World Journal of Cardiovascular Surgery最新文献_第10页

Mortality and Thromboembolic Events in Hypercoagulable States from Rotational Thromboelastography (ROTEM) in Patients Who Undergo Coronary Bypass Surgery 冠状动脉搭桥手术患者旋转血栓弹性成像(ROTEM)的高凝状态死亡率和血栓栓塞事件

World Journal of Cardiovascular Surgery Pub Date : 2019-09-29 DOI: 10.4236/wjcs.2019.910015

S. Laohathai, P. Samankatiwat

{"title":"Mortality and Thromboembolic Events in Hypercoagulable States from Rotational Thromboelastography (ROTEM) in Patients Who Undergo Coronary Bypass Surgery","authors":"S. Laohathai, P. Samankatiwat","doi":"10.4236/wjcs.2019.910015","DOIUrl":"https://doi.org/10.4236/wjcs.2019.910015","url":null,"abstract":"Purpose: This study is to identify the prevalence of preoperative hypercoagulability \u0000in Thailand high-risk population assessed by Rotational thromboelastography (ROTEM) and \u0000test hypothesis that the pre-surgical ROTEM statuses are related to MACCE \u0000at 1, 12, 60 months after coronary bypass graft surgery (CABG). Method: This is a prospective \u0000cohort in consecutive patients who underwent on-pump CABG between 2013-2015. \u0000Blood samplings were collected and analyzed using ROTEM preoperatively. Hypercoagulable \u0000state was defined as any clotting time (CT) or clot formation time (CFT) \u0000below the lower normal limit or amplitude 10 min after CT (A10), Maximum clot \u0000firmness (MCF) in ROTEM measurement is above the upper normal limit of EXTEM, INTEM and \u0000FIBTEM. Results: 43% of CABG patients who \u0000were diagnosed as hypercoagulability state assessed by ROTEM. Mortality rate was \u0000slightly higher in hypercoagulable patients without statistical significance \u0000(9% vs 5.1%; P = 0.461). However, overall combined uneventful rate was significantly increased in \u0000hypercoagulable patients in 5 years follow-up (27.2% vs 8.6%; P = 0.012). In \u0000univariate analysis, ROTEM hypercoagulability is associated major adverse \u0000cardiovascular and cerebral event (MACCE) in 5-years follow up [OR (95% CI) = \u00003.975 (1.28 - 12.32); P = 0.017]. Conclusion: Hypercoagulable patients \u0000were identified 43 percent of patients associated with combine uneventful in 5 \u0000years follow-up. ROTEM could be applied as a useful tool in the prediction of outcome \u0000after CABG surgery.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77065194","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

Initial Experience with Open Heart Surgery in Sub-Saharan Africa: Challenges in Mali with Minimum Standards for Practice 撒哈拉以南非洲心脏直视手术的初步经验:马里最低实践标准的挑战

World Journal of Cardiovascular Surgery Pub Date : 2019-09-05 DOI: 10.4236/wjcs.2019.99013

S. Togo, Ouattara Ma, A. A. Maïga, M. Bazongo, I. Maiga, Cheik Amed Sekou Touré, I. Coulibaly, S. Diop, A. Ombotimbé, S. Illiassou, S. Coulibaly, M. Koita, Koumba Nelly Dora Ignanga, S. D. Koné, Moussa Oscar Kamano, F. Konaté, A. Koné, A. Sidibé, A. Dramé, Nouhoum Oueloguem, B. Kané, B. Dramé, S. Koumare, Z. Sanogo, S. Yena

