World Journal of Cardiovascular Surgery最新文献_第3页

Diaphragmatic Flap: Technique of Preparation and Indications for Use 膈皮瓣:制备技术及使用适应症

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.129018

F. Gharagozloo, M. Meyer

引用次数: 0

Belsey Mark IV Repair for Recurrent Hiatal Hernia and Failed Fundoplication: An Analysis of Outcomes in 206 Patients 206例复发性裂孔疝的Belsey Mark IV修补术及应用失败的结果分析

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.125008

F. Gharagozloo, M. Meyer, J. Redan

引用次数: 1

Accuracy of the Logistic EuroSCORE in Predicting Long-Term Survival Following Isolated Aortic Valve Replacement Logistic EuroSCORE预测孤立主动脉瓣置换术后长期生存的准确性

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.123004

F. Hedayat, Antony H. Walker

{"title":"Accuracy of the Logistic EuroSCORE in Predicting Long-Term Survival Following Isolated Aortic Valve Replacement","authors":"F. Hedayat, Antony H. Walker","doi":"10.4236/wjcs.2022.123004","DOIUrl":"https://doi.org/10.4236/wjcs.2022.123004","url":null,"abstract":"Objective: To assess the ability of the logistic EuroSCORE to predict long-term mortality of patients undergoing isolated Surgical Aortic Valve Replacement (SAVR). Methods: A retrospective review of all patients undergoing SAVR between September 1999, and March 2018 was done. Results: 2018 patients were eligible for inclusion in the study. Patients were grouped accord-ing to risk: low (n = 506), intermediate (n = 609), and high-risk (n = 903) depending on their logistic EuroSCORE values. The 30-day mortality of the low-risk group was 0.47%. The one-, five-, 10-, 15-, and 20-year mortality was 1.66%, 4.9%, 14.9%, 24.3%, and 43.8%, respectively. Intermediate-risk group 30-day mortality was 0.66%. The one-, five-, 10-, 15-, and 20-year mortality was 3.28%, 11.9%, 32%, 54.8%, and 82.6%, respectively. The 30-day mortality of the high-risk group was 3.99%. The one-, five-, 10-, 15-, and 20-year mortality was 8.2%, 27%, 55.4%, 78.6%, and 87%, respectively. Conclusion: Our results confirm that the lES is accurate in predicting long-term mortality outcomes of SAVR. This real-world data provides evidence of the potential usefulness of the EuroSCORE to help the heart team and patients decide on appropriate interventions for aortic stenosis.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90582196","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

Warfarin Compliance after Mechanical AVR in the Pediatric Population: Case Series from a Developing Country 儿童机械AVR后华法林依从性:来自发展中国家的病例系列

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.128014

Suha Zubairi, Mohammad Hassan Mirza, Mohammad Saad Iqbal, M. Z. Khan, M. Amanullah

{"title":"Warfarin Compliance after Mechanical AVR in the Pediatric Population: Case Series from a Developing Country","authors":"Suha Zubairi, Mohammad Hassan Mirza, Mohammad Saad Iqbal, M. Z. Khan, M. Amanullah","doi":"10.4236/wjcs.2022.128014","DOIUrl":"https://doi.org/10.4236/wjcs.2022.128014","url":null,"abstract":"Background and Aim: Mechanical prosthetic heart valves exert a lifelong thromboembolic complication requiring continuous antithrombotic therapy. Vitamin K antagonist is the recommended therapy of choice along with meticulous INR monitoring to achieve and maintain an INR of 2.0 - 3.0. The study aimed to assess the compliance of anticoagulant therapy in pediatric patients after AVR and to highlight the challenges faced during follow-ups. Methods: A retrospective study was conducted at NICVD Hospital in Kara-chi, Pakistan for a time frame of 2 years from 2020-2021 where 7 patients were selected. Data were collected using hospital medical records and then validated through a phone call mediated structured questionnaire-based in-terview. Results: 2 out of 7 patients in the case series were compliant to regular follow-ups and had their INR in the desired range owing to their higher education status and access to INR clinic for regular follow-up in urban set-ting. Younger patients in the case series were non-compliant. 4 out of 7 patients who were on dual anti-coagulant regimens including warfarin and aspirin were either closer or within the range than compared to those on single drug regimen. Conclusion: Compliance was observed in patients who had fa-vorable demographics and higher education. Multiple recent trials including PROACT and PROACT XA are underway to develop novel treatment options apart from warfarin after mechanical aortic valve replacement. Home-based INR testing kits provide easy access to regular testing in remote areas. Mul-ti-center studies are required for in-depth analysis regarding reasons of non-compliance in pediatric population.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78283063","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

