Cardiovascular Surgery and Interventions最新文献

{"title":"Role of the uric acid/albumin ratio in predicting mortality of patients who underwent transcatheter aortic valve implantation","authors":"F. Levent","doi":"10.5606/e-cvsi.2023.1446","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1446","url":null,"abstract":"Objectives: The aim of this study was to investigate whether baseline uric acid/albumin ratio (UAR) was a predictor for mortality in patients who underwent transcatheter aortic valve implantation (TAVI) due to severe aortic stenosis. Patients and methods: The retrospective study included 240 patients (121 females, 119 males; mean age 77.5±7.6 years; range, 52 to 95 years) who underwent TAVI between January 2015 and January 2020 in two centers. Patient characteristics were compared between two groups according to mortality during follow-up (the mortality group and the survival group). The value of the UAR in predicting mortality was evaluated with receiver operating characteristic curve analysis. Predictors of mortality after TAVI were investigated with Cox regression analysis. Results: In-hospital mortality developed in 16 (6.7%) patients, and postdischarge all-cause mortality was observed in 41 (17.1%). The two-year mortality rate was determined to be 15%. The rate of systolic heart failure, systolic pulmonary artery pressure, and UAR were found to be significantly higher in the mortality group (p=0.007, p=0.036, and p<0.001, respectively). The diagnostic power of UAR in predicting mortality was poor (the area under the curve=0.671, confidence interval [CI]: 0.589-0.753, p<0.001). Independent predictors of mortality after TAVI were UAR >2.03 (hazard ratio=2.958, CI: 1.623-5.393, p<0.001) and platelet count (hazard ratio=0.996, CI: 0.992-1.000, p=0.05). Conclusion: Uric acid/albumin ratio was found to be an independent predictor for short-and long-term all-cause mortality in patients who underwent TAVI.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134432753","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}

{"title":"Rotational atherectomy treatment before drug-eluting stent implantation in severe calcific coronary lesion","authors":"M. Kış","doi":"10.5606/e-cvsi.2023.1439","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1439","url":null,"abstract":"Rotational atherectomy can effectively destroy calcified plaques and facilitate stent insertion and expansion in many cases. In this article, we present a successful application of rotational atherectomy with rotablator and drug-eluting stent implantation treatment in a 43-year-old male patient with severe calcific stenosis in the right coronary artery that could not be dilated with a high-pressure balloon. During the follow-up, the patient did not have any complaints as long as he was hospitalized, and no recent adverse events, such as acute stent thrombosis and bleeding, were observed.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124146228","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}

{"title":"Penetrating gluteal trauma managed by surgical treatment with an added value of digital subtraction angiography","authors":"A. Karagöz","doi":"10.5606/e-cvsi.2022.1396","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1396","url":null,"abstract":"Penetrating traumas to the gluteal region can occur via vascular injury, nerve injuries, or damage to the perineal organs. Vascular injuries are usually life-threatening injuries in gluteal penetrating traumas. Therefore, the use of angiograms may be necessary for the management of penetrating traumas to assess the bleeding focus. Herein, the case of a 24-year-old male who applied to the emergency department with a penetrating stab wound injury to the gluteal region is presented. Digital subtraction angiography (DSA) was performed for urgent vascular evaluation, which showed a pulsatile bleeding from the femoral left circumflex lateral artery, whereupon the vascular surgeon proximally ligated the type 3 lateral circumflex artery. However, the control DSA taken due to continued bleeding after the procedure revealed that the flow of the ligated lateral circumflex artery was interrupted, but the bleeding continued in the same region with the blood supply of the collateral coming from the iliolumbar branch of the internal iliac artery. Thereupon, a peripheral 5¥60 mm balloon was inflated in the internal iliac artery, and whether the bleeding stopped was evaluated. Afterward, the patient was taken back to surgery by the vascular surgeon, and the bleeding was stopped by collateral ligation. In this case, we showed with a demonstrative case that vascular imaging may be required not only before but also after the procedure in vascular injuries due to penetrating trauma and that treatment can be provided by closure of the feeding artery in both directions in dense collateral areas.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123626642","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}

