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[PMID]:29205502
[Au] Autor:Rao P; Keenan JB; Rajab TK; Ferng A; Kim S; Khalpey Z
[Ad] Endereço:Sarver Heart Center, University of Arizona, Tucson, Arizona.
[Ti] Título:Intraoperative thermographic imaging to assess myocardial distribution of Del Nido cardioplegia.
[So] Source:J Card Surg;32(12):812-815, 2017 Dec.
[Is] ISSN:1540-8191
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We describe the intraoperative non-invasive use of an infrared (IR) camera to monitor Del Nido cardioplegia delivery in patients undergoing cardiac surgery. Thermal pictures were taken pre- and post-cardioplegia and at timed points after arrest, and compared to readings from a transseptal temperature probe. There was good concordance between the transseptal probe and the IR camera temperature readings. This non-invasive technique, which assesses cardioplegic distribution, may help to determine when additional doses of Del Nido cardioplegia are required during periods of cardioplegic arrest.
[Mh] Termos MeSH primário: Parada Cardíaca Induzida
Raios Infravermelhos
Monitorização Intraoperatória/métodos
Termografia/métodos
[Mh] Termos MeSH secundário: Idoso
Soluções Cardioplégicas
Tomada de Decisão Clínica
Sistemas de Computação
Ponte de Artéria Coronária
Parada Cardíaca Induzida/métodos
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cardioplegic Solutions)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.13258


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[PMID]:28832794
[Au] Autor:Lopes JB; Santos CCMD
[Ad] Endereço:Faculdade de Medicina da Bahia da Universidade Federal da Bahia (FMB-UFBA), Salvador, BA, Brazil.
[Ti] Título:Coronary Perfusion Pressure during Antegrade Cardioplegia in On-Pump CABG Patients.
[So] Source:Braz J Cardiovasc Surg;32(3):171-176, 2017 May-Jun.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Objective:: The aim of this study was to investigate whether aortic tension estimated by palpation and cardioplegia infusion line pressure provide results equivalent to those obtained with direct aortic intraluminal pressure measurement. Methods:: Sixty consecutive patients who underwent coronary artery bypass graft surgeries with extracorporeal circulation were analyzed. Sanguineous cardioplegic solution in a ratio of 4:1 was administered using a triple lumen antegrade cannula. After crossclamping, cardioplegia was infused and aortic root pressure was recorded by surgeon (A) considering the aortic tension he felt in his fingertips. At the same time, another surgeon (B) recorded his results for the same measurement. Concomitantly, the anesthesiologist recorded intraluminal pressure in the aortic root and the perfusionist recorded delta pressure in cardioplegia infusion line. None of the participants involved in these measurements was allowed to be informed about the values provided by the other examiners. Results:: The Bland-Altman test showed that a considerable variation between aortic wall tension was found as measured by palpation and by intraluminal pressure, with a bias of -9.911±18.75% (95% limits of agreement: -46.7 to 26.9). No strong correlation was observed between intraluminal pressure and cardioplegia line pressure (Spearman's r=0.61, 95% confidence interval 0.5-0.7; P<0.0001). Conclusion:: These findings reinforce that cardioplegia infusion should be controlled by measuring intraluminal pressure, and that palpation and cardioplegia line pressure are inaccurate methods, the latter should always be used to complement intraluminal measurement to ensure greater safety in handling the cardioplegia circuit.
[Mh] Termos MeSH primário: Aorta/fisiopatologia
Ponte de Artéria Coronária/métodos
Circulação Coronária/fisiologia
Parada Cardíaca Induzida/métodos
Reperfusão Miocárdica/métodos
Pressão Venosa/fisiologia
[Mh] Termos MeSH secundário: Idoso
Aorta/cirurgia
Índice de Massa Corporal
Soluções Cardioplégicas/farmacologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Monitorização Intraoperatória/métodos
Variações Dependentes do Observador
Palpação
Estudos Prospectivos
Valores de Referência
Reprodutibilidade dos Testes
Estatísticas não Paramétricas
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cardioplegic Solutions)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE


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[PMID]:28537978
[Au] Autor:Park WK; Kim HS; Kim SH; Jung JR; Lynch C; Min NH
[Ad] Endereço:From the *Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea; †Department of Food Science and Technology, Jungwon University, Chungbuk Province, Korea; and ‡Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia.
