Brazilian journal of cardiovascular surgery最新文献

{"title":"Biopsychosocial Prognosis Scale for Coronary Artery Bypass Grafting - Brazilian Version: Adaptation and Content Validity.","authors":"Elisabete Silvana de Oliveira Sene, Renata Eloah de Lucena Ferretti-Rebustini, Meena Hariharan, Marlyn Thomas Savio, Vinicius Batista Santos, Camila Takáo Lopes","doi":"10.21470/1678-9741-2023-0371","DOIUrl":"10.21470/1678-9741-2023-0371","url":null,"abstract":"<p><strong>Introduction: </strong>The Biopsychosocial Prognosis Scale for Coronary Artery Bypass Grafting (BIPROSCAB) assesses biophysical symptoms and psychosocial experiences following coronary artery bypass grafting (CABG), thereby enabling the targeting of interventions to improve post-procedure biopsychosocial prognosis. The aim of this study was to adapt the BIPROSCAB for use in Brazil and assess the content validity of the adapted version.</p><p><strong>Methods: </strong>For the cross-cultural adaptation, English-Portuguese translations, synthesis of translations, back-translations, assessment of back-translations for conceptual consistency by the authors of the original instrument, and evaluation of semantic, idiomatic, cultural, and conceptual equivalences by 11 expert judges were performed. Modifications were made based on suggestions until consensus > 80% was achieved. For the content validity assessment, experts assessed the clarity, theoretical relevance, and practical pertinence of the items, which were considered adequate when the content validity ratio (CVR) > 0.635. Post-CABG patients completed the questionnaire and evaluated understandability of the items.</p><p><strong>Results: </strong>Three rounds were required to achieve the desired agreement in the cross-cultural adaptation process. In the content evaluation by experts, only one round was needed, with CVR > 0.635. Following content evaluation by patients, it was decided to reverse the order of the response scale to an ascending order.</p><p><strong>Conclusion: </strong>The Brazilian version, BIPROSCAB-Br, is equivalent to the original instrument and has satisfactory evidence of content validity. Additional psychometric assessments are needed for use in Brazil.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20230371"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411978","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}

{"title":"Comparison of Two Coronary Anastomosis Techniques in Terms of Flow Rate in Porcine Hearts.","authors":"Safa Gode, Mucahit Polat, Elif Guneysu, Timucin Aksu, Olgar Bayserke, Muhammed Bayram, Ulku Kafa Kulacoglu, Taner Iyigun, Zihni Mert Duman, Oznur Inan","doi":"10.21470/1678-9741-2024-0073","DOIUrl":"10.21470/1678-9741-2024-0073","url":null,"abstract":"<p><strong>Introduction: </strong>The quality of coronary anastomoses is one of the important parameters that may affect graft patency in coronary artery bypass grafting patients. Therefore, we compared two different anastomotic techniques to improve graft flow and patency rates.</p><p><strong>Methods: </strong>This study was conducted by performing two different fashions of anastomosis with a human saphenous vein graft on 24 various coronary segments of five postmortem porcine hearts. Each arteriotomy was used for both anastomotic techniques. In the first method, epicardial fat tissue around the coronary artery was involved to the saphenous vein anastomosis line (coronary wall and epicardial fat tissue [CWE] technique). In the second method, the saphenous vein graft was sutured to the coronary wall only, without involving epicardial fat tissue (only coronary wall [OCW] technique).The time it tookfor 30 cc of 0.9% isotonic saline solution to pass through the anastomosis in a free-flow fashion by gravity was measured following each technique. Additionally, the anastomotic areas in mm2 were measured and compared between the two techniques.</p><p><strong>Results: </strong>The mean flow time for the CWE technique was 77.5 ± 21.4 seconds, whereas for the OCW technique, it was 87.2 ± 19.5 seconds (P<0.001). The flow rates were 23.2 ml/min and 20.6 ml/min, respectively. The anastomotic area was 3.947 mm2 for the CWE technique and 1.430 mm2 for the OCW technique.</p><p><strong>Conclusion: </strong>When the sutures penetrate both the epicardial fat tissue and the coronary artery wall simultaneously, a larger anastomosis area can be created. Consequently, potentially better graft flow and hemodynamic performance could be achieved.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20240073"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11816790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411981","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}

