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An alternative surgical approach for isolated pulmonary valve infective endocarditis secondary to restrictive ventricular septal defect: a case report Cardiothorac. Surg. Pub Date : 2024-02-19 Hossameldin Hussein, Ahmed Youssef, Ahmed Mahgoub, Noha Gamal, Amr Farrag, Soha Romeih
Native pulmonary valve (PV) infective endocarditis (IE) is a rare condition with an incidence of 1.5–2%. Although medical therapy is the mainstay of treatment, surgical intervention is still indicated in cases that fail to respond to antibiotics. To date, there is lack of consensus about the best surgical approach for isolated native PV IE. While valve repair is sometimes feasible, most of the cases
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Pediatric precision: navigating the complexity of mycotic pseudoaneurysms in ascending aorta post-atrial septal defect repair—a case report Cardiothorac. Surg. Pub Date : 2024-01-15 Anand Shankar Soundararajan, Aishwarya Pandiyan, Ezhilnambi Sundaramoorthy, Kathirvel Balasubramani, H. R. Haroon Shakir, G. K. Jaikaran
This case report elucidates the exceptional rarity and intricacies surrounding mycotic pseudoaneurysms in the ascending aorta, specifically post-pediatric cardiac surgery. The case report presents a distinctive case of a 7-year-old female developing complications 10 days after atrial septal defect repair, characterized by sternal wound infection attributed to Pseudomonas aeruginosa. Imaging revealed
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Appropriate timing of veno-arterial extracorporeal membrane oxygenation initiation after cardiac surgery Cardiothorac. Surg. Pub Date : 2024-01-11 Mohamed Laimoud, Emad Hakami, Patricia Machado, Michelle Gretchen Lo, Mary Jane Maghirang
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) can be initiated during cardiac surgery or later in ICU according to the hemodynamic profile and organ perfusion. Our aim was to study the appropriate timing of post-cardiotomy ECMO (PC-ECMO) initiation. We retrospectively analyzed 152 adult patients supported with PC-ECMO in our cardiac center between 2016 and 2022. The patients were divided
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The detailed profile of congenital heart diseases in 254 children with Down syndrome in Saudi Arabia Cardiothorac. Surg. Pub Date : 2024-01-08 Naif Alkhushi
Down syndrome is the most common chromosomal abnormality in humans. It is associated with several congenital anomalies, including a spectrum of congenital heart diseases. Understanding the true prevalence and distribution of congenital heart diseases is essential for health resource planning, outcomes, and family counseling. This study aimed to assess the prevalence and distribution of congenital heart
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Dissemination and implementation analysis of the Ross procedure in adults: time to update the guidelines? Cardiothorac. Surg. Pub Date : 2023-12-20 Kyle S. Bilodeau, David C. Mauchley, Scott DeRoo, Christopher R. Burke
The science of dissemination and implementation (D&I) aims to improve the quality and effectiveness of care by addressing the challenges of incorporating research and evidence-based practice into routine clinical practice. This lens of D&I has challenged the interpretation and incorporation of data, noting that failure of a given therapy may not reflect lack of efficacy, but instead reflect an imperfect
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Exploring the rate and reasons for same-day cancellation of cardiac surgery after implementing joint commission international standards: a retrospective cross-sectional study Cardiothorac. Surg. Pub Date : 2023-12-09 Mohammed A. Alanazi, Sherran Milton
Same-day cancellation of cardiac surgery significantly impacts operating room management efficiency, which can be mitigated by taking preventive measures. This study aimed to explore the same-day cancellation rate of elective adult cardiac surgery, as well as the reasons for those cancellations. A retrospective cross-sectional study reviewed the records of 581 scheduled elective adult cardiac surgical
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Exploring long-term outcomes in COPD patients: a comprehensive narrative review of bilateral and single lung transplantation Cardiothorac. Surg. Pub Date : 2023-12-05 Andia Taghdiri
Millions of people throughout the world suffer from the common and fatal respiratory disorder known as chronic obstructive pulmonary disease (COPD). Lung transplantation gives hope to individuals with end-stage COPD, with both bilateral lung transplantation and single lung transplantation being effective procedures. The complexity of chronic obstructive pulmonary disease is underscored by various factors
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Response to “Postoperative atrial fibrillation after thoracic surgery: addressing risk factors and outcomes”—a letter to the Editor Cardiothorac. Surg. Pub Date : 2023-12-04 Kanakath Sanvi, Ravneet Kaur