[Ti] Título:Intralipid Restoration of Myocardial Contractions Following Bupivacaine-Induced Asystole: Concentration- and Time-Dependence In Vitro.
[So] Source:Anesth Analg;125(1):91-100, 2017 Jul.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The concentration- and time-response relationships of lipid emulsion (LE; Intralipid) on the recovery of myocardial contractility following bupivacaine (BPV)-induced asystole are poorly defined. METHODS: After achieving asystole by 500-µM BPV, varied concentrations of LE were applied to determine the recovery of stimulated contractile responses and contractions in the cardiac tissues of guinea pigs at a 1.2-Hz stimulation rate. These experiments were performed with LE in either a recirculating (2%-16%) or washout (nonrecirculating) condition (0.05%-12%) for 60 minutes. The effect of LE itself (0.05%-12%) was examined. Oxfenicine was used to evaluate the metabolic action of LE to reverse asystole. BPV concentrations in solution and myocardial tissues were measured. RESULTS: In the recirculation condition, partial recovery of contractile forces was observed for 60 minutes at 4%, 8%, and 12% LE. A contracture followed after exposure to 16% LE in some asystolic muscles. In the washout experiments, following asystole, LE (0.05%-12%) had no effect on the recovery time of the first and regular contractile responses. LE (0.1%-8%) restored contractility to baseline levels after 45 minutes; partial recovery was shown with lower (0.05%) and higher (12%) concentrations. Oxfenicine did not alter the recovery of contractile forces. Contractile depression was observed with 12% LE alone. Concentration-related reduction of tissue BPV concentration by LE was observed in both circulating conditions. CONCLUSIONS: LE induced time- and concentration-dependent recovery of stimulated myocardial contractions from BPV-induced asystole. The lipid uptake effect, along with other undefined mechanisms of LE, seems to contribute to the recovery of contractile function; however, the LE effect on myocardial metabolism is less likely involved at this concentration (500 µM) of BPV.
[Mh] Termos MeSH primário: Bupivacaína/efeitos adversos
Parada Cardíaca/induzido quimicamente
Coração/efeitos dos fármacos
Lipídeos/farmacologia
Contração Miocárdica/efeitos dos fármacos
[Mh] Termos MeSH secundário: Anestésicos Locais/efeitos adversos
Animais
Pressão Sanguínea
Emulsões/farmacologia
Emulsões Gordurosas Intravenosas/farmacologia
Glicina/administração & dosagem
Glicina/análogos & derivados
Cobaias
Parada Cardíaca Induzida/métodos
Masculino
Miocárdio/metabolismo
Fosfolipídeos/farmacologia
Ratos Sprague-Dawley
Óleo de Soja/farmacologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Local); 0 (Emulsions); 0 (Fat Emulsions, Intravenous); 0 (Lipids); 0 (Phospholipids); 0 (soybean oil, phospholipid emulsion); 7UYG7X0F53 (4-hydroxyphenylglycine); 8001-22-7 (Soybean Oil); TE7660XO1C (Glycine); Y8335394RO (Bupivacaine)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002124


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[PMID]:28492789
[Au] Autor:Ramani J; Malhotra A; Wadhwa V; Sharma P; Garg P; Tarsaria M; Pandya H
[Ad] Endereço:Department of Cardiovascular and Thoracic Surgery of U.N. Mehta Institute of Cardiology and Research Center (Affiliated to B.J. Medical College), Civil hospital Campus, Asarwa, Ahmedabad, India.
[Ti] Título:Single-Dose Lignocaine-Based Blood Cardioplegia in Single Valve Replacement Patients.
