describe the surgical treatment via Dor Procedure. Read More

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http://dx.doi.org/10.1532/hsf.2251DOI Listing

Prosthetic Valve Endocarditis after Transcatheter Aortic Valve Implantation Complicated by Paravalvular Abscess and Treated by Pericardial Patches and Sutureless Valve Replacement.

Heart Surg Forum 2019 Apr 4;22(2):E155-E158. Epub 2019 Apr 4.

Cardiac Surgery Unit, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

Background: Endocarditis is a rare complication of transcatheter aortic valve implantation (TAVI), with an estimated 1-year incidence of 0.50% [Circulation 2015]. However, ensuing consequences are often dire, and its surgical treatment poses unique problems, due to the frequent underlying frailty of TAVI recipients. Read More

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http://dx.doi.org/10.1532/hsf.2347DOI Listing
April 2019
1 Read

The Effect of Aspirin as an Irreversible COX1 Inhibitor in Preventing Non-Valvular Atrial Fibrillation After Coronary Bypass Surgery.

Heart Surg Forum 2019 Mar 11;22(2):E149-E154. Epub 2019 Mar 11.

Atatürk University, Medical Faculty, Department of Cardiovascular Surgery, Erzurum, Turkey.

Background: We investigated whether the use of aspirin (irreversible COX1 inhibitor) in the preoperative period may prevent non-valvular atrial fibrillation, which is the most common rhythm problem in the postoperative period. Non-valvular atrial fibrillation after coronary surgery may lead to an increase in hospital costs due to excessive drug use and long-term hospitalization.

Methods: More than 1000 coronary artery bypass grafting operations were performed between January 2011 to and Nov 2018. Read More

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https://journal.hsforum.com/index.php/HSF/article/view/2111
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http://dx.doi.org/10.1532/hsf.2111DOI Listing
March 2019
1 Read

Plasma miRNA-155 Levels Predict Atrial Fibrillation Recurrence after Cardioversion.

Heart Surg Forum 2019 Mar 11;22(2):E140-E148. Epub 2019 Mar 11.

Department of Laboratory, the First People's Hospital of Xianyang City, Xianyang, Shaanxi Province, China.

Background: MicroRNAs (miRNAs) are widely involved in the regulation of physiological processes, such as cell proliferation, differentiation, apoptosis, angiogenesis, and lipid metabolism. They might be associated with the pathological process of atrial fibrillation (AF). The purpose of our study is to investigate whether plasma miRNA-155 levels have a relationship with AF recurrence. Read More

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http://dx.doi.org/10.1532/hsf.2281DOI Listing

Transaortic Transcatheter Aortic Valve Implantation: Learning Curve, Perioperative, and Midterm Follow-Up Results of a Single Center.

Heart Surg Forum 2019 Mar 11;22(2):E134-E139. Epub 2019 Mar 11.

Vivantes Klinikum im Friedrichshain und Am Urban, Berlin, Germany.

Background: We present our initial institutional experience with transaortic (TAo) transcatheter aortic valve implantation (TAVI) using a self-expanding aortic bioprosthesis.

Methods: A total of 106 patients underwent TAo TAVI with Medtronic CoreValve through a small partial upper sternotomy. We focus our analysis on the overall perioperative results, procedural learning curve (first 30 patients), and midterm follow-up outcomes. Read More

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http://dx.doi.org/10.1532/hsf.2249DOI Listing

Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead.

Heart Surg Forum 2019 Mar 11;22(2):E131-E133. Epub 2019 Mar 11.

Department of Cardiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

Background: Pacemaker lead-related thrombosis is a rare but severe complication in patients with pacing lead implantation in the right ventricle. We present a case with recurrent syncope after single-chamber implantable cardioverter defibrillator (ICD) implantation. Pacing lead-related thrombosis was observed during open-heart surgery. Read More

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https://journal.hsforum.com/index.php/HSF/article/view/2291
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http://dx.doi.org/10.1532/hsf.2291DOI Listing
March 2019
1 Read

Experience with the HeartMate II Left Ventricular Assist Device in Patients Older than 60 Years.