{"title":"Early Acute Aortic Dissection After Coronary Artery Bypass Grafting.","authors":"Živojin S Jonjev, Adam Adam, Novica Kalinić, Tamaš Vaštag, Ilija Bjeljac","doi":"10.21470/1678-9741-2023-0342","DOIUrl":"10.21470/1678-9741-2023-0342","url":null,"abstract":"<p><p>Patients having Stanford type A acute dissection soon after cardiac surgery have a high risk of rupture and death. The presentation, management, and outcome of primary dissection of the ascending aorta (Stanford type A or De Bakey type I or II) are well described. However, patients with Stanford type A acute aortic dissection soon (3-4 weeks) after primary cardiac surgery have distinctly different presentation, management, and postoperative outcome. In this report, we describe the clinical and surgical findings of a patient with early Stanford type A acute aortic dissection four weeks after primary coronary artery bypass grafting.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20230342"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411987","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}

{"title":"Optimal Concentration of Papaverine for the Inhibition of Internal Thoracic Artery Vasospasm during Coronary Artery Bypass Graft Surgery.","authors":"Naoko Tanaka-Totoribe, Eisaku Nakamura, Masachika Kuwabara, Shin Onizuka, Ryuichi Yamamoto","doi":"10.21470/1678-9741-2024-0058","DOIUrl":"10.21470/1678-9741-2024-0058","url":null,"abstract":"<p><strong>Introduction: </strong>The internal thoracic artery is commonly used as a graft in coronary artery bypass grafting. In this study, we aimed to investigate whether papaverine prevents vasoconstriction caused by various vasospasm inducers, including 5-hydroxytriptamine or serotonin, in endothelium-denuded internal thoracic artery at concentrations as low as 1.25 mM used for radial arteries.</p><p><strong>Methods: </strong>Human internal thoracic artery tissue was obtained from patients (n=6) undergoing coronary artery bypass grafting. The organ bath technique was used to determine the inhibitory effects of papaverine on vasoconstriction induced by ergonovine, adenosine diphosphate, 5-hydroxytriptamine, noradrenaline, and angiotensin II in isolated endothelium-denuded internal thoracic artery. Moreover, the inhibitory effect of papaverine on collagen-stimulated human platelet aggregation was examined at the same concentration.</p><p><strong>Results: </strong>Papaverine inhibited ergonovine-induced vasoconstriction in a concentration-dependent manner. Papaverine at concentrations > 30 μM not only blocked ergonovine-induced vasoconstriction but also induced vasodilation. Papaverine at 30 μM significantly suppressed the vasoconstriction induced by 5-hydroxytriptamine or noradrenaline and completely blocked that induced by adenosine diphosphate or angiotensin II. However, 100 μM papaverine completely blocked the vasoconstriction induced by adenosine diphosphate, 5-hydroxytriptamine, noradrenaline, and angiotensin II. Additionally, papaverine significantly inhibited collagen-stimulated human platelet aggregation in a concentration-dependent manner.</p><p><strong>Conclusion: </strong>Overall, 100 μM papaverine prevented vasoconstriction by various vasospasm inducers, such as 5-hydroxytriptamine, and significantly suppressed collagen-stimulated platelet aggregation. These results suggest that papaverine at 100 μM, which is 1/10th the concentration used for radial artery, is sufficient to prevent vasospasm in internal thoracic artery during coronary artery bypass grafting.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20240058"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11816267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411999","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}

{"title":"Off-pump Myocardial Revascularization - From the Beginning Till Now.","authors":"Enio Buffolo, Tomas A Salerno, Ricardo C Lima","doi":"10.21470/1678-9741-2024-0993","DOIUrl":"10.21470/1678-9741-2024-0993","url":null,"abstract":"","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20240993"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11818397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411997","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}

