32,438 results match your criteria bypass graft

Pericardial SCUBE1 levels may help predict postoperative results in patients operated on for coronary artery bypass graft surgery.

Cardiovasc J Afr 2021 Jul 5;32:1-5. Epub 2021 Jul 5.

Cardiovascular Surgery Department, Trakya University, Edirne, Turkey.

Introduction: Signal peptide-CUB epidermal growth factorlike domain-containing protein (SCUBE1) is a newly described, secretable and measurable cellular surface protein associated with atherosclerotic lesions in humans, which may be involved in hypertension and cardiovascular pathologies. We aimed to detect normal SCUBE1 levels in pericardial fluid and investigate the effects of SCUBE1 values on postoperative outcomes after coronary artery bypass surgery.

Methods: Between February 2016 and March 2017, 184 consecutive patients were included in the study. Read More

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Cardiac transplantation in adults with congenital heart disease: A single center case series.

Clin Transplant 2021 Jul 20. Epub 2021 Jul 20.

Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States.

Background: Adult congenital heart disease (CHD) transplant recipients historically experienced worse survival early after transplantation. We aim to review updated trends in adult CHD transplantation.

Methods: We performed a single center case series of adult cardiac transplants from January 2013 through July 2020. Read More

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Novel technique of percutaneous bypass in a brachiocephalic arteriovenous fistula with cephalic arch occlusion: A case report.

J Vasc Access 2021 Jul 17;22(4):650-653. Epub 2020 Aug 17.

Vascular Service, Department of Surgery, Changi General Hospital, Singapore.

Objective: Arteriovenous fistulas are a principal mainstay of long-term dialysis access for patients with end stage renal failure. However, the patency of arteriovenous fistulas is limited, often requiring percutaneous transluminal angioplasty as a salvage procedure. We report a case of percutaneous method of arteriovenous fistula salvage. Read More

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Radial artery as a second conduit gains momentum: The RAPCO trial.

Glob Cardiol Sci Pract 2021 Jun 30;2021(2):e202110. Epub 2021 Jun 30.

Cardiac Surgery Department, Aswan Heart Centre, Aswan, Egypt.

In coronary artery bypass grafting (CABG), the use of an internal mammary artery (IMA) to graft the left anterior descending coronary artery (LAD) improves survival and reduces the need for repeat revascularization. The other IMA, radial artery (RA), and saphenous vein (SV) have contested to complete the surgical revascularization. For that purpose, SV remains the most commonly used conduit despite current evidence in favor of arterial grafts. Read More

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Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass.

Cureus 2021 Jun 18;13(6):e15746. Epub 2021 Jun 18.

Surgery, Brooklyn Veterans Affairs Medical Center, Brooklyn, USA.

Popliteal artery aneurysms (PAAs) are the most common type of peripheral artery aneurysms. Mycotic aneurysms involving the popliteal artery are quite rare and can occur as either a primary infection or a secondary infection from another site. To our knowledge, there are no previous case reports on mycotic PAA in which was the primary etiologic pathogen. Read More

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Optimal treatment strategies for coronary artery disease in patients with advanced kidney disease: a meta-analysis.

Ther Adv Chronic Dis 2021 7;12:20406223211024367. Epub 2021 Jul 7.

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Chaoyang District, Anzhen Road No. 2, Beijing City, 100029, China.

Background: Coronary artery disease (CAD) is the leading cause of death in advanced kidney disease. However, its best treatment has not been determined.

Methods: We searched PubMed and Cochrane databases and scanned references to related articles. Read More

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Symptomatic subclavian steal syndrome: Report of four Moroccan cases and literature review.

Int J Surg Case Rep 2021 Jul 7;85:106173. Epub 2021 Jul 7.

Mohammed V University of Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital, 10104, Souissi, Rabat, Morocco.

Introduction: Subclavian steal syndrome (SSS) is the hemodynamic phenomenon of blood flow reversal in the vertebral artery due to significant stenosis or occlusion of the proximal ipsilateral subclavian artery.

Materials And Methods: Four patients with subclavian steal syndrome were treated in our center. Percutaneous radial approach was used for angioplasty, primary stenting of subclavian artery was performed, surgical techniques in particular carotid-subclavian bypass and carotid-subclavian transposition were used. Read More

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Sex Differences in Coronary Artery Bypass Grafting Techniques: A STS Database Analysis.

Ann Thorac Surg 2021 Jul 16. Epub 2021 Jul 16.

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA; Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.

Background: Females with coronary artery disease (CAD) have inferior outcomes compared with males, including higher mortality following coronary artery bypass grafting (CABG). We aimed to evaluate the association of female sex with the use of guideline-concordant CABG revascularization techniques.

