Articles

Sternal reconstruction after post-sternotomy mediastinitis

Deep sternal wound complications are uncommon after cardiac surgery. They comprise sternal dehiscence, deep sternal wound infections and mediastinitis, which will be treated as varying expressions of a singula...

Authors: Pankaj Kaul

Intimal spindle cell sarcoma masquerading as adult-onset symptomatic pulmonic stenosis: a case report and review of the literature

Pulmonary artery intimal spindle cell sarcomas are rare and carry with them a poor prognosis and high rate of recurrence. In extremely rare cases, this tumor can infiltrate the pulmonic valve and manifest as a...

Authors: Arun Manmadhan, Sunil P. Malhotra, Catherine R. Weinberg, Alex Reyentovich, Larry A. Latson Jr, Puneet Bhatla and Muhamed Saric

Visceral subpleural hematoma of the left diaphragmatic surface following left upper division segmentectomy

Pulmonary visceral subpleural hematoma is rare. We report visceral subpleural hematoma of the left diaphragmatic surface following left upper division segmentectomy. This very rare case was difficult to distin...

Authors: Yasushi Mizukami, Nobuhito Ueda, Hirofumi Adachi and Jun Arikura

Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery

Evidence suggests that elective cardiac patients are at risk of functional and psychological deterioration in the time preceding surgery. This poses a risk to successful post-operative rehabilitation. This pro...

Authors: Iain Waite, Ranjit Deshpande, Max Baghai, Tania Massey, Olaf Wendler and Sharlene Greenwood

Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report

Atherosclerotic stenosis of the brachiocephalic artery sometimes occurs in patients with coronary artery disease, and can cause stroke during the perioperative period of coronary artery bypass grafting.

Authors: Hirokazu Tazume, Ken Okamoto and Toshihiro Fukui

Right ventricular functional analysis utilizing first pass radionuclide angiography for pre-operative ventricular assist device planning: a multi-modality comparison

Advanced heart failure treated with a left ventricular assist device is associated with a higher risk of right heart failure. Many advanced heart failures patients are treated with an ICD, a relative contraind...

Authors: Ryan Avery, Kevin Day, Clinton Jokerst, Toshinobu Kazui, Elizabeth Krupinski and Zain Khalpey

Impact of prosthesis-patient mismatch after mitral valve replacement in rheumatic population: Does mitral position prosthesis-patient mismatch really exist?

Prosthesis-patient mismatch (PPM) is characterised by the effects of inadequate prosthesis size relative to body surface area (BSA).The purpose of this study was to determine the impact of PPM on late clinical...

Authors: Seung Hyun Lee, Byung Chul Chang, Young-Nam Youn, Hyun Chel Joo, Kyung-Jong Yoo and Sak Lee

Impact of severe left ventricular dysfunction on in-hospital and mid-term outcomes of Chinese patients undergoing first isolated off-pump coronary artery bypass grafting

Few studies focused on evaluating the impacts of preoperative severe left ventricular dysfunction on clinical outcomes of patients undergoing off-pump coronary artery bypass grafting surgery (OPCAB). This sing...

Authors: Qiang Ji, Li Min Xia, Yun Qing Shi, Run Hua Ma, Jin Qiang Shen, Wen Jun Ding and Chun Sheng Wang

Surgical repair and reconstruction of aortic arch in debakey type I aortic dissection: recent advances and single-center experience in the application of branched stent graft

Aortic dissection (AD) represents a clinically uncommon aortic pathology which predicts a dismal prognosis if not promptly treated. In acute Debakey type I AD (ADIAD), aortic lesion extends from aortic root to...

Authors: Qian Zhang, Xiaochun Ma, Wenlong Zhang, Zhengjun Wang, Haizhou Zhang, Xiaofeng Zhang, Jian Song and Chengwei Zou

Right anterolateral thoracotomy: an attractive alternative to repeat sternotomy for high-risk patients undergoing reoperative mitral and tricuspid valve surgery

Reoperative cardiac valve surgery via sternotomy is associated with a substantial morbidity and mortality. This study evaluated the right anterolateral thoracotomy for high-risk patients undergoing mitral and ...

