Journal of Cardiothoracic Surgery and Therapeutics Archives

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Case Report | 10.36959/582/446 Volume 6 Issue 1

Bilateral Carotid Artery Cannulation before Resternotomy to Maintain Cerebral Perfusion in Reoperative Aortic Aneurysm Surgery

Authors: Nader Moawad, MBBCh, MRCS (Eng), MSc, PGCert (Clinical education)* , Jack Harfield, MBBCh, James Kuo, FRCS CTH and Jonathan Unsworth-White, FRCS CTH

Aortic pseudoaneurysm is an uncommon complication following major aortic surgery. Surgical intervention is challenging due to risks of pseudoaneurysm rupture, causing increased morbidity and mortality... Read more

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Research Article | 10.36959/582/445 Volume 6 Issue 1

Benefit of Posterior Pericardiotomy in Heart Valve Surgery

Authors: Yasser Mubarak

Posterior pericardiotomy (PP) is helpful to prevent arrhythmia; especially atrial fibrillation (AF), and cardiac tamponade postoperative cardiac valve surgery. The incidence of postoperative AF is inc... Read more

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Research Article | 10.36959/582/444 Volume 6 Issue 1

Miniincisionl versus Median Sternotomy to the Cardiac Myxoma: A Comparison of Outcomes

Authors: Ehab Mohamed Kasem and Osama Saber Eldib

Cardiac myxoma are the commonest benign cardiac tumor, its pathological character make it higher tendency for showering and embolic complications. Surgery done on urgent base to avoid its complication... Read more

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Case Report | 10.36959/582/443 Volume 6 Issue 1

The "Skipping Rope" Phenomenon in Transapical TAVI as a Cause of Reversible Mitral Regurgitation

Authors: Victor X Mosquera, MD, PhD, Alberto Bouzas-Mosquera, MD, PhD and Jose J Cuenca- Castillo, MD

Mitral regurgitation is a complication that may occur during transcatheter aortic valve implantation (TAVI) and may require different treatments depending on the mechanism. In this report we describe ... Read more

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Research Article | 10.36959/582/442 Volume 6 Issue 1

Survival Following Invasive Aspergillus Endocarditis Resection and Amphotericin B Washing

Authors: Zechariah C Harris, BS, Karanpreet K Dhaliwal, MD, Niyati K Jakharia, MD, Yafet T Mamo, MD and Adrian L Lata, MD

Invasion of Aspergillus fungus into cardiac tissue is a rare occurrence typically seen in immunocompromised patients. Detection is typically a combination of galactomannan testing and imaging of heart... Read more

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Research Article | 10.36959/582/441 Volume 6 Issue 1

Smart Watches: Capturing Our Hearts

Authors: John P Higgins, Zachary A Cerra and Meredith L Apicella

Smart watches are growing in popularity, with about one-in-five Americans reporting daily use of a smart watch or fitness tracker. Smart watches continue to gain functionality as technology improves, ... Read more

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Original Article | 10.36959/582/440 Volume 5 Issue 1

Analyzing Arterial Pressure Waveform for Cardiac Output Measurement in Valvular Heart Surgery Patients

Authors: Dilek Kazancı, Sema Turan, Büşra Tezcan, Süheyla Ünver, Bahar Aydınlı, Ç Yıldırım Güçlü, Mihrican Koç and Ayşegül Özgök

Thermodilution via pulmonary artery catheter (PAC) is commonly accepted as gold standart method for cardiac output measurement. The FV system is a new less invasive method that calculates cardiac outp... Read more

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Original Article | 10.36959/582/439 Volume 5 Issue 1

Microvascular Obstructions Measured by Cardiac Magnetic Resonance, and their Role as a Predictor of Outcomes in Acute Myocardial Infarction

Authors: Valenzuela G, Giubergia F, Castillo R, González J and Rodrigo R

Acute myocardial infarction (AMI) is one the main causes of morbidity and mortality in Chile and the world. Cardiac magnetic resonance (CMR) is gaining evidence as a tool to determine prognosis in pat... Read more

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Case Report | 10.36959/582/438 Volume 5 Issue 1

Unusual Vascular Access for Extracorporeal Membrane Oxygenation Implantation a Case Report

Authors: Marisol G Ascencio-Lemus, Pasquale Maiorano, Laura Castillo Pardo and Mario Castaño Ruiz

The venoarterial extracorporeal membrane oxygenation (V-A ECMO) has emerged as a life-saving measure for patients in cardiac-respiratory failure in order to provide a mechanical support when conventio... Read more

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Original Article | 10.36959/582/437 Volume 5 Issue 1

Is There a Protective Effect of Sequential Grafting in Coronary Bypass Surgery Using Bilateral Internal Thoracic Artery?