Heart Surg Forum 2019 Mar 8;22(2):E124-E130. Epub 2019 Mar 8.

Division of Cardiothoracic Transplantation and Circulatory Support Baylor College of Medicine Houston, Texas, USA.

Background: Advanced age is a relative contraindication for heart transplantation, but no age cutoff has been defined for patients receiving mechanical circulatory support.

Methods: Between November 1, 2003 and November 1, 2012, we implanted the HeartMate II (HMII) left ventricular assist device (LVAD) in 319 patients. One hundred seven patients (89 men, 18 women) were over 60 years old (mean, 66 ± 4 years, range, 61-78 years) and received the HMII as a bridge to transplantation (n = 45) or as destination therapy (n = 62). Read More

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http://dx.doi.org/10.1532/hsf.2297DOI Listing

Unusual Drug Fever Caused by Imipenem/Cilastatin and a Review of Literature.

Heart Surg Forum 2019 Mar 8;22(2):E119-E123. Epub 2019 Mar 8.

Department of Cardiothoracic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Introduction: Drug fever is a febrile reaction caused by initiation of one drug or varieties of drugs and often disappears after cessation of the drug(s). Clinically, drug fever is frequently induced by antibiotics, anticonvulsants, and antineoplastics. There are few previous reports about drug fever caused by imipenem/cilastatin. Read More

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http://dx.doi.org/10.1532/hsf.2141DOI Listing
March 2019
1 Read

Midterm Results of Transaxillary Occluder Device Closure of Perimembranous Ventricular Septal Defect Guided Solely by Transesophageal Echocardiography.

Heart Surg Forum 2019 Mar 8;22(2):E112-E118. Epub 2019 Mar 8.

Children's Heart Center, People's Hospital of Zhengzhou University, Zhengzhou, China.

Background: Perimembranous ventricular septal defect (pmVSD) is a common congenital heart disease. Transaxillary occluder device closure of the pmVSD has been proved effective and an alternative to surgical closure. The study aimed to evaluate the immediate operation outcomes and the early and midterm follow-up outcomes of transaxillary occluder device closure. Read More

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http://dx.doi.org/10.1532/hsf.2185DOI Listing

Elevated Swelling-Activated Chloride Current Densities in Hypertrophied Ventricular Myocytes in a Rabbit Heart Failure Model.

Heart Surg Forum 2019 Mar 7;22(2):E107-E111. Epub 2019 Mar 7.

Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.

Background: The status of the swelling-activated chloride channel (ICl, swell) during heart failure remains unclear. This study aimed to investigate whether the ICl, swell activity is altered during heart failure and to determine how the ICl, swell influences atrial arrhythmias of the failing heart.

Methods: We established a heart failure rabbit model and analyzed the hemodynamic indicators 8 weeks after myocardial infarction, which include left ventricular systolic pressure (LVSP) and left ventricular end-diastolic pressure (LVDEP). Read More

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http://dx.doi.org/10.1532/hsf.2255DOI Listing

Delayed Surgical Management of Type A Intramural Hematoma Is Not Associated with Worse Outcomes Than Emergent Operation.

Heart Surg Forum 2019 Mar 4;22(2):E103-E106. Epub 2019 Mar 4.

Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Objectives: Management of acute aortic intramural hematomas (IMHs) involving the ascending aorta and root remains controversial. Some series have suggested that delaying operative intervention beyond the first 24-hours may be beneficial.

Methods: A retrospective single-institution analysis was performed to identify patients presenting with type A IMH. Read More

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http://dx.doi.org/10.1532/hsf.2289DOI Listing

Survival of Patients with Primary Cardiac Tumors in an 11-Year Single Center Study.

Heart Surg Forum 2019 Feb 27;22(2):E097-E102. Epub 2019 Feb 27.

Department of Cardiac Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.

Background: Primary cardiac tumors are rare, but few studies have examined the relationship between risk factors and the prognosis. The aim of this study was to provide a survival analysis and risk factors for mortality in patients with primary cardiac tumors.

