Archive for the ‘for377cat’ Category

Liver and cardiac function in the long term after Fontan operation.

Friday, June 27th, 2008

Liver and cardiac function in the long term after Fontan operation. BACKGROUND: Patients who underwent Fontan operation have some degree of liver disease. We aimed to assess the long-term liver and cardiac function after Fontan operation. METHODS: Patients enrolled underwent physical examination, biochemical tests (aspartate aminotransferase, ...

Surgical strategy to establish a dual-coronary system for the management of anomalous left coronary

Friday, June 27th, 2008

Surgical strategy to establish a dual-coronary system for the management of anomalous left coronary artery origin from the pulmonary artery. BACKGROUND: Optimal repair of anomalous origin of left coronary artery from pulmonary artery (ALCAPA) relies on the creation of a dual-coronary system. If the anomalous coronary ...

Mitral valve repair for rheumatic valve disease in children: midterm results and impact of the use o

Friday, June 27th, 2008

Mitral valve repair for rheumatic valve disease in children: midterm results and impact of the use of a biodegradable mitral ring. BACKGROUND: Mitral valve repair for rheumatic mitral valve disease in children has become the preferred surgical modality. A mitral valve ring is frequently used in ...

Age at repair affects the very long-term outcome of sinus venosus defect.

Friday, June 27th, 2008

Age at repair affects the very long-term outcome of sinus venosus defect. BACKGROUND: Records of patients who had repair of sinus venosus defect (SVD) between 1970 and 2008 were reviewed to predict very long-term outcome. METHODS: Repairs occurred in 104 consecutive patients (51 men), aged 29 ...

Reoperation for left atrioventricular valve regurgitation after atrioventricular septal defect repai

Friday, June 27th, 2008

Reoperation for left atrioventricular valve regurgitation after atrioventricular septal defect repair. BACKGROUND: Left atrioventricular valve regurgitation (LAVVR) is a major cause of morbidity after atrioventricular septal defect (AVSD) repair. This study evaluates the outcomes of repair and replacement of the left atrioventricular valve after AVSD correction, ...

Perventricular device closure of ventricular septal defects: six months results in 30 young children

Friday, June 27th, 2008

Perventricular device closure of ventricular septal defects: six months results in 30 young children. BACKGROUND: Both surgical repair and transcatheter closure of isolated ventricular septal defects are known to have limitations in children. This report describes the short-term results of perventricular device closure of nonmuscular ventricular ...

Stem cell-derived, tissue-engineered pulmonary artery augmentation patches in vivo.

Friday, June 27th, 2008

Stem cell-derived, tissue-engineered pulmonary artery augmentation patches in vivo. BACKGROUND: Reconstruction of the right ventricular outflow tract is a frequently encountered component of many congenital cardiac repairs. We sought to tissue engineer pulmonary artery augmentation patches from retrovirally labeled endothelial progenitor and mesenchymal stem cells and ...

Impact of cardiothoracic resident turnover on mortality after cardiac surgery: a dynamic human facto

Friday, June 27th, 2008

Impact of cardiothoracic resident turnover on mortality after cardiac surgery: a dynamic human factor. BACKGROUND: The study was designed to determine whether cardiac surgical outcomes are affected during times of major turnover of cardiothoracic resident surgical staff and at the beginning versus the end of their ...

Pulsatile pulmonary perfusion during cardiopulmonary bypass reduces the pulmonary inflammatory respo

Friday, June 27th, 2008

Pulsatile pulmonary perfusion during cardiopulmonary bypass reduces the pulmonary inflammatory response. BACKGROUND: Pulmonary dysfunction presumably linked to an inflammatory response is frequent after cardiac operations using cardiopulmonary bypass (CPB) and pulmonary hypoperfusion. We previously demonstrated that active perfusion of the lungs during CPB reduces ischemic lung ...

Programmed cell death in idiopathic dilated cardiomyopathy is mediated by suppression of the apoptos

Friday, June 27th, 2008

Programmed cell death in idiopathic dilated cardiomyopathy is mediated by suppression of the apoptosis inhibitor Apollon. BACKGROUND: Idiopathic dilated cardiomyopathy (DCM) is characterized by ventricular wall remodeling and an increased frequency of cardiac cell apoptosis. Apollon is a 528kD cell membrane-anchored protein that inhibits apoptosis by ...

Outcome of surgical treatment in patients with acute type B aortic dissection.

Friday, June 27th, 2008

Outcome of surgical treatment in patients with acute type B aortic dissection. BACKGROUND: Surgery for acute type B aortic dissection is associated with significant mortality and morbidity. The purpose of this study was to assess the clinical outcome of surgical management of complicated acute type B ...

Combining classic surgery with descending stent grafting for acute DeBakey type I dissection.

Friday, June 27th, 2008

Combining classic surgery with descending stent grafting for acute DeBakey type I dissection. BACKGROUND: To possibly prevent late complications after classic type A aortic dissection repair, the radical concept of ascending/arch replacement with simultaneous antegrade descending stent grafting using a hybrid prosthesis was applied and compared ...

