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Surgical Delivery of Embryonic Cells and Products. 胚胎细胞和产品的外科递送。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-10 DOI: 10.14503/THIJ-23-8263
Philippe Menasché
{"title":"Surgical Delivery of Embryonic Cells and Products.","authors":"Philippe Menasché","doi":"10.14503/THIJ-23-8263","DOIUrl":"10.14503/THIJ-23-8263","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation. 巨大未破裂左窦主动脉瘤合并严重主动脉反流的外科治疗。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2023-10-10 DOI: 10.14503/THIJ-23-8134
Keisuke Ozawa, Kenji Kuwaki, Hidekazu Furuya, Masaomi Yamaguchi, Akiyoshi Yamamoto
{"title":"Surgical Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation.","authors":"Keisuke Ozawa, Kenji Kuwaki, Hidekazu Furuya, Masaomi Yamaguchi, Akiyoshi Yamamoto","doi":"10.14503/THIJ-23-8134","DOIUrl":"10.14503/THIJ-23-8134","url":null,"abstract":"<p><p>Left sinus of Valsalva aneurysms are extremely rare. Concomitant aortic valve regurgitation is a comorbidity in this pathology. This case report summarizes successful surgical treatment with aortic root replacement with a modified Bentall procedure in a 49-year-old female patient who had an unruptured huge left sinus of Valsalva aneurysm with severe aortic valve regurgitation. The intraoperative assessment showed severe adhesion between the left main trunk of the coronary artery and the left sinus of Valsalva aneurysm, and meticulous adhesion detachment was required.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"50 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery. 胸腔内血管主动脉修补术与锁骨下血管再通术治疗症状性非动脉瘤性右侧锁骨下动脉畸形。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2022-07-01 DOI: 10.14503/THIJ-20-7489
Yuki Nakamura, Shusuke Imaoka, Takuya Yamakura, Taro Yamasumi, Haruhiko Kondoh
{"title":"Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery.","authors":"Yuki Nakamura, Shusuke Imaoka, Takuya Yamakura, Taro Yamasumi, Haruhiko Kondoh","doi":"10.14503/THIJ-20-7489","DOIUrl":"10.14503/THIJ-20-7489","url":null,"abstract":"<p><p>Aberrant right subclavian artery is a common aortic arch anomaly that can cause dysphagia as a result of compression by the aberrant artery. For patients with an aneurysm associated with an aberrant right subclavian artery, surgical or endovascular intervention is a well-described treatment. However, for patients with a nonaneurysmal aberrant right subclavian artery, treatment with thoracic endovascular aortic repair has been limited. We describe the use of thoracic endovascular aortic repair and subclavian revascularization to treat esophageal stricture in a patient with a symptomatic nonaneurysmal aberrant right subclavian artery. The patient's dysphagia was successfully relieved after the operation.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"49 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427065/pdf/i1526-6702-49-4-e207489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33439829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanical Circulatory Support to Treat Pulmonary Embolism: Venoarterial Extracorporeal Membrane Oxygenation and Right Ventricular Assist Devices. 机械循环支持治疗肺栓塞:静脉体外膜氧合和右室辅助装置。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-19-7025
Aneil Bhalla, Robert Attaran
{"title":"Mechanical Circulatory Support to Treat Pulmonary Embolism: Venoarterial Extracorporeal Membrane Oxygenation and Right Ventricular Assist Devices.","authors":"Aneil Bhalla,&nbsp;Robert Attaran","doi":"10.14503/THIJ-19-7025","DOIUrl":"https://doi.org/10.14503/THIJ-19-7025","url":null,"abstract":"<p><p>Mechanical circulatory support may help patients with massive pulmonary embolism who are not candidates for systemic thrombolysis, pulmonary embolectomy, or catheter-directed therapy, or in whom these established interventions have failed. Little published literature covers this topic, which led us to compare outcomes of patients whose massive pulmonary embolism was managed with the use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) or a right ventricular assist device (RVAD). We searched the medical literature from January 1990 through September 2018 for reports of adults hospitalized for massive or high-risk pulmonary embolism complicated by hemodynamic instability, and who underwent VA-ECMO therapy or RVAD placement. Primary outcomes included weaning from mechanical circulatory support and discharge from the hospital. We found 16 reports that included 181 patients (164 VA-ECMO and 17 RVAD). All RVAD recipients were successfully weaned from support, as were 122 (74%) of the VA-ECMO patients. Sixteen (94%) of the RVAD patients were discharged from the hospital, as were 120 (73%) of the VA-ECMO patients. Of note, the 8 RVAD patients who had an Impella RP System were all weaned and discharged. For patients with massive pulmonary embolism who are not candidates for conventional interventions or whose conditions are refractory, mechanical circulatory support in the form of RVAD placement or ECMO may be considered. Larger comparative studies are needed.