ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献_第9页

Outcomes of mitral valve replacement with complete annular decalcification. 完全环状脱钙二尖瓣置换术的结果。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-16 DOI: 10.1177/02184923231206237

Ryosuke Numaguchi, Jun Takaki, Kosaku Nishigawa, Takashi Yoshinaga, Toshihiro Fukui

{"title":"Outcomes of mitral valve replacement with complete annular decalcification.","authors":"Ryosuke Numaguchi, Jun Takaki, Kosaku Nishigawa, Takashi Yoshinaga, Toshihiro Fukui","doi":"10.1177/02184923231206237","DOIUrl":"10.1177/02184923231206237","url":null,"abstract":"Background: This study aimed to examine the clinical outcomes of mitral valve replacement (MVR) in patients with severe mitral annular calcification (MAC) who required extensive decalcification and mitral annular reconstruction.Methods: We reviewed 15 patients with severe MAC who underwent MVR between January 2016 and May 2022. In all cases, the calcified mitral annulus was resected completely using a Cavitron Ultrasound Surgical Aspirator, and a new annulus was created using bovine pericardium. In the acute postoperative phase, strict afterload reduction therapy using an intra-aortic balloon pump (IABP) was administered.Results: The mean age of patients was 73 ± 8 years, and 13 (86.7%) were women. Concomitant aortic valve replacement was performed in 11 (73.3%) patients, tricuspid annuloplasty in 9 (60.0%), coronary artery bypass grafting in 1 (6.7%), and arrhythmia surgery in 7 (46.7%). The mean aortic cross-clamp and cardiopulmonary bypass times were 143 ± 32 min and 175 ± 34 min, respectively. In 13 patients, an IABP was used for 2 or 3 days postoperatively. There were no in-hospital deaths, left ventricular ruptures, or other MAC-related complications. Postoperative echocardiography revealed no paravalvular leakages.Conclusion: Our strategy for managing severe MAC is safe and reproducible even in relatively high-risk patients. Afterload reduction using an IABP in the acute postoperative phase may reduce the risk of fatal complications after extensive decalcification and mitral annular reconstruction.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"775-780"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239464","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

An operative case of pseudocoarctation with chronic dissection. 一例伴慢性夹层的假性钙化手术病例。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-16 DOI: 10.1177/02184923231205966

Masao Yoshitatsu, Yumi Kakizawa, Yusuke Misumi, Yukie Shirasaki, Mutsunori Kitahara, Hiroyuki Nishi

引用次数: 0

Bilateral versus single internal mammary artery in diabetic patients: systematic review and meta-analysis. 糖尿病患者的双侧与单侧乳腺内动脉:系统回顾和荟萃分析。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-25 DOI: 10.1177/02184923231209364

Haralabos Parissis, Suhaib Ahmed, Jomanah Al Nasir, Jamal Khan, Mazen Ferwana

{"title":"Bilateral versus single internal mammary artery in diabetic patients: systematic review and meta-analysis.","authors":"Haralabos Parissis, Suhaib Ahmed, Jomanah Al Nasir, Jamal Khan, Mazen Ferwana","doi":"10.1177/02184923231209364","DOIUrl":"10.1177/02184923231209364","url":null,"abstract":"Objectives: Data on bilateral internal mammary artery (BIMA) versus single internal mammary artery (SIMA) on diabetics were analyzed; This is the only meta-analysis, the last 7 years.Methods: Medline through PubMed/EMBASE/CINHAL and the Cochrane Central Register of Controlled Trials; 179 articles were studied; 19 studies deemed suitable and were included in the analysis.Results: The mortality was 2.41% for BIMA versus 1.71% for SIMA (odds ratio [OR] = 0.95; 95% confidence interval [CI]: 0.74-1.22). Postoperative reopening for bleeding was higher at 3.75% for BIMA versus 2.91% for SIMA (OR = 1.49; 95% CI: 1.15-1.93). The incidence of MI was 0.87% for BIMA versus 0.83% for SIMA (OR = 0.73; 95% CI: 0.37-1.44). Deep sternal wound infection was 3.02% for BIMA and 1.95% for SIMA (OR = 1.57; 95% CI: 1.26-1.95). When skeletonized, the incidence of DSWI was 2.5% for BIMA versus 2.41% for SIMA. There was a significant difference at 5-year survival favoring the BIMA, 85.15% BIMA versus 80.77% SIMA (OR = 1.79; 95% CI: 1.60-2.01). The 10-year overall survival was 74.04% BIMA versus 61.57% SIMA (OR = 1.79; 95% CI: 1.61-1.98). The 15-year survival was 47.08% for BIMA versus 37.06% for SIMA (OR = 1.69; 95% CI: 1.52-1.88).Conclusions: Postoperative bleeding was higher in BIMA group. Bilateral internal mammary artery in diabetic patients should be carried out in a skeletonize fashion, to reduce DSWI. There is a survival benefit of using BIMA in diabetics within 5 years of surgery; it remains significant up to 15 years.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"781-794"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158948","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

