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[PMID]: 29205510 [Au] Autor: Ak K; Hamidov A; Ileri C; Tigen K; Isbir S; Arsan S [Ad] Endereço: Department of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey. [Ti] Título: Correction of cortriatriatum sinister with classical Raghib's complex using an extracardiac conduit. [So] Source: J Card Surg;32(11):729-731, 2017 Nov. [Is] ISSN: 1540-8191 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: We present a 32-year-old patient with cortriatriatum sinister with Raghib's complex (a left persistent superior vena cava draining into the left atrium with an absent coronary sinus and an atrial septal defect [ASD]) who underwent successful surgical correction with excision of the cortriatriatum, closure of the ASD, and establishing the drainage of the persistent left superior vena cava to the right atrium via interposition of an extracardiac 13-mm ringed polytetrafluoroethylene conduit. [Mh] Termos MeSH primário: Anormalidades Múltiplas/cirurgia Procedimentos Cirúrgicos Cardiovasculares/métodos Seio Coronário/cirurgia Átrios do Coração/cirurgia Cardiopatias Congênitas/cirurgia Comunicação Interatrial/cirurgia Veia Cava Superior/cirurgia [Mh] Termos MeSH secundário: Anormalidades Múltiplas/diagnóstico por imagem Adulto Seio Coronário/anormalidades Seio Coronário/diagnóstico por imagem Ecocardiografia Transesofagiana Feminino Átrios do Coração/anormalidades Átrios do Coração/diagnóstico por imagem Cardiopatias Congênitas/diagnóstico por imagem Comunicação Interatrial/diagnóstico por imagem Seres Humanos Politetrafluoretileno Resultado do Tratamento Veia Cava Superior/anormalidades Veia Cava Superior/diagnóstico por imagem [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 9002-84-0 (Polytetrafluoroethylene) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180227 [Lr] Data última revisão: 180227 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE [do] DOI: 10.1111/jocs.13240

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[PMID]: 29173605 [Au] Autor: Yamashita M; Kamiya K; Matsunaga A; Kitamura T; Hamazaki N; Matsuzawa R; Nozaki K; Tanaka S; Nakamura T; Maekawa E; Masuda T; Ako J; Miyaji K [Ad] Endereço: Department of Rehabilitation Sciences, Kitasato University, Graduate School of Medical Sciences, Sagamihara, Japan. [Ti] Título: Prognostic Value of Psoas Muscle Area and Density in Patients Who Undergo Cardiovascular Surgery. [So] Source: Can J Cardiol;33(12):1652-1659, 2017 Dec. [Is] ISSN: 1916-7075 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Low skeletal muscle density, determined using computed tomography (CT), has yet to be examined in terms of muscle function and prognostic capability in patients who require open cardiovascular surgery. This study was performed to examine whether psoas muscle area and density, determined using CT, are associated with postoperative mortality in patients who undergo cardiovascular surgery. METHODS: We reviewed the findings in 773 consecutive patients who underwent preoperative CT imaging, including the level of the third lumbar vertebra for clinical purposes. We measured grip strength, gait speed, and 6-minute walking distance to assess muscle function before hospital discharge. Skeletal muscle area was calculated from psoas muscle cross-sectional area (in squared centimeters) on preoperative CT images at the level of the third lumbar vertebra divided by the square of the patient's height in metres to give the skeletal muscle index (SMI). Skeletal muscle density determined by muscle attenuation (MA) was calculated by measuring the average Hounsfield units of the psoas muscle cross-sectional area. RESULTS: The mean age of the study population was 65.0 ± 13.1 years, and 64.7% of the patients were male. Multivariate logistic regression analysis and multivariate Cox regression analysis showed that low MA, but not SMI, was significantly associated with muscle function, and all-cause mortality (P < 0.05). Kaplan-Meier analysis showed that low MA, but not low SMI, predicted mortality (P = 0.014). CONCLUSIONS: Low skeletal muscle density, but not skeletal muscle area, predicted poorer muscle function and mortality in patients who undergo cardiac surgery. [Mh] Termos MeSH primário: Doenças Cardiovasculares/cirurgia Procedimentos Cirúrgicos Cardiovasculares Músculos Psoas/diagnóstico por imagem Sarcopenia/complicações [Mh] Termos MeSH secundário: Idoso Doenças Cardiovasculares/complicações Doenças Cardiovasculares/mortalidade Estudos Transversais Feminino Seres Humanos Incidência Japão/epidemiologia Masculino Meia-Idade Período Pré-Operatório Prognóstico Estudos Retrospectivos Sarcopenia/diagnóstico Sarcopenia/epidemiologia Taxa de Sobrevida/tendências Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171204 [Lr] Data última revisão: 171204 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171128 [St] Status: MEDLINE