To the Editor, We are writing in response to the article “Postoperative atrial fibrillation after thoracic surgery (PoAF): risk factors and outcome” by Valentina et al., published on September 21, 2023. Firstly, I would like to commend the authors for their insightful research on assessing the risk factors for and the consequences of PoAF in patients undergoing thoracic surgery for lung cancer antecedent
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Assessment of anatomy of the aorta in patients with a coarctation of aorta Cardiothorac. Surg. Pub Date : 2023-11-21 B. B. Turaev, Kh. K. Abralov, B. Kh. Kobiljonov, N. Sh. Ibragimov
Coarctation of the aorta (CoA) is a congenital heart disease characterized by the narrowing of the aorta, resulting in reduced blood flow to the body and increased pressure in the left ventricle. The pathophysiology of CoA is complex and involves several changes in the structure and function of the aorta. Recent studies have suggested that patients with CoA may have changes in the aortic wall beyond
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Post-right ventricle to pulmonary artery conduit: short- and intermediate-term outcomes: a single-center study Cardiothorac. Surg. Pub Date : 2023-11-16 Yasmin Abdelrazek Ali, Alaa Roushdy, Mohammed Abdullah Hegab, Amr Mansour Mohammed
Surgery for congenital heart disease has progressed by leaps and bounds in the last few decades, but the right ventricular outflow tract continues to pose a challenge to the congenital heart surgeon. We aim to describe the outcomes of patients with CHD who had surgical placement of right ventricle to pulmonary artery conduits with a focus on the risk factors for redo-surgery. We performed a retrospective
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Effect of elevated HbA1c on outcomes in on-pump versus off-pump coronary artery bypass grafting Cardiothorac. Surg. Pub Date : 2023-10-18 Brett Cooke, Lamario Williams, T. Kurt Delay, Rongbing Xie, Katherine Cornelius, James E. Davies, Panos N. Vardas
Diabetic patients are at an increased risk of cardiovascular morbidities. We aimed to examine if elevated pre-operative glycosylated hemoglobin (HbA1c) levels are associated with higher likelihood of experiencing adverse events in on-pump (ONCAB) versus off-pump (OPCAB) coronary artery bypass graft (CABG) procedures. We examined characteristics of patients undergoing CABG using our institutional STS
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The challenge of attracting residents in Cardiothoracic and vascular Surgery (CTVS): unveiling enduring potential Cardiothorac. Surg. Pub Date : 2023-10-13 Anand Shankar Soundararajan
The declining interest in pursuing MCh Cardiothoracic and Vascular Surgery (CTVS) programs presents a significant concern within the medical community. This letter addresses the multifaceted factors contributing to this decline and proposes strategies to rekindle interest in this prestigious and rewarding super specialty. The perceived demerits of a career in CTVS, such as the extended training period
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Surgical Apgar Score in thoracic surgery: how to see it coming? Cardiothorac. Surg. Pub Date : 2023-10-11 Hussein Elkhayat
Risk scores are very crucial for modern surgical practice. In thoracic surgery, it is important to know when a patient might need postoperative intensive care or an early second look for bleeding before it is too late. The Surgical Apgar Score is a simple yet informative tool to help surgeons preemptively prepare and help their patients in a prompt manner.
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Outcomes of tricuspid valve regurgitation after heart transplantation; a single center retrospective cohort study Cardiothorac. Surg. Pub Date : 2023-09-25 Mohamed Laimoud, Mohamed Fouly
Tricuspid valve regurgitation (TR) of the donor's heart is a common problem that can develop immediately after cardiac transplantation. There is still little data about its impact on clinical outcomes. We aimed to evaluate the short-term and 1-year effects of significant TR after heart transplantation. We retrospectively analyzed 120 patients who underwent elective orthotopic heart transplantation
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Postoperative atrial fibrillation after thoracic surgery (PoAF): risk factors and outcome Cardiothorac. Surg. Pub Date : 2023-09-21 Valentina Scheggi, Silvia Menale, Rossella Marcucci, Anna Dematté, Jacopo Giovacchini, Noemi Cenni, Giorgio Vitale, Bruno Alterini, Alberto Salvicchi, Matteo Tamburini, Salvatore Musmeci, Stefano Bongiolatti, Luca Voltolini, Niccolò Marchionni
Postoperative AF (PoAF) is a common complication of the early postoperative period of noncardiac, thoracic surgery and is associated with prolonged hospital stay. In order to investigate the predictors of PoAF in the specific setting of lung surgery of oncologic patients, we retrospectively analyzed 338 consecutive patients admitted to our department to be operated for lung cancer with a thoracotomy
