Brazilian Journal of Cardiovascular Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
Left Atrial Giant Cell Myocarditis Presenting as a Tumor:
First-in-Man Case Report
Giant cell myocarditis is a rare and highly lethal disorder with
resultant cardiac insufficiency. It necessitates aggressive immune
suppression therapy, although the results are often fatal. When
it affects only the atria, the characteristics of the disease changes
completely. In this case report, we present atypical presentation
of atrial giant cell myocarditis with mass lesion, which completely
resolved after successful surgical resection without immuno
suppression therapy. (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Heart Injury with Projectile Lodged Inside the Heart
We present the case of a police officer who, in an approach to five
robbers, suffered a transfixed cardiac injury by firearm with the
projectile having been lodged inside the right ventricle. This patient
was successfully operated, 65 days after the injury, at our institution. (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Heat Shock Proteins: Protection and Potential Biomarkers for Ischemic
Injury of Cardiomyocytes After Surgery
The heat shock proteins are endogenous proteins with the ability
to act as molecular chaperones. Methods that provide cell protection
by way of some damage can positively influence the results of
surgery. The present review summarizes current knowledge
concerning the cardioprotective role of the heat shock proteins as
occurs in heart damage, including relevant information about the
stresses that regulate the expression of these proteins and their
potential role as biomarkers of heart disease. (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Update in Heart Rhythm Abnormalities and Indications for Pacemaker
After Transcatheter Aortic Valve Implantation
Objective: Rhythm abnormalities following transcatheter aortic valve implantation (TAVI)
and indications for permanent pacemaker implantation (PPI) were reviewed,
which aren't well established in the current guidelines. New left bundle
branch block and atrioventricular block are the most common
electrocardiographic changes after TAVI. PPI incidence ranges from 9-42% for
self-expandable and 2.5-11.5% for balloon expandable devices. Not only
anatomical variations in conduction system have an important role in
conduction disorders, but different valve characteristics and their ...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Survival and Risk Factors Among Dialytic Acute Kidney Injury Patients
After Cardiovascular Surgery
Objective: Acute kidney injury (AKI) is a frequent postoperative complication after
cardiovascular surgery. It has been described as a predictor of decreased
survival rates, but how dialysis decreases survival when initiated on the
postoperative period has yet to be determined. To analyze the survival of
patients who presented postoperative AKI requiring dialysis up to 30 days
after cardiovascular surgery and its risk factors is the aim of this study.Methods: Of the 5,189 cardiovascular surgeries performed in a 4-year period, 157
patients developed AKI requiring dialysis in the pos...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Late Follow-up of Patients Submitted to Total Cavopulmonary
Derivation: Clinical Aspects, Reinterventions, and Complications Interfering in
Morbidity and Mortality
Objective: To identify main complications in outpatient follow-up, as well as factors
before or during operation that may interfere in patient's evolution.Methods: Retrospective study of patients submitted to total cavopulmonary shunt with
extracardiac conduit from 2000 to 2014 at the Hospital do Cora ção (São
Paulo, Brazil) and who underwent clinical follow-up at this institution.Results: One hundred and fifty surgeries were performed and 59 patients maintained
outpatient follow-up. The mean age of these patients at the time of surgery
was 4.45 years (median of 45 months) and 70.2% of ...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Quality of Life After Open Surgical
This study aims to compare open surgical and endovascular aneurysm repair
(EVAR) of abdominal aortic aneurysms in terms of their effects on quality of
life, using Short Form-36 (SF-36).Methods: A total of 133 consecutive patients who underwent EVAR or open surgical
repair for infra-renal abdominal aorta aneurysm between January 2009 and
June 2014 were included in the study. Twenty-six (19.5%) patients died
during follow-up and were excluded from the analysis. Overall, 107 patients,
39 (36.4%) in the open repair group, and 68 (63.6%) in the EVAR group,
completed all follow-up...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Acetaminophen Mitigates Myocardial Injury Induced by Lower Extremity
Ischemia-Reperfusion in Rat Model
This study analyzed the protective effect of acetaminophen on myocardial
injury induced by ischemia-reperfusion in an experimental animal model from
lower extremity ischemia-reperfusion.Methods: Twenty-four Sprague-Dawley female rats were randomized into three groups
