Brazilian Journal of Cardiovascular Surgery 
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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.Coronary Artery Dissection in a Patient with Buerger's
Disease
Buerger ’s disease, vasculitis of small and medium-sized
blood vessels, is a non-atherosclerotic and progressive occlusive
condition which frequently involves the distal part of the limbs.
The occlusion of coronary arteries in Buerger’s disease is a rare
condition; however, coronary artery dissection ha s not been
reported previously. Therefore, this paper presents a 45-year-old
man who developed coronary artery dissection associated
with Buerger’s disease. The patient was treated successfully with
coronary artery bypass grafting with the left internal mammary
artery to the left anterior descendi ng artery, and saphe...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Ligature of the Left Main Coronary Artery after Surgery in Kawasaki
Disease: Case Report
We report a case of a 23-year-old man who was diagnosed
with Kawasaki disease that progressed to a coronary aneurysm
in the left main coronary artery (LMA). He had suffered from
acute coronary syndrome and then underwent an emergent
percutaneous coronary angioplasty, in which a polyurethane-covered
stent was placed inside the aneurysm. The stent was
thrombosed one year later, despite the patient had been
treated with anticoagulant and antiplatelet therapy. Emergency
percutaneous intervention was then performed. LMA was
reopened and stent malposition was observed. Therefore,
urgent coronary bypass grafting was per...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Intracoronary Hydatid Cyst Resulted in Coronary Artery Disease in a
Young Patient
Among all cystic echinococcosis cases, only 0.5%-2% exhibit
a cardiac involvement. Only 10% of these become symptomatic.
Considering the long time interval between the start of
infestation and symptoms to occur, it is hard to diagnose cystic
echinococcosis. When detected, even if it is asymptomatic,
intramyocardial hydatid cyst requires surgical intervention due
to risks of spontaneous rupture and anaphylaxis. In literature,
no case of hydatid cyst located in the coronary arterial wall has
been reported. Twenty-two-year-old male patient with previous
history of pulmonary cystic echinococcosis was referred to us
w...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Congenital Aneurysm of the Right Atrium: Two Cases
Report
Congenital aneurysm or enlargement of the right atrium
is a rare condition. Two children operated on at the age of
14 months and 11 years old for congenital aneurysm of the
right atrium are reported. Both presented cardiomegaly and
symptoms of paroxysmal supraventricular tachycardia. Diagnosis
was established by echocardiography. Surgical resection was
successful. Both patients are free of symptoms and their chest
X-ray and echocardiogram are normal. The first patient is now in
her 17th postoperative year. The patients ’ evolution suggests that
the surgery is a curative procedure. (Source: Brazilian Journal of Ca...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Long-Term Traumatic and Asymptomatic Aorto-Right Atrial
Fistula
Aorto-atrial fistulas due to cardiac trauma are rare, and
survivors require immediate surgical correction. Here, we report a
case of an aorto-right atrial fistula due to penetrating trauma after
a 16-year evolution, which developed symptoms of acute coronary
syndrome and was treated with myocardial revascularization and
correction of the aorto-cameral fistula. (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Surgical Aspects of No-Touch Saphenous Vein Graft Harvesting in CABG:
Clinical and Angiographic Follow-Up at 3 Months
With more than 800,000 coronary artery bypass grafting (CABG)
operations annually worldwide and the saphenous vein being the
most common conduit used, there is no question that improving
saphenous vein graft patency is one of the most important tasks
in CABG. This video describes the no-touch harvesting procedure
of the saphenous vein on an 80-year old man with hypertension,
hyperlipidemia and a previous myocardial infarction with
percutaneous coronary intervention to the right coronary artery.
He was complaining of exertional chest pain and was diagnosed
with stable angina pectoris. The coronary angiography showe...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Current Practice of State-of-the-Art Coronary Revascularization in
Patients with Heart Failure
The best treatment for patients with ischemic heart failure
(HF) is still on debate. There is growing evidence that coronary
artery bypass graft (CABG) benefits these patients. The current
recommendations for revascularization in this context are that
CABG is reasonable when it comes to decreasing morbidity and
mortality rates for patients with severe left ventricular dysfunction
(ejection fraction (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Sclerosing Mediastinitis Causing Unilateral Pulmonary Edema Due to
Left Atrial and Pulmonary Venous Compression. A Case Report and Literature
Review
Sclerosing mediastinitis (SM), previously named chronic
fibrosing mediastinitis, is an inflammatory process that in its
end-stage results to sclerosis around the mediastinal structures.