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[PMID]: 28916673 [Au] Autor: Cho SM; Deshpande A; Pasupuleti V; Hernandez AV; Uchino K [Ad] Endereço: From the Cerebrovascular Center, Neurological Institute (S.-M.C., K.U.) and Medicine Institute (A.D.), Cleveland Clinic, OH; ProEd Communications Inc, Cleveland, OH (V.P.); School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Peru (A.V.H.); School of Pharmacy, University of Connectic [Ti] Título: Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis. [So] Source: Stroke;48(10):2753-2759, 2017 Oct. [Is] ISSN: 1524-4628 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND AND PURPOSE: The incidence of periprocedural brain infarcts varies among cardiovascular procedures. In a systematic review, we compared the ratio of radiographic brain infarcts (RBI) to strokes and transient ischemic attacks across cardiac and vascular procedures. METHODS: We searched MEDLINE and 5 other databases for brain infarcts in aortic valve replacement, coronary artery bypass grafting, cardiac catheterization, and cerebral angiogram through September 2015. We followed the PRISMA (preferred reporting items for systematic reviews and meta-analyses) recommendations. We defined symptomatic rate ratio (RR) as ratio of stroke plus transient ischemic attack rate to RBI rate. RESULTS: Twenty-nine studies involving 2124 subjects met the inclusion criteria. In meta-analysis of aortic valve replacements with 494 people, 69.4% (95% confidence interval (CI), 57.6%-81.4%) had RBIs, whereas 3.6% (95% CI, 2.0%-5.2%) had clinical events (RR, 0.08; 95% CI, 0.05-0.12). Coronary artery bypass grafting among 204 patients had 27.4% (95% CI, 6.0%-48.8%) RBIs and 2.4% (95% CI, 0.3%-4.5%) clinical events (RR, 0.11; 95% CI, 0.05-0.26). Cardiac catheterization among 833 people had 8.0% (95% CI, 4.1%-12.0%) RBIs, and 0.6% (95% CI, 0.1%-1.1%) had clinical events (RR, 0.16; 95% CI, 0.08-0.31). Cerebral angiogram among 593 people had 12.8% (95% CI, 6.6-19.0) RBIs and 0.6% (95% CI, 0%-13%) clinical events (RR, 0.10; 95% CI, 0.04-0.27). The RR of all procedures was 0.10 (95% CI, 0.07-0.13) without differences in the RRs across procedures ( =0.29). CONCLUSIONS: One of 10 people with periprocedural RBIs during cardiac surgeries and invasive vascular diagnostic procedures resulted in strokes or transient ischemic attacks, which may serve as a potential surrogate marker of procedural proficiency and perhaps as a predictor of risk for periprocedural strokes. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardiovasculares/efeitos adversos Angiografia Cerebral/efeitos adversos Infarto Cerebral/diagnóstico por imagem Infarto Cerebral/etiologia [Mh] Termos MeSH secundário: Encéfalo/diagnóstico por imagem Estudos de Coortes Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS; REVIEW [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171009 [Lr] Data última revisão: 171009 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170917 [St] Status: MEDLINE [do] DOI: 10.1161/STROKEAHA.117.017541

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[PMID]: 28792535 [Au] Autor: Stroeder J; Klingele M; Bomberg H; Wagenpfeil S; Buecker A; Schaefers HJ; Katoh M; Minko P [Ad] Endereço: Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany. [Ti] Título: Occurrence and severity of non-occlusive mesenteric ischemia (NOMI) after cardiovascular surgery correlate with preoperatively assessed FGF-23 levels. [So] Source: PLoS One;12(8):e0182670, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To evaluate the value of preoperatively assessed fibroblast growth factor 23 (FGF-23) levels and to correlate FGF-23 with angiographic findings in non-occlusive mesenteric (NOMI) ischemia using a standardized scoring system. MATERIALS AND METHODS: Between 2/2011 and 3/2012 a total of 865 patients (median age: 67 years) underwent cardiovascular surgery during this ethics committee approved, prospective study. 