The heart surgery forum最新文献_第4页

Perioperative Safety Evaluation of Gastrointestinal Surgery in Patients With Prosthetic Valves. 胃肠手术假瓣膜患者围手术期安全性评价。

The heart surgery forum Pub Date : 2022-04-25 DOI: 10.1532/hsf.4533

Ling Chen, Jieyuan Sun, Hao Chen, Feng Liu

{"title":"Perioperative Safety Evaluation of Gastrointestinal Surgery in Patients With Prosthetic Valves.","authors":"Ling Chen, Jieyuan Sun, Hao Chen, Feng Liu","doi":"10.1532/hsf.4533","DOIUrl":"https://doi.org/10.1532/hsf.4533","url":null,"abstract":"BACKGROUND\u0000In patients with prosthetic valves, the perioperative outcomes, as well as the risk factors, following gastrointestinal surgery remain to be defined. Methods: From January 2010 to March 2018, the clinical data of 69 cases with prosthetic valves after gastrointestinal surgery retrospectively were collected. Univariate and multivariate analysis were applied to identify the risk factors associated with significant bleeding events and non-hemorrhagic complications.\u0000\u0000\u0000RESULTS\u0000Among 69 cases, 9 patients (13.0%) presented major bleeding events, and 21 patients (30.4%) presented non-hemorrhagic complications. Major bleeding events were significantly higher in patients with simple aortic valve replacement (AVR) than in other types of prosthetic valves (27.6% vs. 2.5%, P = 0.003), and there was no significant difference in the incidence of non-hemorrhagic complications. Simple AVR was the significant risk factor for major bleeding events (P = 0.043). Significant risk factors for non-hemorrhagic complications were operative duration ≥ 160 minutes (P = 0.021), duration from heart valve replacement to gastrointestinal surgery ≥ 84 months (P = 0.039), and simple AVR (P = 0.047).\u0000\u0000\u0000CONCLUSION\u0000The patients with simple AVR had a much higher bleeding risk following gastrointestinal surgery.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114467572","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

Analysis of Influencing Factors of Unplanned Readmission in Patients With Acute Coronary Syndrome Within 30 Days After PCI. 急性冠脉综合征患者PCI术后30天内意外再入院的影响因素分析。

The heart surgery forum Pub Date : 2022-04-25 DOI: 10.1532/hsf.4411

Yike Wang, Ya Wang, Xiaoxu Han, Han Zhang, Jianping Song

{"title":"Analysis of Influencing Factors of Unplanned Readmission in Patients With Acute Coronary Syndrome Within 30 Days After PCI.","authors":"Yike Wang, Ya Wang, Xiaoxu Han, Han Zhang, Jianping Song","doi":"10.1532/hsf.4411","DOIUrl":"https://doi.org/10.1532/hsf.4411","url":null,"abstract":"OBJECTIVE\u0000The purpose of this study is to identify the influencing factors of unplanned readmission in patients with the acute coronary syndrome (ACS) within 30 days after percutaneous coronary intervention (PCI).\u0000\u0000\u0000METHODS\u0000From November 1, 2018, to October 31, 2019, the clinical data of 1277 patients with acute coronary syndrome and percutaneous coronary intervention retrospectively were collected. After screening by exclusion and rejection criteria, a total of 936 patients finally entered the study. Patients were divided into the readmission group (57 cases) and the non-readmission group (879 cases), according to whether unplanned readmission occurred within 30 days after PCI. To analyze the influence of patients' age, past disease history, medication history, laboratory data, vascular diseases, and other factors on readmission and the clinical characteristics of readmission patients.\u0000\u0000\u0000RESULTS\u0000Fifty-seven patients had unplanned readmission within 30 days, and the readmission rate was 6.09%. The clinical features of readmission patients are older age, longer hospitalization days, more emergency percutaneous coronary intervention, more patients with diabetes history, and more patients diagnosed with ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction. Logistic regression analysis revealed that smoking index, number of diseased vessels, ACEF score, diabetes, and PCI status were the influencing factors of unplanned readmission of ACS patients within 30 days after PCI.\u0000\u0000\u0000CONCLUSION\u0000Smoking index, number of diseased vessels, ACEF score, diabetes, and PCI status are the influencing factors of unplanned readmission within 30 days after percutaneous coronary intervention for patients with acute coronary syndrome.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129707068","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