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Management of a rare isolated left main coronary artery ostial stenosis in a young patient: a case report Cardiothorac. Surg. Pub Date : 2023-08-22 Johanna M. Buck, René Schramm, André Renner, Jan F. Gummert, Sabina P. W. Guenther
Isolated congenital ostial stenosis of the left coronary artery (LCA) is extremely rare, and available literature is limited. Long-term treatment success is key in the choice of treatment strategy due to the mostly young age of the patients. Here, we present a clinical case and shed light on the surgical treatment strategies including their pitfalls. We describe a 20-year-old male who presented to
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Applying machine learning methods to predict operative mortality after tricuspid valve surgery Cardiothorac. Surg. Pub Date : 2023-08-08 Amr A. Arafat, Sultan Alamro, Maha M. AlRasheed, Adam I. Adam, Huda Ismail, Claudio Pragliola, Monirah A. Albabtain
EuroSCORE stratifies surgical risk in cardiac surgery; however, it is not explicitly for tricuspid valve surgery. Therefore, we aimed to apply machine learning (ML) methods to predict operative mortality after tricuspid valve surgery and compare the predictive ability of these models to EuroSCORE. This retrospective analysis included 1161 consecutive patients who underwent tricuspid valve surgery at
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A retrospective observational study over surgical management of giant thoracic tumours: horrendous but manageable Cardiothorac. Surg. Pub Date : 2023-08-03 Anshuman Darbari, Bhaskar Dutt, Ajay Kumar, Aakansha Giri Goswami, Abisho R. Starlet
Giant thoracic tumour (GTT) does not have a clear definition, but, as per usual terminology, they are thoracic masses whose long axis is > 10 cm or covering more than 50% of the hemithorax. The mediastinum is a unique space in the thoracic cavity that can have a wide range of masses of different cellular origins imposing both diagnostic and therapeutic challenges. This retrospective observational study
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Cardioprotective effect of propofol in cardioplegia compared to systemic propofol in heart valves surgery; a randomized controlled trial Cardiothorac. Surg. Pub Date : 2023-07-17 Amr Atef Attia, Mohammad Abd Elmoneim Torky, Mohamed Mahmoud Abo Elnasr, Ehab Abd Elmonem Wahby, Abd Elhady Mohammed Taha
Myocardial protection is still a focus of ongoing research. Propofol is used widely during the induction of anaesthesia in cardiac surgery. So, this triggers us to investigate the cardioprotective effect of the propofol when added to the cardioplegia compared to systemic propofol by measuring the troponin T level. This clinical randomized controlled trial was carried out on 150 patients operated for
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Surgical Apgar Score can help predict postoperative cardiopulmonary complication and reoperation in lung cancer resection Cardiothorac. Surg. Pub Date : 2023-07-11 Yücel Özgür, Mustafa Vedat Doğru
Bleeding due to lung resection increases the risk of cardiopulmonary complications and hospital stay. Surgical massive bleeding is associated with a high rate of mortality. In this study, our aim is to determine the effectiveness of Surgical Apgar Score in predicting complications and reoperation in the short term. Peroperative data of 405 patients aged 18–82 who underwent lung resection (pneumonectomy
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Satisfaction of cardiac surgery trainees with the residency training program in Saudi Arabia: a survey-based study Cardiothorac. Surg. Pub Date : 2023-07-05 Osama Abdullah Abdulrahman, Rahaf Ghassan Baaqeel, Reem Faisal Bahakeem, Naif Fahad Alotaibi, Asayil Yousef Almarjan, Marah Meshal Alsulami, Mohammad Fawzi Babgi, Elnazeer Osman Ahmed
There is a direct relationship between the degree of trainees’ satisfaction and their productivity. The Saudi Board of Cardiac Surgery is a new training program established by the Saudi Commission for Health Specialties. As a result, we aimed to provide helpful information and data in order to improve the overall quality of the local cardiac training program. This is the first study to look at how
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Video assisted thoracoscopic surgery vs thoracotomy in management of post traumatic retained hemothorax: a randomized study Cardiothorac. Surg. Pub Date : 2023-05-25 Abd Elrahman Mohammed Khalaf, Ahmed Emadeldeen Ghoneim, Alaa Basiouni Mahmoud, Amr Abdelmonem Abdelwahab
Retained hemothorax is a serious problem that can lead to empyema or fibro-thorax. Evacuation of the retained hemothorax is commonly performed via open thoracotomy. This randomized study was conducted to represent our center's expertise with this issue, we compared the outcomes of video-assisted thoracoscopic surgery (VATS) against open thoracotomy in managing post-traumatic retained clotted hemothorax
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Video-assisted thoracic surgery is associated with faster delivery to adjuvant chemotherapy after lung resection in patients with lung cancer Cardiothorac. Surg. Pub Date : 2023-05-23 Güntuğ Batıhan, Kenan Can Ceylan, Şeyda Örs Kaya