65 of these patients had clinical suspicion of NOMI and consequently underwent catheter angiography of the superior mesenteric artery. Images were assessed using a standardized reporting system (Homburg-NOMI-Score). These data were correlated to following preoperative parameters of kidney function: cystatin C, creatinine, FGF-23 and estimated glomerular filtration rate (eGFR), and outcome data (death, acute renal failure) using linear and logistic regressions, as well as nonparametric tests. RESULTS: Significant correlations were found between FGF-23 and the angiographic appearance of NOMI (p = 0.03). Linear regression analysis showed no significant correlation to the severity of NOMI with creatinine (p = 0.273), cystatin C (p = 0.484), cystatin C eGFR (p = 0.914) and creatinine eGFR (p = 0.380). Logistic regression revealed a significant correlation between death and the Homburg-NOMI-Score (p<0.001), but not between development of NOMI and acute renal failure (p = 0.122). The ROC Analysis yielded an area under the curve of 0.695 (95% CI: 0.627-0.763) with a sensitivity of 0.672 and specificity of 0.658. CONCLUSIONS: FGF-23 significantly correlates with the severity of NOMI, which is in contrast to other renal function parameters. The applied scoring system allows to predict mortality in NOMI patients. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardiovasculares Fatores de Crescimento de Fibroblastos/sangue Isquemia Mesentérica/sangue Isquemia Mesentérica/diagnóstico por imagem [Mh] Termos MeSH secundário: Lesão Renal Aguda/sangue Lesão Renal Aguda/diagnóstico por imagem Lesão Renal Aguda/mortalidade Adulto Idoso Idoso de 80 Anos ou mais Angiografia Biomarcadores/sangue Feminino Taxa de Filtração Glomerular Seres Humanos Masculino Isquemia Mesentérica/mortalidade Meia-Idade Complicações Pós-Operatórias/sangue Complicações Pós-Operatórias/diagnóstico por imagem Complicações Pós-Operatórias/mortalidade Prognóstico Estudos Prospectivos Curva ROC Índice de Gravidade de Doença Resultado do Tratamento Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY [Nm] Nome de substância: 0 (Biomarkers); 0 (fibroblast growth factor 23); 62031-54-3 (Fibroblast Growth Factors) [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170810 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0182670

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[PMID]: 28704502 [Au] Autor: Mukaida H; Hayashida M; Matsushita S; Yamamoto M; Nakamura A; Amano A [Ad] Endereço: Department of Cardiovascular Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan. [Ti] Título: Brain natriuretic peptide (BNP) may play a major role in risk stratification based on cerebral oxygen saturation by near-infrared spectroscopy in patients undergoing major cardiovascular surgery. [So] Source: PLoS One;12(7):e0181154, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: A previous study reported that low baseline cerebral oxygen saturation (ScO2) (≤50%) measured with near-infrared spectroscopy was predictive of poor clinical outcomes after cardiac surgery. However, such findings have not been reconfirmed by others. We conducted the current study to evaluate whether the previous findings would be reproducible, and to explore mechanisms underlying the ScO2-based outcome prediction. METHODS: We retrospectively investigated 573 consecutive patients, aged 20 to 91 (mean ± standard deviation, 67.1 ± 12.8) years, who underwent major cardiovascular surgery. Preanesthetic baseline ScO2, lowest intraoperative ScO2, various clinical variables, and hospital mortality were examined. RESULTS: Bivariate regression analyses revealed that baseline ScO2 correlated significantly with plasma brain natriuretic peptide concentration (BNP), hemoglobin concentration (Hgb), estimated glomerular filtration rate (eGFR), and left ventricular ejection fraction (LVEF) (p < 0.0001 for each). Baseline ScO2 correlated with BNP in an exponential manner, and BNP was the most significant factor influencing ScO2. Logistic regression analyses revealed that baseline and lowest intraoperative ScO2 values, but not relative ScO2 decrements, were significantly associated with hospital mortality (p < 0.05), independent of the EuroSCORE (p < 0.01). Receiver operating curve analysis of ScO2 values and hospital mortality revealed an area under the curve (AUC) of 0.715 (p < 0.01) and a cutoff value of ≤50.5% for the baseline and ScO2, and an AUC