{"title":"Initial Experience with Open Heart Surgery in Sub-Saharan Africa: Challenges in Mali with Minimum Standards for Practice","authors":"S. Togo, Ouattara Ma, A. A. Maïga, M. Bazongo, I. Maiga, Cheik Amed Sekou Touré, I. Coulibaly, S. Diop, A. Ombotimbé, S. Illiassou, S. Coulibaly, M. Koita, Koumba Nelly Dora Ignanga, S. D. Koné, Moussa Oscar Kamano, F. Konaté, A. Koné, A. Sidibé, A. Dramé, Nouhoum Oueloguem, B. Kané, B. Dramé, S. Koumare, Z. Sanogo, S. Yena","doi":"10.4236/wjcs.2019.99013","DOIUrl":"https://doi.org/10.4236/wjcs.2019.99013","url":null,"abstract":"Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encountered in establishing OHS though there is a high prevalence of surgically correctable heart diseases. The aim of this paper is to review our initial experience of our first cases in developing OHS program and discuss the challenges and prospects that need to be overcome to further develop it. Methods: A total of 6 patients who underwent OHS during the first “cardiac mission” in July 2016 were included in this retrospective study. The medical records of the patients were examined and data on age, sex, diagnosis, EuroSCORE, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted. Results: Six patients with a male to female ratio of 1, ages ranging between 12 and 35 years (mean of 22.5 ± 12 years) were studied. The mean of EuroSCORE was 6 ± 41. Pericardial patch closure of isolated atrial septal defect was performed in one patient. One patient had mitral valve repair for rheumatic mitral regurgitation consisting of chordal shortening with a tricuspid valvuloplasty. Three patients had mitral valve replacement with tricuspid valvuloplasty. Four patients had mitral valve replacement. Sixty-day mortality was 0%. Conclusion: Safe conduct of open heart surgery in Mali Hospital setting is feasible. Grant financial aid is required for rapid growth of Open-Heart Surgery in this part of Sub-Saharan Africa.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82540579","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

Management of Thoracic Impalement Injury in Ghana: A Five-Year Experience at the Komfo Anokye Teaching Hospital 加纳胸穿刺伤的管理:在Komfo Anokye教学医院的五年经验

World Journal of Cardiovascular Surgery Pub Date : 2019-09-05 DOI: 10.4236/wjcs.2019.99014

I. Okyere, S. G. Brenu, P. Okyere

引用次数: 0

Significance of Cold Renal Perfusion on Renal Function and Clinical Outcomes When Renal Ischemia Time Exceeded 30 Min during Pararenal and Juxtarenal Abdominal Aortic Aneurysm Surgery 肾旁、肾旁腹主动脉瘤手术中肾缺血时间超过30 Min时冷肾灌注对肾功能及临床结局的影响

World Journal of Cardiovascular Surgery Pub Date : 2019-09-05 DOI: 10.4236/wjcs.2019.99012

K. Furukawa, K. Mori, Yukie Shirasaki, H. Ishii, Kunihide Nakamura

{"title":"Significance of Cold Renal Perfusion on Renal Function and Clinical Outcomes When Renal Ischemia Time Exceeded 30 Min during Pararenal and Juxtarenal Abdominal Aortic Aneurysm Surgery","authors":"K. Furukawa, K. Mori, Yukie Shirasaki, H. Ishii, Kunihide Nakamura","doi":"10.4236/wjcs.2019.99012","DOIUrl":"https://doi.org/10.4236/wjcs.2019.99012","url":null,"abstract":"Objectives: To investigate the influence of cold renal \u0000perfusion on renal function and clinical outcomes in cases where the renal \u0000ischemia time exceeded 30 min during pararenal and juxtarenal abdominal \u0000aortic aneurysm (P/JAAA) surgery. Methods and Results: Fifty-four \u0000patients who underwent open repair for P/JAAAs were retrospectively analyzed. \u0000Thirty-nine patients received renal perfusion \u0000with cold Ringer’s solution (perfusion group) and 15 patients did not receive \u0000renal perfusion (non-perfusion group). There were no significant differences in \u0000preoperative serum creatinine level (Cr) (1.08 ± 0.42 vs. 1.35 ± 0.71 \u0000mg/dL, p = 0.09), percentage of patients with Cr > 2 mg/dL [2/38 (5%) vs. \u00002/15 (13%), p = 0.8], and renal ischemia time during proximal aortic clamping \u0000(49 ± 21 vs. 47 ± 11 min; p = 0.8) between the groups. Postoperative Cr was \u0000significantly lower in the perfusion group than in the non-perfusion group \u0000(1.48 ± 0.76 vs. 2.23 ± 1.21 mg/dL, p 2 mg/dL was also \u0000significantly lower in the perfusion group than in the non-perfusion group [5 \u0000(13%) vs. 7 (47%), p Conclusion: Renal artery perfusion with cold \u0000Ringer’s solution clearly reduced the deterioration \u0000of postoperative renal function compared to non-renal perfusion.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81046312","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: 1