Prone Position in Treatment of Hypoxemia in Patients Who Underwent Type A Aortic Dissection Surgery. 俯卧位治疗A型主动脉夹层手术患者低氧血症。

The heart surgery forum Pub Date : 2022-04-22 DOI: 10.1532/hsf.4535

Junjunn Gu, Yulan Feng, Si Chen, Yingdan Cao, Kexin Li, Yanze Du, Ning Li, Haiyan Li

{"title":"Prone Position in Treatment of Hypoxemia in Patients Who Underwent Type A Aortic Dissection Surgery.","authors":"Junjunn Gu, Yulan Feng, Si Chen, Yingdan Cao, Kexin Li, Yanze Du, Ning Li, Haiyan Li","doi":"10.1532/hsf.4535","DOIUrl":"https://doi.org/10.1532/hsf.4535","url":null,"abstract":"BACKGROUND\u0000Postoperative hypoxemia is a high-risk complication after acute type A aortic dissection (TAAD) surgery. Prone position (PP) is an effective treatment for acute respiratory failure, which may improve the gas exchange of the injured lung and the patient's survival. PP is reported to improve the respiratory condition after cardiac surgery. However, limited data exist on the effect of PP in patients who underwent acute TAAD surgery.\u0000\u0000\u0000METHODS\u0000We retrospectively analyzed the clinical outcomes of seven patients with severe hypoxemia who underwent PP after acute TAAD surgery. The results of arterial blood gas, chest X-ray, and survival were collected.\u0000\u0000\u0000RESULTS\u0000Seven patients (3 female, mean age 48.3±11.7 years) were recruited in this study. All patients received total arch replacement and frozen elephant trunk implantation procedure. The PaO2 at day 1 after PP was higher than before PP (126.3±49.3 vs. 77.8±15.5 mmHg). The oxygenation index rose sharply from 83.0 (80.0, 87.0) to 188.3±56.5 at day 3 after PP. There was no significant difference in heart rate between before and after PP procedure. Chest X-ray showed the diffuse shadow was significantly improved after PP. All patients responded well to PP, and all patients were discharged except for one patient, who died perioperatively due to multiple organ failure.\u0000\u0000\u0000CONCLUSIONS\u0000PP is a safe and feasible option for severe hypoxemia patients after TAAD surgery.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132298583","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

The First Case of Composite Hemangioendothelioma in The Heart. 心脏复合血管内皮瘤第1例。

The heart surgery forum Pub Date : 2022-04-22 DOI: 10.1532/hsf.4587

Xiaojie Zhang, Shiqiang Wang, Mei Jin

{"title":"The First Case of Composite Hemangioendothelioma in The Heart.","authors":"Xiaojie Zhang, Shiqiang Wang, Mei Jin","doi":"10.1532/hsf.4587","DOIUrl":"https://doi.org/10.1532/hsf.4587","url":null,"abstract":"Composite hemangioendothelioma (CHE) is an extremely rare vascular neoplasm that is characterized by an admixture of benign, low-grade malignant, and malignant vascular components. It is usually located superficially in the dermis and subcutis of the extremities, and other sites involved include the head and neck region, oral mucosa, and viscera of the kidney and spleen. CHE has a low-grade malignant potential because it is locally aggressive. Here, we report a case of CHE in the heart in a 46-year-old man, who presented with a palpable mass arising from his right ventricle. Echocardiogram imaging revealed a 13.3 × 14.2 mm mass with high-signal intensity. Excision was performed, and microscopic examination revealed a heterogeneous mixture of vascular components, consisting of spindle-cell hemangioma, retiform hemangioendothelioma, and epithelioid-like hemangioendothelioma areas. To our knowledge, this is the first report on the behavior of this distinctive vascular neoplasm occurring in the right ventricle. Due to the unclear biological behavior of CHE in the heart and the paucity of cases, no further therapy was undertaken despite the risk of local recurrence and distant metastasis. The result of a six-month follow-up after surgery was disease-free.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131712914","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: 3

That's No Moon, It's a Giant Left Ventricular Aneurysm: A Case Report and Literature Review. 这不是月亮，这是一个巨大的左心室动脉瘤:一个病例报告和文献回顾。

The heart surgery forum Pub Date : 2022-04-22 DOI: 10.1532/hsf.4537

Tom Liu, Huzaifa A. Shakir

引用次数: 0

Native Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting. 冠状动脉旁路移植术后原生冠状动脉假性动脉瘤。