of 0.718 (p < 0.05) and a cutoff value of ≤35% for the lowest intraoperative ScO2. Low baseline ScO2 (≤50%) was associated with increases in intubation time, intensive care unit stay, hospital stay, and hospital mortality. CONCLUSION: Baseline ScO2 was reflective of severity of systemic comorbidities and was predictive of clinical outcomes after major cardiovascular surgery. ScO2 correlated most significantly with BNP in an exponential manner, suggesting that BNP plays a major role in the ScO2-based outcome prediction. [Mh] Termos MeSH primário: Encéfalo/irrigação sanguínea Procedimentos Cirúrgicos Cardiovasculares/métodos Monitorização Intraoperatória/métodos Peptídeo Natriurético Encefálico/sangue Consumo de Oxigênio Espectroscopia de Luz Próxima ao Infravermelho/métodos [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Encéfalo/diagnóstico por imagem Procedimentos Cirúrgicos Cardiovasculares/efeitos adversos Feminino Seres Humanos Masculino Meia-Idade Complicações Pós-Operatórias/mortalidade Complicações Pós-Operatórias/prevenção & controle [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE [Nm] Nome de substância: 114471-18-0 (Natriuretic Peptide, Brain) [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170714 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0181154

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[PMID]: 28631316 [Au] Autor: Bowers PJT; Mathur MN [Ad] Endereço: Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia. [Ti] Título: Recannulation of the axillary artery in aortic and complex cardiac surgery. [So] Source: J Card Surg;32(7):422-425, 2017 Jul. [Is] ISSN: 1540-8191 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Axillary artery cannulation has been used as an alternative site for cardiopulmonary bypass during surgery for aortic dissections and aneurysmal disease of the ascending aorta and arch. This study reports our experience with reusing the axillary artery for cardiopulmonary bypass during complex aortic and cardiac surgical procedures. METHODS: This was a retrospective review of a single surgeon's experience of recannulating the axillary artery for redo operations in complex aortic surgery. Seven patients over a 7-year period have undergone recannulation of their axillary arteries. The old Dacron graft stump was either excised and a new graft was anastamosed to the axillary artery or a new end-to-side anastamosis was performed either proximal or distal to the original graft stump. RESULTS: There were no deaths, strokes, or postoperative complications. In one patient, axillary cannulation was aborted intraoperatively due to high-line pressures, suggesting a local dissection. The other patients all had adequate perfusion via the recannulated axillary artery and there were no complications associated with its reuse. CONCLUSIONS: Recannulation of the axillary artery is easily achievable and should be considered in redo aortic and complex cardiac surgery. [Mh] Termos MeSH primário: Aorta/cirurgia Artéria Axilar Procedimentos Cirúrgicos Cardiovasculares/métodos Cateterismo/métodos Reoperação/métodos [Mh] Termos MeSH secundário: Anastomose Cirúrgica Implante de Prótese Vascular Ponte Cardiopulmonar Cateterismo/efeitos adversos Seres Humanos Masculino Meia-Idade Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171005 [Lr] Data última revisão: 171005 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170621 [St] Status: MEDLINE [do] DOI: 10.1111/jocs.13163

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[PMID]: 28631208 [Au] Autor: Kirkpatrick EC; Steltzer J; Simpson P; Pan A; Dragulescu A; Falkensammer CB; Gelehrter S; Lai WW; Levine J; Miller S; Miller TA; Pruetz J; Sachdeva R; Thacker D; Frommelt P [Ad] Endereço: Children's Hospital of Wisconsin, Medical College of Wisconsin, 9000 W. Wisconsin Ave, Milwaukee, WI, 53226, USA. ekirkpatrick@chw.org. [Ti] Título: Pulmonary Vein Doppler Patterns in Infants with Single Right Ventricle Anomalies After Initial Staged Palliations. [So] Source: Pediatr Cardiol;38(6):1288-1295, 2017 Aug. [Is] ISSN: 1432-1971 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The aim of this study was to describe serial changes in echocardiographic Doppler pulmonary vein flow (PVF) patterns in infants with single right ventricle (RV) anomalies enrolled in the Single Ventricle Reconstruction trial. Measurement of PVF peak systolic (S) and diastolic (D) velocities, velocity