Intrathoracic fire during preparation of the left internal thoracic artery for coronary artery bypass grafting
We report a case in which an intrathoracic fire developed following an air leak combined with high pressure oxygen ventilation in a patient with severe chronic obstructive pulmonary disease. The patient presented to our institution with diffuse coronary artery disease and angina pectoris. He was treated with coronary artery bypass graft surgery, including left internal thoracic artery harvesting. Additionally to this rare presentation of an intrathoracic fire, a brief review of surgical fires is included to this paper. (Source: Journal of Cardiothoracic Surgery)...
POSTED 03/09/2010 at 06:00 PM --
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Health-Related Quality of Life After Coronary Artery Bypass Grafting: A Review of Randomized Controlled Trials
Objective outcome measures (i.e., survival, mortality, morbidity, complication rate, symptom recurrence, and need for re-interventions) have long been used as benchmarks for successful cardiac surgery, including coronary artery bypass grafting (CABG). Along with these objectively measurable outcome indicators, acquired improvement by cardiac surgery in subjectively experienced health-related quality of life (HRQoL) has gained importance during the last decade in cardiac surgical research. If an increasing proportion of adult patients referred for CABG are elderly, octogenarians or even nonagenarians, the acquired HRQoL benefit from bypass surgery should be considered to be at least as important an outcome measure as potentially marginal improvement in life expectancy or longevity alone. To......
POSTED 03/09/2010 at 06:00 PM --
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Yellow nail syndrome following thoracic surgery: A new association?
Banta D P, Dandamudi N, Parekh H J, Anholm J DJournal of Postgraduate Medicine 2009 55(4):270-271An 80-year-old man presented with the characteristic triad of yellow nail syndrome (chronic respiratory disorders, primary lymphedema and yellow nails) in association with coronary artery bypass graft surgery. Treatment with mechanical pleurodesis and vitamin E resulted in near complete resolution of the yellow nails, pleural effusions, and lower extremity edema. The etiology of the yellow nail syndrome has been described as an anatomical or functional lymphatic abnormality. Several conditions have previously been described as associated with this disease. This is the first report of the association of this syndrome with thoracic surgery. (Source: Journal of Postgraduate Medicine)...
POSTED 03/09/2010 at 10:15 AM --
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'Biological bypass' for heart disease
A new method of growing arteries could lead to a "biological bypass"or a non-invasive way to treat coronary artery disease, Yale School of Medicine scientists report with their colleagues in the recent issue of Journal of Clinical Investigation. Coronary arteries can become blocked with plaque, leading to a decrease in the supply of blood and oxygen to the heart. Over time this blockage can lead to debilitating chest pain or heart attack. Severe blockages in multiple major vessels may require coronary artery bypass graft surgery, a major invasive surgery........ (Source: Medicineworld.org: New Article Alert)...
POSTED 03/09/2010 at 08:04 AM --
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New Method To Grow Arteries Could Lead To 'Biological Bypass' For Heart Disease
A new method of growing arteries could lead to a "biological bypass" - or a non-invasive way to treat coronary artery disease, Yale School of Medicine researchers report with their colleagues in the April issue of Journal of Clinical Investigation. Coronary arteries can become blocked with plaque, leading to a decrease in the supply of blood and oxygen to the heart. Over time this blockage can lead to debilitating chest pain or heart attack. Severe blockages in multiple major vessels may require coronary artery bypass graft surgery, a major invasive surgery... (Source: Health News from Medical News Today)...
POSTED 03/09/2010 at 07:00 AM --
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Effectiveness and Safety of Drug-Eluting Stents in Vein Grafts: A Meta-Analysis
Drug-eluting stent (DES) use in occluded vein grafts is not standard practice but is used off-label. Is the existing data sufficient to indicate DES over bare metal stents post CABG? American Heart Journal (Source: Medscape Today Headlines)...
POSTED 03/08/2010 at 06:04 AM --
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Pre-Surgery C-Reactive Protein Linked to Long-Term Mortality
Surgical patients undergoing primary, non-emergent coronary artery bypass graft-only surgery with
elevated preoperative levels of C-reactive protein are at heightened risk for longer hospital stays and long-term
mortality, according to a study in the March issue of Anesthesiology. (Source: Modern Medicine)...
POSTED 03/07/2010 at 06:00 PM --
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Catastrophic Right Ventricular Rupture Prevented by Coincident Coronary Artery Bypass Grafting: The Pivotal Role of Cardiac Magnetic Resonance Imaging.
Authors: Farber NJ, Biederman RW
WEB SITE FEATURE.
PMID: 20200646 [PubMed - as supplied by publisher] (Source: Texas Heart Institute Journal)...
POSTED 03/06/2010 at 05:20 PM --
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Trends During 1993-2004 in the Availability and Use of Revascularization After Acute Myocardial Infarction in Markets Affected by Certificate of Need Regulations
This study examines trends in the diffusion of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) during 1993-2004 for patients with acute myocardial infarction in markets with and without Certificate of Need (CON) regulations for open-heart surgery or cardiac catheterization and in markets that repealed CON for either of these procedures. In contrast to prior studies, this study accounts for regional hospital markets that cross state boundaries—often with different CON activities in each state. The overall use of CABG increased modestly throughout the 1990s and subsequently decreased, corresponding to a dramatic increase in PCI. There was a greater rise in the number of CABG programs in markets with significant reduction in CON regulations during 1993-2......