del Nido versus hematic cardioplegia in minimally invasive aortic valve surgery. 微创主动脉瓣手术中del Nido与血性心脏骤停的比较。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-24 DOI: 10.1177/02184923231209858

Alberto Pozzoli, Giuseppina Gabriella Surace, Tiziano Torre, Pietro Bagnato, Michele Gallo, Francesca Toto, Enrico Ferrari, Stefanos Demertzis

{"title":"del Nido versus hematic cardioplegia in minimally invasive aortic valve surgery.","authors":"Alberto Pozzoli, Giuseppina Gabriella Surace, Tiziano Torre, Pietro Bagnato, Michele Gallo, Francesca Toto, Enrico Ferrari, Stefanos Demertzis","doi":"10.1177/02184923231209858","DOIUrl":"10.1177/02184923231209858","url":null,"abstract":"Background: The quality of a myocardial protection of a single-dose del Nido cardioplegia versus multiple dose blood-based cardioplegia on myocardial injury, outcomes and operative times in patients undergoing minimally invasive aortic valve replacement is basically unreported.Methods and results: Preoperative and post-operative data, as well as technical details from isolated minimally invasive aortic valve replacements, performed using single-dose or multiple-dose cardioplegia were prospectively collected and retrospectively analysed. A total of 110 patients undergoing minimally invasive valve replacements at our institution composed two groups: 55 patients in the blood cardioplegia group (BloCa) and 55 in the del Nido group (DeNiCa). The two-matched groups were comparable in terms of preoperative variables. In the DeNiCa group, there was a statistically significant less need for cardiac defibrillation after aortic cross-clamp release (p < 0.001). Moreover, the BloCa group received intraoperatively more blood transfusions (p = 0.001) and more insulin administration for higher glucose levels (p < 0.001). The BloCa group showed higher intraoperative lactate levels (p = 0.01). Need for post-operative inotropic and vasoactive support, Creatine Kinase-MB levels after 6 and 12 h, onset of post-operative atrial fibrillation and length of stay were similar. No deaths occurred in neither groups.Conclusion: Single-dose del Nido cardioplegia in the setting of minimally invasive aortic surgery seems to offer adequate myocardial protection, comparable to multiple dose hematic cardioplegia. It has been documented a lower peri-operative need of defibrillation after cross-clamp release, lactate- and glucose peak values, as well as less blood transfusions compared to blood cardioplegic strategy.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"795-801"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158950","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

Do chronic total occlusive lesions affect patency of coronary bypass grafts to the right coronary artery? 慢性完全闭塞性病变会影响冠状动脉旁路移植到右冠状动脉的通畅性吗？

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-06 DOI: 10.1177/02184923231205967

Kosaku Nishigawa, Tatsuya Horibe, Hideaki Hidaka, Ryosuke Numaguchi, Jun Takaki, Takashi Yoshinaga, Toshihiro Fukui