The heart surgery forum Pub Date : 2022-04-22 DOI: 10.1532/hsf.4531

Alexander D Ghannam, N. Amoroso, Mohammad F. Mathbout, A. Kilic, L. Witer, Sanford M Zeigler, D. Steinberg, M. Katz, Nicolas H. Pope

引用次数: 0

Outcomes After Transcatheter Closure of Atrial Septal Defect Without Using a Balloon-Sizing Technique: A Randomized Controlled Comparison with Closures Using a Balloon-Sizing Technique. 房间隔缺损经导管闭合后不使用球囊缩小术的结果:与球囊缩小术的随机对照比较。

The heart surgery forum Pub Date : 2022-04-22 DOI: 10.1532/hsf.4571

Beom Joon Kim, Jinyoung Song, J. Huh, I. Kang

{"title":"Outcomes After Transcatheter Closure of Atrial Septal Defect Without Using a Balloon-Sizing Technique: A Randomized Controlled Comparison with Closures Using a Balloon-Sizing Technique.","authors":"Beom Joon Kim, Jinyoung Song, J. Huh, I. Kang","doi":"10.1532/hsf.4571","DOIUrl":"https://doi.org/10.1532/hsf.4571","url":null,"abstract":"BACKGROUND\u0000The transcatheter closure of atrial septal defect could be completed without the balloon-sizing technique, so we evaluated long-term outcomes compared with closure using balloon sizing, which was the conventional method. Even without using the balloon-sizing technique, transcatheter closure of atrial septal defect might be safe and effective.\u0000\u0000\u0000METHODS\u0000We included 124 patients with isolated atrial septal defects who underwent device closure without balloon sizing between 2012 and 2016, and we further included 257 patients as a control group. Patients who received closure with multiple devices or who experienced postoperative residual defects were excluded. Immediate procedural results, as well as long-term outcomes for closure without balloon sizing, were investigated and compared with the control group.\u0000\u0000\u0000RESULTS\u0000The procedural success rate was 96.7%, and there were no mortalities. No embolization or cardiac erosions were observed; however, one patient experienced residual shunt, and another developed progressed mitral regurgitation during the follow-up period (983±682 days). Newly onset persistent atrial fibrillation developed in one patient (1.0%). There were no significant differences in procedures or follow-up between the study and control groups. Despite the shorter procedural time in the study group, fluoro time was not different. Atrial arrhythmias were more frequently observed in the control group, but the difference was not significant. Persistent atrial fibrillation was observed in two patients in the control group (0.8%).\u0000\u0000\u0000CONCLUSIONS\u0000Transcatheter closure of atrial septal defect can be performed safely and effectively without using the balloon-sizing technique. The long-term outcomes were similar to outcomes with balloon sizing.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126918824","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

Anesthesia Management of a Premature Neonate with Congenital Heart Disease during Emergency Diaphragmatic Hernia Surgery: A Case Report. 早产儿先天性心脏病急诊膈疝手术麻醉处理一例报告。

The heart surgery forum Pub Date : 2022-04-21 DOI: 10.1532/hsf.4499

Fan Zhang, Zebing Zheng, Taowu Gong, Zhaoqiong Zhu

引用次数: 0

Perioperative Use of Pituitrin after Cardiac Defect Repair in Adult Patients with Severe Pulmonary Hypertension. 成人重度肺动脉高压心脏缺损修复术后围手术期垂体后叶素的应用。