POSTED 03/04/2010 at 05:55 PM --
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Correlation Between the European System for Cardiac Operative Risk Evaluation and Sexual Function After Coronary Artery Bypass Graft Surgery
Conclusions. There is an inverse correlation between the components of EuroSCORE and the IIEF-5 score. Patients with higher EuroSCORE had lower IIEF-5 scores and vice versa.The EuroSCORE is a useful, quick, and inexpensive tool that allows prediction of ED in those patients with coronary artery disease patients who are undergoing CABG. Mohamed OA, Hamed HA, Roaiah MF, Helmy T, Mahran A, and Bennett CJ. Correlation between the European System for Cardiac Operative Risk Evaluation and sexual function after coronary artery bypass graft surgery. J Sex Med **;**:**[ndash]**. (Source: The Journal of Sexual Medicine)...
POSTED 03/03/2010 at 06:00 PM --
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On-Pump versus Off-Pump CABG
To the Editor: In the Veterans Affairs Randomized On/Off Bypass (ROOBY) trial, Shroyer et al. (Nov. 5 issue)1 assigned 2203 ... (Source: New England Journal of Medicine)...
POSTED 03/02/2010 at 06:00 PM --
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The -251A>T polymorphism of interleukin-8 is associated with longer mechanical ventilation and hospital staying after coronary surgery.
Conclusions: OPCAB results in post-operative inflammatory responses. Genetic backgrounds alter the extent of inflammatory response and might relate to clinical outcome of OPCAB.
PMID: 20206550 [PubMed - as supplied by publisher] (Source: Cytokine)...
POSTED 03/02/2010 at 06:00 PM --
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Intravenous levosimendan-norepinephrine combination during off-pump coronary artery bypass grafting in a hemodialysis patient with severe myocardial dysfunction
This the case of a 63 year-old man with end-stage renal disease (on chronic hemodialysis), unstable angina and significantly impaired myocardial contractility with low left ventricular ejection fraction, who underwent off-pump one vessel coronary bypass surgery. Combined continuous levosimendan and norepinephrine infusion (at 0.07 mug/kg/min and 0.05 mug/kg/min respectively) started immediately after anesthesia induction and continued for 24 hours. The levosimendan / norepinephrine combination helped maintain an appropriate hemodynamic profile, thereby contributing to uneventful completion of surgery and postoperative hemodynamic stability. Although levosimendan is considered contraindicated in ESRD patients, this case report suggests that combined perioperative levosimendan / norepinephri......
POSTED 03/01/2010 at 06:00 PM --
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Chronic stable coronary artery disease: drugs vs. revascularization
Coronary artery disease remains the leading cause of mortality in most industrialized countries, although age-standardized mortality related to coronary artery disease (CAD) has decreased by more than 40% during the last two decades. Coronary atherosclerosis may cause angina pectoris, myocardial infarction, heart failure, arrhythmia, and sudden death. Medical management of atherosclerosis and its manifestation aims at retardation of progression of plaque formation, prevention of plaque rupture, and subsequent events and treatment of symptoms, when these occur as well as treatment of the sequelae of the disease. Revascularization by either percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) is performed as treatment of flow-limiting coronary stenosis to reduce ......
POSTED 03/01/2010 at 02:05 AM --
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Review: Drugs versus revascularisation in chronic stable coronary artery disease
Source: European Heart Journal
Area: News
This review in the European Heart Journal on drug treatment and revascularisation for patients with stable coronary artery disease (CAD) looks at the following:
. Prevalence, incidence, and prognosis of angina pectoris . Pathophysiology of stable coronary artery disease . Medical treatment of coronary artery disease and angina pectori . Revascularisation in stable coronary artery disease . The debate
The authors conclude that all patients with atherosclerosis benefit from life long drug therapy in addition to a healthy lifestyle. Revascularisation exerts favourable effects on symptoms, quality of life, exercise capacity, and survival, particularly in those with extensive CAD and documented mode......
POSTED 02/28/2010 at 06:00 PM --
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The ability of pleth variability index to predict the hemodynamic effects of positive end-expiratory pressure in mechanically ventilated patients under general anesthesia.
CONCLUSIONS: PVI may be useful in automatically and noninvasively detecting the hemodynamic effects of PEEP when V(T) is >8 mL/kg in ventilated and sedated patients with acceptable sensitivity and specificity.
PMID: 20185658 [PubMed - in process] (Source: Anesthesia and Analgesia)...
POSTED 02/28/2010 at 06:00 PM --
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Timing of nonemergent coronary artery bypass grafting and mortality after non-ST elevation acute coronary syndrome
Conclusions: Time from admission to CABG was not associated with an increased risk of short-term mortality. However, there was a trend toward increased mortality with early CABG, and this study does not exclude the presence of a modest risk association between timing of CABG and short-term mortality. (Source: American Heart Journal)...
POSTED 02/28/2010 at 06:00 PM --
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CRT: In-hospital death rates decline for PCI, CABG
Washington, D.C.—The age-adjusted in-hospital mortality rate from both PCI and CABG has declined to its lowest level in 2004, according to two separate studies presented at the Cardiovascular Research Technologies (CRT) meeting last week. (Source: Cardiovascular Business News)...
POSTED 02/26/2010 at 08:44 PM --
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Low cardiopulmonary bypass perfusion temperatures are associated with acute kidney injury following coronary artery bypass surgery [Original articles]
Conclusions: Lower CPB perfusion temperatures are significantly associated with AKI following CABG. In addition to the known age-related decline in renal function, it appears that hypothermia may contribute to renal injury during cardiac surgery. (Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 02/26/2010 at 04:01 PM --
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Incidence and prediction of permanent neurological deficits after cardiac surgery -- are the existing models of prediction truly global? [Original articles]
Conclusion: PND after cardiac operation is associated with a high mortality and poor prognosis. The incidence of PND varies depending on the procedure. Predictive models of neurological injury post-cardiac surgery should be more centre-specific. (Source: European Journal of Cardio-Thoracic Surgery)...
POSTED 02/26/2010 at 04:01 PM --
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