Cardiovascular Surgery and Interventions最新文献_第10页

Comparison of radiofrequency and cryoablation procedures for mitral valve surgery patients with atrial fibrillation 心房颤动二尖瓣手术患者射频与冷冻消融的比较

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2019.731

Sedat Paslı

{"title":"Comparison of radiofrequency and cryoablation procedures for mitral valve surgery patients with atrial fibrillation","authors":"Sedat Paslı","doi":"10.5606/e-cvsi.2019.731","DOIUrl":"https://doi.org/10.5606/e-cvsi.2019.731","url":null,"abstract":"Corresponding author: Emin Can Ata, MD. Medipol Mega Üniversite Hastanesi Kalp ve Damar Cerrahisi Bölümü, 34214 Bağcılar, İstanbul, Turkey. Tel: +90 212 460 77 77 e-mail: dr.enata@yahoo.com ABSTRACT Objectives: This study aims to compare the success of two different energy sources, radiofrequency versus cryoablation, in patients with atrial fibrillation. Patients and methods: Between August 2012 and August 2017, a total of 55 patients (27 males, 28 females; mean age 51.6±11.2 years; range, 44 to 71 years) with atrial fibrillation who underwent isolated left atrial ablation during mitral valve surgery in our clinic were included. Radiofrequency was applied to 41 patients and cryoablation to 14 patients. In both procedure, ablation was performed to isolate all pulmonary veins. Radiofrequency ablation utilized a RF current that was applied in a point-by-point mode, heating the tissue and leading to cellular necrosis. Cryogenic ablation induced necrosis by pumping refrigerant (nitrous oxide) through a balloon in a single-step mode, thereby freezing the tissue. The success of both techniques was evaluated through control echocardiography and electrocardiography. Results: There was no statistically significant difference in the success rates of both techniques in terms of returning to the sinus rhythm. Two patients in the radiofrequency ablation group developed third-degree atrioventricular block with the need of permanent pacemaker implantation. In contrast no patient in the cryoablation group developed the same block. In patients who underwent radiofrequency ablation, the need for inotropic support in the postoperative period was higher with prolonged length of stay in the intensive care unit. Conclusion: Our study results show that the success rate of both techniques is similar in patients with atrial fibrillation undergoing mitral valve surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132279885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Densely calcified aortic arch and right coronary artery 主动脉弓和右冠状动脉致密钙化

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.696

Z. Doğan

引用次数: 0

Cor triatriatum: A rare congenital cardiac disease in differential diagnosis 三房心:一种罕见的先天性心脏病的鉴别诊断

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.718

Nur Dikmen Yaman

引用次数: 0

Percutaneous cholecystostomy in acute cholecystitis in a patient with stent restenosis suffering from recent non-ST myocardial infarction before coronary artery bypass grafting 经皮胆囊造瘘术治疗急性胆囊炎患者在冠状动脉搭桥术前近期非st段心肌梗死伴支架再狭窄

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.699

Cüneyt Arkan

{"title":"Percutaneous cholecystostomy in acute cholecystitis in a patient with stent restenosis suffering from recent non-ST myocardial infarction before coronary artery bypass grafting","authors":"Cüneyt Arkan","doi":"10.5606/e-cvsi.2018.699","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.699","url":null,"abstract":"It may be challenging to tailor the treatment of acute cholecystitis in patients undergoing coronary artery bypass grafting due to accompanying comorbid factors. A 62-year-old male patient was admitted to the cardiovascular surgery unit for elective coronary artery bypass grafting. He suffered from non-ST-elevation myocardial infarction a week ago. His medical history revealed insulin-dependent diabetes mellitus and severe chronic obstructive pulmonary disease and also percutaneous coronary interventions in the left anterior descending and circumflex arteries 18 month ago. A coronary artery bypass grafting operation was planned a week after his admission. However, before coronary artery bypass grafting, the patient suffered from abdominal pain, nausea, and vomiting and the diagnosis of acute cholecystitis was made by the gastroenterology department. Percutaneous cholecystostomy was applied under ultrasonographic guidance. After the procedure, the complaints of the patient improved dramatically. Twelve days after the procedure, coronary artery bypass grafting was performed without any perioperative complications. The patient was uneventfully discharged on postoperative Day 8. In conclusion, percutaneous cholecystostomy is an effective method to maintain clinical stability in patients with acute cholecystitis who are candidates for open heart surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"67 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120999765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endovascular intervention to a rare cause of hematuria: Nutcracker syndrome - A case report 血管内介入治疗罕见血尿:胡桃夹子综合征1例报告

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.700

Ismail Selcuk

引用次数: 0

Aberrant right subclavian artery aneurysm: A rare entity 异常右锁骨下动脉瘤:罕见病例

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.719

I. Alur

{"title":"Aberrant right subclavian artery aneurysm: A rare entity","authors":"I. Alur","doi":"10.5606/e-cvsi.2018.719","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.719","url":null,"abstract":"Corresponding author: İhsan Alur, MD. Hisar Hastanesi Intercontinental Kalp ve Damar Cerrahisi Bölümü, 34768 Ümraniye, İstanbul, Turkey. Tel: +90 216 524 13 00 e-mail: alur_i@hotmail.com Aberrant right subclavian artery (ARSA) is the most frequent abnormality of the arch which accounts for 1% of the population.[1] In this abnormality, the right subclavian artery leaves the left part of the aortic arch as the final branch and progresses into the right axillary region through the posterior aspect of the esophagus (i.e., from left to the right). It often progresses between the esophagus and trachea or by the anterior aspect of the trachea.[2] This pathology is usually asymptomatic; however, it may lead to respiratory symptoms in children and difficulty in swallowing or a chronic cough in adults. In case of pressure on the esophagus, dysphagia lusoria may be observed. In case of an aneurysmatic widening of the aberrant subclavian artery in a segment close to the aorta, it is referred to as the Kommerell's diverticulum. This diverticulum may cause pressure on the tracheoesophageal region, leading to dissection/rupture due to excessive widening.[3,4] Herein, we present an 80-year-old male patient with an ARSA aneurysm.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131387960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A giant sinus node artery fistulizing to superior vena cava presenting with steal phenomenon: An unusual case report 巨窦结动脉瘘入上腔静脉并伴有窃血现象:一例罕见病例报告

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.713

U. Vural

引用次数: 0

A different surgical technique for cardioverter defibrillator implantation in pediatric patients: Pericardial-pleural pocket 小儿患者心脏转复除颤器植入的一种不同的手术技术:心包胸膜袋

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2017.592

Tuğba Avcı

引用次数: 0

Coronary revascularization in robotic cardiac surgery 机器人心脏手术中的冠状动脉血管重建术

Cardiovascular Surgery and Interventions Pub Date : 2019-04-24 DOI: 10.5606/e-cvsi.2018.646

B. Onan

引用次数: 2