Methods: The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database was queried for adult patients who underwent first-time isolated CABG in the US from 2011-2019. Read More

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Off-Pump Aortic Bypass for Hypoplastic Arch and Aortic Coarctation Via Anterolateral Thoracotomy.

World J Pediatr Congenit Heart Surg 2021 Jul;12(4):557-558

Department of Cardiac Surgery, 12667Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

We report the case of a 21-year-old woman who was referred with uncontrolled hypertension. Computed tomography angiography revealed aortic arch hypoplasia and severe aortic coarctation. An off-pump ascending-to-descending aortic bypass surgery using synthetic graft was performed via left anterolateral thoracotomy. Read More

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Risk Factors for Reoperation After Arterial Switch Operation.

World J Pediatr Congenit Heart Surg 2021 Jul;12(4):463-470

Division of Thoracic and Cardiovascular Surgery, 12250Indiana University School of Medicine, Indianapolis, IN, USA.

Objective: The timing and nature of and risk factors for reoperation after the arterial switch operation in the setting of d-transposition of the great arteries requires further elucidation.

Methods: A total of 403 patients who underwent arterial switch operation from 1986 to 2017 were reviewed. Institutional preference was for pulmonary artery reconstruction using a pantaloon patch of fresh autologous pericardium. Read More

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Gonadal vein as a bypass conduit for arterial reconstruction during an aortic debranching repair of a paravisceral aortic aneurysm.

J Vasc Surg Cases Innov Tech 2021 Sep 20;7(3):374-377. Epub 2021 May 20.

Division of Vascular Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

We report a case of a hybrid aortic debranching procedure for repair of a paravisceral inflammatory aortic aneurysm. Vein grafts were chosen over prosthetics because of concern for infection as a possible etiology. The gonadal vein was successfully used as a vein graft between the right common iliac artery and the right renal artery before aortic endograft placement. Read More

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September 2021

The Young Heart Tears Easily Apart: A Case Report of Spontaneous Coronary Artery Dissection.

Cureus 2021 Jun 11;13(6):e15590. Epub 2021 Jun 11.

Internal Medicine, MacNeal Hospital, Berwyn, USA.

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS), seen mostly in young females. The rarity and limited knowledge of the disease make its management challenging. Prompt diagnosis of the condition is extremely important to decrease both long- and short-term complications. Read More

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Coronary computed tomography angiography following robotic coronary artery bypass grafting surgery: Systematic approach to image analysis and practical considerations.

Ann Med Surg (Lond) 2021 Jul 22;67:102507. Epub 2021 Jun 22.

Department of Medicine/Section of Cardiology, John D. Dingell VA Medical Center and Wayne State University, Detroit, MI, USA.

Standard open chest Coronary Artery Bypass Grafting (CABG) has evolved over last couple of decades. With advancement in minimally invasive procedures, Robotic CABG (RCABG) is still in its evolution phase. There is dearth of experienced surgeons in this complicated field and lack of data to verify it clinical safety. Read More

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Surgical Removal of Broken and Inflated Percutaneous Transluminal Coronary Angioplasty Balloon Catheter: Role of Transesophageal Echocardiography.

Heart Views 2021 Jan-Mar;22(1):59-62. Epub 2021 Apr 22.

Department of Cardio Thoracic and Vascular Surgery, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.

An entrapment and breakage of coronary angioplasty catheter during coronary intervention is a rare but serious complication. Percutaneous transluminal coronary angioplasty (PTCA) catheter got entrapped and broken inside the left anterior descending artery (LAD) in a 58-year-old male patient. The whole length of the PTCA catheter was retrieved through an arteriotomy incision in LAD along with reversed saphenous vein graft to LAD, under cardiopulmonary bypass and cardioplegic arrest. Read More

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Coronary artery bypass grafting in a child with Kawasaki disease.

Rev Port Cardiol (Engl Ed) 2021 Jul;40(7):519.e1-519.e4

Department of Cardiothoracic Surgery, Santa Cruz Hospital, Carnaxide, Portugal.

Kawasaki disease (KD) with cardiac involvement can result in the development of coronary aneurysm, stenosis or thrombosis with significant cardiovascular implications. We report the case of a 23-month-old male with a late diagnosis of KD, in whom intravenous immunoglobulin treatment was not feasible. The patient's course was assessed by routine echocardiography. Read More

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Successful percutaneous treatment of a catastrophic left internal mammary artery graft avulsion occurring 4 weeks post-coronary artery bypass grafting surgery: a case report.

Eur Heart J Case Rep 2021 Feb 22;5(2):ytaa524. Epub 2020 Dec 22.

Department of Cardiology, Frimley Health NHS Foundation Trust, Portsmouth Rd, Camberley GU16 7UJ,UK.