[So] Source:Braz J Cardiovasc Surg;32(2):90-95, 2017 Mar-Apr.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE:: Myocardial protection is the most important in cardiac surgery. We compared our modified single-dose long-acting lignocaine-based blood cardioplegia with short-acting St Thomas 1 blood cardioplegia in patients undergoing single valve replacement. METHODS:: A total of 110 patients who underwent single (aortic or mitral) valve replacement surgery were enrolled. Patients were divided in two groups based on the cardioplegia solution used. In group 1 (56 patients), long-acting lignocaine based-blood cardioplegia solution was administered as a single dose while in group 2 (54 patients), standard St Thomas IB (short-acting blood-based cardioplegia solution) was administered and repeated every 20 minutes. All the patients were compared for preoperative baseline parameters, intraoperative and all the postoperative parameters. RESULTS:: We did not find any statistically significant difference in preoperative baseline parameters. Cardiopulmonary bypass time were 73.8±16.5 and 76.4±16.9 minutes (P=0.43) and cross clamp time were 58.9±10.3 and 66.3±11.2 minutes (P=0.23) in group 1 and group 2, respectively. Mean of maximum inotrope score was 6.3±2.52 and 6.1±2.13 (P=0.65) in group 1 and group 2, respectively. We also did not find any statistically significant difference in creatine-phosphokinase-MB (CPK-MB), Troponin-I levels, lactate level and cardiac functions postoperatively. CONCLUSION:: This study proves the safety and efficacy of long-acting lignocaine-based single-dose blood cardioplegia compared to the standard short-acting multi-dose blood cardioplegia in patients requiring the single valve replacement. Further studies need to be undertaken to establish this non-inferiority in situations of complex cardiac procedures especially in compromised patients.
[Mh] Termos MeSH primário: Soluções Cardioplégicas/administração & dosagem
Parada Cardíaca Induzida/métodos
Implante de Prótese de Valva Cardíaca/métodos
Lidocaína/administração & dosagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Valva Aórtica/cirurgia
Bicarbonatos/administração & dosagem
Cloreto de Cálcio/administração & dosagem
Creatina Quinase/sangue
Feminino
Seres Humanos
Ácido Láctico/sangue
Magnésio/administração & dosagem
Masculino
Meia-Idade
Valva Mitral/cirurgia
Período Pós-Operatório
Cloreto de Potássio/administração & dosagem
Estudos Prospectivos
Cloreto de Sódio/administração & dosagem
Resultado do Tratamento
Troponina I/sangue
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Bicarbonates); 0 (Cardioplegic Solutions); 0 (St. Thomas' Hospital cardioplegic solution); 0 (Troponin I); 33X04XA5AT (Lactic Acid); 451W47IQ8X (Sodium Chloride); 660YQ98I10 (Potassium Chloride); 98PI200987 (Lidocaine); EC 2.7.3.2 (Creatine Kinase); I38ZP9992A (Magnesium); M4I0D6VV5M (Calcium Chloride)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE


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[PMID]:28409155
[Au] Autor:Wang J; Xiang B; Deng J; Lin HY; Freed DH; Arora RC; Tian G
[Ad] Endereço:Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, China.
[Ti] Título:Preservation of Myocardial Perfusion and Function by Keeping Hypertrophied Heart Empty and Beating for Valve Surgery: An In Vivo MR Study of Pig Hearts.
