Revista Brasileira De Cirurgia Cardiovascular最新文献_第5页

Circumflex Coronary Artery Fistula Draining into Coronary Sinus 旋冠状动脉瘘管引流至冠状窦

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0254

Gabriela Carvalho Silva, Diana Patricia Lamprea Sepulveda Silva, E. Tenório, Edmilson Cardoso dos Santos Filho, Fabiana Michelle Feitosa de Oliveira, João Henrique de Andrade Torres, Patrícia Eduardo Teles Correia, Clístanes Lucas Henrique Ferreira, Petrus Thiago Jorge Lopes da Silva, F. Moraes

引用次数: 0

To Treat or Not to Treat? This Is the Question… About the Incidental Finding of Double Sinus of Valsalva Aneurysm in A 91-Year-Old Woman 治疗还是不治疗?这是一个关于偶然发现的双窦Valsalva动脉瘤在91岁妇女的问题

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0403

L. Marco, G. Comentale, M. Bruno, V. Lanzillotti, M. Colletta, V. Russo, D. Pacini, G. Casella

引用次数: 0

A Modified Ascending Aortic Cannulation Technique in Minimally Invasive Totally Thoracoscopic Cardiac Surgery 改良升主动脉插管技术在微创全胸腔镜心脏手术中的应用

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0234

S. Liao, Xiaoshen Zhang

引用次数: 0

Experimental Evaluation of Chitosan Membrane and Collagen Sponge (TachoSil®) as Sealants in Cardiovascular Surgery 壳聚糖膜和胶原海绵（TachoSil®）作为心血管外科密封剂的实验评价

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0432

Renan Nalin dos Santos, G. C. Cardoso, M. R. Cunha, E. Marchi, M. V. Carvalho

{"title":"Experimental Evaluation of Chitosan Membrane and Collagen Sponge (TachoSil®) as Sealants in Cardiovascular Surgery","authors":"Renan Nalin dos Santos, G. C. Cardoso, M. R. Cunha, E. Marchi, M. V. Carvalho","doi":"10.21470/1678-9741-2021-0432","DOIUrl":"https://doi.org/10.21470/1678-9741-2021-0432","url":null,"abstract":"Introduction The objectives of this study are to experimentally evaluate the haemostatic effects of two organic substances, a membrane of chitosan and a collagen sponge coated with thrombin and human fibrinogen (TachoSil®), in sealing 7-0 needle stitches holes on the femoral arteries of rats as well as to evaluate local histological reactions. Methods Twenty-four rats were included, and four holes were made in each common femoral artery. In the control group, haemostasis was achieved only by compression with gauze sponge; and in the two other groups, haemostasis was achieved with application of one of these two substances. Results Membrane of chitosan and TachoSil® showed a power to reduce the time to achieve haemostasis compared with the control group (P=0.001), and the haemostatic effects of these two substances were comparable. There was lower blood loss in the groups where these two substances were used when compared with the control group, but no difference was found comparing the two substances. Conclusion The use of these sealants did not promote more adhesion or local histological reactions when compared to the control group. Since chitosan is easy to find in nature, has a positive effect to promote haemostasis, and did not bring considerable local reactions, it might be used as a sealant in cardiovascular surgery.","PeriodicalId":54481,"journal":{"name":"Revista Brasileira De Cirurgia Cardiovascular","volume":"37 1","pages":"176 - 184"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45977262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Usefulness of Immature Granulocytes as A Prognostic Factor in ST-Elevation Myocardial Infarction 未成熟粒细胞作为st段抬高型心肌梗死预后因素的有效性