{"title":"Do chronic total occlusive lesions affect patency of coronary bypass grafts to the right coronary artery?","authors":"Kosaku Nishigawa, Tatsuya Horibe, Hideaki Hidaka, Ryosuke Numaguchi, Jun Takaki, Takashi Yoshinaga, Toshihiro Fukui","doi":"10.1177/02184923231205967","DOIUrl":"10.1177/02184923231205967","url":null,"abstract":"Objectives: To evaluate the impact of chronic total occlusion (CTO) lesions on the patency of bypass grafts to the right coronary artery territory.Methods: Two hundred patients undergoing primary isolated coronary artery bypass grafting with revascularization to the right coronary artery territory between April 2015 and July 2022 were retrospectively analyzed. Study patients were divided into two groups according to their right coronary artery lesion: patients with CTO lesions (n = 76) and those without CTO lesions (n = 124). Graft flow of the right coronary artery territory was evaluated by intraoperative transit time flow measurement and patency of the bypass graft was evaluated by multidetector row computed tomography.Results: A total of 200 patients (76 patients with CTO and 124 patients without CTO) were included in this study. Intraoperative transit time flow measurement demonstrated that there was no significant difference in the median mean graft flow (30 ml/min vs. 25 ml/min; p = 0.114), pulsatility index (2.1 vs. 2.4; p = 0.079), and diastolic filling rate (65% vs. 64%; p = 0.844) between patients with CTO and those without CTO. Postoperative multidetector row computed tomography demonstrated that the patency of bypass grafts to the right coronary artery territory was similar between the groups (94.7% in patients with CTO vs. 96.0% in those without CTO; p = 0.733). In patients with CTO, the patency of bypass graft tended to be worse in subgroup with rich collateral blood flow (Rentrop grade 3).Conclusions: Chronic total occlusion lesions do not affect the patency of bypass grafts to the right coronary artery territory.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"768-774"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138738","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

Lecompte maneuver for compressed left coronary artery after pulmonary artery banding. Lecompte手法治疗肺动脉结扎术后左冠状动脉受压。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-09-20 DOI: 10.1177/02184923231203109

Daisuke Takeyoshi, Takeshi Konuma, Ai Kojima, Takamasa Takeuchi

引用次数: 0

A tilted prosthetic mitral valve decade after mitral valve replacement. 二尖瓣置换术后十年的人工二尖瓣倾斜。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-09 DOI: 10.1177/02184923231206509

Maulik Kalyani, Vishal Sharma, Shyam S Kothari

引用次数: 0

A left intraventricular lipoma resected with the assistance of endoscopic camera. 内窥镜辅助下切除的左心室内脂肪瘤。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-10-09 DOI: 10.1177/02184923231206199

Hiroyuki Johno, Takao Hasegawa, Tomoki Nagata

引用次数: 0

Zone 0 TEVAR with femoral artery inflow for an anastomotic pseudoaneurysm. 0区TEVAR伴股动脉流入治疗吻合口假性动脉瘤。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-09-28 DOI: 10.1177/02184923231203750

Tomoki Nagata, Shinichi Iwakoshi, Takashi Yamada, Hiroyuki Johno

引用次数: 0

Clinical impact of turn-up anastomosis in the treatment of type A acute aortic dissection. 上翻吻合治疗A型急性主动脉夹层的临床疗效。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-11-01 Epub Date: 2023-09-20 DOI: 10.1177/02184923231203753

Takeshi Shimamoto, Tatsuhiko Komiya, Takehiko Matsuo

{"title":"Clinical impact of turn-up anastomosis in the treatment of type A acute aortic dissection.","authors":"Takeshi Shimamoto, Tatsuhiko Komiya, Takehiko Matsuo","doi":"10.1177/02184923231203753","DOIUrl":"10.1177/02184923231203753","url":null,"abstract":"Background: The management of anastomosis and hemostasis of the dissected aorta remains challenging. This study aims to establish an optimal surgical strategy for type A acute aortic dissection by reviewing single-center data using the turn-up anastomosis technique.Methods: Between 2003 and 2015, 264 consecutive patients with type A acute aortic dissection who underwent emergency surgery within 14 days of symptom onset were enrolled.Results: The mean age of the patients was 67.7 ± 13.4 years, and 129 were males. The operative time and surgical bleeding were 390.9 ± 144.5 min and 2983.8 ± 3026.5 mL, respectively. In-hospital mortality was observed in 25 patients (9.4%), and 3 (1.1%) experienced uncontrolled bleeding (from the aortic root in two patients and coagulopathy due to dabigatran in one patient). Immediate reopening for bleeding was performed in 20 patients, and bleeding from the aortic anastomosis was observed at three proximal and two distal sites. Proximal re-dissection was observed in 18 patients; in all of which, glue was used, although two re-ruptures of the aortic root were observed among those without glue use. The rates of freedom from all-cause death, aortic death, and aortic events at postoperative 5 years were 78.5 ± 2.7%, 86.8 ± 2.1%, and 74.4 ± 2.9%, respectively. When these values were stratified according to the operative extent, no significant differences were observed.Conclusions: Turn-up anastomosis facilitates short circulatory arrest, short operative time, and stable hemostasis, with few anastomotic complications during surgery for type A acute aortic dissection.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"759-767"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157079","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