[So] Source:Biomed Res Int;2017:4107587, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:. Normothermic hyperkalemic cardioplegia arrest (NHCA) may not effectively preserve hypertrophied myocardium during open-heart surgery. Normothermic normokalemic beating perfusion (NNBP), keeping hearts empty-beating, was utilized as an alternative to evaluate its cardioprotective role. . Twelve hypertrophied pig hearts at 58.6 ± 7.2 days after ascending aorta banding underwent NNBP and NHCA, respectively. Near infrared myocardial perfusion imaging with indocyanine green (ICG) was conducted to assess myocardial perfusion. Left ventricular (LV) contractile function was assessed by cine MRI. TUNEL staining and western blotting for caspase-3 cleavage and cardiac troponin I (cTnI) degradation were conducted in LV tissue samples. . Ascending aortic diameter was reduced by 52.7% ± 0.4% at approximately fifty-eight days after banding. LV wall thickness was significantly higher in aorta banding than in sham operation. Myocardial blood flow reflected by maximum ICG absorbance value was markedly higher in NNBP than in NHCA. The amount of apoptotic cardiomyocyte was significantly lower in NNBP than in NHCA. NNBP alleviated caspase-3 cleavage and cTnI degradation associated with NHCA. NNBP displayed a substantially increased postoperative ejection fraction relative to NHCA. . NNBP was better than NHCA in enhancing myocardial perfusion, inhibiting cardiomyocyte apoptosis, and preserving LV contractile function for hypertrophied hearts.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/métodos
Cardiomegalia/cirurgia
Hipertrofia Ventricular Esquerda/cirurgia
Imagem de Perfusão do Miocárdio
[Mh] Termos MeSH secundário: Animais
Cardiomegalia/diagnóstico por imagem
Cardiomegalia/fisiopatologia
Coração/diagnóstico por imagem
Coração/fisiopatologia
Parada Cardíaca Induzida/métodos
Ventrículos do Coração/fisiopatologia
Ventrículos do Coração/cirurgia
Seres Humanos
Hipertrofia Ventricular Esquerda/diagnóstico por imagem
Hipertrofia Ventricular Esquerda/fisiopatologia
Contração Miocárdica/fisiologia
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1155/2017/4107587


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[PMID]:28329266
[Au] Autor:Tarui T; Watanabe G; Ishikawa N; Kiuchi R
[Ad] Endereço:Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
[Ti] Título:Hyperkalemic arrest and the aortic no-touch technique in minimally invasive atrial septal defect closure in adults.
[So] Source:Interact Cardiovasc Thorac Surg;24(5):799-801, 2017 May 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:To avoid aortic cross-clamping and cardioplegic ischaemia, we propose the induction of hyperkalemic arrest and using aortic no-touch technique in minimally invasive atrial septal defect (ASD) closure. Twenty-eight patients were included in this study. After establishment of cardiopulmonary bypass, potassium was administered to induce hyperkalemic arrest. The mean dose of injected potassium was 1.2 ± 0.45 mEq/kg. Following the direct closure of the ASD, potassium was filtered out using a hemodialyzer. At the end of the operation, serum potassium was normalized to 4.1 ± 0.5 mEq/l. The mean arrest time was 11 ± 4.4 min without complications. Hyperkalemic arrest in combination with aortic no-touch technique is safe and efficacious in minimally invasive ASD closure.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/métodos
Parada Cardíaca Induzida/métodos
Comunicação Interatrial/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Potássio/administração & dosagem
[Mh] Termos MeSH secundário: Adulto
Aorta Torácica
Feminino
Seres Humanos
Hiperpotassemia/induzido quimicamente
Injeções Intravenosas
Masculino
Tato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
RWP5GA015D (Potassium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivw384


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[PMID]:28327076
[Au] Autor:De Palo M; Guida P; Mastro F; Nanna D; Quagliara TA; Rociola R; Lionetti G; Paparella D
[Ad] Endereço:Department of Emergency and Organ Transplant, Division of Cardiac Surgery, University of Bari Aldo Moro, Bari, Italy.
[Ti] Título:Myocardial protection during minimally invasive cardiac surgery through right mini-thoracotomy.
[So] Source:Perfusion;32(3):245-252, 2017 Apr.