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0088

M. Korkut, C. Bedel, Ramazan Sivil, Mücahit Alp Arslan, F. Selvi, G. Kuş, Ökkeş Zortuk

{"title":"Usefulness of Immature Granulocytes as A Prognostic Factor in ST-Elevation Myocardial Infarction","authors":"M. Korkut, C. Bedel, Ramazan Sivil, Mücahit Alp Arslan, F. Selvi, G. Kuş, Ökkeş Zortuk","doi":"10.21470/1678-9741-2021-0088","DOIUrl":"https://doi.org/10.21470/1678-9741-2021-0088","url":null,"abstract":"Objective ST-segment elevation myocardial infarction (STEMI) is a serious, life-threatening disease. Inflammatory markers have recently become the focus of attention in the assessment of severity in the early stages of STEMI. This study aimed to evaluate the importance of immature granulocytes (IG) as a prognostic marker in STEMI. Methods Patients admitted to the coronary care unit with a diagnosis of STEMI and who underwent primary percutaneous coronary intervention (pPCI) within the period from January 1, 2019 to January 1, 2020, were retrospectively scanned. A total of 146 patients were analised; of these, 112 (76.7%) were male and 34 (33.3) were female, with a mean age of 62.65±14.06 years. Patients’ age, gender, haemogram, biochemistry, and mortality results were recorded. The patients were divided into two groups as low (<0.6) and high (≥0.6) IG levels and compared. Results The mean IG levels were significantly higher in the non-survivor group compared to the survivor group (1.12±0.22 vs. 0.50±0.28, P<0.001). Mortality rates were significantly higher in the high IG group compared to the low IG group (26.9% vs. 9.6%, P=0.006). IG was shown to predict mortality with a sensitivity of 72.2% and a specificity of 77.8% at a cut-off value of 0.65 (area under the curve: 0.740, 95% CI: 0.635-0.846, P<0.001). Conclusion High IG values in the blood collected at the time of admission to the emergency department are a marker of mortality in patients with STEMI.","PeriodicalId":54481,"journal":{"name":"Revista Brasileira De Cirurgia Cardiovascular","volume":"37 1","pages":"893 - 899"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47848388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Outcomes of Aortic Valve Replacement Via Right Anterior Minithoracotomy and Central Cannulation Versus Conventional Aortic Valve Replacement in Obese Patients 肥胖患者经右前小胸切开联合中央插管主动脉瓣置换术与常规主动脉瓣置换术的效果

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI: 10.21470/1678-9741-2021-0098

Burcin Abud, O. Saydam, A. Engin, Kemal Karaarslan, A. Kunt, M. Karaçelik

{"title":"Outcomes of Aortic Valve Replacement Via Right Anterior Minithoracotomy and Central Cannulation Versus Conventional Aortic Valve Replacement in Obese Patients","authors":"Burcin Abud, O. Saydam, A. Engin, Kemal Karaarslan, A. Kunt, M. Karaçelik","doi":"10.21470/1678-9741-2021-0098","DOIUrl":"https://doi.org/10.21470/1678-9741-2021-0098","url":null,"abstract":"Introduction The minimally invasive implantation of aortic valve prosthesis via thoracotomy has numerous advantages and is comfortable, especially during the early postoperative period. Disadvantages of this method include peripheral vessel complications and groin infections. Central cannulation (direct aortic cannulation with superior vena cava cannulation) eliminates these drawbacks. In this report, we evaluated this method of treatment in patients with obesity. Methods We retrospectively analyzed the medical records of 21 obese patients with severe aortic stenosis who underwent minimally invasive aortic valve implantation via thoracotomy and central cannulation with a bovine pericardial aortic prosthesis between 2017 and 2021. We compared these records with the medical records of 27 obese patients with severe aortic stenosis who underwent conventional aortic valve surgery. Results Mean cross-clamp and cardiopulmonary bypass times were similar in both groups. Operating time was significantly longer in the minimally invasive group (P <0.05). In the minimally invasive group, acute renal failure occurred in 2 patients. In terms of postoperative complications, deep sternal wound infection/sternal instability was much higher in the conventional group. This was not statistically significant (P=0.090). Minimally invasive operated patients had a comfortable early postoperative period, with a mean visual analog scale for pain of 1.10±0.83 (no pain-mild pain). When we assessed patient satisfaction with the postoperative period, 13 patients were extremely satisfied, 7 patients were satisfied, and 1 patient was quite satisfied. Conclusion Minimally invasive aortic valve implantation via thoracotomy and central cannulation is a safe and effective treatment for obese patients.","PeriodicalId":54481,"journal":{"name":"Revista Brasileira De Cirurgia Cardiovascular","volume":"37 1","pages":"875 - 882"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47433239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Three-Dimensional Printing in Minimally Invasive Cardiac Surgery: Optimizing Surgical Planning and Education with Life-Like Models 三维打印在微创心脏手术:优化手术计划和教育与逼真的模型

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-03-10 DOI: 10.21470/1678-9741-2020-0409

P. Montanhesi, G. Coelho, S. A. F. Curcio, R. Poffo

引用次数: 5

A Case of Using No-Touch Saphenous Vein Graft in Redo CABG after Multiple Failed Percutaneous Coronary Interventions. 一个在多次经皮冠状动脉介入手术失败后使用无触点隐静脉移植物重新进行 CABG 的病例。

IF 1.1 4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-03-10 DOI: 10.21470/1678-9741-2021-0203