Rapid recovery after surgery is especially important for patients who are scheduled for adjuvant therapy. This study aimed to investigate the effect of video-assisted thoracic surgery (VATS) on chemotherapy referral time and chemotherapy tolerance in patients who underwent lung resection for non-small cell lung cancer. The data of 612 patients who underwent lung resection with the diagnosis of non-small
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Letter to editor: surgical outcome after using negative pressure therapy in infected leg wounds in coronary bypass grafting surgery Cardiothorac. Surg. Pub Date : 2023-05-12 Mahjabeen Shah
To the editor, I am writing to express my appreciation for the recent article of Shaalan et al. [1], entitled surgical outcome after using negative pressure therapy in infected leg wounds in coronary bypass grafting surgery. I would like to congratulate the authors on their publication. The research presented in this article sheds important light on new interventions in cardiothoracic surgery, and
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Transcatheter versus surgical closure of ventricular septal defect: a comparative study Cardiothorac. Surg. Pub Date : 2023-04-20 Hamdy Singab, Mohamed Khairat Elshahat, Ahmed Samy Taha, Yasmin Abdelrazek Ali, Ahmed Meawad El-Emam, Mohamed Ahmed Gamal
In many countries, surgical closure of ventricular septal defects remains the recommended approach of ventricular septal defect closure. The aim of this study is to compare the safety, efficacy, and clinical effects of surgical versus transcatheter closure of a ventricular septal defect. We conducted a comparative randomized study on patients undergoing ventricular septal defect closure. Patients were
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Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue Cardiothorac. Surg. Pub Date : 2023-03-25 Mohamed Osman Omar Hassan, Linyou Zhang, Mahmoud Khairy El-Haish, Mohsen Saber Mohamed Ahmed, Hussein Elkhayat
Spontaneous pneumothorax is thoracic condition, with annual incidence of 7 to 9 cases per 100,000 people. Most of thoracic surgeons prefer minimally invasive method that uses staplers to resect bullous parenchyma, but this technique is costly. Now, the problem of rising health care costs is faced by all countries all over the world. As result, preventing use of disposable consumables in video-assisted
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An alternative anatomical classification for carotid bifurcation and impact on outcome of carotid endarterectomy: a multicenter study Cardiothorac. Surg. Pub Date : 2023-02-09 Anton N. Kazantsev, Alexander V. Korotkikh, Roman Yu. Lider, Oleg V. Lebedev, Alexey A. Sirotkin, Petr D. Palagin, Otabek Sh. Mukhtorov, Dmitriy V. Shmatov, Artyukhov Sergey, Elizaveta G. Kazantseva, Goderzi Sh. Bagdavadze, Shuowen Wang, Ludmila V. Roshkovskaya, Mikhail A. Khetagurov, Vladimir M. Unguryan, Maxim P. Chernyavin, Okenu Gloria Nonye, Yuri V. Belov
The present multicenter retrospective study included 7148 patients who underwent carotid endarterectomy (CEA) between 2010 and 2021. Based on the results of angiography (AG)/multislice computed tomography (MSCT) angiography, 3 types of carotid bifurcation were identified depending on the projection of the carotid sinus to the cervical vertebrae: type I (high)—from the upper edge of the body of the
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Reintervention after repair of tetralogy of Fallot: a one-decade single-center experience Cardiothorac. Surg. Pub Date : 2023-01-26 Mohamed H. Mashali, Aly A. Yousef, Ahmed F. Elmahrouk, Wejdan Ba-Atiyah, Mohammed A. Rasol, Mohamad A. Arafa, Mohammad S. Shihata, Ahmed A. Jamjoom, Tamer E. Hamouda
Reinterventions after tetralogy of Fallot repair (TOF) remains a common clinical problem. The objective of this study was to evaluate types of reintervention after TOF repair and identify the risk factors for reinterventions. This retrospective study was conducted from 2010 to 2022 and included 171 patients with complete TOF repair. Patients were grouped according to the occurrence of reintervention
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Huge right ventricular myxoma in a 15-year-old female patient: a case report and literature review Cardiothorac. Surg. Pub Date : 2023-01-20 Ahmed Deebis, Hala Elattar, Ahmed Bakry
Myxomas represent about 5–10% of primary cardiac tumors in children, and only about 2.5–4% of cardiac myxomas originate from ventricular chambers. Symptoms and signs of right ventricular tumors depend mainly on the size and the site of the tumor and its effect on the inflow and outflow of the blood. A 15-year-old female patient presented with syncope on exertion and symptoms and signs of congestive
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Black aortic valve and coronary arteries in liver transplantation patient: case report Cardiothorac. Surg. Pub Date : 2023-01-11 Vancoillie, S., Roosen, J., Bourgain, C., Depraetere, H.