Authors: Adel Alshamri, Margaux PO Jegaden, Salah Ashafy, FadiFarhat, Armand Eker and Olivier JL Jegaden

It is unclear whether the additional bypass techniques to supplement bilateral internal artery grafting (BITA) influence the patient outcome in coronary surgery. We analyzed the impact of sequential I... Read more

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Clinical Image | 10.36959/582/436 Volume 5 Issue 1

Paracardiac Gossypiboma after Coronary Artery Bypass Grafting Surgery

Authors: Cihan Özgür, MD and Fethi Emre Ustabaşıoğlu, MD

A 54-year-old male patient underwent coronary artery bypass graft surgery. No complications occurred after the surgery. Control posteroanterior thorax X-ray showed a mass lesion with radiopaque linear... Read more

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Case Report | 10.36959/582/435 Volume 5 Issue 1

Veno-Venous Extracorporeal Membrane Oxygenation Use in Acute Respiratory Distress Syndrome after Acute Stanford Type A Aortic Dissection Repair: A Case Report

Authors: Sofia Fernandes, M.D, Maria Ribeiro, M.D, Mariana Rodrigues, M.D, Ricardo Ferreira, M.D, Catarina Barreiros, M.D, Hugo Côrte-Real, M.D and Ângelo Nobre, M.D

Acute respiratory distress syndrome (ARDS) after acute aortic dissection repair is a serious complication and poses a major challenge. Extracorporeal membrane oxygenation (ECMO) in cardiac surgery has... Read more

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Case Report | 10.36959/582/434 Volume 5 Issue 1

Gastric Malignancy Causing E. Coli Infection of a Frozen Elephant Trunk Stent Graft and the use of Transthoracic Composite muscle Flaps for Graft Salvage

Authors: Hui Chai FONG, Victor Tar Toong CHAO, Jason Hongting LEUNG and Bien-Keem TAN

We describe an unusual case of gastric malignancy presenting as Escherichia Coli infection of a frozen elephant trunk stent graft, with associated empyema that was successfully salvaged with decortica... Read more

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Case Report | 10.36959/582/433 Volume 5 Issue 1

Accessory Pulmonary Vein Posterior to the Bronchus Intermedius Encountered During Mediastinoscopy

Authors: Erik A Sylvin, MD

The patient was a 63-year-old, lifelong nonsmoker, Haitian man who complained for several months of early satiety and occasional epigastric pain. The patient had lost 35 pounds over the last three mon... Read more

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Review Article | 10.36959/582/432 Volume 5 Issue 1

Comparison of the Outcomes after Endoscopic Vein Harvesting Versus Open Vein Harvesting for Coronary Bypass Surgery

Authors: Al Malki Afnan and Arifi AA

Minimally invasive endoscopic vein harvesting (EVH) was first reported in 1996 as an alternative to open vein harvesting (OVH). Making coronary artery bypass surgery a less invasive procedure, shortly... Read more

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Research Article | 10.36959/582/431 Volume 5 Issue 1

Initial Experience with Robotic Surgical Exclusion of the Left Atrial Appendage

Authors: Nathan Smith, MD, Erin Harris, Benjamin Gallant, Olatoye Olutola, MD, Sanjay Samy MD and Walter Scott

Atrial fibrillation (AF) is a major modifiable risk factor associated with an increased risk of ischemic stroke. It is an independent predictor of mortality and is associated with poorer outcomes amon... Read more

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Case Report | 10.36959/582/430 Volume 5 Issue 1

VATS Trisegmentectomy Resection of Aspergilloma with Pan-Azole Resistance?

Authors: Muhammad Asghar Nawaz, Aaron Kler, David W Denning and F Granato

Pulmonary aspergillosis is a relatively rare disease and its management is sometimes difficult. Surgical resection is indicated in selected patients. We present a nationally unreported case (to the be... Read more

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Case Report | 10.36959/582/429 Volume 4 Issue 1

Removal of a Large Right Atrial Thrombus with AngioVac Device

Authors: Gliceida Galarza Fortuna, MD, Francisco Ujueta, MD, MS, Matthew Lozier, MD, Ivan A. Arenas, MD, PhD, FACC, FASE, and Angelo La Pietra, MD

Cancer patients often require placement of long-term central venous catheters for chemotherapy and the administration of other intravenous therapies. Catheter-related thrombosis is a known complicatio... Read more

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Case Report | 10.36959/582/428 Volume 4 Issue 1

Primary Lung Sarcoma Mimicking Left Atrial Myxoma

Authors: Amitabh Satsangi

A 32-years female was referred for surgery for Left atrial myxoma based on symptoms of dyspnea on exertion, palpitations and echocardiography revealing a left atrial mass, mostly likely a left atrial ... Read more

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Case Report | 10.36959/582/427 Volume 4 Issue 1

Timing of Surgery in Endocarditis Patient Presenting with Intracranial Haemorrhage, To Do or Not To Do?

