Journal of Cardiac Surgery最新文献

{"title":"Safe heart flush technique during recovery from donors after circulatory death.","authors":"Magdy M El-Sayed Ahmed,&nbsp;Kevin P Landolfo,&nbsp;Samuel Jacob,&nbsp;Basar Sareyyupoglu,&nbsp;Mathew Thomas,&nbsp;Si M Pham,&nbsp;Ian A Makey","doi":"10.1111/jocs.17023","DOIUrl":"https://doi.org/10.1111/jocs.17023","url":null,"abstract":"<p><strong>Background: </strong>Donation after circulatory death is the donation after cardiac arrest. This technique has been employed and adopted by clinicians to overcome the shortage of available hearts for transplant. Warm ischemia time plays a pivotal role in the survival outcome of the heart recipients.</p><p><strong>Aim of the study: </strong>To assess the efficacy of using the Foley catheter to flush the heart during procurement from donation after circulatory death donors.</p><p><strong>Methods: </strong>We utilized a 2-WAY Foley catheter to flush the heart during procurement. The catheter was prepared and modified on the back table.</p><p><strong>Results: </strong>We were successfully able to flush the heart within 3 minutes from skin incision with a good recipient outcome.</p><p><strong>Conclusions: </strong>Using the Foley catheter to flush the heart during recovery from donation after circulatory death donors was both efficient and fast.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5646-5648"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/2a/JOCS-37-5646.PMC10092136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9350534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The dawn of surgical treatment of aortic insufficiency.","authors":"Igor Vendramin,&nbsp;Uberto Bortolotti,&nbsp;Aldo D Milano,&nbsp;Ugolino Livi","doi":"10.1111/jocs.16851","DOIUrl":"https://doi.org/10.1111/jocs.16851","url":null,"abstract":"“Failure is success in progress” ‐ Albert Einstein (1879−1955) Before the development and introduction in the clinical practice of the heart‐lung machine in 1953, to allow intracardiac procedures to be performed under cardiopulmonary bypass (CPB), certain cardiac operations could be accomplished only on a beating heart under mild hypothermia or with the use of cross‐circulation, as utilized by Walton C. Lillehei to successfully repair even complex congenital heart malformations. In 1953, Hufnagel (Figure 1) and Harvey reported the successful implantation of a ball valve prosthesis into the thoracic aorta (Figure 2). This historical operation was performed on September 11, 1952 at Georgetown University Hospital in Washington, DC, in a female patient with severe aortic valve insufficiency. This device, designed to replicate the mechanism of a liquor bottle stopper, produced almost one century ago, consisted in a tubular chamber, with an inlet and an outlet, containing a hollow ball to reduce its gravity; indeed, a pressure of just 5 mmHg was enough to move the poppet in a completely open or closed position. The whole device was molded from a single piece to obtain a smooth surface. Initially, the entire prosthesis was made of methyl methacrylate (Lucite); subsequently the ball was changed with one made by a hollow nylon core covered by silicone rubber to reduce prosthetic noise. As Hufnagel himself stated: “This valve was developed for the treatment of aortic insufficiency and to serve as a prototype to test the possibility that a valvular prosthesis would satisfactorily function within the cardiovascular system.” In those years the CPB machine was still unavailable while replacement of the ascending aorta had not yet been performed. Therefore, Hufnagel was forced to insert this device into the descending aorta and implanting a prosthesis in that location was certainly made possible by the demonstration that the thoracic aorta could be safely temporarily clamped, as occurred during the first landmark operations performed by Robert Gross to close a patent ductus arteriosus or repair an aortic coarctation. The operation to implant the Hufnagel prosthesis was performed through a standard posterolateral thoracotomy incision through the 5th intercostal space with the patient placed in the right lateral decubitus. As described by Hufnagel himself, the prosthesis was implanted in the descending aorta just below the takeoff of the left subclavian artery. Toinsert the prosthesis (Figure 3), following proximal and distal cross‐clamping, a transverse segment of the descending thoracic aorta was excised and the prosthesis inserted into both cut ends of the aorta; the prosthesis was fixed in place using flexible rings at the grooves present on the outer surface at both ends of the valve; occasionally, at the end of the procedure the aorta was wrapped with fabric material. Details of the operation, with some technical modifications, have also been described in t","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5676-5678"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HeartMate 3 implantation for dextro-transposition of the great arteries after Mustard procedure: A technique of papillary muscle repositioning.","authors":"Albert C Pai,&nbsp;Anthony L Panos,&nbsp;Marco Ricci","doi":"10.1111/jocs.16970","DOIUrl":"https://doi.org/10.1111/jocs.16970","url":null,"abstract":"<p><p>Systemic right ventricular failure after physiologic repair for dextro-transposition of the great arteries can be managed with durable mechanical circulatory support; however, the right ventricular morphology, such as intervening papillary muscles, presents challenges to inflow cannula positioning. Papillary muscle repositioning is an innovative technique to circumvent obstructive anatomy.