Victor Edin, Håkan Geijer, Piotr Jakuszewski, Domingos Souza

引用次数: 0

Surviving the Struggle of COVID-19: Practical Recommendations for Pediatric/Adult Cardiology and Cardiac Surgical Programs in Resource-Limited Settings: a Review 在新冠肺炎的斗争中幸存：在资源有限的环境中对儿科/成人心脏病学和心脏外科项目的实用建议：综述

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-03-10 DOI: 10.21470/1678-9741-2021-0477

K. Pilarczyk, Vinicius Nina, L. Boshkov, B. Ferdman, E. Farkas, Nicole Burnham, R. Cifuentes, Daniel Ntogwiachu, A. Marath

{"title":"Surviving the Struggle of COVID-19: Practical Recommendations for Pediatric/Adult Cardiology and Cardiac Surgical Programs in Resource-Limited Settings: a Review","authors":"K. Pilarczyk, Vinicius Nina, L. Boshkov, B. Ferdman, E. Farkas, Nicole Burnham, R. Cifuentes, Daniel Ntogwiachu, A. Marath","doi":"10.21470/1678-9741-2021-0477","DOIUrl":"https://doi.org/10.21470/1678-9741-2021-0477","url":null,"abstract":"Introduction The primary aim of this systematic review is to provide perioperative strategies to help restore or preserve cardiovascular services under threat from financial and personnel constraints imposed by the coronavirus disease 2019 (COVID-19) pandemic. Methods The Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, Cochrane Central Register of Controlled Trials/CCTR, and Google Scholar were systematically searched using the search terms “(cardiac OR cardiology OR cardiothoracic OR surgery) AND (COVID-19 or coronavirus OR SARS-CoV-2 OR 2019-nCoV OR 2019 novel coronavirus OR pandemic)”. Additionally, the webpages of relevant medical societies, including the World Federation Society of Anesthesiologists, the Cardiothoracic Surgery Network, and the Society of Thoracic Surgeons, were screened for relevant information. Results Whereas cardiac surgery and cardiology practices were reduced by 50-75% during the pandemic, mortality of patients with COVID-19 increased significantly. Healthcare workers are among those at high risk of infection with COVID-19. Conclusion Hospitals must provide maximum protective equipment and training on how to use it to healthcare workers for their mutual protection. Triage management of patients — which accounts for patient’s clinical status and risk-factor profile relatable to which services are available during the COVID-19 pandemic — is recommended. A strict reorganization of the hospital resources including preoperative, intraoperative, and postoperative detailed protective measures is necessary to reduce probability of vector contamination, to protect patients and the cardiovascular teams, and to permit safe resumption of cardiological and cardiac surgical activity.","PeriodicalId":54481,"journal":{"name":"Revista Brasileira De Cirurgia Cardiovascular","volume":"37 1","pages":"99 - 109"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43052863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Mivacurium in Fast-Track Anesthesia for Transthoracic Device Closure of Ventricular Septal Defects in Children 米维库林在儿童经胸装置封闭室间隔缺损快速麻醉中的应用

4区医学

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-03-10 DOI: 10.21470/1678-9741-2020-0580

Jing Wang, Y. Lei, Jian-Feng Liu, Zengchun Wang, Hua Cao, Qiang Chen

{"title":"Application of Mivacurium in Fast-Track Anesthesia for Transthoracic Device Closure of Ventricular Septal Defects in Children","authors":"Jing Wang, Y. Lei, Jian-Feng Liu, Zengchun Wang, Hua Cao, Qiang Chen","doi":"10.21470/1678-9741-2020-0580","DOIUrl":"https://doi.org/10.21470/1678-9741-2020-0580","url":null,"abstract":"Introduction The objective of this study was to investigate the effect of mivacurium in the application of fast-track anesthesia for transthoracic device closure of ventricular septal defects (VSDs) in children. Methods The data of 108 children who underwent transthoracic device closure of VSDs from December 2018 to June 2020 were recorded and analyzed. All children were divided into group M (mivacurium group, n=55) and group C (cisatracurium group, n=53) according to the different muscle relaxant drug used. Results No statistically significant differences in general preoperative data, intraoperative hemodynamic changes, or the incidence of adverse reactions were noted between the two groups (P>0.05). However, the intubation condition rating of children in group M was better than that in group C. The onset time, duration of clinical action and recovery index of the muscle relaxant, postoperative mechanical ventilation duration, and length of intensive care unit stay in group M were significantly lower than those in group C (P<0.05). Conclusion It is safe and feasible to use mivacurium as a muscle relaxant in children undergoing fast-track cardiac anesthesia during transthoracic device closure of VSDs.","PeriodicalId":54481,"journal":{"name":"Revista Brasileira De Cirurgia Cardiovascular","volume":"37 1","pages":"74 - 79"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48661634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0