Journal of Cardiothoracic Surgery and Therapeutics

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 ISSN: 2643-5780

Journal of Cardiothoracic Surgery and Therapeutics

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Table of Content: Volume 5, Issue 1

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Original Article Pages 121-124

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

Abstract: 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 output (CO) by analyzing arterial pressure waveform and pretends to show a reliable performance for variable arterial tones. This system reveals the relationship between the arterial pulse pressure wave and stroke volume

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Original Article Pages 116-120

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

Abstract: 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 patients who have suffered an AMI. Microvascular obstructions (MVO) represent non-irrigated areas of the myocardium after reperfusion, and it is determined by CMR. After reestablishment of cardiac blood flow, MVOs could be used as a new marker to determine the heart injury due to AMI and reperfusion damage.

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Case Report Pages 114-115

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

Abstract: 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 conventional strategies have failed, allowing time for recovery, decision-making, or bridging to implantation of a long-term mechanical circulatory support device and occasionally heart transplantation

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Original Article Pages 105-113

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

Abstract: 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 ITA grafts on late survival after BITA used on the left side.

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Clinical Image Pages 103-104

Paracardiac Gossypiboma after Coronary Artery Bypass Grafting Surgery

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

Abstract: 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 densities superposed with the left ventricle. A mass lesion containing linear metallic densities was seen adjacent to the left ventricular free wall in the thorax computed tomography images (Figure 1). The appearance was consistent with a retained surgical sponge. Intrathoracic gossypiboma is a rare entity. Only a few cases have been reported in the literature. Radiological findings vary according to location, chronicity, foreign body reaction, and presence of the radiopaque marker. In the present case, the presence of radiopaque marker and history of surgery were the findings leading to the diagnosis.

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Case Report Pages 98-102

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

Abstract: 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 been established for cardiogenic shock refractory to conventional therapy. Veno-venous ECMO can be a rescue modality for ARDS post cardiac surgery.

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Case Report Pages 95-97

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

Abstract: 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 decortication and aneurysm resection. Intrathoracic transposition of a combined latissimus dorsi / serratus anterior flap was used for salvage of the stent graft.

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Case Report Pages 93-94

Accessory Pulmonary Vein Posterior to the Bronchus Intermedius Encountered During Mediastinoscopy

Authors: Erik A Sylvin, MD

Abstract: 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 months. The patient’s appetite was significantly diminished. He was referred for mediastinal and bilateral hilar adenopathy detected on CT scan. He then had a PET-CT which demonstrated numerous prominent PET-avid paratracheal, precarinal, subcarinal, aorta-pulmonary window, superior mediastinal and retroperitoneal lymph nodes. The patient then suffered an ischemic stroke. He received tPA at and recovered with a minor gait disturbance. His cardiovascular and neurological work-up did not reveal any organic disease. His initial complaints of early satiety, abdominal pain and weight loss persisted. He underwent a mediastinoscopy and lymph node biopsy. The pathology resulted as noncaseating granulomas, consistent with sarcoidosis.

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Review Article Pages 86-92

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

Authors: Al Malki Afnan and Arifi AA

Abstract: 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 after its introduction, it became the standard of care for conduit harvesting. When compared to the conventional technique, the incidence of site infections wound dehiscence

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Research Article Pages 82-85

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

Abstract: 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 among stroke patients. AF affects approximately 2.7 million people with a stroke rate of 3.5% per year. Amongst individuals with non-valvular AF that experience embolic stokes, 90% arise from the left atrial appendage (LAA),

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Case Report Pages 79-81

VATS Trisegmentectomy Resection of Aspergilloma with Pan-Azole Resistance?

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

Abstract: 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 best of our knowledge) of VATS anatomical sublobar lung resection for isolated left upper lobe aspergilloma in a 55-year-old male with history of chronic pulmonary aspergillosis (CPNA). As adhesions prove to be a significant intra-operative obstacle

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