Methods: We retrospectively enrolled 71 patients diagnosed with primary cardiac tumors from June 2006 to November 2017 in our hospital. Read More

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http://dx.doi.org/10.1532/hsf.2271DOI Listing
February 2019

Negative Pressure versus Conventional Sternal Wound Dressing in Coronary Surgery Using Bilateral Internal Mammary Artery Grafts.

Heart Surg Forum 2019 Feb 25;22(2):E092-E096. Epub 2019 Feb 25.

Division of Cardiovascular and Thoracic Surgery, Robert Debré University Hospital, Reims, France.

Background: Sternal wound infection (SWI) is a major complication occurring often after coronary artery bypass grafting (CABG) using bilateral internal mammary artery (BIMA) grafts. The aim of this study is to assess whether such a risk may be reduced by using incision negative pressure wound therapy (INPWT).

Methods: Data on patients undergoing isolated CABG using BIMA grafts at the Reims University Hospital, France, from 2013 to 2016 without or with INPWT was prospectively collected. Read More

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http://dx.doi.org/10.1532/hsf.2269DOI Listing
February 2019

Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years.

Heart Surg Forum 2019 Feb 25;22(2):E088-E091. Epub 2019 Feb 25.

Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

Objectives: Isolated iliac artery aneurysms (IAAs) are rare, but nonetheless life-threatening when ruptured. The endovascular approach has taken over open repairs in time. The reported data is constituted of a retrospective series. Read More

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http://dx.doi.org/10.1532/hsf.2001DOI Listing
February 2019

Determining Which Prosthetic to Use During Aortic Valve Replacement in Patients Aged Younger than 70 Years: A Systematic Review of the Literature.

Heart Surg Forum 2019 Feb 28;22(2):E070-E081. Epub 2019 Feb 28.

University of Virginia School of Medicine, Charlottesville, VA., USA.

Background: The choice of bioprosthesis versus mechanical prosthesis in patients aged less than 70 years undergoing aortic valve replacement (AVR) remains controversial, with guidelines disparate in their recommendations. The objective of this study was to explore outcomes after AVR for various age ranges based on type of prosthesis.

Methods: A systematic review was undertaken according to the Preferred Reporting Instructions for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by using Medline (PubMed), Cochrane, Web of Science, Embase, and Scopus databases. Read More

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http://dx.doi.org/10.1532/hsf.2131DOI Listing
February 2019

A New Perspective in Comparing Injuries Caused by Short-Duration External and Internal Forces in Saphenous Vein.

Heart Surg Forum 2019 Feb 25;22(2):E063-E069. Epub 2019 Feb 25.

Department of Cardiovascular Surgery, Göztepe Education and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

Background: Great saphenous vein (GSV) graft failure is one of the major reasons for repeat bypass grafting. A comparison of the effects of simultaneous, short-duration, externally squeezing and internally distending forces on the same segment of ex-vivo human GSV has not yet been published, although similar studies have compared the experimental injury of different ex-vivo human veins.

Methods: Approximately 8-cm-long segments of GSV were harvested from each of the 15 patients. Read More

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http://dx.doi.org/10.1532/hsf.2303DOI Listing
February 2019

Aortic Dissection Associated with Autosomal Dominant Polycystic Kidney Disease

Heart Surg Forum 2019 02 6;22(1):E032-E034. Epub 2019 Feb 6.

Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Japan.

A 78-year-old man who had been diagnosed with autosomal dominant polycystic kidney disease (ADPKD) and hypertension presented with chest pain. His family history was positive for ADPKD. Chest computed tomography (CT) revealed a type A aortic dissection with thrombotic occlusion of a false lumen and an ulcer-like projection in the ascending aorta, an aneurysm of the ascending aorta, and pericardial effusion. Read More

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http://dx.doi.org/10.1532/hsf.2027DOI Listing
February 2019
2 Reads

Preoperative Statin Treatment Is Not Associated with Reduced Postoperative Mortality or Morbidity in Patients Undergoing Isolated Valve Surgery.

Heart Surg Forum 2019 02 21;22(1):E057-E062. Epub 2019 Feb 21.

Pôle Anesthésie-Réanimation, Hopital Michallon, CHU Grenoble-Alpes, CS 21217, Grenoble Cedex 9, France.