Black pigmentation of the aortic valve and coronary arteries has been reported to be caused by alkaptonuria or minocycline. In patients with liver transplantation it has been described only once, after exposure to minocycline. We report a second case of such pigmentation in a liver transplantation patient, for whom none of the known causes are an adequate explanation for this pigmentation. Our 56-year-old
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Isolated surgical vs. transcatheter aortic valve replacement: a propensity score analysis Cardiothorac. Surg. Pub Date : 2023-01-06 Almedimigh, Abdulmalik A., Albabtain, Monirah A., Alfayez, Latifa A., Alsubaie, Faisal F., Almoghairi, Abdulrahman, Alotaiby, Mohammad, Alkhushail, Abdullah, Ismail, Huda, Pragliola, Claudio, Adam, Adam I., Arafat, Amr A.
The debate about the optimal approach for aortic valve replacement continues. We compared the hospital and long-term outcomes (survival, aortic valve reintervention, heart failure readmissions, and stroke) between transcatheter vs. surgical (TAVR vs. SAVR) aortic valve replacement. The study included 789 patients; 293 had isolated SAVR, and 496 had isolated TAVR. Patients with concomitant procedures
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The management of newborns with critical congenital heart diseases prior to transport to a cardiac center Cardiothorac. Surg. Pub Date : 2023-01-05 Alkhushi, Naif
Critical congenital heart diseases (CCHD) are important causes of mortality and morbidity in the newborn period. Even after diagnosis, their management could be seriously compromised by the unplanned delivery in hospitals with limited expertise and resources. The newborn may spend days or week before transport putting a significant burden on the neonatal team to manage such challenging diseases. In
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Surgical outcome after using negative pressure therapy in infected leg wounds in coronary bypass grafting surgery Cardiothorac. Surg. Pub Date : 2022-12-30 Shaalan, Ayman M., El Wakeel, Eman E., Shaalan, Khaled M., Alhuthaifi, Abdulkareem
Infection of leg wounds is a common complication following great saphenous vein harvesting (GSV) for coronary bypass grafting (CABG). This complication can result in increased risk of patient morbidity and mortality by causing septicemia, and gangrene, subjecting the patients to amputation. This study aimed to assess the efficacy of negative pressure wound therapy (NPWT) compared to conventional wound
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A randomized controlled trial (PAMI trial) on our new trend periareolar minimally invasive (PAMI) technique versus inframammary approach for minimally invasive cardiac surgery Cardiothorac. Surg. Pub Date : 2022-12-29 El Adel, Mohamed, Nady, Mohamed Alaa, Amin, Anwar, Khairy, Mahmoud
A minimally invasive approach has become standard for mitral valve surgery. The periareolar approach has grown in popularity regarding the cosmesis for patients. We have adopted a new modification to the periareolar approach: the periareolar minimally invasive (PAMI) technique. The objectives of the current study are to test the hypothesis that the PAMI approach is more feasible and safer than the
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Anesthetic management and the role of TEE in the entrapment of a paradoxical embolus by a patent foramen ovale Cardiothorac. Surg. Pub Date : 2022-12-27 Davis, Jevaughn S, Zvara, Jessica, Parr, K. Gage
A paradoxical embolism arises when a venous thrombus passes through a cardiac right to left shunt and enters the arterial circulation. This can manifest as cardiovascular ischemia, cerebrovascular insults, increased right ventricular pressure, and/or volume overload leading to signs and symptoms of heart failure. While rare, paradoxical emboli carry high mortality and morbidity if diagnosis is missed
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Laser pulmonary metastasectomy preserves parenchyma: a single-centre retrospective study from the United Kingdom Cardiothorac. Surg. Pub Date : 2022-11-29 Chandarana, Karishma, Caruana, Edward J., Weaver, Helen, Rathinam, Sridhar, Nakas, Apostolos
Pulmonary metastasectomy (PME) is a modality increasingly employed to control oligometastatic disease from a variety of solid tumours. We present data from a single UK centre, following the introduction of laser-assisted surgery (LAS) using the Limax® 120 Nd:Yag laser (Gebrüder Martin GmbH & Co. KG, Tuttlingen, Germany). All patients undergoing PME between September 2015 and August 2018 were included
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Social life in adult patients after Fontan procedure Cardiothorac. Surg. Pub Date : 2022-10-03 Alhabdan, Mohammed S., Alzayer, Eman A., Alawami, Murtadha H., Khouqeer, Fareed A.