{"title":"The Role of Preoperative Chronic Hypertension in Neurocognitive Decline after Cardiac Surgery: A Retrospective Cohort Study.","authors":"Madigan E Stanley, Ronald K Phillips, Jun Feng, Guangbin Shi, Shawn Kant, Nicholas C Sellke, Neel R Sodha, Afshin Ehsan, Frank W Sellke","doi":"10.21470/1678-9741-2023-0470","DOIUrl":"10.21470/1678-9741-2023-0470","url":null,"abstract":"<p><strong>Introduction: </strong>Patients frequently experience transient postoperative neurocognitive decline (NCD) after cardiac surgery with cardiopulmonary bypass. The goal of this study is to describe preoperative high blood pressure as a risk factor for NCD and use genomic expression to uncover its contribution to the pathophysiology of NCD.</p><p><strong>Methods: </strong>This is a retrospective analysis of cohort study at a single academic center. Patients undergoing cardiac surgery with the use of cardiopulmonary bypass were administered the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) preoperatively, at postoperative day four, and four weeks postoperatively. Electronic medical records were reviewed for all recorded blood pressure from the year preceding surgery and intraoperative blood pressures. Blood samples were collected six hours preoperatively and six hours postoperatively to assess messenger ribonucleic acid expression.</p><p><strong>Results: </strong>Eighty-seven patients completed postoperative day four testing, of whom thirty-seven experienced NCD (42.5%). Chronically elevated systolic blood pressure over the year preceding surgery was correlated with greater negative change in RBANS score at postoperative day four (P=0.03). Upon genomic analysis, macrophage markers were upregulated preoperatively, and anti-inflammatory and neuroprotective genes were downregulated postoperatively among patients who had a mean systolic blood pressure ≥ 130 mmHg.</p><p><strong>Conclusion: </strong>Chronic exposure to elevated preoperative systolic blood pressure may increase the risk of NCD. The contributing role of preoperative hypertension in NCD may be partly explained by reduced attenuation of oxidative stress, increased inflammation, and reduced neuroprotection and heme metabolism postoperatively. This must be considered when assessing patient risks for cardiac surgery.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20230470"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411622","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}

{"title":"Multisociety endorsement of the 2024 European guideline recommendations on coronary revascularization.","authors":"Victor Dayan, Joseph F Sabik Iii, Minoru Ono, Marc Ruel, Song Wan, Lars G Svensson, Leonard N Girardi, Y Joseph Woo, Vinay Badhwar, Marc R Moon, Wilson Y Szeto, Vinod H Thourani, Rui M S Almeida, Zhe Zheng, Walter J Gomes, Dawn S Hui, Rosemary F Kelly, Miguel Sousa Uva, Joanna Chikwe, Faisal G Bakaeen","doi":"10.21470/1678-9741-2025-0900","DOIUrl":"10.21470/1678-9741-2025-0900","url":null,"abstract":"","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 1","pages":"e20250900"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054411","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}