SM is quite rare and has been correlated with inflammatory and
autoimmune diseases, as well as malignancy. SM may either
present in a mild form, with minor symptoms and a benign course
or in a more aggressive form with severe pulmonary hypertension
and subsequent higher morbidity and mortality. The diagnosis of
SM may be difficult and quite challenging, as symptoms depend on
the mediastinal structure that is mainly involved; quite ...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Postoperative Cognitive Dysfunction after Coronary Artery Bypass
Grafting
Postoperative cognitive dysfunction is a common complication
following cardiac surgery. The incidence of cognitive dysfunction
is more pronounced in patients receiving a cardiac operation than
in those undergoing a non-cardiac operation. Clinical observations
demonstrated that pulsatile flow was superior to nonpulsatile flow,
and membrane oxygenator was superior to bubble oxygenator in
terms of postoperative cognitive status. Nevertheless, cognitive
assessments in patients receiving an on-pump and off-pump
coronary artery bypass surgery have yielded inconsistent results.
The exact mechanisms of postoperative cogni...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Risk Factors and Outcome of Acute Kidney Injury after Isolated CABG
Surgery: a Prospective Cohort Study
Background: Acute kidney injury (AKI) is a frequent event after cardiac surgery with
increased mortality and morbidity. We explored frequency, risk factors, and
associated morbidity and mortality of AKI after isolated coronary artery
bypass grafting (CABG) surgery at a single institution.Methods: All consecutive adults undergoing CABG surgery from March 2013 to October
2016 were assessed for development and severity of AKI based on Acute Kidney
Injury Network (AKIN) criteria. The patients were also investigated
regarding their need for renal replacement therapy (RRT), predictive ri...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Early and Medium Outcomes of On-Pump
Beating-Heart < i > versus < /i > Off-Pump CABG in Patients
with Moderate Left Ventricular Dysfunction
This study aims to compare the early and medium outcomes of on-pump
beating-heart (OPBH) coronary artery bypass grafting (CABG) and off-pump
CABG (OPCABG) in patients with left ventricular ejection fraction (LVEF)
between 30% and 40%.Methods: This is a retrospective study of ischemic heart disease patients with LVEF
between 30% and 40% who underwent surgical revascularization from January
2013 to December 2017. Patients were divided into OPBH group (n=44) and
OPCABG group (n=68), according to the surgical method. Clinical material
with early and medium outcomes were investig...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Vitamin D Deficiency is not Associated with Higher Levels of SYNTAX
Score
Objective: To evaluate the association between serum vitamin D (vitD) level and SYNTAX
(synergy between percutaneous coronary intervention with taxus and cardiac
surgery) score (SS).Methods: The medical records of consecutive patients, who underwent coronary artery
bypass graft surgery, were retrospectively reviewed. The study group
consisted of 158 patients. Biochemical, clinical, and echocardiographic
parameters and SS were evaluated in all patients. The patients were divided
into 2 groups according to SS ( ≥23= high, (Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Efficacy and Safety of "Coronary Artery Bypass
Graft Angiography" with Right Transradial Access < i > versus < /i > Left Transradial Access and Femoral
Access: a Retrospective Comparative Study
Objective: Over the past 10 years, the rate of patients who have undergone coronary
artery bypass graft (CABG) surgery has increased twofold in cases of
coronary angiography. Today, transradial access is the first choice for
coronary angiography. We aimed to compare the efficacy and reliability of
radial versus femoral access for coronary angiography in
post-CABG surgery in this study.Methods: Data from 442 patients who underwent post-CABG surgery between 2012-2017 were
retrospectively compared. The right radial route was used in 120 cases, the
left radial route in 148, and ...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
The Relation Between Echocardiographic
Epicardial Fat Thickness and CHA < sub > 2 < /sub > DS < sub > 2 < /sub > -VASc
Score in Patients with Sinus Rhythm
Objective: To evaluate the predictive value of epicardial fat thickness (EFT) in
CHA2DS2-VASc (congestive heart failure,
hypertension, age ≥75 years, diabetes mellitus, previous stroke or
transient ischemic attack, vascular disease, age 65-74 years, sex category)
score risk groups.Methods: A total of 158 consecutive patients (75 females, 83 males, mean age
70.8 ±6.3 years) admitted routinely for cardiologic control were
divided into two groups according to their
CHA2DS2-VASc scores (scores 0 and 1 were regarded as
low risk, and score ≥2 as high risk). One hundred twe...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
Potentially Modifiable Predictors for Renal Replacement Therapy in
Patients with Cardiac Surgery Associated-Acute Kidney Injury: a Propensity
Score-Matched Case-Control Study
Objective: To discover potentially modifiable perioperative predictors for renal
replacement therapy (RRT) in patients with cardiac surgery-associated acute
kidney injury (CSA-AKI).Methods: A cohort of 1773 consecutive cardiac surgery patients with postoperative
acute kidney injury (AKI) from January 2013 to December 2015 were included
retrospectively. AKI was defined according to the Kidney Disease: Improving
Global Outcomes (KDIGO) criteria. The primary outcome was CSA-AKI requiring
renal replacement therapy (AKI-RRT). The initiation of RRT was based on
clinical judgment r...
Source: Brazilian Journal of Cardiovascular Surgery - February 19, 2019 Category: Cardiology Source Type: research