Authors: Firas Aljanadi, Amer Harky, Jun Heng Chong and Mark Pullan

Intracranial haemorrhage (ICH) is not uncommon as a complication of infective endocarditis (IE). However, the presence of intracranial haemorrhage would represent as a challenge to surgical interventi... Read more

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Case Report | 10.36959/582/426 Volume 4 Issue 1

Emergent Tricuspid Valve Replacement for Tricuspid Valve Endocarditis in a Chronic Hemodialysis Patient in Suriname

Authors: Rosita Bihariesingh, Pieter Voigt, Juliett Garcia and Soeradj Harkisoen

Tricuspid valve endocarditis caused by Acinetobacter baumannii is associated with a high mortality rate because of the bacterium's resistance to almost all available antibiotics. Low and midd... Read more

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Original Clinical Research | 10.36959/582/425 Volume 4 Issue 1

Prognosis and Complications of Hyperuricemia Patients Undergoing Isolated Coronary Artery Bypass Surgery

Authors: Haydar Yasa

Recent studies suggest that high levels of serum uric acid of very early life are a result of the in-utero environment and may lead to elevated blood pressure in adulthood. However, serum uric acid le... Read more

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Case Report | 10.36959/582/424 Volume 4 Issue 1

An Unusual Case of Thymoma Invading SVC Excised Completely Enbloc with SVC Resection and Reconstruction

Authors: Muhammad Asghar Nawaz, Isaac Kadira and Rajesh Shaha

We report a challenging rare case of stage III large thymoma with superior vena cava (SVC) invasion but without SVC syndrome or myasthenic symptoms. The tumor responded poorly to neo-adjuvant VAC chem... Read more

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Image Article | 10.36959/582/423 Volume 4 Issue 1

Pseudoaneurysm Formation of the Ascending Aorta

Authors: E Andreas Agathos, MD, PhD, George Anastasiadis, MD and Angeliki Saridaki, MD

A 50-years-old male patient, hypertensive, on renal dialysis and with secondary hyperparathyroidism, underwent aortic valve replacement with a #23 mm Sorin bileaflet mechanical prosthesis. Three month... Read more

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Case Report | 10.36959/582/422 Volume 4 Issue 1

Complicated Bilateral Pulmonary Hydatid Cysts

Authors: Dharmendra Joshi, MD Abir Tazim Chowdhury, Manmohan Bir Shrestha, Hossain Al Mahmud, Serajus Salekin, MD Osman Gonni and MD Kamrul Alam

Hydatid disease also known as hydatidosis is an endemic parasitic zoonotic disease in some parts of world including Mediterranean basin, South America and Australia, caused by Echinococcus granulosus.... Read more

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Research Article | 10.36959/582/421 Volume 4.1 Issue 1

Hypothesis Generation for a Possible Mechanism of Transmural Reentry Following a Histological Appraisal of Postmortem Atria

Authors: Ciara Mahon, MSc, MRCP, Louisa O’Neill, MRCP, Mark Henesy, MRCP, Sara Kelly, MSc, Aurelie Fabre, PhD, FRCPath, FRCPI and David Keane, PhD, FHRS, FRCPI

The relationship between atrial fibrillation (AF) and atrial anatomy is well recognized and myocardial fibre orientation is known to influence conduction velocity. The precise mechanism of AF perpetua... Read more

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Case Report | 10.36959/582/420 Volume 4 Issue 1

Non-Invasive Laser Modalities in Treatment of Posterior Ventral Infarction

Authors: Jackson S Pollock, Rosa Q Luxemburg, Hercule CM Poirot and Friedrich X Engels

Postoperative myocardial infarction is not a well-studied topic after lung surgery. From the few reports in the literature, the frequency to range between 0.7% to 2%, but it is difficult to determine ... Read more

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Original Research | 10.36959/582/419 Volume 4 Issue 1

Comparative Study of Earlier EuroSCORE and EuroSCORE II Model Among CABG Patients: A Cohort Study in Bangladesh Population

Authors: Mauin Uddin, Mohammad Mostafizur Rahman Miah, Mohammad Ziaur Rahman, Sumsul Arif Mohammad Musa, Rubana Forhad, Prasanta Kumar Chanda and Farooque Ahmed

The European System for Cardiac Operative Risk Evaluation II (EuroSCORE II) is an updated version of the original EuroSCORE. The goal of this analysis was to compare EuroSCORE II and additive and logi... Read more

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Image Article | 10.36959/582/418 Volume 3 Issue 1

