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Role of Urotensin-II in Saphenous Vein Graft Disease
Conclusion: Our results show that saphenous vein grafts are already atherosclerotic before they are grafted in CAD patients. This disease is more severe in diabetic CAD patients and these changes can be detected using U-II immunoreactivity. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Insulin Use and Clinical Outcomes in Patients Undergoing Coronary Artery Bypass Graft Surgery
Conclusion: The postoperative use of insulin is high among CABG patients in the United States of America. Insulin use in patients without diabetes was associated with worse clinical outcomes compared to patients (both with and without diabetes) who did not receive insulin. Further investigation is needed to determine the optimal use of postoperative insulin after CABG. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sufentanil Reduces Emergence Delirium in Children Undergoing Transthoracic Device Closure of VSD After Sevoflurane-Based Cardiac Anesthesia
Conclusions: Sufentanil can be safely used in sevoflurane-based fast-track cardiac anesthesia for transthoracic device closure of VSD in children. Compared to fentanyl, sufentanil is more effective in reducing postoperative emergence delirium, with lower analgesia scores and greater comfort. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Association of Preoperative Hemoglobin A1c with In-hospital Mortality Following Valvular Heart Surgery
Conclusion: This study showed no association between preoperative HbA1c levels and in-hospital mortality in candidates for valvular heart surgery. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mid-Term Outcome after Tricuspid Valve Replacement
Conclusion: In TVR, impaired cardiac function before the operation and a need for CRRT or IABP treatment after the operation is independently associated with incre ased mid-term mortality. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison between the Effects of Bretschneider’s HTK Solution and Cold Blood Cardioplegia on Systemic Endothelial Functions in Patients who Undergo Coronary Artery Bypass Surgery: a Prospective Randomized and Controlled Trial
Conclusion: Cardiopulmonary bypass leads to endothelial dysfunction. Our results revealed that Bretschneider ’ s HTK solution causes less severe endothelial injury than cold blood cardioplegia. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison of the Apoptotic Effects of Topically Applied Papaverine, Diltiazem, and Nitroprusside to Internal Thoracic Artery
Conclusion: The benefit of topically applied vasodil ator drugs must outweigh the potential adverse effects. In terms of apoptosis, diltiazem was found to have the most deleterious effects on internal thoracic artery graft segments. Of the analyzed medical agents, nitroprusside was found to have the least apoptotic activity, followed by papaverine. Di abetes did not have significant effect on the occurrence of apoptosis in left internal thoracic artery grafts. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Validation of the ATRIA and CHA2DS2-Vasc Scores in Predicting Atrial Fibrillation after Coronary Artery Bypass Surgery
Conclusion: CHA2DS2-VASc and ATRIA risk scores predict new AF in patients undergoing CABG. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Healthcare-Associated Infections in a Cardiac Surgery Service in Brazil
Conclusion: Age and gender were risk factors for the development of HAI and the occurrence of an infectious process during hospitalization significantly increases the LOS. These findings may guide future actions aimed at reducing the impact of HAI on the health system. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Management of Lower Limb Ischemia During Operative Repair of Acute Type A Aortic Dissection by Distal Crossover Grafts: a Case Series
Conclusion: Our experience suggests that, during complicated aortic dissection, limb ischemia may have a devastating outcome including amputation when diagnosis and referral are delayed. Early diagnosis and surgery are crucial in preventing this potentially devastating complication. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Cardiac Surgery: What the Young Surgeon Should Know
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Social Media and Science
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

New Revelations Ignite the EXCEL Affair and Expose the Distortion of Science
(Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Erratum
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

COVID-19 should be a methylene blue “promoter”
We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. (Source: Revista Brasileira de Cirurgia Cardiovascular)
Source: Revista Brasileira de Cirurgia Cardiovascular - August 17, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research