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[PMID]:29505549
[Au] Autor:Yu H; Li Q; Chen C; Li T; Xiong JY; Qin Z; Luo M; Tan ZX; Liu T; Yu H; Yin XR; Yu H; Zhou RH
[Ad] Endereço:Department of Anesthesiology.
[Ti] Título:Effect of intralipid on myocardial injury during valve replacement surgery with concomitant radiofrequency ablation: A randomized controlled trial.
[So] Source:Medicine (Baltimore);97(1):e9603, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study aimed to evaluate the effect of intralipid postconditioning (ILPC) on myocardial damage in patients undergoing valve replacement surgery with concomitant radiofrequency ablation (RFA) for atrial fibrillation (AF). METHODS: Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing valve replacement surgery with concomitant RFA. Sixty-nine patients were randomly assigned to ILPC group (n = 34) or control group (n = 35): ILPC group received an intravenous infusion of 20% intralipid (2 mL/kg) just 10 minutes before aortic cross-unclamping, and control group received an equivalent volume of normal saline. Serum cardiac troponin-T (cTnT) and creatine kinase-MB (CK-MB) was measured before surgery and at 4, 12, 24, 48, and 72 hours after surgery. The primary endpoints were the 72-hour area under the curve (AUC) for cTnT and CK-MB. RESULTS: The total 72-hour AUC of cTnT (P = .33) and CK-MB (P = .52) were comparable between 2 groups. The left ventricle ejection fraction at discharge (P = .011) was higher in the ILPC group than that in the control group, while the AF recurrence did not differ significantly between 2 groups. CONCLUSIONS: There was no observed beneficial effect of ILPC on myocardial injury documented by the cardiac biomarkers in patients undergoing valve replacement surgery with concomitant RFA, and the effect of intralipid against myocardial I/R injury is undetectable within the background of massive biomarker release following ablation owing to localized myocardial necrosis. Besides, there are no other published data about the cardioprotective role of intralipid in patients undergoing this procedure and benefits of this protection need further studies to validate.
[Mh] Termos MeSH primário: Ablação por Cateter/efeitos adversos
Emulsões Gordurosas Intravenosas/uso terapêutico
Traumatismos Cardíacos/prevenção & controle
Fosfolipídeos/uso terapêutico
Óleo de Soja/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Fibrilação Atrial/cirurgia
Creatina Quinase Forma MB/sangue
Emulsões/uso terapêutico
Feminino
Traumatismos Cardíacos/sangue
Traumatismos Cardíacos/etiologia
Implante de Prótese de Valva Cardíaca
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Troponina T/sangue
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Emulsions); 0 (Fat Emulsions, Intravenous); 0 (Phospholipids); 0 (Troponin T); 0 (soybean oil, phospholipid emulsion); 8001-22-7 (Soybean Oil); EC 2.7.3.2 (Creatine Kinase, MB Form)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180306
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009603


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[PMID]:27773869
[Au] Autor:Doose C; Kütting M; Egron S; Farhadi Ghalati P; Schmitz C; Utzenrath M; Sedaghat A; Fujita B; Schmitz-Rode T; Ensminger S; Steinseifer U
[Ad] Endereço:Department of Cardiovascular Engineering, Institute of Applied Medical Engineering, Helmholtz-Institute Aachen, RWTH Aachen University, Aachen, Germany.
[Ti] Título:Valve-in-valve outcome: design impact of a pre-existing bioprosthesis on the hydrodynamics of an Edwards Sapien XT valve.
[So] Source:Eur J Cardiothorac Surg;51(3):562-570, 2017 03 01.
[Is] ISSN:1873-734X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Objectives: Bioprosthetic aortic heart valves are increasingly implanted in younger patients. Therefore, a strategy for potential valve failure should be developed before implanting the 'first valve'. The goal of this in vitro study was to provide insight into the effects of the design of a bioprosthesis on a valve-in-valve implanted Sapien XT valve. Methods: The hydrodynamic performance of a 23-mm Sapien XT valve implanted in Vascutek Aspire, Edwards Perimount, Medtronic Mosaic and St. Jude Medical Trifecta heart valves was investigated in a left heart simulator. In addition to the hydrodynamic results, the leaflet dynamics were analysed in high-speed video recordings of the tests. Results: All valve-in-valve combinations in this study fulfilled the minimum acceptance criteria defined by relevant approval standards (e.g. ISO 5840) but displayed significant differences in their performances. Small inner diameters of the bioprostheses were associated with increased mean pressure gradients, decreased effective orifice areas and geometric opening areas as well as with pin-wheeling and uneven leaflet motion. In addition, implantation in bioprostheses with internally mounted leaflets was associated with lower paravalvular leakage. Conclusions: The results of this study suggest that a surgical bioprosthesis with a large inner diameter and internally mounted leaflets improves the heamodynamics and potentially the durability of a valve-in-valve combination. These results should give the attending physicians critical information to consider when deciding on a bioprosthesis for younger patients.
[Mh] Termos MeSH primário: Valva Aórtica/cirurgia
Bioprótese
Implante de Prótese de Valva Cardíaca/métodos
Próteses Valvulares Cardíacas
[Mh] Termos MeSH secundário: Valva Aórtica/fisiopatologia
Seres Humanos
Hidrodinâmica
Desenho de Prótese
Falha de Prótese
Reoperação/instrumentação
Reoperação/métodos
Resultado do Tratamento
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1093/ejcts/ezw317