{"title":"Determination of predischarge learning needs of patients with myocardial infarction","authors":"Tuğba Mutluluk Sarıoğlu","doi":"10.5606/e-cvsi.2022.1385","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1385","url":null,"abstract":"Objectives: This study aimed to determine the predischarge learning needs and influencing factors of patients with myocardial infarction. Patients and methods: The study included 190 MI patients (156 males, 34 females; mean age: 60.2±12.7 years; range, 21 to 85 years) admitted with the diagnosis of myocardial infarction between February 2021 and February 2022. Data were collected using the Sociodemographic/Clinical Characteristics Form and the Turkish version of the Cardiac Patients' Learning Needs Inventory. Results: The patients' symptom management, physical activity, anatomy and physiology of the heart, diet, psychological factors, lifestyle, and the mean total score on the scale were 27.45±2.64, 22.82±3.53, 20.56±3.15, 19.92±3.19, 15.45±2.81, 12.38±1.95, 155.21±17.11 points, respectively. It was found that there was a statistically significant difference in the general education need levels of the patients according to their education status, marital status, working status, exercise habit, cohabitants, additional chronic diseases, and history of heart attack/angiography and seeking information about heart attacks (p<0.05). Conclusion: Predischarge learning needs levels of patients with myocardial infarction were relatively high. The primary learning need was for symptom management. Patients' learning needs levels varied according to sociodemographic and clinical characteristics.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131205513","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}

{"title":"A rare and challenging mitral valve replacement in a child with Hurler syndrome","authors":"I. Mercan","doi":"10.5606/e-cvsi.2022.1282","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1282","url":null,"abstract":"Mucopolysaccharidoses are progressive inherited lysosomal storage disorders, and early cardiac involvement is common. Valvular involvement of mucopolysaccharidoses usually causes regurgitation, most commonly affecting the left heart and mitral valve. In this case, we discuss the treatment and perioperative management of mitral valve degeneration in a child with Hurler syndrome by performing mitral valve replacement.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133394103","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}

{"title":"Results of negative pressure wound therapy for deep sternal wound infections after cardiac surgery","authors":"F. Bayraktar","doi":"10.5606/e-cvsi.2022.1383","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1383","url":null,"abstract":"Objectives: The aim of this study was to present the outcomes of negative pressure wound therapy (NPWT) for deep sternal wound infection (DSWI) after cardiac surgery. Patients and methods: Sixty-eight patients (35 males, 33 females; mean age: 60.1±10.1 years; range, 18 to 80 years) who underwent coronary artery bypass surgery or valvular heart surgery between January 2017 and December 2021 were retrospectively reviewed. Patients who underwent NPWT for DSWI after cardiac surgery were included in the study. Baseline and postoperative characteristics of the patients were presented. Previously claimed risk factors for mortality were investigated. Results: The time interval between cardiac surgery and diagnosis of DSWI was 35.8±30.2 days. The mean duration of NPWT was 21.1±11.8 days. In-hospital mortality was 14.7%. Coagulase-negative staphylococci were the most frequently isolated microorganism (n=26, 38.2%), followed by Klebsiella spp. (n=10, 14.7%). The only factor associated with higher mortality was the female sex in our DSWI patients. Conclusion: Negative pressure therapy is a safe and reliable treatment option in patients with DSWI with or without sternal dehiscence.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115616412","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}

{"title":"Right ventricular pseudoaneurysm repair and fibrin pericardiectomy after a fall from height in a young male patient","authors":"Fatih Ada","doi":"10.5606/e-cvsi.2022.1273","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1273","url":null,"abstract":"Right ventricular pseudoaneurysms are rare in the literature. Patients may have complaints such as shortness of breath, fatigue, and palpitations, as well as signs such as ventricular arrhythmias and hypotension. In addition to a good physical examination and anamnesis, transthoracic echocardiography, transesophageal echocardiography, computed tomography, computed tomography angiography, magnetic resonance imaging, magnetic resonance angiography, scintigraphy, and ventriculography can also be used for diagnosis. The certain treatment of right ventricular pseudoaneurysms is surgical aneurysmectomy and repair. Herein, we present the diagnosis and management of a 32-year-old male patient with a right ventricular pseudoaneurysm, which was diagnosed 20 years after a fall from height.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122067969","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}