Hundred plus Minimally Access Cardiac Surgery: Our Experience 一百多个微创心脏手术:我们的经验

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.121023

A. Bhattarai, Arjun Gurung, P. Khakural, R. Baral, B. Koirala

引用次数: 0

Deep Sternal Wound Infections after Coronary Artery Bypass Grafting: Analysis of 29 Cases from Iraq 伊拉克29例冠状动脉搭桥术后胸骨深部伤口感染分析

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.127012

Raghda Basil Ismael Alkhateeb, Asmaa Saleem Esmail Ah-Ghurabi, Laith Saleh Alkaaby, A. Taha

引用次数: 0

Thrombus Propagation across an Inferior Vena Cava Filter Resulting in Fatal Pulmonary Embolism: A Case Report 血栓传播穿过下腔静脉过滤器导致致命的肺栓塞:1例报告

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.121020

G. Offei-Larbi, M. Tamatey, M. Tettey, I. Okyere, K. Adomako

引用次数: 0

Patient Frailty Can Increase the Risk of Acute Kidney Injury after Cardiac Surgery: Pilot Study 病人虚弱可增加心脏手术后急性肾损伤的风险:初步研究

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.121022

Sergio Soto-Hopkins, J. A. Sánchez-López, Erick Trujillo-Magallón, R. Leder, A. G. Gallardo-Hernández

{"title":"Patient Frailty Can Increase the Risk of Acute Kidney Injury after Cardiac Surgery: Pilot Study","authors":"Sergio Soto-Hopkins, J. A. Sánchez-López, Erick Trujillo-Magallón, R. Leder, A. G. Gallardo-Hernández","doi":"10.4236/wjcs.2022.121022","DOIUrl":"https://doi.org/10.4236/wjcs.2022.121022","url":null,"abstract":"Background: Acute kidney injury (AKI) is a severe common postoperative complication of cardiac surgery (CS). It increases the risk of mortality by up to 80%. Therefore, it is essential to have preoperative risk evaluation tools. Frailty is a marker of deterioration of physiologic systems and may be associated with AKI. Purpose: The study aimed to determine the utility of frailty as a predictor of AKI after CS. Method: We enrolled 91 patients undergoing CS with cardiopulmonary bypass to determine if they had frailty before surgery and were associated with postoperative AKI. The diagnosis of postoperative AKI was based on the serum creatinine criteria of the Acute Kidney Injury Network classification up to 7 days following CS. Results: The incidence of postoperative AKI was 62% in the frail group and 21% in the non-frail group. Frailty was associated with a higher risk of AKI (relative risk [RR] = 3.00, 95% CI 1.56 - 5.77, p = 0.00). In regression models, there were associa-tions between frailty and postoperative AKI. Conclusion: This study demonstrated that frailty could be a predictor for post-CS AKI. Therefore, frailty assessment should become an essential part of the preoperative evaluation to help the anesthesiologist to estimate the surgical risk and develop preoperative and transoperative strategies to preserve the renal function and improve the cardiac surgery outcome.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81142840","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

Thrombocytopenia Following Perceval Suture-Less Aortic Valve Implantation 无缝合主动脉瓣植入术后血小板减少

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.126009

N. Al-Sarraf, Husain Esmaeil, Sara Samani, Moudhi Almaie, Ashraf Abdelsalam, J. Al-Fadhli

引用次数: 0

Aortic Valve in Black: A Case of Aortic Valve Ochronosis 黑色主动脉瓣:主动脉瓣衰老症1例

World Journal of Cardiovascular Surgery Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.126010

Ahmed Elagamy Musa, O. Grimmig, J. Sonke

{"title":"Aortic Valve in Black: A Case of Aortic Valve Ochronosis","authors":"Ahmed Elagamy Musa, O. Grimmig, J. Sonke","doi":"10.4236/wjcs.2022.126010","DOIUrl":"https://doi.org/10.4236/wjcs.2022.126010","url":null,"abstract":"Alkaptonuria is a rare inherited tyrosine metabolism disorder, resulting in homogentisic acid deposition in the connective tissues. The condition is commonly referred to as ochronosis and manifests as skin pigmentation, degenerative arthropathy, and black urine. Among the rare complications of this disease is the involvement of the cardiovascular system. We report a case of a 63-year-old woman with alkaptonuric ochronosis who had already undergone three joint replacements. She was referred to our center for aortic valve replacement after accidentally discovering severe aortic valve stenosis in the preoperative assessment prior to her fourth joint replacement. Intraoperative findings included ochronosis of a severely calcified black-pigmented aortic valve and black pigmentation of the aortic intima. Histopathological analysis and elevated homogentisic acid levels in the patient’s urine confirmed the diagnosis of alkaptonuria. However, alkaptonuria was not diagnosed until aortic valve replacement despite the previous symptoms and signs. This report aims to outline the history, etiology, pathogenesis, clinical presentation, and treatment of aortic valve ochronosis in addition to pre-senting the case.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"152 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77389534","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