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5649-5652"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coarctation of aorta combined with multiple aneurysms.","authors":"Tiange Li,&nbsp;Siyu He,&nbsp;Yunfei Ling,&nbsp;Yongjun Qian","doi":"10.1111/jocs.17137","DOIUrl":"https://doi.org/10.1111/jocs.17137","url":null,"abstract":"<p><p>We reported a case of a 53-year-old patient with coarctation of the aorta and multiple aneurysmatic changes on the aortic arch. Enhanced computed tomography and reconstruction revealed significant coarctation and multiple aneurysmatic dilatations. The patient underwent stent implantation and was discharged with symptoms relieved. Follow-up examination progression of aneurysms, however, without symptoms.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5464-5465"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sternal-sparing aortic valve replacement with sutureless valve in bicuspid valve.","authors":"Michel Pompeu Sá,&nbsp;Jef Van den Eynde,&nbsp;Ozgun Erten,&nbsp;Serge Sicouri,&nbsp;Basel Ramlawi","doi":"10.1111/jocs.17185","DOIUrl":"https://doi.org/10.1111/jocs.17185","url":null,"abstract":"<p><p>Over the last decade, sutureless valves (Perceval, LivaNova PLC) were brought to the market as an alternative to stented valves for patients requiring surgical aortic valve replacement (SAVR). However, Perceval demands special steps for implantation, among which we can mention specific training for the surgical team members. Sternal-sparing cardiac procedures are conceived to limit surgical trauma, but the technical requirements and preoperative planning are more challenging than those for conventional sternotomy. SAVR is frequently carried out through an upper hemisternotomy, but the right anterior thoracotomy (RAT) represents an even less traumatic, technical advancement. In the context of SAVR with RAT, Perceval has been considered the \"perfect marriage.\" In patients with bicuspid aortic valve (BAV), some surgeons initially avoided the Perceval valve but, with growing experience, the prosthesis has been used for a wide variety of indications. According to an international consensus statement recently published, there are 3 BAV types: the fused BAV, the 2-sinus BAV and the partial-fusion BAV, each with specific phenotypes. The 2-sinus BAV has 2 cusps, roughly equal in size and shape, each cusp occupying 180° of the annular circumference, with only 2 aortic sinuses, resulting in a 2-sinus/2-cusp valve without raphe and with 180° commissural angles. Since the elliptic aortic annulus in BAV patients poses a challenge for sutureless valves and the RAT approach has been increasingly adopted for minimally invasive SAVR, our description of the surgical technique focuses on the specific procedural details in the scenario of 2-sinus BAV laterolateral phenotype.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5653-5662"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimizing visceral organ ischemia time for open repair of thoracoabdominal aortic disease: Description of a new method.","authors":"Andrey V Marchenko,&nbsp;Pavel A Myalyuk,&nbsp;Alexey A Petrishchev","doi":"10.1111/jocs.17105","DOIUrl":"https://doi.org/10.1111/jocs.17105","url":null,"abstract":"<p><p>Minimizing ischemic injury during surgical repair of thoracoabdominal aortic aneurysms (TAAAs) is vital for preventing complications such as paraplegia and acute renal failure. In this report, we describe a new technique for TAAA open repair that aims to minimize visceral organ ischemia times. Unlike typical Crawford extent II TAAA open repair, which begins with aortic clamping and proceeds from the proximal to the distal anastomoses, our method reverses the anastomosis order and minimizes aortic clamping. Between January 2016 and December 2020, we used this approach in 29 patients undergoing TAAA repair. We present one of these cases, a 29-year-old patient with progressive aneurysmal dilatation of a DeBakey type III chronic aortic dissection that extended beyond the aortic bifurcation. Our technique reduced aortic cross-clamping, left heart bypass, and internal organ and spinal cord ischemia times and appears to be safe and effective.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5666-5669"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart recovery from a brain-dead donor with a history of Ravitch procedure for repair of pectus excavatum.","authors":"Matan Grunfeld,&nbsp;Suguru Ohira,&nbsp;Joshua Choe,&nbsp;Gregg M Lanier,&nbsp;Kathryn Martin,&nbsp;David Spielvogel,&nbsp;Masashi Kai","doi":"10.1111/jocs.17065","DOIUrl":"https://doi.org/10.1111/jocs.17065","url":null,"abstract":"<p><strong>Background: </strong>We describe the successful heart transplantation of a brain-dead male donor with a remote history of pectus excavatum repair.</p><p><strong>Method and results: </strong>On computed tomography, the ascending aorta was in close proximity to metallic struts from the donor's sternal repair. Before harvesting the heart, visual and digital inspections revealed minimal space between the sternum and ascending aorta, complicated by severe adhesions in the lower sternum. After the pericardium was opened, the subsequent recovery of the heart was performed in a standard fashion. At one-year post-transplant, the recipient continues to have normal graft function.