{"title":"Left main coronary artery osteoplasty with pulmonary autograft in a child with familial hypercholesterolemia","authors":"Berra Zümrüt Tan-Recep","doi":"10.5606/e-cvsi.2022.1376","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1376","url":null,"abstract":"Familial hypercholesterolemia is a disease characterized by mutations in the low-density lipoprotein receptor. Total cholesterol levels >500 mg/dL and low-density lipoprotein levels >350 mg/dL are associated with early atherosclerosis. In these patients, the incidence of coronary artery disease is high in the first decade of life, and it often emerges in adolescence. Herein, we present a 14-year-old female with familial hypercholesterolemia who underwent left main coronary artery osteoplasty with a pulmonary autograft due to an incidentally detected osteal stenosis of the left main coronary artery. The patient was discharged without any problems, and no problems were detected during the follow-up.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133301029","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}

{"title":"Early-term outcomes of simultaneous carotid endarterectomy and coronary revascularization","authors":"Ö. Aksoy","doi":"10.5606/e-cvsi.2022.1278","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1278","url":null,"abstract":"Objectives: This study was designed to evaluate the early-term results of the safety and effectiveness of simultaneous applications of coronary revascularization and carotid endarterectomy. Patients and methods: In the sectional descriptive study conducted between December 2010 and December 2014, 32 patients (22 males, 10 females; mean age: 66±1.6 years; range, 49 to 85 years) with coronary artery disease and carotid artery stenosis were evaluated. All patients underwent simultaneous carotid endarterectomy and coronary artery bypass grafting. They were followed at the median for three months. Demographic characteristics of the patients and a history of previous myocardial infarction, hypertension, diabetes mellitus, hyperlipidemia, renal disease, peripheral arterial disease, and smoking were recorded. Results: Hospital mortality was encountered in two (6.3%) patients. One (3.1%) patient had a postoperative major stroke, whereas two patients had a transient ischemic attack. Postoperative myocardial infarction was observed in one patient. Conclusion: Synchronous carotid endarterectomy and coronary artery bypass grafting may be safe and effective in the management of patients with concomitant carotid artery stenosis and coronary artery disease.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"31 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129787164","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}

{"title":"Defining early right ventricular failure during left ventricular assist device implantation: Retrospective analysis of intraoperative management","authors":"M. Simsek","doi":"10.5606/e-cvsi.2022.1349","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1349","url":null,"abstract":"Objectives: In this study, we aimed to share the intraoperative anesthesia management of left ventricular assist device (LVAD) implantation and our approach to right ventricular failure (RVF) that developed in this process, and our results. Patients and methods: A total of 82 patients (71 males, 11 females; mean age: 49.4±9.4 years; range, 18 to 71 years) who underwent LVAD implantation between February 2013 and June 2020 were included in the retrospective study. Preoperative echocardiography, cardiac catheterization findings, and intraoperative records were reviewed. In light of the preoperative hemodynamic, echocardiographic, and preoperative echocardiographic findings of the patients, RVF levels were preoperatively determined, and a medical and mechanical support therapy algorithm for RVF was created. The postoperative outcomes were evaluated within the framework of this algorithm. Results: The mean preoperative left ventricular ejection fraction was 19.6%, and the mean right ventricular ejection fraction was 37.4%. According to our algorithm, eight (9.7%) patients developed severe, 12 (14.6%) moderate, and 48 (58.5%) mild RVF. No RVF was present in 14 (17.2%) patients. The vasoactive inotrope score was 25.7±1.3 in the advanced RVF group and compatible with the severity of RVF. Extracorporeal membrane oxygenation use was required in three (37.5%) patients who had severe RVF. Right ventricular assist device was implanted in one of the three patients with extracorporeal membrane oxygenation due to advanced RVF in the postoperative period. Mortality was observed in two (25%) patients in the advanced group, one (8.3%) in the moderate, three (6.25%) in the mild, and two (14%) in the normal RVF group. Conclusion: A standardized method for defining the RVF severity and a well-defined treatment protocol according to its degree of severity is lacking. Considering hemodynamic and echocardiographic data, grading of RVF in patients is vital for determining the treatment protocol. Treatment for RVF should be converted into standard universal algorithms.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134571802","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}