Hypoplastic Left Heart Syndrome: An Image of Extreme Case

Authors: F Bizzarri, MD, PM de Siena, MD, S Congiu, MD, C Van Doorn, MD and O Jaber, MD

It is a picture of a baby patient affected by the syndrome, showing the gross anatomy of the heart self with a big discrepancy between the dimension of the main pulmonary artery and the ascending a... Read more

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OPINION | 10.36959/582/417 Volume 3 Issue 1

Exercise Considerations

Authors: Charles Maack

The following are a sampling of exercise considerations compiled from various resources. They certainly are not all encompassing or all inclusive. The extent one exercises should be determined by thei... Read more

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Case Report | 10.36959/582/416 Volume 3 Issue 1

Case Report: Coronary Dissection after High-Energy Blunt Chest Trauma

Authors: Garcia I, Gomez A, Paula Carmona, Zarragoikoetxea I and Argente P

Coronary artery dissection in a blunt chest trauma is a rare injury and its clinical diagnosis is difficult due to symptoms related to the multiple trauma. There is lack of scientific evidences regard... Read more

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Research Article | 10.36959/582/415 Volume 3 Issue 1

Intrapleural Administration of Fibrinolytic Enzymes as an Adjunct Therapy of Parapneumonic Purulent Pleural Exudation: Does it Affect Outcome?

Authors: Ahmed Saber, MD, FRCS and Waleed Adel, MD

In this comparable study, sixty patients were studied between March 2016 to November 2018. All of them were diagnosed having parapneumonic purulent pleural exudation (defined by the presence of purule... Read more

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Case Series | 10.36959/582/414 Volume 2 Issue 1

Extra-Corporeal Cardiopulmonary Resuscitation after Cardiogenic Shock: A Case Series of 4 Patients

Authors: Ibrahim Mungan, Dilek Kazancı, Serdar Yamanyar, Hayriye Cankar Dal and Sema Turan

Cardiopulmonary resuscitation is usually performed after cardiogenic shock and cardiac arrest but conventional CPR (cCPR) might be unsuccessful to provide return of spontaneous circulation (ROSC). Som... Read more

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Case Report | 10.36959/582/413 Volume 2 Issue 1

Thrombotic Thrombocytopaenic Purpura after Aortic Valve Replacement with Trifecta Bio-Prosthesis: A Case Report

Authors: F Falconieri and G Krasopoulos

Thrombocytopaenia is a recognized complication after aortic valve replacement (AVR), sometimes it has been reported as heparin-induced, and it can be associated with high mortality and morbidity. This... Read more

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ORIGINAL ARTICLE | 10.36959/582/412 Volume 1 Issue 1

The Diagnosis of Antibody-Mediated Rejection (AMR) and Acute Cellular Rejection (ACR) in Transplanted Hearts - What we Already Know and What we Should Get to Know. The Experience of Polish Single Centre Populaton

Authors: Sylwia Szymanska, Wieslawa Grajkowska, Malgorzata Sobieszczanska-Malek, Tomasz Zielinski, Michal Pyzlak and Maciej Pronicki

New ISHLT 2013 criteria requires further study on significance of histopathological changes in Endomyocardial Biopsy (EMB). Guidelines concerning optimal EMB quality for rejection assessment are spars... Read more

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ORIGINAL ARTICLE | 10.36959/582/411 Volume 1 Issue 1

Human Left Atrial Potassium Ion Channel Transcripts in Patients Requiring Cardiac Surgery vs. Structurally Normal Hearts: Potential Implications for the Mechanisms of Post-Operative Atrial Fibrillation

Authors: Joseph Coello, Jonna Sakowski Gaia Bistulfi, Mary Hurley, Marion Olivieri, Megan Gervasi and Michael F Swartz

Atrial Fibrillation (AF) is the most common arrhythmia following cardiac surgery, and contributes significantly to the post-operative morbidity. However, an understanding of the molecular changes to t... Read more

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Case Report | 10.36959/582/410 Volume 1 Issue 1

Echo-Guided Recruitment of Lung Atelectasis after Pediatric Cardiac Surgery

Authors: Massimiliano Cantinotti, Paolo Del Sarto and Lamia Ait Al

Lung ultrasound is a useful tool in intensive care unit. In addition to imaging various lung and pleural diseases, LUS could guide interventional procedure. We describe a case of manual recruitment of... Read more

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Case Report | 10.36959/582/409 Volume 1 Issue 1

Simplified Surgical Technique for the Management of Severe Mitral Annulus Calcification

Authors: Philippa JT Bowers and Manu N Mathur

Severe mitral annular calcification (MAC) is occasionally associated with degenerative mitral valve dysfunction especially in the elderly and renal patients. Dealing with the MAC at the time of mitral... Read more

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