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"202-206"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529065/pdf/i1526-6702-47-3-202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38437800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Surgical Endoepicardial Linear Ablation for Ventricular Tachycardia With Postinfarction Left Ventricular Aneurysm. 心外膜内线性消融术治疗室性心动过速伴梗死后左室动脉瘤。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-18-6615
Changcheng Liu, Zhaoping Su, Liangshan Wang, Bo Li, Jin Wang, Yang Yu, Chengxiong Gu
{"title":"Surgical Endoepicardial Linear Ablation for Ventricular Tachycardia With Postinfarction Left Ventricular Aneurysm.","authors":"Changcheng Liu,&nbsp;Zhaoping Su,&nbsp;Liangshan Wang,&nbsp;Bo Li,&nbsp;Jin Wang,&nbsp;Yang Yu,&nbsp;Chengxiong Gu","doi":"10.14503/THIJ-18-6615","DOIUrl":"https://doi.org/10.14503/THIJ-18-6615","url":null,"abstract":"<p><p>This retrospective study evaluated the feasibility of surgical endoepicardial linear ablation for ventricular tachycardia in patients with postinfarction left ventricular aneurysm. Sixty-four patients with multivessel coronary artery disease and left ventricular aneurysm but no mural thrombosis of the aneurysm or valve disease were treated at our institution from March 2012 through July 2015. All underwent off-pump coronary artery bypass grafting and left ventricular aneurysm repair by linear plication. Twenty-three patients (35.9%) had ventricular tachycardia and underwent surgical endoepicardial linear ablation on the beating heart guided by epicardial substrate mapping with the Carto 3 system. The remaining 41 patients (64.1%) composed the no-ablation group. The effectiveness of surgical linear ablation in the ablation group was evaluated. Safety and clinical outcomes were evaluated and compared between the groups. The ventricular tachycardia recurrence rate in the ablation group was 17.4% in the immediate postoperative period and 23.8% at last follow-up (39 ± 21 mo). Early (<30-d) mortality rates were 8.7% in the ablation group and 4.9% in the no-ablation group (P=0.41); the respective late mortality rates were 19.1% and 18% (P=0.70). Multivariate Cox regression analysis indicated that preoperatively poor left ventricular function was an independent risk factor for early and late death in both groups. The groups were similar in terms of the need for postoperative mechanical circulatory support, intensive care unit stay, and cumulative survival rate. We conclude that, for carefully selected candidates, surgical endoepicardial linear ablation combined with off-pump coronary artery bypass grafting and left ventricular aneurysm linear plication is a feasible treatment for ventricular tachycardia with postinfarction left ventricular aneurysm.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"194-201"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529068/pdf/i1526-6702-47-3-194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38534953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Our Duty of Care in Pandemic Times. 大流行时期我们的注意义务。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-20-7289
Perryn Ng
{"title":"Our Duty of Care in Pandemic Times.","authors":"Perryn Ng","doi":"10.14503/THIJ-20-7289","DOIUrl":"https://doi.org/10.14503/THIJ-20-7289","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"181-182"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529064/pdf/i1526-6702-47-3-181.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38534951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Altered Mental Status and Hyponatremia After 20 Hours of Amiodarone Therapy. 胺碘酮治疗20小时后精神状态改变和低钠血症。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-18-6849
Andrea Qi, John C Moscona, Justin Reed, Thierry H Le Jemtel