Introduction: Previous studies have shown that statin use before coronary surgery decreases the mortality and morbidity. This benefit was not clearly detected in isolated valve surgery. The aim of this study was to assess the effect of preoperative statin therapy on postoperative complications and mortality in a large group of patients undergoing valve surgery. Read More

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http://dx.doi.org/10.1532/hsf.2119DOI Listing
February 2019
1 Read

You Are the Perfect Age: An Inquiry into Surgical Ethics during the Arc of a Career.

Authors:
Curt G Tribble

Heart Surg Forum 2019 02 20;22(1):E050-E056. Epub 2019 Feb 20.

Division of Cardiac Surgery, University of Virginia Health System, Charlottesville, VA, USA.

There is an old saying that history only makes sense in retrospect. I am sure that I am as susceptible to this adage as any other person. However, I will tell the story of my long history as an amateur medical ethicist, which is, to this day, how I would describe myself. Read More

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http://dx.doi.org/10.1532/hsf.2439DOI Listing
February 2019
2 Reads

Bilateral Internal Thoracic Artery Grafting in Women: A Word of Caution.

Heart Surg Forum 2019 02 20;22(1):E045-E049. Epub 2019 Feb 20.

Department of Cardiovascular Surgery, Institut de Cardiologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.

Background: Despite the superior hemodynamic performance of internal thoracic arteries, total arterial revascularization with exclusive bilateral internal thoracic arteries (BITA) is less frequently used especially in specific subsets of patients, including females. We report our experience with total arterial revascularization with exclusive BITA regardless of sex and analyze the impact of female sex on the early and midterm outcomes.

Methods: Total arterial revascularization with exclusive BITA was performed with equal frequency in females (79/99, 80%) and males (392/477, 82%; P = . Read More

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http://dx.doi.org/10.1532/hsf.2067DOI Listing
February 2019
1 Read

Comparison of sufentanil-midazolam and sevoflurane for anesthesia induction in children undergoing cardiac surgery by real-time hemodynamic and cardiac efficiency monitoring: A prospective randomized study.

Heart Surg Forum 2019 02 18;22(1):E038-E044. Epub 2019 Feb 18.

Department of Anesthesia, Capital Institute of Pediatrics Affiliated Children’s Hospital, Beijing, China.

Background Intravenous sufentanil-midazolam and inhalational sevoflurane are widely used for anesthetic induction in children undergoing cardiac surgery. However, knowledge about their effects on hemodynamics and cardiac efficiency remains limited due largely to the lack of direct monitoring method. We used minimally invasive technique pressure recording analytical method (PRAM) to directly monitor hemodynamics and cardiac efficiency and compared the effects of the two anesthetic regimens in children undergoing ventricular septal defect repair. Read More

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http://dx.doi.org/10.1532/hsf.2037DOI Listing
February 2019
4 Reads

Application of PICCO During Anesthesia of Patients Undergoing Transcatheter Ventricular Isolation Plasty Due to Left Ventricular Aneurysm.

Heart Surg Forum 2019 02 18;22(1):E035-E037. Epub 2019 Feb 18.

Department of Anesthesia, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, Xinjiang Uygur Autonomous Region, China.

Introduction: Left ventricular aneurysm is a common complication type of myocardial infarction. Percutaneous ventricular restoration (PVR) is a new and minimally invasive surgical method for left ventricular aneurysm. Due to its complication and high demand on the surgeon, careful cooperation of anesthesia work is of great significance for the successful implementation of the operation. Read More

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http://dx.doi.org/10.1532/hsf.2135DOI Listing
February 2019
3 Reads

Effect of Iloprost, a Prostacyclin Analogue, on Myocardial Ischemia-Reperfusion Injury

Heart Surg Forum 2019 01 30;22(1):E027-E031. Epub 2019 Jan 30.

Department of Cardiovascular Surgery, University of Health Sciences Gulhane Education and Training Hospital, Ankara, Turkey.