Little is known about the social life in adult patients after Fontan palliation. The study aimed to assess the long-term social life of patients after Fontan surgery, including school achievement, employment, and marital status. We conducted a cross-sectional study on patients aged 18 years or above who had a Fontan operation for a single ventricle pathology. Our outcomes were the academic performance
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Role of great artery annulus ratio to predict transannular patch enlargement in repair of tetralogy of Fallot Cardiothorac. Surg. Pub Date : 2022-09-13 Samal, Satyajit, Sharma, Rakesh, Minhas, Harpreet Singh, G, Girish, Agarwal, Saket, Naqvi, Sayyed Ehtesham Hussain, Geelani, Muhammad Abid
Traditionally, the pulmonary valve annulus (PVA) z-score is used to predict the requirement of transannular patch enlargement (TAPE) of right ventricular outflow tract (RVOT) and main pulmonary artery (MPA) in repair of tetralogy of Fallot (TOF). PVA z-score is highly variable and many other parameters are being reported to be accurate in predicting need of TAPE. In this study, we analyze the role
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Does prophylactic low-dose amiodarone decrease the incidence of postoperative atrial fibrillation after coronary artery bypass graft surgery? A randomized controlled trial Cardiothorac. Surg. Pub Date : 2022-09-07 Ahmed, Mohamed Ali, Ghoneim, Ahmed Emadeldeen, Abdel Wahab, Amr Abdel Elmonem, Mahmoud, Alaa Basiouni
Postoperative atrial fibrillation (POAF) occurs within 1 to 5 days after coronary artery bypass grafting (CABG), with a peak occurrence on the second day. This research aimed to assess the role of dose-low amiodarone in the prevention of POAF after CABG. This randomized controlled blind-single study was carried out on 150 patients undergoing elective CABG with sinus rhythm. Cases were randomized into
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Recent advancements in pediatric cardiopulmonary bypass technology for better outcomes of pediatric cardiac surgery Cardiothorac. Surg. Pub Date : 2022-08-15 Saleem, Yasir, Darbari, Anshuman, Sharma, Rahul, Vashisth, Amit, Gupta, Anish
Pediatric cardiac surgery is in itself very enigmatic and individualized. Presently, there has been a slew of new developments aimed primarily toward pediatric cardiopulmonary bypass for safer, patient-centered pediatric cardiac surgery. Still, lot of technological challenges need to be resolved, and their safer application in pediatric and neonate patients requires further refinement. Considering
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Preoperative hemodynamics as predictors of right heart failure post-left ventricular assist device Cardiothorac. Surg. Pub Date : 2022-08-05 Orozco-Hernandez, Erik J., Kurt DeLay, T., Hoopes, Charles W., Gongora, Enrique, Pamboukian, Salpy, Xie, Rongbing, Davies, James E., Vardas, Panos N.
Mechanical circulatory support has garnered significant popularity as both a bridge to transplant as well as a destination therapy for patients with end-stage heart failure. Right heart failure (RHF) is a devastating complication after LVAD placement and is very unpredictable. Assisted circulation of the left ventricle (LV) with an LVAD device could unmask an underlying RHF. However, otherwise healthy
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Effect of preoperative ultrasound mapping of the saphenous vein on leg wound complications after coronary artery bypass surgery: a systematic review Cardiothorac. Surg. Pub Date : 2022-07-13 Media, Ara Shwan, Rajendran, Rathini, Kimose, Hans Henrik, El-Akkawi, Ali Imad
The long saphenous vein is one of the most used conduits for coronary artery bypass graft surgery. The aim of this study was to assess the existing evidence regarding the effects of preoperative ultrasound mapping of the long saphenous vein with special attention to leg wound complications in patients undergoing elective coronary artery bypass graft surgery. A systematic literature search was conducted
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Heart recovery and reverse remodeling following lung transplant in pulmonary artery hypertension Cardiothorac. Surg. Pub Date : 2022-07-12 Alshimali, Hussain, Coppolino, Antonio, Keshk, Mohamed A., Young, John S., Itoh, Akinobu, Goldberg, Hilary J., Sharma, Nirmal S., Mallidi, Hari R.
