Cardiovascular Surgery and Interventions最新文献

{"title":"Evaluation of retinal vessel caliber, choroidal thickness, and ocular perfusion pressure in patients with low cardiac ejection fraction","authors":"I. Alur","doi":"10.5606/e-cvsi.2019.712","DOIUrl":"https://doi.org/10.5606/e-cvsi.2019.712","url":null,"abstract":"Objectives: This study aims to investigate the retinal vessel caliber, choroidal thickness, and ocular perfusion pressure in patients with low cardiac output. Patients and methods: Between June 2014 and June 2015, a total of 44 patients (34 males, 10 females; mean age 59.3±12.4 years) with low ejection fraction due to dilated cardiomyopathy and 44 healthy, ageand sex-matched individuals (34 males, 10 females; mean age 59.3±8.5 years) were included in this cross-sectional comparative study. All patients in the study group had an ejection fraction less than 40%. Retinal vascular caliber measurements were made using retinal photographs with f luorescein angiography, whereas subfoveal choroidal thickness and foveal thickness were measured using the spectral-domain optical coherence tomography. The ocular perfusion pressure was calculated according to a formula consisting of mean arterial blood pressure and intraocular pressure. Results: There was no statistically significant difference between patients with low cardiac ejection fraction and healthy controls regarding the retinal vascular caliber, subfoveal choroidal thickness, foveal thickness, or ocular perfusion pressure (p>0.05). The mean intraocular pressure was 13.1±2.8 mmHg in the study group and 13.4±2.7 mmHg in the control group (p=0.59). Ejection fraction was not significantly associated with the retinal vascular caliber, subfoveal choroidal thickness, or ocular perfusion pressure (p>0.05). Conclusion: Our findings suggest that reduced cardiac output does not significantly affect the retinal vessel caliber, choroidal thickness, or ocular perfusion pressure in clinical practice.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"29 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":"125979129","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":"Pulmonary sinus of Valsalva aneurysm: A rare and important entity","authors":"I. Alur","doi":"10.5606/e-cvsi.2018.682","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.682","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 We read the case report by Gajjar et al.[1] with a great interest. We, firstly, congratulate the authors and thank them for sharing their rare case and experiences with us. Nonetheless, we would like to make some contributions to this issue.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"73 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":"133449689","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":"Management of traffic accident related ulnar artery injury","authors":"H. S. Başbuğ","doi":"10.5606/e-cvsi.2017.620","DOIUrl":"https://doi.org/10.5606/e-cvsi.2017.620","url":null,"abstract":"","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"5 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":"127960413","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":"Endovascular treatment of penetrating aortic ulcer: A case report","authors":"J. Pasternak","doi":"10.5606/e-cvsi.2019.714","DOIUrl":"https://doi.org/10.5606/e-cvsi.2019.714","url":null,"abstract":"A 51-year-old male patient was admitted with PAU to the vascular surgery outpatient clinic. The diagnosis of PAU was made using Duplex ultrasonography and confirmed by computed tomography angiography (CTA) of the aortoiliac segment. His medical history revealed low back pain which was previously misdiagnosed as lumbar syndrome. The patient had also several comorbidities including nicotinism, hypertension, hyperlipoproteinemia, ischemic chronic cardiomyopathy with a left ventricular ejection fraction of only 35%, chronic obstructive pulmonary disease, and non-signif icant stenosis of the internal carotid arteries bilaterally. The CTA (Siemens SOMATOM Sensation 16; Siemens Healthcare GmbH, Erlangen, Germany) showed peripheral arterial occlusive disease with a PAU, 18 mm in diameter, located in the f irst lumbar vertebra (Figure 1).","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"201 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":"132306213","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":"Concomitant transsternal repair of a congenital Morgagni hernia and ventricular septal defect in a patient with Down syndrome","authors":"M. Yılmaz","doi":"10.5606/e-cvsi.2017.648","DOIUrl":"https://doi.org/10.5606/e-cvsi.2017.648","url":null,"abstract":"Congenital Morgagni hernias are uncommon diaphragmatic hernias. Some cases of congenital Morgagni hernias are associated with congenital malformations, including congenital heart defects, chest wall abnormalities, and some chromosomal anomalies. Congenital Morgagni hernias should be treated surgically via transthoracic or transabdominal approach. However, in patients undergoing open heart surgery for congenital heart defects, transsternal exposure and repair can be also used. Herein, we report a case of a ventricular septal defect and congenital Morgagni hernias associated with Down syndrome of which the defects were repaired concomitantly via sternotomy approach.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"25 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":"131714293","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":"Spontaneous massive hemothorax related to a neurofibroma: A case report","authors":"S. Charfi","doi":"10.5606/e-cvsi.2018.683","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.683","url":null,"abstract":"A 33-year-old woman was admitted due to sudden-onset dyspnea and right-sided chest pain. Imaging studies revealed a right-sided hemothorax and an hyperdense mass of the posterior mediastinum. A monobloc and complete tumor resection was done by thoracotomy. The diagnosis of a neurofibroma was confirmed by the pathological exam. A careful examination of the patient did not suggest any signs of von Recklinghausen’s disease. To the best of our knowledge, this is the first case of spontaneous massive hemothorax secondary to a neurofibroma in non-von Recklinghausen’s disease.