(n=8) as (i) control group (only laparotomy), (ii) aortic
ischemia-reperfusion group (60 min of ischemia and 120 min of reperfusion)
and (iii) ischemia-reperfusion + acetaminophen group (15 mg/kg/h intravenou ... (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Extended-time of Noninvasive Positive Pressure Ventilation Improves
Tissue Perfusion after Coronary Artery Bypass Surgery: a Randomized Clinical
Trial
Objective: To compare the effects of extended- versus short-time
noninvasive positive pressure ventilation on pulmonary function, tissue
perfusion, and clinical outcomes in the early postoperative period following
coronary artery bypass surgery in patients with preserved left ventricular
function.Methods: Patients were randomized into two groups according to noninvasive positive
pressure ventilation intensity: short-time noninvasive positive pressure
ventilation n=20 (S-NPPV) and extended-time noninvasive positive pressure
ventilation n=21 (E-NPPV). S-NPPV was applied for 60...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Rational Use of Mechanical Circulatory Support as a Bridge to
Pediatric and Congenital Heart Transplantation
Introduction: Donor shortage and organ allocation is the main problem in pediatric heart
transplant. Mechanical circulatory support is known to increase waiting list
survival, but it is not routinely used in pediatric programs in Latin
America.Methods: All patients listed for heart transplant and supported by a mechanical
circulatory support between January 2012 and March 2016 were included in
this retrospective single-center study. The endpoints were mechanical
circulatory support time, complications, heart transplant survival and
discharge from the hospital.Results: Twenty...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Are Pre and Postoperative Platelet to Lymphocyte Ratio and Neutrophil
to Lymphocyte Ratio Associated with Early Postoperative AKI Following
CABG?
In this study, we investigated the role of two of the recent biomarkers of
inflammation on the development of acute kidney injury in the early
postoperative period of isolated coronary artery bypass grafting.Methods: Three hundred and eleven patients, who underwent isolated coronary artery
bypass grafting with cardiopulmonary bypass by the same surgery team in our
clinic between May 2010 and October 2014, who had a preoperative serum
creatinine level lower than 1.5 mg/dl were included in the study. These
patients' records were reviewed retrospectively. The diagnosis of acute
...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Functional Performance of Different Venous Limb Options in Simulated
Neonatal/Pediatric Cardiopulmonary Bypass Circuits
Objective: Hemodilution is a concern in cardiopulmonary bypass (CPB). Using a smaller
dual tubing rather than a single larger inner diameter (ID) tubing in the
venous limb to decrease prime volume has been a standard practice. The
purpose of this study is to evaluate these tubing options.Methods: Four different CPB circuits primed with blood (hematocrit 30%) were
investigated. Two setups were used with two circuits for each one. In Setup
I, a neonatal oxygenator was connected to dual 3/16" ID venous limbs
(Circuit A) or to a single 1/4" ID venous limb (Circuit B); and in Setup II, ...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Effect of Plasma Level of Vitamin D on Postoperative Atrial
Fibrillation in Patients Undergoing Isolated Coronary Artery Bypass
Grafting
Objective: Postoperative atrial fibrillation (PoAF) is a common complication after
coronary artery bypass grafting (CABG). The aim of the present study was to
evaluate the association between development of PoAF and vitamin D levels in
patients undergoing isolated CABG.Methods: This prospective randomized clinical trial was conducted on the patients with
isolated CABG. The study was terminated when 50 patients in both PoAF(+)
group and PoAF(-) group were reached. Development of AF until discharge
period was assessed. Vitamin D level was measured immediately after AF; it
was ...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Lidocaine and Pinacidil Added to Blood
Objective: The present study aimed the functional recovery evaluation after long term of
cardiac arrest induced by Custodiol (crystalloid-based)
versus del Nido (blood-based) solutions, both added
lidocaine and pinacidil as cardioplegic agents. Experiments were performed
in isolated rat heart perfusion models.Methods: Male rat heart perfusions, according to Langendorff technique, were induced
to cause 3 hours of cardiac arrest with a single dose. The hearts were
assigned to one of the following three groups: (I) control; (II)
Custodiol-LP; and (III) del Nido-LP. They were e...
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research
Operating with Data - Statistics for the Cardiovascular Surgeon: Part
I. Fundamentals of Biostatistics
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - July 20, 2018 Category: Cardiology Source Type: research