{"title":"Efficacy of Tolvaptan in Older Adults Undergoing Cardiac Surgery: A Single-Center Retrospective Analysis.","authors":"Lin Chen, Min Zhou, Dingliang Lv, Shuiwei Qiu","doi":"10.21470/1678-9741-2023-0507","DOIUrl":"10.21470/1678-9741-2023-0507","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, cardiovascular diseases remain a predominant cause of mortality. Effective fluid management is particularly critical in older adults undergoing cardiac surgery, due to their heightened risk of postoperative complications. Tolvaptan, an oral vasopressin V2 receptor antagonist, has emerged as a promising agent for fluid regulation in cardiac patients. However, its efficacy in the elderly undergoing cardiac surgery is not thoroughly evaluated.</p><p><strong>Methods: </strong>This single-center retrospective analysis included 146 older adults (≥ 65 years) who underwent cardiac surgery between January 2018 and December 2022. Patients were categorized into two groups: those receiving tolvaptan and a control group receiving traditional diuretics post-surgery. We assessed several outcomes, including hospital length of stay, 30-day mortality, postoperative renal function, and complications.</p><p><strong>Results: </strong>The study found a significantly reduced hospitalization duration in the tolvaptan group (P=0.044), with no escalation in adverse events. The tolvaptan cohort exhibited a considerable increase in urine output on the postoperative day (POD) three (P=0.003), indicating enhanced renal function and fluid management. Serum creatinine levels notably declined by POD3 (P=0.012), and blood urea nitrogen levels were appreciably lower by POD5 (P<0.001) in the tolvaptan group. Furthermore, serum sodium levels significantly escalated on POD3 and POD5 (P<0.01) in this group, while serum potassium levels remained unchanged.</p><p><strong>Conclusion: </strong>Tolvaptan significantly optimizes postoperative fluid management in older adults undergoing cardiac surgery. Its administration is linked to improved renal function and a shortened hospital stay, without amplifying adverse effects. These insights could enhance clinical practices and facilitate the management of fluid overload in this vulnerable demographic.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"e20230507 e20230507","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752585","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}

{"title":"Editorial Profile of the BJCVS' Present, Past, and Future.","authors":"Marcos Aurélio Barboza de Oliveira, Andréia Cristina Feitosa do Carmo, Camila Sáfadi Alves Gonçalves, Paulo Roberto Barbosa Évora","doi":"10.21470/1678-9741-2024-0997","DOIUrl":"10.21470/1678-9741-2024-0997","url":null,"abstract":"","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"e20240997 e20240997","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752586","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}

{"title":"Coronary Artery Bypass Grafting Plus Mitral Valve Plasty May Not Provide More Advantage in Patients with Coronary Heart Disease and Moderate Ischemic Mitral Regurgitation: An Inverse Probability of Treatment Weighting Retrospective Cohort Study.","authors":"Kui Zhang, Wei Fu, Kaiwen Liu, Junhang Jia, Yueli Wang, Xiaoyan Gu, Han Zhang, Taoshuai Liu, Yue Song, Jian Cao, Jubing Zheng, Ran Dong","doi":"10.21470/1678-9741-2023-0254","DOIUrl":"10.21470/1678-9741-2023-0254","url":null,"abstract":"<p><strong>Objective: </strong>To compare the efficacy of isolated off-pump coronary artery bypass grafting (OPCABG) and of coronary artery bypass grafting (CABG) plus mitral valve plasty (MVP) in treating coronary heart disease with moderate ischemic mitral regurgitation to find a better surgical method.</p><p><strong>Methods: </strong>Clinical data of 822 patients diagnosed with coronary heart disease and moderate ischemic mitral regurgitation were analyzed retrospectively. Patients were divided into the OPCABG and CABG+MVP groups according to surgical methods. Baseline data of both groups were corrected, and clinical efficacy of the two surgical methods was analyzed and compared using the propensity score inverse probability of treatment weighting (IPTW) method.</p><p><strong>Results: </strong>There were no significant differences in the use of mammary artery grafts, number of grafts, and blood product consumption between the two groups (P>0.05) after IPTW. However, the CABG+MVP group had a significantly longer operation time than the OPCABG group (4.13 ± 0.85 hours vs. 5.65 ± 1.02 hours, P<0.001). No statistically significant differences in postoperative major adverse cardiac and cerebrovascular events were observed between the two groups. However, the intra-aortic balloon pump rate was higher in the CABG+MVP group than in the OPCABG group (12.3% vs. 25.0%, P=0.012). Although CABG+MVP can improve ischemic mitral regurgitation significantly (95.4% vs. 81.2%, P<0.001), there were no significant differences in the cumulative survival rate and the incidence of major adverse cardiac and cerebrovascular events between the groups (P>0.05) after IPTW.</p><p><strong>Conclusion: </strong>CABG+MVP may not provide more advantage in patients with coronary heart disease and moderate ischemic mitral regurgitation.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"e20230254 e20230254","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752583","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}