Myocardial ischemia-reperfusion injury continues to be observed during open heart surgery. Various experimental models have been developed to overcome this injury and to increase postoperative prognosis. This study was conducted to assess the effect that iloprost, a prostacyclin analogue, can have on myocardial ischemia-reperfusion injury. Read More

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http://dx.doi.org/10.1532/hsf.2076DOI Listing
January 2019

The Challenges to Abdominal and Cardiac Surgeons: Emergency Splenectomy after LVAD Implantation-A Case Report.

Heart Surg Forum 2019 01 30;22(1):E024-E026. Epub 2019 Jan 30.

Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia.

The paper presents collaboration of an abdominal surgeon and heart team in deciding upon surgical management of a patient with the implanted left ventricular assist device, who has undergone emergency abdominal operation for spleen rupture. The paper focuses on the significance of prompt diagnostics, clinical challenges of hemodynamic and anticoagulant treatment, abdominal organ exposure along the placed left ventricular assist device driveline, identification of vascular structures in conditions of continuous blood flow, and reconstruction of the surgical wound in the driveline projection. Read More

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http://dx.doi.org/10.1532/hsf.2107DOI Listing
January 2019
2 Reads

MiR-29b Inhibits Ventricular Remodeling By Activating Notch Signaling Pathway in the Rat Myocardial Infarction Model.

Heart Surg Forum 2019 01 28;22(1):E019-E023. Epub 2019 Jan 28.

Department of Cardiology, Jinan Central Hospital Affiliated to Shandong University, NO. 105, Jiefang Road, Lixia District, Jinan City, 250013, Shandong Province, China.

Background: To study the effect of miR-29b on myocardial infarction via Notch signaling pathway in rats.

Methods: The rat acute myocardial infarction (AMI) models were established and were divided into AMI group, sham group and normal group (N = 10 in each group). HE (Hemotoxylin and eosin) staining was used to detect whether the model was constructed successfully. Read More

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http://dx.doi.org/10.1532/hsf.2079DOI Listing
January 2019
2 Reads

Roles of Microembolus and Plasma D-dimer in Evaluating the Warfarin Anticoagulant Therapy Efficacies for Patients with Atrial Fibrillation.

Heart Surg Forum 2019 01 28;22(1):E015-E018. Epub 2019 Jan 28.

Department of Cardiology, Wuzhong People's Hospital, Suzhou.

Background: To investigate the roles of microembolus and plasma D-dimer in evaluating the warfarin anticoagulant therapy efficacies for patients with atrial fibrillation (AF).

Methods: Fifty-six AF patients were treated with aspirin antiplatelet therapy (Group ASP) and forty AF patients were treated with warfarin anticoagulant therapy (Group WAR). The microemboli and plasma D-dimer in these two groups were monitored and compared before and after treatment. Read More

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http://dx.doi.org/10.1532/hsf.2197DOI Listing
January 2019
1 Read

Follow-up on ECMO after Cardiac Surgery: How Can We Evaluate Therapy?

Heart Surg Forum 2019 Jan 28;22(1):E011-E014. Epub 2019 Jan 28.

Sana-Herzzentrum Cottbus, Cottbus, Germany.

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides temporary cardiorespiratory support for patients in cardiogenic shock despite high-dose inotropic therapy and use of an intra-aortic balloon pump (IABP) [Muehrcke 1996]. Postcardiotomy cardiogenic shock has an incidence of 2%-6% after routine adult cardiac surgery [Hernandez 2007]. There are 0. Read More

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http://journal.hsforum.com/index.php/HSF/article/view/2147
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http://dx.doi.org/10.1532/hsf.2147DOI Listing
January 2019
5 Reads

A New Arterial Cannulation Technique: Arterial Cannulation through Aortic Anastomosis ("Kaplan" Technique).

Heart Surg Forum 2019 01 21;22(1):E008-E010. Epub 2019 Jan 21.

Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

We performed Bentall procedure on a 65-year-old male patient. Cardiopulmonary bypass was initiated via cannulation of the aneurysmatic segment of the aorta. Distal anastomosis was performed with the open technique under deep hypothermic circulatory arrest at 18°C. Read More

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http://dx.doi.org/10.1532/hsf.2273DOI Listing
January 2019
7 Reads

Can Lung Transplant Surgeons Still Be Scientists? High Productivity Despite Competitive Funding.

