Brazilian journal of cardiovascular surgery最新文献_第2页

Comparison of the Effects of Blood Cardioplegia and Del Nido Cardioplegia on Postoperative Intensive Care Needs, Drainage, and Renal Functions in Patients Undergoing Isolated Coronary Artery Bypass. 血停搏与Del Nido停搏对孤立冠状动脉搭桥术后重症监护需求、引流及肾功能影响的比较

Brazilian journal of cardiovascular surgery Pub Date : 2025-06-04 DOI: 10.21470/1678-9741-2024-0237

Yaşar Sarıgol, Serkan Yıldırım, Mehmet Işık, Omer Tanyeli, Yuksel Dereli, Erdal Ege, Niyazi Gormuş

{"title":"Comparison of the Effects of Blood Cardioplegia and Del Nido Cardioplegia on Postoperative Intensive Care Needs, Drainage, and Renal Functions in Patients Undergoing Isolated Coronary Artery Bypass.","authors":"Yaşar Sarıgol, Serkan Yıldırım, Mehmet Işık, Omer Tanyeli, Yuksel Dereli, Erdal Ege, Niyazi Gormuş","doi":"10.21470/1678-9741-2024-0237","DOIUrl":"10.21470/1678-9741-2024-0237","url":null,"abstract":"Objective: A variety of cardioplegia techniques with different components are implemented to ensure myocardial protection, in addition to keeping the operationa field immobile and free of blood during cardiac surgery. The implemented cardioplegia has unwanted negative effects on other end organs. In this study, our aim was to compare the effects of Del Nido cardioplegia and blood cardioplegia solutions on postoperative intensive care duration, drainage, and renal functions for patients undergoing cardiopulmonary bypass and bypass graft operations.Methods: Selections were made from patients undergoing elective bypass graft operations in our clinic from January 1, 2022 to December 31, 2023. Patients were randomly selected, retrospectively assessed, and divided into two groups - De Nido group (Group 1) and blood cardioplegia group (Group 2). Comparisons were made between these groups in terms of intensive care duration, drainage, and renal functions.Results: The study included 120 patients. The Del Nido cardioplegia group included 60 patients, with 60 patients in the blood cardioplegia group. Comparisons between the groups found that the aortic cross-clamping duration was significantly high in Group 1 (P = 0.014). The noradrenaline dose given to Group 1 was high (P = 0.004). In terms of renal injury, significant degree of elevation was present in Group 1 (P = 0.027). The longer aortic cross-clamping duration in Group 1 may be assessed as a determinant factor for noradrenaline dose and acute kidney injury.Conclusion: This study concluded that it willbe appropriate to choose the cardioplegia method by performing broader meta-analysis studies and minimizing limiting factors.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 4","pages":"e20240237"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is the Fate of the Internal Mammary Vein in CABG Similar to that of the Saphenous Vein? CABG中乳腺内静脉的命运与隐静脉相似吗？

Brazilian journal of cardiovascular surgery Pub Date : 2025-06-04 DOI: 10.21470/1678-9741-2023-0332

Luis Roberto Palma Dallan, Luis Alberto Oliveira Dallan, Antonio Neves, Omar Asdrubal Vilca Mejia, Luiz Augusto Ferreira Lisboa, Fabio B Jatene

引用次数: 0

Diaphragm Dysfunction After Cardiac Surgery. 心脏手术后膈肌功能障碍。

Brazilian journal of cardiovascular surgery Pub Date : 2025-06-04 DOI: 10.21470/1678-9741-2023-0239

Tim Somers, Sandy Iskander, Ad F T M Verhagen, Wilson W L Li

{"title":"Diaphragm Dysfunction After Cardiac Surgery.","authors":"Tim Somers, Sandy Iskander, Ad F T M Verhagen, Wilson W L Li","doi":"10.21470/1678-9741-2023-0239","DOIUrl":"10.21470/1678-9741-2023-0239","url":null,"abstract":"Introduction: Diaphragm elevation is commonly seen after cardiac surgery, mostly due to phrenic nerve injury. However, only historical data is available on the incidence of diaphragm elevation and its consequences during recovery.Objective: We aim to provide contemporary insights into the incidence of diaphragm dysfunction in patients undergoing cardiac surgery and its effect on postoperative outcomes.Methods: Records of all patients undergoing cardiac surgery through sternotomy between 2015 and 2016 at the Radboud University MedicalCentre were retrospectively reviewed. Diaphragm position and elevation were evaluated on available chest radiography. Right-sided diaphragm elevation was defined as the right diaphragm being > 3.0 cm above the left diaphragm; left-sided diaphragm elevation was defined as < 0.5 cm below or above the level of the right diaphragm.Results: A total of 1510 patients have undergone cardiac surgery through sternotomy during the study period, of which 1316 patients were included in the final analysis. Of these 1316 patients, 13% (n = 179) had pre-existing diaphragm elevation, 27% (n = 351) had a new diaphragm elevation postoperative-y, and 60% (n = 786) had no diaphragm elevation. No statistically significant differences were found between the groups in the occurrence of postoperative (pulmonary) complications or mortality. Of patients who developed new diaphragm elevation postoperatively, 65% recovered in the follow-up period.Conclusion: New postoperative diaphragm elevation occurs in 27% of patients undergoing cardiac surgery. However, new postoperative diaphragm elevation is not associated with a higher incidence of postoperative complications and spontaneous recovery is seen in most patients.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 4","pages":"e20230239"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Pioneer of Cardiothoracic Surgery - the Brazilian Northeast Heart Transplant Program. 心胸外科的先驱-巴西东北心脏移植项目。

