ART: Early Results for Bilateral IMA in CABG Offer Some Promises, Some Concerns
One-year data from what the lead investigator characterized as one of the largest-ever randomized clinical trials of two CABG surgery techniques has found no differences in major clinical events between patients treated with either single internal mammary artery grafts or bilateral internal mammary arteries, but a higher rate of sternal wound reconstruction in the latter. Heartwire (Source: Medscape Today Headlines)...
POSTED 08/31/2010 at 10:24 AM --
|
Medium-term results of systematic off-pump coronary surgery performed by trainee surgeons [Original articles]
Conclusions: The results of this study reflect our unit's long experience of OPCAB surgery and that its successful re-engineering towards the systematic use of OPCAB was feasible. They also show that, in this context, teaching OPCAB surgery is safe in a non-selected cohort of patients, and that the medium-term outcomes of the patients operated on by trainee or expert surgeons are similar. (Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 08/30/2010 at 01:58 PM --
|
Is NT-pro-BNP predictive of atrial fibrillation in patients undergoing coronary artery bypass surgery? [Letters to the Editor]
(Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 08/30/2010 at 01:58 PM --
|
Left atrial appendage contributes to left atrial booster function after the maze procedure: quantitative assessment with multidetector computed tomography [Original articles]
Conclusion: LAA largely contributes to LA booster function, particularly in the maze group, because LA booster function is deteriorated in this group of patients. (Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 08/30/2010 at 01:58 PM --
|
The impact of preoperative atrial fibrillation on early and late mortality after coronary artery bypass grafting [Original articles]
Conclusions: Preoperative AF is an independent risk factor for early and late mortality after first-time elective CABG. (Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 08/30/2010 at 01:58 PM --
|
ART: Early results for bilateral IMA in CABG offer some promises, some concerns
One-year data from what the lead investigator characterized as one of the largest-ever randomized clinical trials of two CABG surgery techniques has found no differences in major clinical events...
For complete story visit theheart.org. (Source: theHeart.org)...
POSTED 08/30/2010 at 11:15 AM --
|
Risk score elaboration for mediastinitis after coronary artery bypass grafting
CONCLUSION: The risk score was constructed for use in daily practice to calculate the rate of mediastinitis after coronary artery bypass grafting. The score includes routinely collected variables and is simple to use. (Source: Revista Brasileira de Cirurgia Cardiovascular)...
POSTED 08/29/2010 at 04:48 AM --
|
Comparative study of traditional long incision vein harvesting and multiple incisions with small skin bridges in patients with coronary artery bypass grafting at King Abdullah University Hospital - Jordan
The objective of our study is to determine the difference in wound complication and infection rates between two saphenous vein harvesting techniques, long incision versus multiple short interrupted incisions (tunneling) for coronary artery bypass grafting at the King Abdullah University Hospital - Jordan. METHODS: Retrospectively we analyzed data from 1,050 consecutive elective coronary artery bypass procedures performed from May 5, 2003, to December 31, 2007, in our institution. Saphenectomy using traditional Long incision vein harvesting (Group 1) performed in six hundred and fifty patients (n=650), while saphenectomy using multiple incisions with small skin bridges - tunneling (Group 2) performed in four hundred patients (n=400). Saphenectomy performed by the cardiac surgery assistant o......
POSTED 08/29/2010 at 04:48 AM --
|
Comparison of patency between radial artery and saphenous vein in a coronary artery bypass grafting post operative with return of the symptoms
OBJETIVO: Comparar a perviedade da artéria radial e veia safena em pacientes com retorno dos sintomas após cirurgia de revascularização do miocárdio (CRVM). MÃTODOS: Estudo retrospectivo. No perÃodo de janeiro de 1998 a dezembro de 2005, foram realizadas 469 CRVMs com o uso da artéria radial dentre os enxertos, no Hospital Vera Cruz, em Belo Horizonte/MG. Destes, 94 pacientes apresentaram alterações isquêmicas no pós-operatório recente ou tardio e foram reestudados com cineangiocoronariografia. Os enxertos foram divididos em três grupos: artéria torácica interna (ATI), artéria radial (AR) e veia safena (VS), e foram estratificados segundo a gravidade das lesões: sem lesão grave (...
POSTED 08/29/2010 at 04:48 AM --
|
Changes in functional capacity of patients two years after coronary artery bypass grafting surgery
OBJETIVO: Verificar alterações na capacidade funcional dos pacientes que se submetem à cirurgia de revascularização do miocárdio (CRM) por meio do teste de caminhada de seis minutos (TC6) no seguimento de dois anos. MÃTODOS: Estudo de coorte prospectivo, no qual foram arrolados 215 pacientes submetidos a CRM, 13 não preencheram os critérios de inclusão. Foram 202 pacientes avaliados no pré-operatório, 13 morreram no perÃodo da internação e seis no seguimento de dois anos. Quatro pacientes foram considerados perdas de seguimento. Foram acompanhados 179 pacientes no perÃodo de 2 anos, classificados em ativos e sedentários, conforme a prática de atividade fÃsica no tempo livre e submetidos ao TC6 no préoperatório e 2 anos depois. RESULTADOS: Dos 202 pacientes avaliados no......
POSTED 08/29/2010 at 04:48 AM --
|
Outcomes after coronary artery bypass in aged patients
CONCLUSIONS: Hospital mortality and stroke were bigger in the G2 In the long time the patients of the G1 had respectively presented greater number of re-internments for angina and the late mortality was larger in G2 for the largest prevalence of cardiac deaths. (Source: Revista Brasileira de Cirurgia Cardiovascular)...