Background: Avulsion of the left internal mammary artery (LIMA) graft near the anastomosis to the left anterior descending artery (LAD) artery post-coronary artery bypass grafting (CABG) is a rare but potentially catastrophic complication which can result in sudden ischaemia, haemodynamic compromise and life-threatening bleeding into the pericardium.

Case Summary: We report a case of a spontaneous LIMA graft avulsion at the site of the anastomosis to the LAD artery, which occurred 4 weeks post-conventional CABG surgery and resulted in anterior myocardial infarction (MI), cardiac tamponade and cardiogenic shock. This life-threatening event was treated by deploying a covered stent in the LAD artery and by coiling the dehisced LIMA graft. Read More

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February 2021

Surgical Management of Failed Revascularization in Moyamoya Vasculopathy.

Front Neurol 2021 29;12:652967. Epub 2021 Jun 29.

Department of Neurosurgery, Charité-Universitätsmedizin Berlin (Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health), Berlin, Germany.

Moyamoya vasculopathy (MMV) is a rare stenoocclusive cerebrovascular disease associated with increased risk of ischemic and hemorrhagic stroke, which can be treated using surgical revascularization techniques. Despite well-established neurosurgical procedures performed in experienced centers, bypass failure associated with neurological symptoms can occur. The current study therefore aims at characterizing the cases of bypass failure and repeat revascularization at a single center. Read More

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Spontaneous dissection of a left internal mammary artery bypass graft: images in cardiology.

Eur Heart J Case Rep 2021 Jun 26;5(6):ytab232. Epub 2021 Jun 26.

Department of Cardiology, VieCuri Medical Center, Tegelseweg 210, 5912 BL Venlo, The Netherlands.

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Impact of Musculoskeletal Limitations on Cardiac Rehabilitation Participation.

Front Cardiovasc Med 2021 28;8:688483. Epub 2021 Jun 28.

Cardiovascular Rehabilitation Program, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States.

To help clarify a potential barrier to cardiac rehabilitation (CR) participation we sought to examine the association between musculoskeletal limitations (MSLs) and CR enrollment and participation. Consecutive CR eligible individuals hospitalized for a cardiac event (myocardial infarction, percutaneous coronary intervention, and/or coronary artery bypass graft) between the months of November 2007 and May 2008, were asked to complete a mailed survey within 2 weeks after hospital discharge, assessing demographic factors, Patient Health Questionnaire (PHQ-9), participation in CR and MSLs through a validated MSLs screening tool. CR enrollment rates were compared between patients with and without MSLs. Read More

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Open Surgical Secondary Interventions are More Durable than Endovascular Interventions for Lower Extremity Bypass Stenosis or Occlusion.

Vasc Endovascular Surg 2021 Jul 14:15385744211028749. Epub 2021 Jul 14.

Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Lower extremity bypasses often require secondary interventions to maintain patency. Our objectives were to characterize effectiveness of secondary interventions to maintain or restore bypass graft patency, and to compare outcomes of open and endovascular interventions. We reviewed patients who underwent lower extremity bypass at our institution from 2007 to 2010. Read More

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Left Ventricular Function Changes Induced by Moderate Hypothermia Are Rapidly Reversed After Rewarming-A Clinical Study.

Crit Care Med 2021 Jul 1. Epub 2021 Jul 1.

1 Institute of Clinical Medicine, Faculty of medicine, University of Oslo, Oslo, Norway. 2 Division of Emergencies and Critical Care, Department of Research and Development, Oslo University Hospital, Oslo, Norway. 3 Department of Cardiology, Oslo University Hospital, Oslo, Norway. 4 Division of Emergencies and Critical Care, The Intervention Centre, Oslo University Hospital, Oslo, Norway. 5 Department of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway.

Objectives: Targeted temperature management (32-36°C) is used for neuroprotection in cardiac arrest survivors. The isolated effects of hypothermia on myocardial function, as used in clinical practice, remain unclear. Based on experimental results, we hypothesized that hypothermia would reversibly impair diastolic function with less tolerance to increased heart rate in patients with uninsulted hearts. Read More

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Ticagrelor: clinical development and future potential.

Rev Cardiovasc Med 2021 Jun;22(2):373-394

Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, S10 2RX Sheffield, UK.

Platelets participate centrally in atherothrombosis, resulting in vessel occlusion and ischaemia. Consequently, optimisation of antiplatelet regimens has the potential to further reduce the residual burden of morbidity and mortality associated with atherosclerosis. Ticagrelor is a potent oral platelet P2Y receptor antagonist that (1) inhibits a central amplification pathway of platelet activation directly as well as via an active metabolite, (2) has a rapid onset and offset of antiplatelet action that remains consistent in the circulation during twice-daily administration and is amenable to reversal, (3) has inverse agonist properties, and (4) demonstrates pleiotropic effects that contribute to anti-thrombotic, anti-inflammatory and vasodilatory properties. Read More

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Mechanisms, Prevention and Treatment of Saphenous Vein Graft Disease.