Authors: Hailong Cao, Qing Zhou, Fudong Fan, Yunxing Xue, Jun Pan and Dongjin Wang

The Zamvar pericardial fold

This paper describes a pericardial fold that has not yet been mentioned in the Anatomy or Surgery literature.

Authors: Vipin Zamvar

Intralobar pulmonary sequestration displayed as localized emphysema on computed tomography image

Pulmonary sequestration is a relatively rare condition in which a systemic artery supplies blood to an abnormal lung tissue and the normal connection with the bronchial tree is absent. It can be displayed as v...

Authors: Weibo Qi, Junjie Zhao, Guping Shi and Fan Yang

Sutureless aortic valve replacement in a calcified homograft combined with mitral valve replacement

Aortic valve replacement in a patient with an aortic homograft can be very challenging, especially when concomitant mitral valve surgery needs to be performed.

Authors: Ferdi Akca, Kayan Lam, Ibrahim Özdemir and Erwin Tan

Unexpected collateral impact after out of hospital resuscitation using LUCAS system

Mechanical chest compression using a piston device during reanimation is often the only way to ensure stable chest compression at a constant rate and force. However, its use can be associated with severe fract...

Authors: Jasmin Hasmik Shahinian, Jonas Quitt, Mark Wiese, Friedrich Eckstein and Oliver Reuthebuch

A dual therapy of off-pump temporary left ventricular extracorporeal device and amniotic stem cell for cardiogenic shock

Temporary mechanical circulatory support device without sternotomy has been highly advocated for severe cardiogenic shock patient but little is known when coupled with amniotic stem cell therapy.

Authors: Toshinobu Kazui, Phat L. Tran, Tia R. Pilikian, Katie M. Marsh, Raymond Runyan, John Konhilas, Richard Smith and Zain I. Khalpey

Behcet’s disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm: a case report and literature review

Aneurysm or pseudoaneurysm is the main vascular complication of Behcet’s disease. Most hospitals adopt endovascular treatment.

Authors: Shi-Huai Zhang and Fu-Xian Zhang

Transfemoral versus transapical approach for transcatheter aortic valve implantation: hospital outcome and risk factor analysis.

Transcatheter aortic valve implantation is indicated in high-risk patients with aortic stenosis. We compared the clinical outcome of 180 consecutive patients who underwent transapical (TA) and transfemoral (TF...

Authors: Enrico Ferrari, Eric Eeckhout, Sanjiv Keller, Olivier Muller, Piergiorgio Tozzi, Denis Berdajs and Ludwig Karl von Segesser

Modified ‘candy-plug’ technique for chronic type B aortic dissection with aneurysmal dilatation: a case report

The original ‘candy-plug’ technique has been reported to be beneficial for the treatment of residual perfused false lumen in patients with aortic dissection. However, this technique is also associated with sev...

Authors: Sohsyu Kotani, Yoshito Inoue, Mio Kasai, Satoru Suzuki and Takashi Hachiya

Left atrial myxoma complicated with multi-system embolization

Atrial myxoma accounts for approximately 50% of all cardiac tumors. The majority of myxomas are located in the left atrium and present variable clinical manifestation.

Authors: Ren-Dan Zhang, Zhi-Huan Zeng, Jian-Yi Zheng, Tu-Di Li, Yan-Qun Zhao, Yu-Hong Liu and Yu-Si Yao

Renal ultrasound provides low utility in evaluating cardiac surgery associated acute kidney injury

Renal ultrasonography is part of the algorithm in assessing acute kidney injury (AKI). The purpose of this study was to assess the clinical utility of renal US in postoperative cardiac patients who develop AKI.

Authors: Allen Young, Todd Crawford, Alejandro Suarez Pierre, J. Trent Magruder, Charles Fraser, John Conte, Glenn Whitman and Christopher Sciortino

Midterm follow-up of transthoracic device closure of an atrial septal defect using the very large domestic occluder (44–48 mm), a single Chinese cardiac center experience

The purpose of this study was to outline the midterm follow-up results and complications in patients who underwent transthoracic device closure of an atrial septal defect (ASD) with the very large domestic occ...

