Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery
Objective: The aim of this study was to evaluate the incidence of postoperative nausea and vomiting (PONV) after fast-track cardiac anesthesia (FTCA) in the first 24-48 hours in the cardiac intensive care unit (CICU) after open-heart surgery, risk factors for PONV and its influence on CICU length of stay.Methods: A prospective observational study from January 1, 2013 to the end of December 2015 was performed in the CICU of a university hospital in the north of Jordan and Queen Alia Heart Institute, Amman, Jordan. Three hundred consecutive patients undergoing fast-track cardiac anes...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Thrombocytopenia After Transcatheter Valve-in-Valve Implantation: Prognostic Marker or Mere Finding?
Objective: To analyze the behavior of platelets after transcatheter valve-in-valve implantation for the treatment of degenerated bioprosthesis and how they correlate with adverse events upon follow-up.Methods: Retrospective analysis of 28 patients who received a valve-in-valve implant, 5 in aortic, 18 in mitral and 5 in tricuspid positions. Data were compared with 74 patients submitted to conventional redo valvular replacements during the same period, and both groups' platelet curves were analyzed. Statistical analysis was conducted using the IBM SPSS Statistics(r) 20 for Windows.R...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Ebstein's Anomaly: "The One and a Half Ventricle Heart"
We report our short-term results of treating it as a 'one and a half ventricle heart' and propose that the true tricuspid annulus (TTA) 'Z' score be used as an objective criterion for estimation of 'functional' right ventricle (RV).Methods: 22 consecutive patients undergoing surgery for Ebstein's anomaly were studied. Echocardiography was performed to assess the type and severity of the disease, tricuspid annular dimension and its 'Z' score. Patients we ... (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation
Objective: To assess the relationship between preoperative vitamin D (vitD) supplementation and the development of postoperative atrial fibrillation (POAF).Methods: The study group consisted of 328 consecutive patients. The ınfluence of preoperative vitD supplementation on POAF was reviewed in 136 patients who underwent coronary artery bypass graft surgery with vitD insufficiency (n=80) and vitD deficiency (n=56). Patients were assigned to receive either oral vitD (50.000 U) (treatment group, n =68) or not (control group, n=68) 48 hours before surgery. Patients were followed up ...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

A Retrospective Survey Comparing Suture Techniques Regarding the Risk of Permanent Epicardial Pacemaker Implantation After Ventricular Septal Defect Closure
Objective: The aim of this study is to compare the continuous and combined suturing techniques in regards to the needing epicardial pacing at the time of weaning from cardiopulmonary bypass (EP-CPB) and to evaluate permanent epicardial pacemaker (PEP) implantation in patients who had undergone surgical ventricular septal defect (VSD) closure.Methods: This single-centre retrospective survey includes 365 patients who had consecutively undergone VSD closure between January 2006 and October 2015.Results: The median age and weight of the patients were 15 months (range 27 days - 56.9 yea...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Is Preoperative Clopidogrel Resistance a Predictor of Bleeding and Risks in Patients Undergoing Emergency CABG Surgery?
Objective: The aims of this study were to determine whether the detection of preoperative clopidogrel resistance in patients undergoing cardiac surgery while using clopidogrel could play a guiding role in the prediction of postoperative excessive bleeding, transfusion requirements, and risks and to provide clinically significant data.Methods: Two hundred and twenty-two patients [median age: 59.4 (38-83) years; 38 females] undergoing emergency and elective coronary artery bypass graft (CABG) surgeries in our clinic were evaluated prospectively. Patients with multiple systemic...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Predictors of Postoperative Acute Kidney Injury after Coronary Artery Bypass Graft Surgery
Objective: The aims of this study were to identify the risk factors associated with acute kidney injury (AKI) after isolated surgical revascularization with cardiopulmonary bypass and to develop a model to predict the appearance of postoperative AKI.Methods: A total of 435 adult patients who underwent primary isolated coronary artery bypass graft (CABG) surgery, from 2012 to 2016, in the Clinic University Hospital of Valladolid (Spain) were enrolled. AKI was defined according to the risk, injury, failure, loss, and end-stage (RIFLE) criteria. Data were collected from hospita...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Predictive Value of Mean Platelet Volume in Saphenous Vein Graft Disease
Objective: To determine whether mean platelet volume (MPV), platelet distribution width (PDW), and platelet count could be used as determinants of mortality following coronary artery bypass graft (CABG) surgery and patency of saphenous vein grafts (SVG).Methods: The records of 128 patients who underwent emergency or elective coronary angiography after CABG surgery, and who died at an early stage were retrospectively reviewed. Patients were divided into three groups as early death, no SVG disease (SVGD), and SVGD group. MPV, PDW, and platelet count were evaluated at different...
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Operating with Data - Statistics for the Cardiovascular Surgeon: Part II. Association and Risk
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

Is the Cardiopulmonary Bypass Systemic Inflammatory Response Overestimated?
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 30, 2018 Category: Cardiology Source Type: research

How International Internships Enrich a Medical Career
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 24, 2018 Category: Cardiology Source Type: research

Surgical Repair of Complex Aortopulmonary Window: A Case Study
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 24, 2018 Category: Cardiology Source Type: research

Successful Treatment of Ventricular Arrhythmia in Tetralogy of Fallot Repair Using Catheter Ablation
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 24, 2018 Category: Cardiology Source Type: research

The Effect of Dexmedetomidine on the Acute Pain After Cardiothoracic Surgeries: A Systematic Review
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 24, 2018 Category: Cardiology Source Type: research

Quadruple Valve Replacement for Carcinoid Heart Disease
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - August 24, 2018 Category: Cardiology Source Type: research