POSTED 08/29/2010 at 04:48 AM --
|
Comparative study between on-pump and off-pump coronary artery bypass graft in women
CONCLUSIONS: Evidence suggests that off-pump CABG surgery may be better for women than on-pump CABG surgery because it appears to reduce morbimortality rates. Ten of 13 complications investigated demonstrated an advantage for women undergoing off-pump surgery relative to those receiving on-pump surgery. (Source: Revista Brasileira de Cirurgia Cardiovascular)...
POSTED 08/29/2010 at 04:48 AM --
|
BAS/BSCR29 Apolipoprotein(a) impairs adaptive remodelling in human saphenous vein endothelial and smooth muscle cells
Apolipoprotein(a) (apo(a)), a unique glycoprotein component of plasma lipoprotein(a) (Lp(a)),exhibits resistance to classical lipid-lowering treatments. Coronary artery bypass grafting (CABG) is commonly used to bypass coronary arteries diseased by atherosclerosis, routinely using the saphenous vein (SV) as a conduit. Early after grafting the SV adapts to the arterial environment through re-endothelialisation, and increased motility of smooth muscle cells (SMC). A clinical association between Lp(a) and coronary artery disease is evident; however, its role in vein graft failure is less clear. Endothelial cells (EC) and SMC were cultured from the SV of patients undergoing CABG. The influence of apo(a) on cellular activity was examined by proliferation (cell counting), chemotaxis (modified Bo......
POSTED 08/26/2010 at 07:54 AM --
|
Thrombosed abdominal aortic aneurysm associated with an extensively âshaggyâ aorta repaired anatomically via a thoracoabdominal approach with supraceliac aortic clamping: Report of a case
Abstract A 76-year-old man with a history of multiple laparotomies and severe coronary artery disease was referred to our hospital
after the sudden development of pain and numbness in the lower extremities. Computed tomography showed a thrombosed abdominal
aortic aneurysm and diffuse aortic atherosclerosis; compatible with a âshaggy aorta.â A good response to thrombolytic therapy
permitted elective scheduling of abdominal aortic surgery after coronary artery bypass grafting. We operated via an extended
left retroperitoneal approach through a thoracoabdominal incision. Epiaortic ultrasonography revealed that only the supraceliac
aorta was free of mobile thrombi and had minimal plaque; we therefore placed a proximal aortic cross-clamp there. Anatomic
aortic reconstructio......
POSTED 08/26/2010 at 03:05 AM --
|
Coronary artery bypass surgery in a patient with Kartagener syndrome: a case report and literature review
Kartagener syndrome consists of congenital bronchiectasis, sinusitis, and total situs inversus in half of the patients. A patient diagnosed with Kartagener's syndrome was reffered to our department due to 3-vessel coronary disease. An off-pump coronary artery bypass operation was performed using both internal thoracic arteries and a saphenous vein graft. We performed a literature review for cases with Kartagener's syndrome, coronary surgery and dextrocardia. Although a few cases of dextrocardia were found in the literature, no case of Kartagener's syndrome was mentioned. (Source: Journal of Cardiothoracic Surgery)...
POSTED 08/25/2010 at 06:00 PM --
|
CABG, PCI, or medical management for multi-vessel coronary artery disease?
Source: Circulation
Area: News
Ten-year follow-up of a study comparing three management strategies for patients with multi-vessel coronary artery disease provides useful data on the relative merits of each approach, with none clearly superior for overall mortality.
While there is good evidence on the treatment of some sub-sets of patients with coronary artery disease, there is still debate over the best way to treat others, such as those patients who are stable with preserved function, but have multi-vessel disease. Options for such patients are optimum medical therapy (MT), percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG), and the MASS-II study (Medicine, Angioplasty, or Surgery Study) was set up to compare outcomes for these three options. O......
POSTED 08/25/2010 at 06:00 PM --
|
Cardiac Rehabilitation: New Topic Page
Visit the new MedlinePlus Health Topic page on cardiac rehabilitation.Cardiac rehabilitation (rehab) is a medically supervised program to help people who have a heart attack, angioplasty or coronary artery bypass grafting... (Source: What's New on MedlinePlus)...
POSTED 08/24/2010 at 11:00 PM --
|
Financial Consequences of Implementing a Partner-in-Care in Cardiac Surgery [ORIGINAL ARTICLES: ADULT CARDIAC]
Conclusions
After implementation of SAT program, fewer patients of lower complexity came to the AMC from the SAT area, and there was a significant increase in nursing workload and costs. During this interval, hospital margin for cardiac operations decreased from both referral areas but decreased significantly more for coronary artery bypass graft patients from the SAT area. (Source: The Annals of Thoracic Surgery)...
POSTED 08/24/2010 at 03:35 PM --
|
Massive Coronary Subclavian Steal Syndrome [CASE REPORTS]
We present a 60-year-old man with cerebrovascular and peripheral artery disease and a documented massive coronary subclavian steal syndrome, which impaired cardiopulmonary bypass weaning after multiple coronary artery bypass with double T-mammary artery graft. (Source: The Annals of Thoracic Surgery)...
POSTED 08/24/2010 at 03:35 PM --
|
Controversies in Oral Antiplatelet Therapy in Patients Undergoing Aortocoronary Bypass Surgery [REVIEW]
Oral antiplatelet therapy with aspirin and clopidogrel is a major strategy to prevent thrombotic events in patients with acute coronary syndromes and patients undergoing percutaneous coronary interventions. Although this therapy is associated with both short- and long-term clinical efficacy, irreversible platelet inhibition and ischemic events associated with premature withdrawal especially in patients treated with drug-eluting stents constitute a particular limitation in patients undergoing surgery. The current review article is focused on the central role of platelets in the occurrence of ischemic events, the significance of antiplatelet therapy, the potential hazards of drug withdrawal in patients needing coronary artery bypass grafting, and future perspectives. (Source: The Annals of T......
POSTED 08/24/2010 at 03:35 PM --
|