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"27 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":"125045805","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":"Video-assisted harvesting of internal thoracic artery through median sternotomy incision in pectus excavatum","authors":"B. Onan","doi":"10.5606/e-cvsi.2017.671","DOIUrl":"https://doi.org/10.5606/e-cvsi.2017.671","url":null,"abstract":"Pectus excavatum is the most common deformity of the chest wall, in which the sternum and ribs show an abnormal growth. This pathology may complicate the operative exposure and manipulation during LITA harvesting through the median sternotomy incision in coronary artery bypass surgery. A 60-year-old female patient with three-vessel coronary disease and pectus excavatum was admitted. The patient underwent myocardial revascularization through median sternotomy, however, the exposure of the left internal thoracic artery was unsatisfactory due to the pectus deformity. Therefore, a 30-degree endoscope was successfully used for in situ harvesting of the left internal thoracic artery. In conclusion, the use of an endoscope is a safe and feasible solution for in situ internal thoracic artery harvesting in patients with pectus deformity who undergo coronary artery bypass grafting using sternotomy.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"24 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":"125733386","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":"Does thyroid dysfunction affect early mortality and morbidity after coronary artery bypass graft surgery?","authors":"Ö. Tarçın","doi":"10.5606/e-cvsi.2018.684","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.684","url":null,"abstract":"Objectives: This study aims to evaluate to effect of thyroid dysfunction on early mortality and morbidity in patients undergoing coronary artery bypass grafting (CABG). Patients and methods: Between April 2008 and December 2010, a total of 37 patients (20 females, 17 males; mean age 54.9±10.2 years; range, 26 to 76 years) with thyroid dysfunctions who underwent CABG and 11 patients (2 females, 9 males; mean age 46.9±15.5 years; range, 26 to 65 years) without thyroid dysfunction who underwent on-pump CABG as the control group were included in the study. Patients were divided into groups as overt and subclinical hypothyroidism, overt hyperthyroidism, and subclinical hyperthyroidism according to the thyroid function test results. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) scores were evaluated and the Gensini severity scores were calculated according to coronary angiographies. All patients were followed for seven days after surgery. The duration of endotracheal intubation, inotropic support, cardiac complications, duration of stay in the intensive care unit (ICU) and hospital were recorded. Results: There were no statistically significant differences between the groups in terms of the duration of intubation, need of inotropic support, and duration of stay in the ICU and hospital. Arrhythmia was more frequent in the overt hyperthyroid group than in the overt hypothyroid group postoperatively. Thyroid-stimulating hormone (TSH) levels remained unchanged after surgery, whereas free T3 decreased and free T4 increased, which was compatible with postoperative euthyroid sick syndrome. The EuroSCORE scores were positively correlated with preand postoperative TSH levels, duration of intubation, and duration of ICU and hospital stay, but was negatively correlated with free T3. Conclusion: Subclinical or overt thyroid dysfunctions do not seem to affect early mortality after CABG. However, overt hyperthyroidism is associated with postoperative arrhythmia complications. Euthyroid sick syndrome may also occur after surgery in certain cases. Preand postoperative TSH and free T3 levels may be useful to identify mortality and morbidity risk in patients undergoing CABG.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"54 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":"127447046","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 right ventricular rhabdomyoma in a child presenting with right ventricular outflow tract obstruction","authors":"M. Yılmaz","doi":"10.5606/e-cvsi.2017.649","DOIUrl":"https://doi.org/10.5606/e-cvsi.2017.649","url":null,"abstract":"","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"11 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":"115584541","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":"Unifocalization in Glenn shunt operation due to anatomical difficulty: A case report","authors":"Ç. Bilen","doi":"10.5606/e-cvsi.2018.703","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.703","url":null,"abstract":"Glenn shunt operation is performed to increase the pulmonary blood f low in congenital heart diseases in which ambulatory correction is unable to be performed. Pulmonary arterial f low is being balanced and thrombosis frequency is reduced via applying unifocalization of the vena cava superior in patients with bilateral vena cava superior undergoing bidirectional Glenn shunt operation. Herein, we present a case who underwent unifocal bidirectional Glenn shunt operation due to anatomical discordance.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"11 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":"123786818","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}