[Is] ISSN:1477-111X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Myocardial damage is an independent predictor of adverse outcome following cardiac surgery and myocardial protection is one of the key factors to achieve successful outcomes. Cardioplegia with Custodiol is currently the most used cardioplegia during minimally invasive cardiac surgery (MICS). Different randomized controlled trials compared blood and Custodiol cardioplegia in the context of traditional cardiac surgery. No data are available for MICS. AIM: The aim of this study was to compare the efficacy of cold blood versus Custodiol cardioplegia during MICS. METHOD: We retrospectively evaluated 90 patients undergoing MICS through a right mini-thoracotomy in a three-year period. Myocardial protection was performed using cold blood (44 patients, CBC group) or Custodiol (46 patients, Custodiol group) cardioplegia, based on surgeon preference and complexity of surgery. RESULTS: The primary outcomes were post-operative cardiac troponin I (cTnI) and creatine kinase MB (CKMB) serum release and the incidence of Low Cardiac Output Syndrome (LCOS). Aortic cross-clamp and cardiopulmonary bypass times were higher in the Custodiol group. No difference was observed in myocardial injury enzyme release (peak cTnI value was 18±46 ng/ml in CBC and 21±37 ng/ml in Custodiol; p=0.245). No differences were observed for mortality, LCOS, atrial or ventricular arrhythmias onset, transfusions, mechanical ventilation time duration, intensive care unit and total hospital stay. CONCLUSIONS: Custodiol and cold blood cardioplegic solutions seem to assure similar myocardial protection in patients undergoing cardiac surgery through a right mini-thoracotomy approach.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/métodos
Soluções Cardioplégicas/uso terapêutico
Parada Cardíaca Induzida/métodos
Coração/fisiopatologia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Toracotomia/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Arritmias Cardíacas/sangue
Arritmias Cardíacas/etiologia
Arritmias Cardíacas/fisiopatologia
Arritmias Cardíacas/prevenção & controle
Transfusão de Sangue/métodos
Baixo Débito Cardíaco/sangue
Baixo Débito Cardíaco/etiologia
Baixo Débito Cardíaco/fisiopatologia
Baixo Débito Cardíaco/prevenção & controle
Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Creatina Quinase Forma MB/sangue
Feminino
Glucose/uso terapêutico
Coração/efeitos dos fármacos
Coração/fisiologia
Seres Humanos
Masculino
Manitol/uso terapêutico
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Cloreto de Potássio/uso terapêutico
Procaína/uso terapêutico
Estudos Retrospectivos
Toracotomia/efeitos adversos
Troponina I/sangue
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bretschneider cardioplegic solution); 0 (Cardioplegic Solutions); 0 (Troponin I); 3OWL53L36A (Mannitol); 4Z8Y51M438 (Procaine); 660YQ98I10 (Potassium Chloride); EC 2.7.3.2 (Creatine Kinase, MB Form); IY9XDZ35W2 (Glucose)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170509
[Lr] Data última revisão:
170509
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1177/0267659116679249


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[PMID]:28303868
[Au] Autor:Belov YV; Nechaenko MA; Ivanov VA; Fedorov DN; Kiprensky AY
[Ad] Endereço:B.V. Petrovsky Russian Research Center of Surgery, Moscow.
[Ti] Título:[Diagnostics and surgical tactics for papillary fibroelastomas of the heart].
[Ti] Título:Diagnostika i khirurgicheskaya taktika pri papillyarnykh fibroelastomakh serdtsa..
[So] Source:Khirurgiia (Mosk);(2):10-20, 2017.
[Is] ISSN:0023-1207
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To investigate clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart. MATERIAL AND METHODS: Clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart were analyzed in 12 patients. RESULTS: Diagnosis was obtained using two-dimensional echocardiography and transesophageal echocardiography or computed tomography. Surgical treatment involved isolated excision of the tumor or combined with valve repair or replacement in case of valvular involvement. Hospital mortality was absent. CONCLUSION: Successful surgical treatment implies urgency, optimal exposition under hypothermic perfusion and pharmaco-cold cardioplegia, simple excision of the tumors and correction of comorbidities if it is necessary.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos
Neoplasias Cardíacas
Valvas Cardíacas
Neoplasias Fibroepiteliais
Músculos Papilares
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Procedimentos Cirúrgicos Cardíacos/métodos
Dissecação/métodos
Ecocardiografia Transesofagiana/métodos
Feminino
Parada Cardíaca Induzida/métodos
Neoplasias Cardíacas/patologia
Neoplasias Cardíacas/cirurgia
Valvas Cardíacas/diagnóstico por imagem
Valvas Cardíacas/patologia
Valvas Cardíacas/cirurgia
Seres Humanos
Masculino
Meia-Idade
Neoplasias Fibroepiteliais/patologia
Neoplasias Fibroepiteliais/cirurgia
Avaliação de Processos e Resultados (Cuidados de Saúde)
Músculos Papilares/diagnóstico por imagem
Músculos Papilares/patologia
Músculos Papilares/cirurgia
Federação Russa
Tempo para o Tratamento
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2017210-20


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[PMID]:28291141
[Au] Autor:Hashim SW; Pang PY
[Ad] Endereço:From the *Section of Cardiac Surgery, Yale University School of Medicine, New Haven, CT USA; and †Department of Cardiothoracic Surgery, National Heart Centre, Singapore, Singapore.