Authors: Qiang Chen, Hua Cao, Gui-Can Zhang, Liang-wan Chen, Fan Xu and Jia-xin Zhang

The effect of preoperative liver dysfunction on cardiac surgery outcomes

To determine the impact of preoperative Liver Dysfunction (LD) on outcomes after elective Coronary Artery Bypass Grafting (CABG) and Valvular surgery (VS).

Authors: Luiz Araujo, Viktor Dombrovskiy, Wali Kamran, Ashleigh Lemaire, Antonio Chiricolo, Leonard Y. Lee and Anthony Lemaire

Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium

Transseptal catheterization has been popularized through ongoing advances in percutaneous procedures, but related complications are known to occur.

Authors: Jae Hang Lee, Ji-Hyun Kim, Jin-Ho Choi and Eung-Joong Kim

Outcome of surgical repair of Pectus Excavatum in adults

Pectus Excavatum (PEx) is the most common congenital chest wall deformity, accounting for over 90% of all chest wall deformities. Surgical correction is recommended because severe PEx can affect the physical a...

Authors: Ayman M. Shaalan, Ibrahim Kasb, Eman E. Elwakeel and Yusra A. Elkamali

A large left atrial lipoma combined with coronary artery disease

Primary benign tumors of the heart are extremely rare and usually difficult to diagnose for their asymptomatic signs.

Authors: Yun Liu, Xiaomei Zheng, Yu Du, Zhicheng Zhu, Tiance Wang, Rihao Xu, Dan Li and Kexiang Liu

Pre-operative serum VCAM-1 as a biomarker of atrial fibrillation after coronary artery bypass grafting

Systemic inflammation is a recognised contributory factor in the pathogenesis of de novo post-operative atrial fibrillation after cardiac surgery. This study aims to determine whether serum soluble vascular en...

Authors: Leanne Harling, Jonathan Lambert, Hutan Ashrafian, Ara Darzi, Nigel J. Gooderham and Thanos Athanasiou

Assessment of the effect of left atrial cryoablation enhanced by ganglionated plexi ablation in the treatment of atrial fibrillation in patients undergoing open heart surgery

The aim of our study was to investigate, whether enhancement of left atrial cryoablation by ablation of the autonomic nervous system of left atrium leads to influencing the outcomes of surgical treatment of at...

Authors: Jiří Bárta and Radim Brát

Enumeration of circulating endothelial cell frequency as a diagnostic marker in aortic valve surgery - a flow cytometric approach

The frequency of circulating endothelial cells (CEC) in patients’ peripheral blood can be assessed as a direct marker of endothelial damage. However, conventional enumeration methods are extremely challenging....

Authors: Anton Sabashnikov, Klaus Neef, Vera Chesnokova, Leonie Wegener, Kathrin Godthardt, Maximilian Scherner, Elmar W. Kuhn, Antje-Christin Deppe, Meike Lauer, Kaveh Eghbalzadeh, Mohamed Zeriouh, Parwis B. Rahmanian, Jens Wippermann, Ferdinand Kuhn-Régnier, Navid Madershahian, Thorsten Wahlers…

30-year experience of Fontan surgery: single-centre’s data

The Fontan procedure has been modified several times since it was introduced into practice in 1968. As many patients now survive to adulthood, attention is directed towards their clinical status and late morbi...

Authors: Laurynas Bezuska, Virgilijus Lebetkevicius, Rita Sudikiene, Daina Liekiene and Virgilijus Tarutis

Life-threatening subdural hematoma after aortic valve replacement in a patient with Heyde syndrome: a case report

Heyde syndrome is known as a triad of calcific aortic stenosis, anemia due to gastrointestinal bleeding from angiodysplasia, and acquired type 2A von Willebrand disease. This acquired hemorrhagic disorder is c...

Authors: Tetsuro Uchida, Azumi Hamasaki, Eiichi Ohba, Atsushi Yamashita, Jun Hayashi and Mitsuaki Sadahiro

Doege-potter syndrome: a report of a histologically benign but clinically malignant case

Solitary fibrous tumors of the pleura (SFTPs) are relatively rare tumors that originate from mesenchymal cells of submesothelial tissue of the pleura. Most patients with SFTPs are asymptomatic; however, pleuri...