Results of a new surgical paradigm: endovascular repair for acute complicated type B aortic dissecti

Friday, June 27th, 2008

Results of a new surgical paradigm: endovascular repair for acute complicated type B aortic dissection. BACKGROUND: Conventional open repair of acute complicated type B aortic dissection is associated with significant morbidity and mortality. This study examined the results of thoracic endovascular aortic repair (TEVAR) in acute ...

Is mitral valve repair superior to replacement in elderly patients?

Friday, June 27th, 2008

Is mitral valve repair superior to replacement in elderly patients? BACKGROUND: Mitral valve replacement is more frequently performed and perceived to be equivalent to repair in elderly patients, despite the superiority of repair in younger patients. Our objective was to compare mitral repair to replacement in ...

Lipopolysaccharide stimulation of human aortic valve interstitial cells activates inflammation and o

Friday, June 27th, 2008

Lipopolysaccharide stimulation of human aortic valve interstitial cells activates inflammation and osteogenesis. BACKGROUND: Calcific aortic stenosis may be an inflammatory disease with active bone formation in the valve leaflets rather than a disease of passive calcium deposition. Epidemiologic data demonstrating correlation of poor dental hygiene to ...

Mechanical aortic valve prostheses in the small aortic root: Top Hat versus standard CarboMedics aor

Friday, June 27th, 2008

Mechanical aortic valve prostheses in the small aortic root: Top Hat versus standard CarboMedics aortic valve. BACKGROUND: The purpose of this study was to evaluate outcome in patients with a small aortic root receiving either a standard CarboMedics mechanical aortic valve or a Top Hat CarboMedics ...

Changes in mitral regurgitation after replacement of the stenotic aortic valve.

Friday, June 27th, 2008

Changes in mitral regurgitation after replacement of the stenotic aortic valve. BACKGROUND: Concomitant mitral regurgitation (MR) is frequently seen in patients undergoing aortic valve replacement (AVR) for aortic stenosis. This study was undertaken to characterize the magnitude of MR in these patients and identify factors associated ...

United States feasibility study of transcatheter insertion of a stented aortic valve by the left ven

Friday, June 27th, 2008

United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex. BACKGROUND: Recent US and European registries have indicated 30% to 60% of patients with critical valvular aortic stenosis (AS) are not treated surgically, usually due to advanced age and ...

Restoration of sinus rhythm by the Maze procedure halts progression of tricuspid regurgitation after

Friday, June 27th, 2008

Restoration of sinus rhythm by the Maze procedure halts progression of tricuspid regurgitation after mitral surgery. BACKGROUND: Tricuspid regurgitation (TR) is common in patients undergoing mitral valve surgery, and atrial fibrillation (AF) can cause progression of TR. This study examined the hypothesis that correction of AF ...

Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment

Friday, June 27th, 2008

Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. BACKGROUND: We seek to demonstrate the rationale and efficacy of a minimally invasive surgical approach to the treatment of atrial fibrillation (AF) that combines pulmonary vein antral isolation with targeted partial ...

Outcome after surgery and percutaneous intervention for cardiogenic shock and left main disease.

Friday, June 27th, 2008

Outcome after surgery and percutaneous intervention for cardiogenic shock and left main disease. BACKGROUND: The ideal revascularization strategy (bypass surgery versus percutaneous coronary intervention [PCI]) for patients with cardiogenic shock in the setting of left main coronary artery disease is unknown. METHODS: The Should We Emergently ...

High-dose insulin therapy attenuates systemic inflammatory response in coronary artery bypass grafti

Friday, June 27th, 2008

High-dose insulin therapy attenuates systemic inflammatory response in coronary artery bypass grafting patients. BACKGROUND: Cardiac surgery with cardiopulmonary bypass (CPB) induces an acute phase reaction that is implicated in the pathogenesis of several postoperative complications. Studies have shown that proinflammatory cytokines are increased by acute hyperglycemia. ...

Aprotinin is not associated with postoperative renal impairment after primary coronary surgery.

Friday, June 27th, 2008

Aprotinin is not associated with postoperative renal impairment after primary coronary surgery. BACKGROUND: Studies on the safety of aprotinin in coronary artery surgery have given conflicting results. Therefore, we studied the possible link between perioperative aprotinin treatment and renal dysfunction in patients undergoing first-time coronary surgery ...

Long-term survival after cardiac surgery is predicted by estimated glomerular filtration rate.

Friday, June 27th, 2008

Long-term survival after cardiac surgery is predicted by estimated glomerular filtration rate. BACKGROUND: Estimated glomerular filtration rate (eGFR) before coronary artery bypass graft (CABG) surgery is a key risk factor of in-hospital mortality. However, in patients with normal renal function before CABG, acute kidney injury develops ...

Estimated glomerular filtration rate and renal function.

Friday, June 27th, 2008

Estimated glomerular filtration rate and renal function. Glomerular filtration rate (GFR) is an important clinical indicator of kidney function. It can be used as an independent predictor of long-term survival after cardiac surgery. Definition, methods of measurement, and corrected value by body surface area are briefly ...

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