Pulmonary artery hypertension (PAH) is a progressive disease that result in right heart dysfunction. Lung transplantation (LTx) improve survival in end-stage disease. The aim of this study is to assess heart recovery after LTx for patients with primary and secondary pulmonary hypertension. We conducted a single center retrospective review for patients with primary and secondary PAH underwent LTx between
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Giant right coronary artery aneurysm with vena cava superior fistula: a case report and radiological findings Cardiothorac. Surg. Pub Date : 2022-07-07 van Grinsven, Vincent, Binst, Arizona, Rombouts, Hans, Symons, Rolf, De Praetere, Herbert
Giant coronary artery aneurysms (GCAA) are a rare disease entity with an estimated incidence of 0.02%. Atherosclerosis is the most common underlying factor in adulthood. Management guidelines lack the support of large-scale studies. We present a case of a 58-year-old Caucasian male with complaints of stable dyspnea who was found to have a GCAA of the right coronary artery (RCA). Further evaluation
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Patients after lung resection heading to the high-dependency unit: a cost-effectiveness study for managing lung cancer patients Cardiothorac. Surg. Pub Date : 2022-06-13 Elsayed, Hany Hasan, Ahmed, Mohamed Hussein, El Ghanam, Mohamed, Hikal, Tamer, Abdel-Gayed, Mohammed, Moharram, Assem Adel
Recently, most thoracic surgery units allocate patients post lung resection to high-dependency units (HDU) rather than the old trend of intensive care units (ITU). The aim of the study is to assess the safety and efficacy of such a policy. We compared a single group of patients who underwent lobectomies who were admitted to ITU before March 2011 and patients whom their destination was to HDU after
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The epidemiology of funnel chest repairs in Germany: monitoring the success of Nuss’ procedure Cardiothorac. Surg. Pub Date : 2022-06-11 Heydweiller, Andreas, Oetzmann von Sochaczewski, Christina
In recent years, the Nuss procedure was gaining ground in pectus excavatum repair, but the scientific focus had been on complications compared to conventional repairs. Despite a substantial prevalence of pectus excavatum in population-based studies, the adoption of minimally invasive funnel chest repair and subsequent replacement of conventional procedures has not been assessed on a population-based
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An adult with left isomerism having an interrupted inferior vena cava and persistent left superior vena cava associated with partial atrioventricular canal defect and complete heart block — a case report Cardiothorac. Surg. Pub Date : 2022-06-04 Ali, Mohammed Wahaj, Husain, Shaikh Mohammed, Iyer, Ramnath, Desai, Neelam
Persistent left superior vena cava is a well-recognized thoracic venous abnormality, most of which do not present with any symptoms. Its opening into the left atrium is uncommonly encountered and, if present, is noted to be associated with various other complex intracardiac malformations, which further complicates its management. Herein, we highlight a case of an adult with persistent left superior
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Treatment of non-restrictive cor triatriatum sinister during concomitant cardiac surgery Cardiothorac. Surg. Pub Date : 2022-06-01 Di Bacco, Lorenzo, D’Alonzo, Michele, Repossini, Alberto, Zanin, Francesca, Muneretto, Claudio, Benussi, Stefano
Cor triatriatum is a rare congenital heart disease representing the 0.4% of all congenital cardiac anomalies. To date, no specific genetic alteration has been associated to cor triatriatum. The left-sided presentation (cor triatriatum sinister (CTS)) generally consists in a fibromuscular membrane that divides the left atrium into two chambers, therefore generating a varying grade of flow obstruction
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Cardiac surgery and the sustainable development goals: a review Cardiothorac. Surg. Pub Date : 2022-05-23 Ghandour, Hiba, Vervoort, Dominique, Ravishankar, Ramanish, Swain, Ja Baris D.
In 2015, the United Nations adopted the Sustainable Development Goals (SDGs) as key priorities to improve the global health and international development agenda in an intersectoral manner, highlighting 17 SDGs. Six billion people lack access to safe, timely, and affordable cardiac surgical care due to capacity, geographic, and financial barriers. Nevertheless, cardiac surgery is largely disregarded
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Jarcho-Levin syndrome in Pakistan: a case report and review of 321 cases on the principles of diagnosis and management Cardiothorac. Surg. Pub Date : 2022-05-16 Asghar, Imran, Zameer, Sheharyar, Khan, Taimoor Ashraf, Zahid, Muhammad Abdullah, Khan, Muhammad Hamza, Zameer, Noor Ul Ain
Jarcho-Levin syndrome (JLS) is a genetic condition that constitutes specific vertebral anomalies combined with coastal or thoracic anomalies due to specific gene mutations. Although the condition is associated typically to Puerto-Ricans, we describe the novel case of JLS in a Pakistani family that presented with respiratory distress secondary to the condition. The case is a full-term girl that had
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Left ventricular pseudoaneurysm repair utilizing P2 segment of mitral valve: a case report Cardiothorac. Surg. Pub Date : 2022-05-04 Tien, Lillie, Drevets, Peter, Ward, Alison, Lee, Richard
Left ventricular (LV) pseudoaneurysms are a rare occurrence typically seen after myocardial infarction (MI) or in patients with prior cardiac surgery and are associated with a significant risk of rupture and mortality. Management includes primary repair, epicardial patching, or percutaneous repair with occlusive devices. This case report describes a 46-year-old male with a large LV pseudoaneurysm that