Heart Surg Forum 2019 01 8;22(1):E001-E007. Epub 2019 Jan 8.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.

Background: Today's declining federal budget for scientific research is making it consistently more difficult to become federally funded. We hypothesized that even in this difficult era, surgeon-scientists have remained among the most productive and impactful researchers in lung transplantation.

Methods: Grants awarded by the NIH for the study of lung transplantation between 1985 and 2015 were identified by searching NIH RePORTER for 5 lung transplantation research areas. Read More

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http://dx.doi.org/10.1532/hsf.2024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468987PMC
January 2019
1 Read
0.562 Impact Factor

Adjusting preoperative risk models of post heart transplant survival to a European cohort in the age of a new cardiac allocation score in Europe.

Heart Surg Forum 2018 12 19;21(6):E527-E533. Epub 2018 Dec 19.

a. Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.

Background Several risk models target the issue of posttransplant survival, but none of them have been validated in a large European cohort. This aspect is important, in a time of the planned change of the Eurotransplant allocation system to a scoring system. Material and Methods Data of 761 heart transplant recipients from the Eurotransplant region with a total follow up of 5027 patient-years were analyzed. Read More

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http://dx.doi.org/10.1532/hsf.2205DOI Listing
December 2018
13 Reads

The Disparate Effects of Epinephrine and Norepinephrine on Hyperglycemia in Cardiovascular Surgery.

Heart Surg Forum 2018 12 19;21(6):E522-E526. Epub 2018 Dec 19.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia, USA.

Hyperglycemia is a metabolic derangement that frequently develops after cardiovascular surgery. The perioperative administration of inotropic and vasoactive agents, such as epinephrine and norepinephrine, are common in the management of cardiac surgery patients and are known to contribute to the development of postoperative hyperglycemia. We hypothesized that hemodynamic support with epinephrine exacerbates postoperative hyperglycemia to a greater degree than does treatment with norepinephrine. Read More

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http://dx.doi.org/10.1532/hsf.2008DOI Listing
December 2018
4 Reads

N-Acetylcysteine for Preventing of Acute Kidney Injury in Chronic Kidney Disease Patients Undergoing Cardiac Surgery: A Metaanalysis.

Heart Surg Forum 2018 12 19;21(6):E513-E521. Epub 2018 Dec 19.

Department of Respiratory Medicine, The First College of Clinical Medical Sciences, Yichang Central People's Hospital, China Three Gorges University, Yichang, Hubei province, China.

Objective: The aim of this study was to determine whether N-acetylcysteine (NAC) has an effect on acute kidney injury (AKI) in chronic kidney disease patients undergoing cardiac surgery.

Methods: We reviewed literature through PubMed, Medline through PubMed and OVID, The Cochrane Library, Wan Fang Database, China Biology Medicine Database, Chinese Periodical Database, China Knowledge Resource Integrated Database, and Chinese Clinical Trial Registry (1980 to July 10, 2018). Two investigators independently collected the data and assessed the quality of each study. Read More

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http://journal.hsforum.com/index.php/HSF/article/view/2193
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http://dx.doi.org/10.1532/hsf.2193DOI Listing
December 2018
2 Reads
0.562 Impact Factor

Torsades de Pointes in Intravenous Drug Abuse-Associated Infective Endocarditis.

Heart Surg Forum 2018 12 19;21(6):E507-E512. Epub 2018 Dec 19.

Department of Surgery, Summa Akron City Hospital, Akron, OH, USA.

Intravenous drug abuse rates in the United States have increased exponentially in recent years. Ohio is one of 5 states with the highest age-adjusted drug overdose death rates, with drug overdose causing 39.1 of every 100,000 deaths. Read More

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http://dx.doi.org/10.1532/hsf.2167DOI Listing
December 2018
5 Reads

String Music: Creating Coronary Artery and other Vascular Anastomoses.

Heart Surg Forum 2018 12 17;21(6):E497-E506. Epub 2018 Dec 17.

Department of Surgical Sciences, Vanderbilt University, Nashville, TN, USA.