</p><p><strong>Conclusions: </strong>Careful evaluation, intraoperative consideration, and coordination with other transplant teams were essential in the successful recovery of the heart during a time of organ shortages.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5531-5533"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Split right coronary artery and shepherd's crook course of direct origin of the conal artery: An unhitherto association in a case of rheumatic mitral stenosis.","authors":"Debanjan Nandi,&nbsp;Amarinder Singh Malhi,&nbsp;Manish Shaw,&nbsp;Sanjeev Kumar","doi":"10.1111/jocs.17133","DOIUrl":"https://doi.org/10.1111/jocs.17133","url":null,"abstract":"<p><p>In a 47-year-old lady, planned for redo percutaneous mitral commissurotomy for recurrent mitral valve stenosis, there was incidental detection of splitting of right coronary artery and direct origin and shepherd's crook course of the conal artery. Though these two anomalies have no hemodynamic significance, correct nomenclature and potential clinical implications have been described.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5459-5463"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative left atrial dissection following mitral valve surgery: Report of a case treated surgically.","authors":"Matteo Matteucci,&nbsp;Federica Torchio,&nbsp;Corinne Messina,&nbsp;Giovanna Inzigneri,&nbsp;Paolo Severgnini,&nbsp;Andrea Musazzi","doi":"10.1111/jocs.17087","DOIUrl":"https://doi.org/10.1111/jocs.17087","url":null,"abstract":"<p><p>Left atrial dissection (LatD) is an exceedingly rare but serious complication of cardiac surgery. Its clinical presentation is very different in individual cases. Surgical treatment for LatD is often selected when the patient is hemodynamically unstable; conservative treatments are commonly employed under stable conditions. We report a case of LatD after mitral valve replacement that was treated surgically with creation of an atrial fenestration.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5545-5547"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Gastrointestinal complications after cardiac surgery: Incidence, predictors, and impact on outcomes.","authors":"Warda Rasool,&nbsp;Satesh Kumar,&nbsp;Mahima Khatri","doi":"10.1111/jocs.16979","DOIUrl":"https://doi.org/10.1111/jocs.16979","url":null,"abstract":"To the Editor, The article “Gastrointestinal complications after cardiac surgery: Incidence, predictors, and impact on outcomes” by Nicholas et al. has been read with great interest. It has been a privilege to read such a sophisticated literary work. We wholeheartedly concur with the study's findings regarding the rarity of gastrointestinal complications following cardiac surgery and their impact on early and late survival. The study briefly overviews the incidence and predictive risk factors for GI complications following cardiac surgery. However, we would be privileged to provide additional enhancements to its findings. First, the results were categorized based on sampling from a single institution and can raise various concerns. As one study conducted nationwide, had a higher ratio than study conducted in a single location. Additionally, multiple studies produced contradictory results. In one study, postoperative ileus was the most prevalent complication, whereas in another, Clostridium Difficile infection was the most pervasive complication. Numerous studies establish that leading cause of GI complications is splanchnic hypoperfusion resulting from low cardiac output and hypotension. The author should have mentioned the pathophysiology that leads to all GI complications proving a significant risk factor. Second, the study could have yielded more credible findings by highlighting which specific cardiac procedures posed greatest threat to the gastrointestinal tract. One study's findings, for instance, indicate that aortic aneurysm surgery carries the highest risk of gastrointestinal complications. Notably, the authors should have mentioned the risk factors for GI complications. As one article describes, three types of risk factors—preoperative, intraoperative, and postoperative—significantly impact the outcome and results. The author could have provided more insight into the surgical procedure by comparing on‐pump and off‐pump CABG. Study shows, there was a significant difference in GI complication trends and types. This could be decisive in procedure selection. Last, research is necessary for discovering ways to reduce mortality and prevent complications. In mesenteric ischemia and survival after laparotomy, for instance, off‐pump CABG patients demonstrated significant improvement in comparison to those using on‐pump technique. Recognition of gastrointestinal problems following cardiac surgery can be challenging. Any patient experiencing abdominal pain or tenderness should raise suspicions of a gastrointestinal side effect. Several authors have emphasized the significance of early recognition of gastrointestinal complications and a low cutoff point for laparoscopic exploration. Heart surgery will improve the cardiac status of many, allowing them to withstand general anesthesia and abdominal surgery. Pancreatitis is an additional potential complication. Rather than pancreatic cellular damage, a decreased rate of excretion into urine has been sp","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5687-5688"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}