Authors: Do Wan Kim, Kook Joo Na, Ju Sik Yun and Sang Yun Song

Late outcome of surgical radiofrequency ablation for persistent valvular atrial fibrillation in China: a single-center study

Atrial fibrillation (AF) adversely affects surgical outcomes of cardiac valve surgery. Surgical ablation is an effective way to treat valvular AF. The aim of this study was to evaluate the late outcome of surg...

Authors: Hailong Cao, Yunxing Xue, Qing Zhou, Minggang Yu, Chenbin Tang and Dongjin Wang

Pre-transplant depression as a predictor of adherence and morbidities after orthotopic heart transplantation

Psychosocial factors are useful predictors of adverse outcomes after solid organ transplantation. Although depression is a known predictor of poor outcomes in patients who undergo orthotopic heart transplantat...

Authors: Maja Delibasic, Burhan Mohamedali, Nikola Dobrilovic and Jaishankar Raman

Cardiac arrest without physical cardiac injury during Nuss repair of pectus excavatum

Cardiac arrest is a lethal complication of Nuss repair of pectus excavatum which is strongly related to heart or big vessels injury. A rare case developed cardiac arrest without direct cardiac injury during Nu...

Authors: Jianyong Zou, Canqiao Luo, Zhenguo Liu and Chao Cheng

Impact of ablation duration on rhythm outcome after concomitant maze procedure using cryoablation in patients with persistent atrial fibrillation

The aim of this study was to evaluate the impact of ablation duration during a maze procedure using a nitrous oxide-based cryosurgical system.

Authors: Dong Seop Jeong, Ji Hoon You, Chang-Seok Jeon, Pyo Won Park, Kiick Sung, Wook Sung Kim and Young Tak Lee

Single coronary ostium in a patient with quadricuspid aortic valve combined with aneurysmal ascending aortic dilatation

The presence of a fourth aortic valve cusp (quadricupsid aortic valve) is a rare congenital malformation and is often accompanied by other anomalies of the adjacent cardiovascular structures. Among these conco...

Authors: Do Yeon Kim and Hwan Wook Kim

Rare association of two cardiovascular malformations successfully corrected in a single surgery: a case report

Partial anomalous pulmonary venous connection (PAPVC) without an atrial septal defect (ASD) associated with coarctation of the aortic arch is a rare congenital cardiac anomaly. This rare combination is only de...

Authors: Fu-Yang Mei, Zhi-Xuan Bai, Zhi-Bin Hu, Bing Zhou and Yong Cui

Influence of Staphylococcus aureus on Outcomes after Valvular Surgery for Infective Endocarditis

As Staphylococcus aureus (SA) remains one of the leading cause of infective endocarditis (IE), this study evaluates whether S. aureus is associated with more severe infections or worsened outcomes compared to non...

Authors: Sang Myung Han, Robert A. Sorabella, Sowmya Vasan, Mark Grbic, Daniel Lambert, Rahul Prasad, Catherine Wang, Paul Kurlansky, Michael A. Borger, Rachel Gordon and Isaac George

Xenoantigenicity of porcine decellularized valves

The xenoantigenicity of porcine bioprosthetic valves is implicated as an etiology leading to calcification and subsequent valve failure. Decellularization of porcine valves theoretically could erase the antige...

Authors: Meghana R. K. Helder, Nicholas J. Stoyles, Brandon J. Tefft, Ryan S. Hennessy, Rebecca R. C. Hennessy, Roy Dyer, Tyra Witt, Robert D. Simari and Amir Lerman

Extra-corporeal membrane oxygenation for refractory cardiogenic shock after adult cardiac surgery: a systematic review and meta-analysis

Postcardiotomy cardiogenic shock (PCCS) refractory to inotropic support and intra-aortic balloon pump (IABP) occurs rarely but is almost universally fatal without mechanical circulatory support. In this system...