Am J Cardiol 2021 Jul 10. Epub 2021 Jul 10.

Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.

Saphenous vein grafts are imperfect yet indispensable conduits commonly used for coronary artery bypass grafting. Their degeneration ultimately leading to occlusion results from the pathological response of the vein to altered blood rheology and several types of vascular injury. Surgical techniques minimizing vessel damage, and prolonged antiplatelet and lipid-lowering treatment are established methods of mitigating the degeneration process hence preventing graft occlusions. Read More

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Prevalence of post-traumatic stress disorder and its predictors following coronary artery bypass graft surgery.

Br J Nurs 2021 Jul;30(13):794-800

Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman.

Background: Cardiac surgery can be traumatic and stressful, and as a result many people experience psychological difficulties following treatment.

Aim: To assess the level of post-traumatic stress disorder (PTSD) 1 month after coronary artery bypass graft (CABG) surgery among Jordanian patients, and to examine the predictors of PTSD after 1 month.

Method: A descriptive survey design was used. Read More

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Change in left ventricular velocity time integral during Trendelenburg maneuver predicts fluid responsiveness in cardiac surgical patients in the operating room.

Quant Imaging Med Surg 2021 Jul;11(7):3133-3145

Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.

Background: Fluid responsiveness is an important topic for clinicians. We investigated whether changes in left ventricular outflow tract (LVOT) velocity time integral (VTI) during a Trendelenburg position (TP) maneuver can predict fluid responsiveness as a non-invasive marker in coronary artery bypass graft (CABG) surgery patients in the operating room.

Methods: This prospective, single-center observational study, performed in the operating room, enrolled 65 elective CABG patients. Read More

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Comparison of the Effect of Cardiac Rehabilitation on Functional Capacity of Diabetic and Nondiabetic Patients after CABG.

Int J Prev Med 2021 29;12:30. Epub 2021 Mar 29.

Depatment of Cardiac Rehabilitation, Imam Reza Hospital, Mashhad University of Medical Sience, Mashhad, Iran.

Background: After a coronary artery bypass graft (CABG), diabetic patients deal with various hemodynamic disorders. This study aimed to compare the effect of cardiac rehabilitation (CR) on the functional capacity of diabetic and nondiabetic patients following CABG.

Methods: This descriptive-analytical study was performed on 40 diabetic and nondiabetic patients attending a similar CR program following CABG. Read More

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Effect of the oXiris membrane on microcirculation after cardiac surgery under cardiopulmonary bypass: study protocol for a randomised controlled trial (OXICARD Study).

BMJ Open 2021 Jul 9;11(7):e044424. Epub 2021 Jul 9.

Anesthesiology and Critical Care, CHU Amiens-Picardie, Amiens, France.

Introduction: Cytokine storm and endotoxin release during cardiac surgery with cardiopulmonary bypass (CPB) have been related to vasoplegic shock and organ dysfunction. We hypothesised that early (during CPB) cytokine adsorption with oXiris membrane for patients at high risk of inflammatory syndrome following cardiac surgery may improve microcirculation, endothelial function and outcomes.

Methods And Analysis: The Oxicard trial is a prospective, monocentric trial, randomising 70 patients scheduled for cardiac surgery. Read More

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Comparison of Outcomes of Patients with vs without Previous Coronary Artery Bypass Graft Surgery Presenting with ST-Segment Elevation Acute Myocardial Infarction.

Am J Cardiol 2021 Jul 6. Epub 2021 Jul 6.

Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota. Electronic address:

The outcomes of patients with previous coronary bypass graft surgery (CABG) presenting with ST-segment elevation acute myocardial infarction (STEMI) have received limited study. We compared the clinical and procedural characteristics and outcomes of STEMI patients with and without previous CABG in a contemporary multicenter STEMI registry between 2003 and 2020. The primary outcomes of the study were mortality and major cardiac adverse events (MACE: death, MI or stroke). Read More

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Transit time flow measurement of coronary bypass grafts before and after protamine administration.

J Cardiothorac Surg 2021 Jul 9;16(1):195. Epub 2021 Jul 9.

Department of Cardiovascular Surgery, Mount Sinai Morningside, New York, NY, USA.

Background: Intraoperative graft assessment with tools like Transit Time Flow Measurement (TTFM) is imperative for quality control in coronary surgery. We investigated the variation of TTFM parameters before and after protamine administration to identify new benchmark parameters for graft quality assessment.

Methods: The database of the REQUEST ("REgistry for QUality AssESsmenT with Ultrasound Imaging and TTFM in Cardiac Bypass Surgery") study was retrospectively reviewed. Read More

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