[Ti] Título:Antegrade Cardioplegia Decannulation Using the COR-KNOT System in Minimally Invasive Mitral Valve Surgery.
[So] Source:Innovations (Phila);12(2):150-151, 2017 Mar/Apr.
[Is] ISSN:1559-0879
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A right mini-thoracotomy approach may be used for mitral valve repair without compromising clinical outcomes. Compared with conventional sternotomy, there is an increased distance to the cardiac structures from the mini-thoracotomy incision, which makes certain technical acts more demanding. One particular challenge is hemostasis at the antegrade cardioplegia cannula site. We propose a novel technique to remove an antegrade cardioplegia cannula using the COR-KNOT system. This technique negates the need for tying with a knot pusher and reduces the risk of aortic injury and troublesome bleeding.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/instrumentação
Parada Cardíaca Induzida/métodos
Insuficiência da Valva Mitral/cirurgia
Estenose da Valva Mitral/cirurgia
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Cardíacos/métodos
Cateterismo
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos
Toracotomia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1097/IMI.0000000000000346


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[PMID]:28190549
[Au] Autor:Pourmoghadam KK; Ruzmetov M; O'Brien MC; Piggott KD; Plancher G; Narasimhulu SS; Benjamin T; Decampli WM
[Ad] Endereço:Department of Pediatric Cardiovascular Surgery, Arnold Palmer Hospital for Children, Orlando, Florida; University of Central Florida, College of Medicine, Orlando, Florida. Electronic address: kamal.pourmoghadam@orlandohealth.com.
[Ti] Título:Comparing del Nido and Conventional Cardioplegia in Infants and Neonates in Congenital Heart Surgery.
[So] Source:Ann Thorac Surg;103(5):1550-1556, 2017 May.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to evaluate outcome measures after the use of del Nido (dN) cardioplegia compared with conventional multidose high-potassium (non-dN) cardioplegia in neonates and infants. METHODS: We retrospectively analyzed data in patients, aged younger than 1 year, undergoing cardiopulmonary bypass (CPB) from January 2012 to August 2015. We changed our cardioplegia protocol from non-dN to dN administered in a single or infrequently dosed strategy in September 2013. The outcomes of the dN group (n = 107) are compared with the non-dN group (n = 118). We analyzed variables for demographic, intraoperative, early postoperative, and discharge variables. RESULTS: The two groups were similar in age, weight, height, CPB, and cross-clamp time; preoperative and postoperative echocardiographic systolic functions; first 24-hour postoperative urine output and inotropic score; length of stay; and mortality rate. The Society of Thoracic Surgeons/European Association for Cardio-Thoracic Surgery Congenital Heart Surgery (STAT) mortality category was significantly higher in the dN group (p = 0.03). The cardioplegia dosing interval was lower for the non-dN group (p < 0.001). The volume and doses of cardioplegia per patient were significantly higher in the non-dN group (p < 0.001). In a subanalysis, when the Norwood patients were excluded from both groups, the overall STAT mortality category difference was no longer significant. The demographic, early postoperative, and discharge variables still showed no significant difference when the two groups were compared. CONCLUSIONS: Similar outcomes can be achieved with less frequent interruption of the operation and lower volume of cardioplegia when using dN cardioplegia solution compared with conventional cardioplegia. The dN cardioplegia with extended ischemic interval can be used as an alternative strategy in the neonatal and infant population during cardiac operations.
[Mh] Termos MeSH primário: Soluções Cardioplégicas/química
Parada Cardíaca Induzida/métodos
Cardiopatias Congênitas/cirurgia
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Cardíacos
Soluções Cardioplégicas/administração & dosagem
Soluções Cardioplégicas/efeitos adversos
Feminino
Cardiopatias Congênitas/mortalidade
Seres Humanos
Lactente
Recém-Nascido
Masculino
Potássio/administração & dosagem
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cardioplegic Solutions); RWP5GA015D (Potassium)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE



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