time integrals (VTI), S/D peak velocity and VTI ratios, and frequency of atrial reversal (Ar) waves were made at three postoperative time points in 261 infants: early post-Norwood, pre-stage II surgery, and 14 months. Indices were compared over time, between initial shunt type [modified Blalock-Taussig shunt (MBTS) and right ventricle-to-pulmonary artery shunt (RVPAS)] and in relation to clinical outcomes. S velocities and VTI increased over time while D wave was stable, resulting in increasing S/D peak velocity and VTI ratios, with a median post-Norwood S/D VTI ratio of 1.14 versus 1.38 at pre-stage II and 1.89 at 14 months (P < 0.0001 between intervals). MBTS subjects had significantly higher S/D peak velocity and VTI ratios compared to RVPAS at the post-Norwood and pre-stage II time points (P < 0.0001) but not by 14 months. PVF patterns did not correlate with survival or hospitalization course at 1 year. PVF patterns after Norwood palliation differ from normal infants by having a dominant systolic pattern throughout infancy. PVF differences based upon shunt type resolve by 14 months and did not correlate with clinical outcomes. This study describes normative values and variations in PVF for infants with a single RV from shunt-dependent pulmonary blood flow to cavopulmonary blood flow. [Mh] Termos MeSH primário: Ecocardiografia Doppler Cardiopatias Congênitas/diagnóstico por imagem Cardiopatias Congênitas/fisiopatologia Cuidados Paliativos Veias Pulmonares/diagnóstico por imagem Veias Pulmonares/fisiopatologia [Mh] Termos MeSH secundário: Anastomose Cirúrgica Procedimento de Blalock-Taussig Procedimentos Cirúrgicos Cardiovasculares Cardiopatias Congênitas/cirurgia Ventrículos do Coração/cirurgia Seres Humanos Lactente Procedimentos de Norwood Artéria Pulmonar/cirurgia Veias Pulmonares/fisiologia Veias Pulmonares/cirurgia Fluxo Sanguíneo Regional/fisiologia Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170621 [St] Status: MEDLINE [do] DOI: 10.1007/s00246-017-1660-3

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[PMID]: 28543642 [Au] Autor: Talwar S; Gupta A; Nehra A; Makhija N; Kapoor PM; Sreenivas V; Choudhary SK; Airan B [Ad] Endereço: Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India. [Ti] Título: Bidirectional superior cavopulmonary anastomosis with or without cardiopulmonary bypass: A randomized study. [So] Source: J Card Surg;32(6):376-381, 2017 Jun. [Is] ISSN: 1540-8191 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: This study aims to compare the bidirectional superior cavopulmonary anastomosis (BDG) with or without cardiopulmonary bypass (CPB). METHODS: 100 patients undergoing BDG were randomized into two groups: Off-CPB or on-CPB groups. All patients underwent near-infrared spectrophotometry (NIRS) and bispectral index (BIS) monitoring and pre- and postoperative serum 100 beta protein measurements (Sß100) and neuro-cognitive evaluation. Postoperative intensive care unit (ICU) parameters were also studied. RESULTS: The median age of patients in the on-CPB and off-CPB group were 42 and 48 months, respectively (p = 0.11). Median weights in the on-CPB group and off-CPB group were 13.5 (5-50) kg and 15 (7-36) kg, respectively (p = 0.927). There was a significant rise in superior vena cava (SVC) pressure on SVC clamping in the off-CPB group (23.12 ± 6.84 vs 2.98 ± 2.22 mmHg) on-CPB group (p < 0.001). There was a significant fall in NIRS and BIS values from baseline in the off-CPB group during the anastomosis but there was no statistically significant change in serum Sß100from pre-clamp to post-clamp in either group. Inotropic support, duration of ventilation, ICU stay, and hospital stay were significantly less in the off-CPB group (p < 0.001). Assessment of Social Adaptive Functioning revealed no adverse sequelae. There were significant cost savings if surgery was performed off-CPB (p < 0.001). CONCLUSION: Off CPB-BDG is an economical and safe procedure. Duration of inotropic and mechanical ventilatory support, ICU, and hospital stay is significantly less. We did not observe any early adverse neurologic sequelae in patients undergoing off-CPB BDG. [Mh] Termos MeSH primário: Anastomose Cirúrgica/métodos Ponte Cardiopulmonar Procedimentos Cirúrgicos Cardiovasculares/métodos Comunicação Interventricular/cirurgia Artéria Pulmonar/cirurgia Veia Cava Superior/cirurgia [Mh] Termos MeSH secundário: Criança Pré-Escolar Feminino Seres Humanos Lactente Unidades de Terapia Intensiva Tempo de Internação Masculino Estudos Prospectivos Respiração Artificial/estatística & dados numéricos Resultado do Tratamento [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171005 [Lr] Data última revisão: 171005 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170526 [St] Status: MEDLINE [do] DOI: 10.1111/jocs.13149