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0128

Ricardo de, José Teles de, José Wanderley, Mozart Augusto Soares de, José Glauco Lobo, José Ricardo Lagreca de

{"title":"A Pioneer of Cardiothoracic Surgery - the Brazilian Northeast Heart Transplant Program.","authors":"Ricardo de, José Teles de, José Wanderley, Mozart Augusto Soares de, José Glauco Lobo, José Ricardo Lagreca de","doi":"10.21470/1678-9741-2024-0128","DOIUrl":"10.21470/1678-9741-2024-0128","url":null,"abstract":"This review highlights the pivotal milestones in the development of cardiac transplantation and related techniques. Beginning with Alexis Carrel's pioneering work on vascular anastomosis and organ preservation, the narrative progresses through groundbreaking achievements such as John Gibbon's invention of the heart-lung machine in 1953 and James Hardy's daring chimpanzee-to-human heart transplant in 1964. The story culminates in Christiaan Barnard's historic human heart transplant in 1967 and Euryclides Zerbini's leadership in bringing this innovation to Brazil in 1968. Key advancements include the development of orthotopic heart transplantation techniques by Richard Lower and Norman Shumway and the resurgence of heart transplants following the introduction of cyclosporine in 1983, which revolutionized organ rejection management. The collaborative Programa Nordeste de Transplante Cardíaco, initiated in 1986, exemplifies regional innovation in overcoming logistical and financial barriers in Brazil. Recent progress, such as the first successful xenotransplantation using a genetically modified pig heart in 2022, underscores ongoing efforts to address donor shortages and improve transplant outcomes. This narrative is a testament to human ingenuity and perseverance in offering life-saving solutions to end-stage heart disease.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 4","pages":"e2024128"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Harvesting Site and Incision Method on Surgical Wound Complications of No-Touch Saphenous Vein Grafts: A Retrospective Observational Study. 摘取部位和切口方式对无接触隐静脉移植物手术伤口并发症的影响：回顾性观察研究。

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0098

Hironobu Sakurai, Dai Tasaki, Tomoya Yoshizaki

{"title":"Effects of Harvesting Site and Incision Method on Surgical Wound Complications of No-Touch Saphenous Vein Grafts: A Retrospective Observational Study.","authors":"Hironobu Sakurai, Dai Tasaki, Tomoya Yoshizaki","doi":"10.21470/1678-9741-2024-0098","DOIUrl":"10.21470/1678-9741-2024-0098","url":null,"abstract":"Introduction: Saphenous vein grafts are frequently used for coronary artery revascularization. However, harvesting veins is associated with infected surgical sites and other complications. The no-touch technique that includes harvesting saphenous vein grafts along with surrounding tissues improves graft patency but increases the frequency of wound complications. We harvested saphenous vein grafts using the no-touch technique and devised other options for sites and incision methods to prevent wound complications. This study aimed to determine the clinical outcomes of no-touch saphenous vein grafts as well as associations between harvesting methods and wound complications.Methods: We enrolled 132 patients who underwent isolated coronary artery bypass surgery with saphenous vein grafts harvested using the no-touch technique. Wound condition, general status, and graft patency were assessed during clinical follow-up.Results: We harvested 180 veins (lower legs, n = 69 veins; upper legs, n = 111) using longitudinal and skip incisions at 100 and 80 sites, respectively. Wound complications occurred at 35 sites. The frequency of complications was significantly lower in the upper, than in the lower legs (14.4% vs. 27.5%). Furthermore, wound complications were reduced more by skip, than by longitudinal skin incisions (16.3% vs. 20.0%).Conclusion: We devised a method to harvest no-touch saphenous vein grafts and determined the clinical outcomes of saphenous vein grafts and harvesting sites. Harvesting from the upper leg and via skip incisions reduced the frequency of wound complications.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 3","pages":"e20240098"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrapericardial Extra-Anatomic Aorto-Aortic Bypass for Aortic Coarctation in Adults. 成人主动脉缩窄的心包内解剖外主动脉-主动脉搭桥术。

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0185

Enrique Seguel Soto, Gustavo Barril Merino, Aleck Stockins Larenas, Roberto González Lagos, Rodrigo Reyes Melo