The heart surgery forum Pub Date : 2022-04-21 DOI: 10.1532/hsf.4569

YunTao Li, Mingwui Tung, Jianping Xu, Guangyu Pan, Rui Jiang

{"title":"Perioperative Use of Pituitrin after Cardiac Defect Repair in Adult Patients with Severe Pulmonary Hypertension.","authors":"YunTao Li, Mingwui Tung, Jianping Xu, Guangyu Pan, Rui Jiang","doi":"10.1532/hsf.4569","DOIUrl":"https://doi.org/10.1532/hsf.4569","url":null,"abstract":"BACKGROUND\u0000Vasopressin can constrict peripheral arteries without constricting the pulmonary artery. Theoretically, vasopressin is suitable for the perioperative treatment of pulmonary hypertension. Few studies have investigated the use of pituitrin (a substitute for vasopressin) after cardiac defect repair surgery. This study aimed to analyze the effect of pituitrin on hemodynamics and to determine whether pituitrin can be used after surgical repair in adult patients with pulmonary arterial hypertension-congenital heart disease (PAH-CHD).\u0000\u0000\u0000METHODS\u0000A pulmonary artery catheter was used in all the patients for hemodynamic monitoring. Hemodynamic parameters were recorded before and at 0.5 h, 1 h, 6 h, 12 h and 24 h after pituitrin administration. The changes in the hemodynamic parameters before and after pituitrin use were analyzed through repeated measures analysis of variance.\u0000\u0000\u0000RESULTS\u0000A total of 110 patients with PAH-CHD underwent repair surgery; 23 patients were included in further analysis, including 11 with atrial septal defect, 9 with ventricular septal defect, and 3 with patent ductus arteriosus. Ten (43.5%) were men, with a mean age of 29.4 ± 6.8 years. Hemodynamic parameters before and after the oxygen test were as follows: radial artery oxygen saturation, 91.5% ± 4.4 vs. 97.9 ± 2.4%; pulmonary vascular resistance, 10.5 ± 1.8 Wood units (wu) vs. 5 ± 1.2 wu; systemic-pulmonary blood flow ratio (QP/QS), 1.1 ± 0.2 vs. 2.1 ± 0.9. With prolonged use, the systolic blood pressure of the radial artery increased significantly (P = 0.001), that of the pulmonary artery decreased significantly (P = 0.009), and RP/s decreased significantly (P < 0.001).\u0000\u0000\u0000CONCLUSION\u0000Pituitrin as an alternative to vasopressin can increase arterial pressure, decrease pulmonary artery pressure, and reduce the pulmonary artery pressure/arterial pressure ratio after repair surgery in adult patients with PAH-CHD.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129206321","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

The Impact of Nutritional Status on the Outcome of Transcatheter Aortic Valve Implantation. 营养状况对经导管主动脉瓣植入术结果的影响。

The heart surgery forum Pub Date : 2022-04-20 DOI: 10.1532/hsf.4547

Vivendar Sihag, Wen-yu Li, Abdullah Hagar, Yong Peng, Yuan Feng, Sandeep Bhushan, Mao Chen

{"title":"The Impact of Nutritional Status on the Outcome of Transcatheter Aortic Valve Implantation.","authors":"Vivendar Sihag, Wen-yu Li, Abdullah Hagar, Yong Peng, Yuan Feng, Sandeep Bhushan, Mao Chen","doi":"10.1532/hsf.4547","DOIUrl":"https://doi.org/10.1532/hsf.4547","url":null,"abstract":"BACKGROUND\u0000The present study aims to evaluate how nutritional status may affect transcatheter aortic valve implantation (TAVI) outcomes.\u0000\u0000\u0000MATERIALS AND METHODS\u0000This is a retrospective study of 383 TAVI patients. In-hospital, 1-month, and 12-month survival was evaluated. Since most patients undergoing TAVI are over 75 years old, the NRI definition for a geriatric population (GNRI) was used. Preoperative baseline clinical and laboratory data were collected and then the corresponding nutritional status was calculated, including Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNRI), and Controlling Nutritional Status Score (CONUT). Survival analysis and receiver operating characteristic curve (ROC) analysis were used to evaluate the correlation between these parameters and TAVI outcome.\u0000\u0000\u0000RESULTS\u0000By CONUT and GNRI scores, 168 (58.9%) and 40 (14.0%) patients were considered to have mild malnutrition, respectively. By using PNI, CONUT, and GNRI scores, 16 (5.7%), 29 (10.3%), and 39 (13.7%) patients were moderately or severely malnourished. Survival analysis showed that patients with worse nutritional status had a worse prognosis regardless of the nutritional score used. Subgroup analysis showed that these differences remained significant in subgroups of patients over age 75. COX multivariate analysis showed that GNRI, PNI, and CONUT were independently associated with all-cause mortality during the follow-up.\u0000\u0000\u0000CONCLUSION\u0000Patients with worse nutritional status had a worse prognosis regardless of the nutritional score used. Subgroup analysis showed that these differences remained significant in subgroups of patients over age 75. GNRI, PNI, and CONUT were independent predictors of all-cause mortality after TAVI.","PeriodicalId":257138,"journal":{"name":"The heart surgery forum","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115565445","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: 2