Authors: Maziar Khorsandi, Scott Dougherty, Omar Bouamra, Vasudev Pai, Philip Curry, Steven Tsui, Stephen Clark, Stephen Westaby, Nawwar Al-Attar and Vipin Zamvar

Two-stage correction of type IV total anomalous pulmonary venous connection

The small size of the pulmonary veins in infants increases the risk of pulmonary vein obstruction (PVO) after surgical repair of type IV total anomalous pulmonary venous connection (TAPVC). Here, we described ...

Authors: Hunbo Shim, Ji-Hyuk Yang and Tae-Gook Jun

Erratum to: A novel anatomic severity grading score for acute Type B aortic dissections and correlation to aortic reinterventions after thoracic endovascular aortic repair

Authors: Shirui Chen, Sebastian Larion, Sadaf S. Ahanchi, Chad P. Ammar, Colin T. Brandt and Jean M. Panneton

Smoking and timing of cessation on postoperative pulmonary complications after curative-intent lung cancer surgery

Smoking is a risk factor for postoperative pulmonary complications (PPC) following non-small cell lung cancer (NSCLC) surgery. The optimal timing for preoperative smoking cessation has not been identified. Our...

Authors: Sebastian T. Lugg, Theofano Tikka, Paula J. Agostini, Amy Kerr, Kerry Adams, Maninder S. Kalkat, Richard S. Steyn, Pala B. Rajesh, Ehab Bishay, David R. Thickett and Babu Naidu

Deeper wedge resection and parenchymal-sparing bronchoplasty of the secondary carina: an alternative surgical technique for removal of tumor located at the orifice of upper lobar bronchus

Sleeve resection and reconstruction of the bronchial corner between the upper lobar bronchus and the intermediate bronchus is technique demanding.

Authors: An Wang, Xiaofeng Chen, Dayu Huang and Shaohua Wang

Consumption coagulopathy in acute aortic dissection: principles of management

The effect of acute aortic dissection itself on coagulopathy or surgery-related coagulopathy has never been specifically studied. The aim of the present study was to perioperatively describe consumption coagul...

Authors: Yuyong Liu, Lu Han, Jiachen Li, Ming Gong, Hongjia Zhang and Xinliang Guan

Right ventricular outflow tract obstruction caused by right ventricular fibroma in a 5-month-old infant: a case report

Cardiac fibroma is rarely encountered in children, and even more rare in neonates. We herein report a case of a 5-month-old female with severe right ventricular outflow tract obstruction caused by a large righ...

Authors: Fuyang Mei, Bing Zhou and Yong Cui

Minimally access via left anterior mini-thoracotomy for repair of adult subarterial ventricular septal defects

Minimally invasive cardiac surgical techniques are increasingly applied in the treatment and management of a variety of adult ventricular septal defects (VSDs). However, repair of adult subarterial VSDs via le...

Authors: YunFei Liao, Xiang Long, ShuQiang Zhu, Jun Tu, Hua Wen, JianJun Xu and YongBing Wu

Pitfalls in TAMVI: experience with the repositionable Lotus® Valve System

Simultaneous transapical implantation of transcatheter heart valves in the native mitral and aortic position may be considered as an alternative to surgical valve replacement in high-risk patients presenting w...

Authors: Paul P. Heinisch, Fabien Praz, Bernhard Winkler, Stephan Windecker, Christoph Huber and Thierry Carrel

A modified multiple branched graft for thoracoabdominal aortic aneurysm repair

To reduce some problems of traditional graft, we devise a modified multiple branched graft for repair of Crawford extent II and III thoracoabdominal aortic aneurysm (TAAA).

Authors: Liang-Wan Chen, Xi-Jie Wu, Hua Cao and Xiao-Fu Dai

A propensity matched analysis of outcomes and long term survival in stented versus stentless valves

To compare the perioperative and long term survival after aortic valve replacement using stentless versus stented valves in a large cohort of patients grouped using propensity score matching.

Authors: Blake N. Shultz, Tomasz Timek, Alan T. Davis, John Heiser, Edward Murphy, Charles Willekes and Robert Hooker