{"title":"Intrapericardial Extra-Anatomic Aorto-Aortic Bypass for Aortic Coarctation in Adults.","authors":"Enrique Seguel Soto, Gustavo Barril Merino, Aleck Stockins Larenas, Roberto González Lagos, Rodrigo Reyes Melo","doi":"10.21470/1678-9741-2024-0185","DOIUrl":"10.21470/1678-9741-2024-0185","url":null,"abstract":"Introduction: The preferred treatment for aortic coarctation is direct repair during childhood. However, some patients reach adulthood without being diagnosed. For these patients, an extra-anatomic bypass offers an alternative solution.Objective: To evaluate the surgical outcomes of adult patients with aortic coarctation treated with an extra-anatomic aorto-aortic bypass.Methods: This retrospective study includes adult patients who underwent an intrapericardial extra-anatomic bypass using a Dacron® tube from 2013 to 2021 (n=8). Clinical characteristics, surgical outcomes, survival rates, and the need for reinterventions were assessed up to March 31, 2024.Results: All patients were male, with an average age of 39.9 ± 10.8 years (range 23-51). All were hypertensive. Four patients had associated aortic valve disease, and one had coronary artery disease. The operative risk, calculated using the European System for Cardiac Operative Risk Evaluation II score, was 1.65%. Four patients underwent concurrent valve surgeries (two valve replacements, one David procedure, and one Bentall procedure), and one had coronary artery surgery. The average pump time was 119 minutes, with longer times for those undergoing additional procedures (157 vs. 82.5 minutes). There was no operative mortality. The mean follow-up period was 107.1 ± 32 months, during which all patients survived. One patient required reintervention on the 118th postoperative month due to aortic stenosis, necessitating valve replacement with a biological prosthesis.Conclusion: Intrapericardial extra-anatomic bypass is a viable option for treating aortic coarctation in adults, demonstrating excellent shortand long-term outcomes. It can be effectively combined with other surgical procedures.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 3","pages":"e20240185"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short-Term Outcomes of Patients with Non-Metastatic Malignant Solid Tumor after Coronary Artery Bypass Grafting: A Population-Based Study of National/Nationwide Inpatient Sample From 2015 To 2020. 冠状动脉旁路移植术后非转移性恶性实体瘤患者的短期预后：一项基于2015 - 2020年全国/全国住院患者样本的人群研究

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0202

Renxi Li, Deyanira J Prastein

{"title":"Short-Term Outcomes of Patients with Non-Metastatic Malignant Solid Tumor after Coronary Artery Bypass Grafting: A Population-Based Study of National/Nationwide Inpatient Sample From 2015 To 2020.","authors":"Renxi Li, Deyanira J Prastein","doi":"10.21470/1678-9741-2024-0202","DOIUrl":"10.21470/1678-9741-2024-0202","url":null,"abstract":"Introduction: Previous studies found that patients with a history of cancer either have similar outcomes or face an increased risk of early morbidity following cardiac surgery. However, the applicability of these findings to clinical practice may be constrained by the heterogeneity of cancer patients. To refine our understanding, this study focuses specifically on the in-hospital outcomes of patients with non-metastatic malignant solid tumors (NMST) undergoing coronary artery bypass grafting (CABG).Methods: Patients who underwent CABG were identified in National/Nationwide Inpatient Sample from Q4 2015-2020. Exclusion criteria included age < 18 years, concomitant procedures, and other malignancies. A 1:3 propensity-score matching was employed to address differences in demographics, socioeconomic status, primary payer status, hospital characteristics, comorbidities, and admission status between patients with and without NMST. In-hospital outcomes after CABG were evaluated.Results: There were 2,139 patients with NMST who underwent CABG and who were matched to 6,580 out of 164,351 patients without NMST. Patients with and without NMST had comparable mortality (2.25% vs. 2.16%, P=0.80). However, NMST patients have a higher risk of hemorrhage/hematoma (63.48% vs. 58.27%, P<0.01) and a higher rate of transfer out (28.75% vs. 25.36%, P<0.01). In addition, patients with NMST had longer time from admission to operation (P<0.01), a longer length of stay (P<0.01), and higher hospital charges (P<0.01).Conclusion: Patients with NMST have comparable short-term outcomes after CABG, except for a higher risk of postoperative bleeding. Thus, CABG could be performed safely for NMST patients, despite long-term prognosis of these patients may require further investigation.","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 3","pages":"e20240202"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Paradigm Shift in Managing Carotid Artery Disease Associated with Coronary Artery Bypass Grafting. 冠状动脉搭桥术相关颈动脉疾病的治疗模式转变

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2025-0901

Luciano Cabral Albuquerque

引用次数: 0

Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report. 三动脉微创直接冠状动脉旁路移植术：分步技术报告。

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0193

Danko Grujic, Vojkan Aleksic, Tatjana Gazibara, Vladimir Milicevic, Radmila Karan

引用次数: 0

Simple Endocardial Running Suture Technique for Concealing Prosthetic Material in Mitral Valve Annulus Cerclage to Prevent Hemolysis. 二尖瓣环扎扎术中隐藏假体材料防止溶血的简单心内膜顺行缝合技术。

Brazilian journal of cardiovascular surgery Pub Date : 2025-05-30 DOI: 10.21470/1678-9741-2024-0309

Paulo José de, Antonio Carlos Menardi, Fabio Luis-Silva, Andre Luppi, Paulo Roberto B Evora

引用次数: 0