Justin M Poltak, Frederick C Cobey, John G Augoustides, Christopher W Connors
{"title":"Paravertebral analgesia in transapical transcatheter aortic valve replacement.","authors":"Justin M Poltak, Frederick C Cobey, John G Augoustides, Christopher W Connors","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 1","pages":"91"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/7e/hlv-07-091.PMC4381831.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33205775","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}
Marc Najjar, Monir Mohar, Allan Stewart, Isaac George
{"title":"Hybrid endovascular repair of Kommerell diverticulum and aberrant right subclavian artery in a patient with repaired coarctation of the aorta.","authors":"Marc Najjar, Monir Mohar, Allan Stewart, Isaac George","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 1","pages":"83-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/d8/hlv-07-083.PMC4381827.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33205771","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}
G Khoueiry, M Abdallah, M Shariff, M Kowalski, J Lafferty
{"title":"Microvolt T-wave alternans in patients undergoing elective coronary artery bypass grafting: a pilot study.","authors":"G Khoueiry, M Abdallah, M Shariff, M Kowalski, J Lafferty","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We designed a prospective observational study targeting a selective population of patients undergoing elective coronary artery bypass grafting with normal systolic function. In this study we looked at the prevalence of pre-operative microvolt T-wave alternans and if it predicts atrial fibrillation after surgery.</p><p><strong>Methods: </strong>The inclusion criteria included all patients referred to the cardiothoracic outpatient clinic for elective bypass, who can perform aerobic exercise, with a recent exercise stress test exercising at least to 85% of the maximal predicted heart rate (220 - age) and with non-limiting chest pain at maximal exercise. Twenty patients met the inclusion/exclusion criteria between May 2008 and February 2010. The hospital course of those patients was followed, and in-hospital events were recorded.</p><p><strong>Results: </strong>Nine out twenty (45%) of patients had a non-negative microvolt T-wave alternans tracing. Six patients (30%) developed new onset atrial fibrillation post surgery. Patients with non-negative microvolt level T-wave alternans are more likely to develop atrial fibrillation post coronary artery bypass grafting then patients with negative microvolt level T-wave alternans (p=0.05).</p><p><strong>Conclusions: </strong>This pilot study provides the first clinical evidence that patients with ischemic heart disease and normal systolic function have a high prevalence of abnormal microvolt T-wave alternans and might be at higher risk of sudden cardiac death. In addition our results show that microvolt level T-wave alternans predicts post coronary artery bypass grafting new onset atrial fibrillation.</p>","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/a9/hlv-07-027.PMC4381820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33206347","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}
Javier Carbone, Jesus Palomo, Juan Fernandez-Yañez, Elizabeth Sarmiento
{"title":"Subcutaneous immunoglobulin replacement therapy in a heart transplant recipient with severe recurrent infections.","authors":"Javier Carbone, Jesus Palomo, Juan Fernandez-Yañez, Elizabeth Sarmiento","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intravenous immunoglobulin has been shown to decrease the risk of post-transplant infections in heart recipients with IgG hypogammaglobulinemia, however the use of subcutaneous immunoglobulin has not been reported. We report on immune reconstitution, clinical efficacy and tolerability of subcutaneous immunoglobulin replacement therapy in a heart transplant recipient with secondary antibody deficiency. Maintenance of IgG levels, specific antibodies and control of infections were observed after change from intravenous immunoglobulin to subcutaneous immunoglobulin due to poor intravenous access. Recurrences of severe infections were observed when subcutaneous immunoglobulin infusions were stopped. Our observations suggest that subcutaneous immunoglobulin replacement therapy might be effective and well tolerated in selected heart recipients. </p>","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 3","pages":"256-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/56/hlv-07-256.PMC4593014.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34281758","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}
Mariangela Peruzzi, Giacomo Frati, Giuseppe Biondi-Zoccai
{"title":"Heart, Lung and Vessels... but brain and hands too! The case for a novel journal in the cardiovascular scholarly arena.","authors":"Mariangela Peruzzi, Giacomo Frati, Giuseppe Biondi-Zoccai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 3","pages":"187-90"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/a2/hlv-07-187.PMC4593019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34112336","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":"Myocardial recovery during mechanical circulatory support: cellular, molecular, genomic and organ levels.","authors":"Michael Dandel, Roland Hetzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mechanical circulatory support is a life-saving therapy that will become either a bridge-to-transplantation or definitive therapy if heart transplantation is not possible. Failing hearts supported by a ventricular assist device were often found to recover at molecular and cellular level but translation of these changes into functionally-stable cardiac recovery allowing long-term heart transplantation/ventricular assist device-free outcomes after weaning from ventricular assist device is relatively rare and related to the etiology, severity and duration of myocardial damage. The reason for the discrepancy between high recovery rates on the cellular and molecular levels and the low rate of cardiac recovery allowing ventricular assist device explantation is unknown. </p>","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 2","pages":"110-20"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/c3/hlv-07-110.PMC4476765.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33890015","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}
Hakeem Yusuff, Ignacio Malagon, Kate Robson, Jas Parmar, Patrick Hamilton, Florian Falter
{"title":"Extracorporeal membrane oxygenation for Life-threatening ANCA-positive pulmonary capillaritis. A review of UK experience.","authors":"Hakeem Yusuff, Ignacio Malagon, Kate Robson, Jas Parmar, Patrick Hamilton, Florian Falter","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Anti-neutrophil cytoplasmic antibody positive pulmonary capillaritis complicated by diffuse alveolar hemorrhage is a potentially fatal condition for which extracorporeal membrane oxygenation can facilitate improved outcomes and potential cure. Diffuse alveolar hemorrhage can be the initial presentation of an autoimmune disorder. The management is centered on the use of immunosuppressive therapy, which requires time, with fatality often occurring for these patients. We showed two very young patients with no previous history of vasculitis presenting with life threatening pulmonary hemorrhage due to anti-neutrophil cytoplasmic antibody positive vasculitis, whose management was facilitated with extracorporeal membrane oxygenation.</p><p><strong>Methods: </strong>We reviewed the clinical presentation and course of the first two patients with diffuse alveolar hemorrhage for anti-neutrophil cytoplasmic antibody positive vasculitis managed with veno-venous extracorporeal membrane oxygenation. We highlighted and analysed the unique challenges encountered in managing these patients.</p><p><strong>Results: </strong>The two patients were referred for extracorporeal membrane oxygenation since conventional ventilation was inadequate to provide physiologic support for respiratory failure. Clinical improvement was achieved without exacerbation of the pulmonary hemorrhage despite the use of anticoagulants. This provided time for the immunosuppressants to take effect. Both patients were discharged and were cured of the underlying condition.</p><p><strong>Conclusions: </strong>Extracorporeal membrane oxygenation has a role in the management of patients with severe respiratory failure due to anti-neutrophil cytoplasmic antibody positive capillaritis. Early recognition and referral for extracorporeal membrane oxygenation are vital to achieve a favourable outcome.</p>","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 2","pages":"159-67"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/03/hlv-07-159.PMC4476770.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33890020","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}
Chiara Lazzeri, Gian Franco Gensini, Adriano Peris
{"title":"The assessment of cardiac function in veno-venous extracorporeal membrane oxygenation: the emerging role of bedside echocardiography.","authors":"Chiara Lazzeri, Gian Franco Gensini, Adriano Peris","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89932,"journal":{"name":"Heart, lung and vessels","volume":"7 2","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/14/hlv-07-099.PMC4476763.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33993580","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}