Literature Review for the Management of Isolated Internal Mammary Artery Injury and a Case Managed by Mini-Thoracotomy 孤立性乳腺内动脉损伤及小开胸术1例的文献回顾

World Journal of Cardiovascular Surgery Pub Date : 2019-08-22 DOI: 10.4236/WJCS.2019.98010

Mohammad Miah, M. Uddin, J. B. Saeid, S. A. Nahian, A. Karim, A. Ashoub

引用次数: 0

Ivabradine—The Final Crusader for Postoperative Junctional Ectopic Tachycardia, a Case Report with Literature Review 伊伐布雷丁是术后结缔性异位性心动过速的最后斗士，一例报告并文献复习

World Journal of Cardiovascular Surgery Pub Date : 2019-08-22 DOI: 10.4236/WJCS.2019.98009

M. Sahu, H. Niraghatam, N. Bansal, S. Singh, P. Rajashekar, S. Choudhary

引用次数: 1

Anomalous Origin and Course of Coronary Artery—Presentation of Three Cases 冠状动脉异常起源与病程——附3例报告

World Journal of Cardiovascular Surgery Pub Date : 2019-08-21 DOI: 10.4236/wjcs.2019.98011

A. Maheshwari, S. Saha, T. Mondal, H. Minhas, M. Geelani

引用次数: 0

Right Atrial Blood Cyst Incidentally Detected by Computed Tomography for Metastatic Breast Cancer in an Adult Female Patient: A Case Report 计算机断层扫描偶然发现的右心房血囊肿转移性乳腺癌1例报告

World Journal of Cardiovascular Surgery Pub Date : 2019-05-30 DOI: 10.4236/WJCS.2019.95006

Kazuhiro Higuchi, K. Furukawa, E. Nakamura, E. Nakamura, Y. Asada, H. Nakada, Kunihide Nakamura

引用次数: 0

Left Ventricular Pseudoaneurysm Caused by a Left Ventricular Venting Catheter via the Right Superior Pulmonary Vein during Thoracic Aortic Surgery: A Case Report 胸主动脉手术中经右上肺静脉置管引起左心室假性动脉瘤1例

World Journal of Cardiovascular Surgery Pub Date : 2019-04-22 DOI: 10.4236/WJCS.2019.94005

Taiju Watanabe, Tetsuya Yoshida

{"title":"Left Ventricular Pseudoaneurysm Caused by a Left Ventricular Venting Catheter via the Right Superior Pulmonary Vein during Thoracic Aortic Surgery: A Case Report","authors":"Taiju Watanabe, Tetsuya Yoshida","doi":"10.4236/WJCS.2019.94005","DOIUrl":"https://doi.org/10.4236/WJCS.2019.94005","url":null,"abstract":"A left ventricular (LV) pseudoaneurysm is one of the complications of acute myocardial infarction. It is also reported after chest trauma, cardiac surgery, and endocarditis. We report a rare case of an LV pseudoaneurysm induced by an LV venting catheter through the right superior pulmonary vein during thoracic aortic surgery. A 77-year-old man was referred for surgical repair of a distal aortic arch aneurysm. He underwent total aortic arch reconstruction with the frozen elephant trunk technique. The early postoperative period was uneventful. Postoperative contrast computed tomography and transthoracic echocardiography (TTE) revealed a pseudoaneurysm with a narrow neck at the apex of the LV that had sub-clinically progressed. Because of the risk of spontaneous rupture, an urgent aneurysmectomy was performed via a repeat sternotomy. Under cardioplegic arrest, the pseudoaneurysm was opened and the small orifice, which communicated with the LV, was confirmed. No myocardial ischemic changes were observed around the orifice. The pseudoaneurysm was thought to be induced by endocardial laceration by the tip of the venting catheter. The pseudoaneurysm was closed by linear repair reinforced with felt strips. The patient recovered well and was discharged 18 days after the second surgery. TTE showed no recurrence of LV aneurysm at the last follow-up.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86150054","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: 1

Right Ventricular Failure Following Acute Type A Aortic Dissection: An Alternative Strategy 急性A型主动脉夹层右心衰竭:一种替代策略

World Journal of Cardiovascular Surgery Pub Date : 2019-03-29 DOI: 10.4236/WJCS.2019.93004

R. Mashar, R. Birla, P. Waterworth

引用次数: 2