{"title":"Altered Mental Status and Hyponatremia After 20 Hours of Amiodarone Therapy.","authors":"Andrea Qi,&nbsp;John C Moscona,&nbsp;Justin Reed,&nbsp;Thierry H Le Jemtel","doi":"10.14503/THIJ-18-6849","DOIUrl":"https://doi.org/10.14503/THIJ-18-6849","url":null,"abstract":"<p><p>A 66-year-old woman with no relevant medical history presented at the emergency department with new-onset atrial fibrillation. We initiated intravenous amiodarone therapy. At 20 hours, the patient experienced severe neurologic symptoms, hyponatremia, and syndrome of inappropriate antidiuretic hormone. We discontinued amiodarone, infused saline solution, and restricted the patient's fluid intake. She recovered in 3 days. This case illustrates that amiodarone-induced syndrome of inappropriate antidiuretic hormone with hyponatremia can occur far earlier than expected during acute amiodarone therapy.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"229-232"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529072/pdf/i1526-6702-47-3-229.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38437797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Handling Egregious Plagiarism. 处理严重抄袭。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-20-7269
Beuy Joob, Viroj Wiwanitkit
{"title":"Handling Egregious Plagiarism.","authors":"Beuy Joob,&nbsp;Viroj Wiwanitkit","doi":"10.14503/THIJ-20-7269","DOIUrl":"https://doi.org/10.14503/THIJ-20-7269","url":null,"abstract":"","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"241"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529071/pdf/i1526-6702-47-3-241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38437799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing P2 Neochordal Length and Stability in Mitral Valve Repair With Use of a Polypropylene Loop. 聚丙烯环在二尖瓣修复中优化P2新索索长度和稳定性。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-18-6913
Anil Ozen, Ertekin Utku Unal, Hamdi Mehmet Ozbek, Gorkem Yigit, Hakki Zafer Iscan
{"title":"Optimizing P2 Neochordal Length and Stability in Mitral Valve Repair With Use of a Polypropylene Loop.","authors":"Anil Ozen,&nbsp;Ertekin Utku Unal,&nbsp;Hamdi Mehmet Ozbek,&nbsp;Gorkem Yigit,&nbsp;Hakki Zafer Iscan","doi":"10.14503/THIJ-18-6913","DOIUrl":"https://doi.org/10.14503/THIJ-18-6913","url":null,"abstract":"<p><p>Determining the optimal length of artificial chordae tendineae and then effectively securing them is a major challenge in mitral valve repair. Our technique for measuring and stabilizing neochordae involves tying a polypropylene suture loop onto the annuloplasty ring. We used this method in 4 patients who had moderate-to-severe mitral regurgitation from degenerative posterior leaflet (P2) prolapse and flail chordae. Results of intraoperative saline tests and postoperative transesophageal echocardiography revealed only mild insufficiency. One month postoperatively, echocardiograms showed trivial regurgitation in all 4 patients. We think that this simple, precise method for adjusting and stabilizing artificial chordae will be advantageous in mitral valve repair.</p>","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"207-209"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529069/pdf/i1526-6702-47-3-207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38534952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidental Cannulation of Left Ventricular Thebesian Vein. 左心室底比斯静脉偶发插管。
IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2020-06-01 DOI: 10.14503/THIJ-17-6254
Kalyan Chakravarthy Potu, Jay N Patel, Majd Ibrahim, Sujitha Sree Ketineni, Sudhir Mungee
{"title":"Incidental Cannulation of Left Ventricular Thebesian Vein.","authors":"Kalyan Chakravarthy Potu,&nbsp;Jay N Patel,&nbsp;Majd Ibrahim,&nbsp;Sujitha Sree Ketineni,&nbsp;Sudhir Mungee","doi":"10.14503/THIJ-17-6254","DOIUrl":"https://doi.org/10.14503/THIJ-17-6254","url":null,"abstract":"A 52-year-old woman presented with chest pain from spontaneous coronary artery dissection of the distal segment of the first diagonal branch of the left anterior descending coronary artery. We performed left ventriculography, injecting 20 mL of contrast medium at 10 mL/s through a 5F, 100-cm Performa® Ultimate 1 diagnostic cardiac catheter with bumper tip and wire-braid design (Merit Medical Systems, Inc.). The opacified left ventricle (LV) showed mild anterolateral hypokinesis (estimated LV ejection fraction, 0.50). The catheter moved during the procedure, inadvertently cannulating a Thebesian vein with contrast injection (Fig. 1). The dye cleared in 30 seconds. The patient was discharged from the hospital the next day, in stable condition.","PeriodicalId":48680,"journal":{"name":"Texas Heart Institute Journal","volume":"47 3","pages":"238"},"PeriodicalIF":0.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529075/pdf/i1526-6702-47-3-238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38534956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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