The initial version of this treatise was written as I (Curt Tribble) was learning to do coronary anastomoses over 30 years ago, and I worried that I was not being taught very well how to go about doing them. It seemed to me that my teachers were channeling Dr. Alain Carpentier, who often answered questions about his mitral valve repair techniques by saying, "Oh, you just know. Read More

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http://dx.doi.org/10.1532/hsf.2337DOI Listing
December 2018
1 Read

A Novel Risk Score to Predict New Onset Atrial Fibrillation in Patients Undergoing Isolated Coronary Artery Bypass Grafting.

Heart Surg Forum 2018 12 13;21(6):E489-E496. Epub 2018 Dec 13.

Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: Atrial fibrillation (AF) is common after cardiac surgery and contributes to increased morbidity and mortality. Our objective was to derive and validate a predictive model for AF after CABG in patients, incorporating novel echocardiographic and laboratory values.

Methods: We retrospectively reviewed patients at our institution without preexisting dysrhythmia who underwent on-pump, isolated CABG from 2011-2015. Read More

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http://dx.doi.org/10.1532/hsf.2151DOI Listing
December 2018
3 Reads

Extracorporeal Membrane Oxygenation in Extreme Obesity: A Case Report and Review of the Literature.

Heart Surg Forum 2018 11 30;21(6):E485-E488. Epub 2018 Nov 30.

Northeast Ohio Medical Universities, Rootstown, OH, USA.

The use of extracorporeal membrane oxygenation (ECMO) in the treatment of acute respiratory distress syndrome (ARDS) has been described as early as 1972 [Hill 1972]. Though a subsequent randomized trial showed no survival benefit over conventional mechanical ventilation [Zapol 1979], protective ventilation strategies and evolving extracorporeal technology improvements have led to a resurgence in the use of ECMO for patients with ARDS. The most recent randomized clinical trial, Conventional Ventilation or ECMO for Severe Adult Respiratory Failure (CESAR), showed a significant mortality reduction in ARDS patients who were treated with ECMO [Peek 2009]. Read More

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http://dx.doi.org/10.1532/hsf.2057DOI Listing
November 2018
3 Reads

Letter To The Editor.

Heart Surg Forum 2018 11 26;21(6):E484. Epub 2018 Nov 26.

Department of Cardiovascular Surgery, Atatürk University, Erzurum, Turkey.

We read the letter of F. Rudman et al [Rudman 2017] about our article entitled "Utility of Omentoplasty in Mediastinitis Treatment following Sternotomy" [Colak 2016]. We thank them for their evaluations. Read More

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http://dx.doi.org/10.1532/hsf.2009DOI Listing
November 2018
2 Reads

Use of the ClearSight® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience.

Heart Surg Forum 2018 11 14;21(6):E476-E483. Epub 2018 Nov 14.

Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany

During interventional and structural cardiology procedures, such as mitral valve (MitraClip, BMV), aortic valve (TAVR, BAV), tricuspid valve (MitraClip), left atrial appendage (Watchman, Lariat), atrial septum (ASD/PFO closure), and coronary artery intervention (high-risk PCI), among others, patients are at a high risk of hemodynamic instability and require continuous monitoring. This is conventionally achieved through arterial catheterization and transpulmonary thermodilution. However, such invasive techniques are time-consuming and have been associated with steep learning curves, vascular complications, and increased risk of infection. Read More

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http://dx.doi.org/10.1532/hsf.2177DOI Listing
November 2018
5 Reads

A Case of Successful Iliofemoral Vein Stenting from Great Saphenous Vein Access.

Heart Surg Forum 2018 11 14;21(6):E472-E475. Epub 2018 Nov 14.

Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Republic of Korea.

Chronic venous disease is strongly associated with morbidity and leads to considerable medical costs. Therefore, its clinical significance is very important. Currently, iliac vein stenting is the first treatment option for chronic venous disease due to iliac vein obstruction. Read More

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http://dx.doi.org/10.1532/hsf.2087DOI Listing
November 2018
2 Reads

Single-Stage Complete Repair versus Multistage Repair of Tetralogy of Fallot with Borderline Pulmonary Arteries.