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Correction: Familial partial atrioventricular septal defect in four related kindreds: case series and review of the literature Cardiothorac. Surg. Pub Date : 2022-05-03 Alagha, Sameh, Çiçekçioğlu, Ferit, Başar, Veysel, Cengiz ER, Zafer
Correction to: Cardiothorac Surg 30, 10 (2022) https://doi.org/10.1186/s43057-022-00071-w Following publication of the original article [1], Zafer Cengiz ER, the fourth author, identified an error in his name. The incorrect author name is: Zafer Cengiz The correct author name is: Zafer Cengiz ER The author group has been updated above and the original article [1] has been corrected. Alagha S, Çiçekçioğlu
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Familial partial atrioventricular septal defect in four related kindreds: case series and review of the literature Cardiothorac. Surg. Pub Date : 2022-03-30 Alagha, Sameh, Çiçekçioğlu, Ferit, Başar, Veysel, Cengiz, Zafer
Atrioventricular septal defects are common congenital heart defects and comprise a spectrum of anomalies, these defects were described in few pedigrees suggesting a familial pattern of inheritance, and they are more common in patients with chromosomal abnormalities. The familial occurrence of this particular type of congenital heart disease is uncommon and few cases have been identified as partial
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Financial relationships of editorial board members of cardiothoracic surgery journals Cardiothorac. Surg. Pub Date : 2022-03-25 Ahmed, Adham, Varghese, Kathryn S., Ahmed, Sarah, Mathew, Dave, Levy, Kenneth H., Ahmad, Danial, Hameed, Irbaz
To the editor, Editorial board members (EBMs) of medical journals are influential and supervise the dissemination of peer-reviewed medical information. Given their unique position, EBMs with industry relationships can pose as a conflict of interest and generate controversy. In this cross-sectional study, we characterize the financial relationships of cardiothoracic surgery journal EBMs. We searched
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Modified Cabrol technique for the treatment of adult anomalous left coronary artery from the pulmonary artery Cardiothorac. Surg. Pub Date : 2022-03-17 Davies, James E., Singh, Gagandip, Vardas, Panos N.
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that typically presents within the first year of life but can also sporadically present in adults. ALCAPA, if left untreated, can lead to coronary ischemia and sudden death. We present the case of a 32-year-old male with ALCAPA with ischemic cardiomyopathy and the anomalous left main coronary originating
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Salvage of infected cardiac implantable electronic device with taurolidine—a case report Cardiothorac. Surg. Pub Date : 2022-02-16 Borov, Stefan, Baldauf, Benito, Lau, Ernest W., Bonnemeier, Hendrik
Cardiac implantable electronic devices (CIEDs) are commonly used to treat cardiac arrhythmias and prevent sudden cardiac death. Complications of CIED therapy include component malfunction, lead dislodgement, skin erosion and infection. Infection can result in significant morbidity and even mortality. The recommended treatment of CIED skin erosion and infection is urgent complete device extraction.
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Resuscitation after cardiac surgery awareness: an Egyptian national survey Cardiothorac. Surg. Pub Date : 2022-02-07 Abdelghafar, Moslem, Abdelmoneim, Taher, Mohamed, Alaa, Abdalla, Mohamed
Cardiac surgery patients have different resuscitative needs than other patients who experience in-hospital cardiac arrest; this was addressed in the guidelines. However, it is unknown how widely the guidelines are practiced, or a training protocol is followed in different cardiac surgery units in Egypt. A 21-question survey was created and included: Participant demographics, prevalence of cardiac arrest
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Risk and benefits of temporary pacemaker electrodes in adult open-heart surgery—a systematic review Cardiothorac. Surg. Pub Date : 2022-01-13 Enevoldsen, Malene S., Nielsen, Per Hostrup, Hasenkam, J. Michael
To assess the achieved risk and benefits of inserting temporary epicardial pacemaker electrodes after open-heart surgery for potential treatment of postoperative cardiac arrhythmias, and to investigate the extent of its use in clinical practice. A systematic search was conducted in PubMed and repeated in Embase and Scopus using the PRISMA guidelines. The search identified 905 studies and resulted in
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Predictors of perioperative myocardial infarction in patients undergoing off-pump coronary artery bypass grafting Cardiothorac. Surg. Pub Date : 2022-01-03 Amr, Mohamed A., Fayad, Elsayed
Perioperative myocardial infarction (PMI) increases morbidity and mortality after off-pump coronary artery bypass grafting (CABG). The objective of the current study was to characterize patients with PMI after off-pump CABG and identify its predictors. We included 1181 patients who had off-pump CABG from 2010 to 2020; 59 patients (5%) had PMI. We compared patients with PMI to those without PMI. Patients
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Surgical revascularization of a rare type IV dual left anterior descending artery—a case report Cardiothorac. Surg. Pub Date : 2022-01-03 Nedumaran, Bharathguru, Krishnasamy, Arunkumar, Ramasamy, Mahadevan, Kaliaperumal, Nedumaran, Balakrishnan, Ramamurthy
Type IV dual left anterior descending artery (LAD) is a rare congenital coronary anomaly. Though benign with most of the patients being asymptomatic, knowledge of its existence and identification during coronary angiography is important during coronary interventions and surgical revascularization. We present a rare case of type IV dual left anterior descending artery (LAD) with anomalous origin of