1,721,086 research outputs found
Mitral paraprosthetic leak diagnosed by transesophageal echocardiography through nasal way.
No full textFibroelastoma of the papillary muscle mimicking a left ventricular myxoma
No full textWe reported a case of left ventricular polypoid mass, incidentally found in an asymptomatic 75-year-old female with history of systemic sclerosis, pulmonary hypertension, and transient ischaemic attacks
Aortic valve “kissing” vegetation: mitral valve endocarditis with functional aortic stenosis
Full text linkThe case is reported of giant mitral valve vegetation that was wedged into the aortic valve plane (aortic valve 'kissing' vegetation), causing obstruction to the left ventricular outflow tract. In such a case, echocardiography plays a key role in the assessment of vegetation morphology, risk of embolization, impact on valvular function and indication for surgery. Because of its size, the obstructive hemodynamics, and the potential to induce aortic valve endocarditis, aortic 'kissing' vegetation requires surgical intervention to preserve the integrity of the valve and improve the hemodynamic status
Four-dimensional cardiac computed tomography in mitral valve endocarditis obstructing the left ventricle outflow tract
No full text[No abstract available
Vacuum-assisted wound closure with instillation followed by nitinol clips application to treat deep sternal wound infections after cardiac surgery- evolution of a two-step approach
No full textIntroduction: DSWI, or mediastinitis, is a life-threatening complication following cardiac surgery. Although infrequent, it can cause significant morbidity and mortality, often requires multiple procedures, and increases health care costs. Different treatment approaches have been used. Objective: This article compares closed catheter irrigation with the currently used 2-stage approach using a proprietary vacuum-assisted wound closure with instillation system followed by sternal synthesis with nitinol clips. Materials and methods: The records of 34 patients with DSWI who underwent cardiac surgery between January 2012 and December 2020 were retrospectively analyzed. Patients received either closed catheter irrigation or vacuum-assisted wound closure with instillation for decontamination and subsequent closure with pectoralis major flaps (with or without the modified Robicsek technique), or more recently, with nitinol clips. Results: Wound healing was achieved in all patients treated with vacuum-assisted wound closure with instillation. In this group, no patients died and the mean hospital stay was reduced. Conclusions: These findings suggest that use of vacuum-assisted wound closure with instillation along with nitinol clips for sternal closure decreases mortality and reduces the length of hospital stay, making it a safer, effective, and less invasive technique for the management of DSWI after cardiac surgery
Black cardiac paraganglioma in a multiple paraganglioma syndrome
No full textWe describe a unique case of a patient with a 'pigmented' cardiac paraganglioma in a multiple paraganglioma syndrome. She was symptomatic for arrhythmias, hypertensive crises and dyspnoea due to a cardiac tumour, which was richly vascularised from the right coronary artery and was partially obstructing the right atrioventricular inflow. She was operated on, but the mass was not completely resectable due to its relationship with cardiac structures. The histological findings were paraganglioma with abundant, dark granular pigment. To our knowledge, pigment presence has never been cited in surgical cases of cardiac paragangliomas. © 2007 European Association for Cardio-Thoracic Surgery
Undergoing cardiopulmonary bypass using enoxaparin only during a cardiac transplantation procedure
No full textThe use of enoxaparin as a replacement drug to standard heparin, for anticoagulation during extracorporeal circulation, in patients with heparin-induced thrombocytopenia, is still very limited. Enoxaparin significantly reduces thrombin formation and activity during cardiopulmonary bypass. The prolonged circulating rate, slow elimination rate and non-total reversion of enoxaparin by protamine can induce important postoperative bleeding. We are describing the first case of cardiac transplantation where enoxaparin was used as a replacement drug to standard heparin. (C) 2000 Elsevier Science B.V. All rights reserved
Concerning revascularization of patients with silent coronary ischemia following carotid endarterectomy
No full textDouble superior vena cava: Right connected to left atrium and left to coronary sinus
No full textLeft persistent superior vena cava connected to coronary sinus may coexist with right superior vena cava connected to left atrium. Surgical correction is not mandatory if there is no cyanosis due to a big interjugular bridging vein. (C) 2007 Elsevier Ireland Ltd. All rights reserved
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