Heart Surg Forum 2018 11 13;21(6):E466-E471. Epub 2018 Nov 13.

Department of Cardiothoracic Surgery, Ain Shams University, Cairo, Egypt.

Background: Tetralogy of Fallot is the most common cyanotic congenital heart defect. Borderline pulmonary anatomy has been associated with a higher risk of mortality and morbidity. Strategies to manage this condition-namely, single- or multistage repair-have long been debated. Read More

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http://dx.doi.org/10.1532/hsf.2075DOI Listing
November 2018
3 Reads

Giant Left Atrial Appendage Aneurysm: Surgical Treatment to Prevent Potential Complications.

Heart Surg Forum 2018 11 13;21(6):E464-E465. Epub 2018 Nov 13.

Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou, China.

Left atrial appendage aneurysm (LAAA) is a rare anomaly, which predisposes to hazardous cardiovascular events. We present a rare case of a 26-year-old female with a giant left atrial appendage aneurysm. The left atrial appendage was incidentally detected during her pregnancy. Read More

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http://dx.doi.org/10.1532/hsf.2129DOI Listing
November 2018
2 Reads
0.562 Impact Factor

Association between Circulatory and Plaque Resistin Levels with Carotid Plaque Instability and Ischemic Stroke Events.

Heart Surg Forum 2018 11 13;21(6):E448-E463. Epub 2018 Nov 13.

Department of Vascular Surgery, University Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia.

ses of ischemic stroke. The risk of ischemic stroke increases with the degree of carotid stenosis and plaque vulnerability. The aim of this study was to investigate the association of circulating and plaque resistin levels with plaque vulnerability and ischemic stroke events in patients with moderate- to high-grade carotid artery stenosis. Read More

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http://dx.doi.org/10.1532/hsf.2071DOI Listing
November 2018
11 Reads
0.562 Impact Factor

Surgical Treatment for Hypertrophic Obstructive Cardiomyopathy with Concomitant Mitral Valve Abnormalities: A Cohort of 26 Cases.

Heart Surg Forum 2018 11 7;21(6):E443-E447. Epub 2018 Nov 7.

Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Background: We sought to analyze the pathological characteristics of hypertrophic obstructive cardiomyopathy (HOCM) with concomitant mitral valve abnormalities and to discuss the surgical treatment strategies.

Methods: The clinical data of 26 HOCM patients treated from January 2014 to March 2016 were retrospectively analyzed. There were 19 males and 7 females with a mean age of 47 ± 16 years (range, 10-70 years). Read More

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http://dx.doi.org/10.1532/hsf.2013DOI Listing
November 2018
4 Reads

The Role of Angle in the Evaluation of Ablation Accuracy in Pulmonary Vein Isolation Navigated by Image Integration.

Heart Surg Forum 2018 11 6;21(6):E438-E442. Epub 2018 Nov 6.

Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: The conventional index for ablation accuracy is to compare the distance between mapping points with and without treatment by using image integration. We attempted to quantitatively evaluate the role of angle as an index in the ablation accuracy in patients with atrial fibrillation (AF).

Methods: A total of 48 patients with AF were included in the present study. Read More

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http://dx.doi.org/10.1532/hsf.2231DOI Listing
November 2018
3 Reads

Perioperative Results and Risk Factors for In-Hospital Mortality In Patients With Stanford Type A Aortic Dissection Undergoing Sun's Procedure - A Single Center Study.

Heart Surg Forum 2018 11 6;21(6):E432-E437. Epub 2018 Nov 6.

Department of Cardiovascular Surgery, the Affiliated Hospital of QingDao University, No.16 JiangSu Road, QingDao 266003, China.

Background: The study was to analyze the therapeutic effect and risk factors of in-hospital mortality in patients with acute Stanford type A aortic dissection operated by Sun's procedure.

Methods: From Jan. 2010 to March 2016, 72 patients whose data was fully accessible underwent Sun's procedure in our hospital due to acute Stanford type A aortic dissection. Read More

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http://dx.doi.org/10.1532/hsf.1909DOI Listing
November 2018
6 Reads