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[PMID]: 28538372 [Au] Autor: Yang F; Zhang L; Huang D; Shen D; Ma Y; Xiong M; Zhang C; Tian M [Ad] Endereço: Department of Cardiology, First Affiliated Hospital of Chinese PLA General Hospital, Beijing, China. [Ti] Título: Detection of very delayed coronary stent fracture using a novel fluoroscopic stent visualization technique against intravascular ultrasound: A case series. [So] Source: Medicine (Baltimore);96(21):e6804, 2017 May. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Stent fracture has received increased concern as it may be an important risk factor for late stent failure, intravascular ultrasound (IVUS) is always recommended to confirm the diagnosis of stent fracture. StentBoost can detect stent fractures more easily due to the enhanced stent strut visibility, compared with coronary angiography (CAG). Few cases were reported to compare the advantages of StentBoost vis-à-vis IVUS in detecting stent fracture. PATIENT CONCERNS: We reported 3 cases that were confirmed the diagnosis of stent fracture by StentBoost, which were preliminarily suspected by angiography, including one case that lacked the IVUS evidence of stent fracture. DIAGNOSES: 3 cases of stent fracture presented with asymptomatic, angina and acute myocardial infarction, respectively. INTERVENTION: Stents were implanted in the patients of case 2 and case 3, but the patient of case 1 was not given any intervention. OUTCOMES: No recurrent angina or myocardial infarction during outpatient follow-up. LESSONS: StentBoost may distinguish partial, complete, or multiple stent fracture, even which sometimes is not obvious in IVUS, StentBoost is a useful and handy tool for identifying the stent struts. [Mh] Termos MeSH primário: Angiografia Coronária Fluoroscopia Stents Ultrassonografia de Intervenção [Mh] Termos MeSH secundário: Idoso Procedimentos Cirúrgicos Cardiovasculares Seres Humanos Masculino Meia-Idade Infarto do Miocárdio/diagnóstico por imagem Infarto do Miocárdio/cirurgia Falha de Prótese [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170626 [Lr] Data última revisão: 170626 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170525 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000006804

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[PMID]: 28528032 [Au] Autor: Sade RM [Ad] Endereço: Department of Surgery, Medical University of South Carolina, Charleston, South Carolina. Electronic address: sader@musc.edu. [Ti] Título: A Surprising Alliance: Two Giants of the 20th Century. [So] Source: Ann Thorac Surg;103(6):2015-2019, 2017 Jun. [Is] ISSN: 1552-6259 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: Alexis Carrel and Charles Lindbergh were among the most famous international figures in the 20th century: Carrel, the surgeon-scientist who won a Nobel prize as a young surgeon, and Lindbergh, the aviator-engineer who pioneered aviation and promoted commercial flight throughout his life. Surprisingly, these two amazing individuals came together to collaborate on the early development of extracorporeal circulation. Their work was interrupted by the onset of World War II, which destroyed one of them and nearly destroyed the other. [Mh] Termos MeSH primário: Aviação/história Procedimentos Cirúrgicos Cardiovasculares/história Comportamento Cooperativo Circulação Extracorpórea/história Pessoas Famosas [Mh] Termos MeSH secundário: França História do Século XIX História do Século XX Seres Humanos Nacional-Socialismo/história Prêmio Nobel Cirurgiões/história Estados Unidos [Pt] Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS [Ps] Nome de pessoa como assunto: Carrel A; Lindbergh C [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170821 [Lr] Data última revisão: 170821 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170522 [St] Status: MEDLINE

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		Pesquisar	no campo
1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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