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[PMID]:29292939
[Au] Autor:Kastengren M; Dalén M; Källner G; Liska J; Gunnarsson L; Svenarud P
[Ad] Endereço:Karolinska Universitetssjukhuset - Tema Hjärta & Kärl Stockholm, Sweden Karolinska Universitetssjukhuset - Tema Hjärta & Kärl Stockholm, Sweden.
[Ti] Título:Minimalinvasiv mitraliskirurgi bra alternativ till konventionell kirurgi - Mindre kirurgiskt trauma kan ge färre komplikationer och snabbare återhämtning..
[So] Source:Lakartidningen;114, 2017 Nov 24.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Minimally invasive mitral valve surgery Conventional mitral valve surgery is performed through a full median sternotomy. Minimal invasive mitral valve surgery was introduced in the mid 1990s and is performed through a right mini-thoracotomy. Minimal access mitral valve surgery has grown in popularity and by reducing surgical trauma potential benefits include decreased postoperative bleeding and pain, reduced incidence of sternal wound infections and shortened recovery period after surgery. We report our experience in 97 patients operated during one year where mitral valve surgery was performed through a minimally invasive technique.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Anuloplastia da Valva Mitral/métodos
Valva Mitral/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Implante de Prótese de Valva Cardíaca
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Anuloplastia da Valva Mitral/efeitos adversos
Complicações Pós-Operatórias
Recuperação de Função Fisiológica
Toracotomia/métodos
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


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[PMID]:29300074
[Au] Autor:Schneider A; Klautz RJM; Hazekamp M
[Ad] Endereço:Department of Cardiothoracic Surgery Leiden University Medical Center Leiden, The Netherlands.
[Ti] Título:The Ross reimplantation technique.
[So] Source:Multimed Man Cardiothorac Surg;2017, 2017 Sep 25.
[Is] ISSN:1813-9175
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Pulmonary autograft replacement of a diseased aortic valve (the Ross procedure) is effective in children, where growth is essential, and in young patients for whom a biological solution is preferred. Long-term outcomes are generally good. However eventual autograft dilatation may necessitate reoperation. In order to diminish the risk of autograft dilatation, several 'wrapping' techniques have been developed. Here, we present our technique of choice: the reimplantation of the pulmonary autograft in a vascular tube graft, scalloping the sinuses of Valsalva. This leaves no bulky tissue inside the vascular tube graft and makes autograft dilatation impossible.
[Mh] Termos MeSH primário: Valva Aórtica/cirurgia
Implante de Prótese de Valva Cardíaca/métodos
[Mh] Termos MeSH secundário: Bioprótese
Implante de Prótese Vascular
Seres Humanos
Reoperação
Reimplante
Seio Aórtico/cirurgia
Transplante Autólogo
[Pt] Tipo de publicação:VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180105
[St] Status:MEDLINE
[do] DOI:10.1510/mmcts.2017.019


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[PMID]:29466153
[Au] Autor:Goldstone AB; Chiu P; Woo YJ
[Ad] Endereço:Stanford University School of Medicine, Stanford, CA
[Ti] Título:Prosthesis Type for Aortic- and Mitral-Valve Replacement.
[So] Source:N Engl J Med;378(8):778-779, 2018 02 22.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Valva Aórtica/cirurgia
Próteses Valvulares Cardíacas
[Mh] Termos MeSH secundário: Implante de Prótese de Valva Cardíaca
Seres Humanos
Valva Mitral/cirurgia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMc1716336


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[PMID]:29390347
[Au] Autor:Yang Y; Li X; Chen M; Feng Y
[Ad] Endereço:Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
[Ti] Título:Transcatheter closure of a huge iatrogenic atrial septal defect: A case report.
[So] Source:Medicine (Baltimore);96(50):e9216, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Iatrogenic atrial septal defects caused by cardiac surgery are rare complications that are traditionally repaired through reoperations; unfortunately, reoperations are accompanied by high risk and trauma. PATIENT CONCERNS: Herein, we report a rare case of a huge atrial septal defect after mitral and aortic mechanical valve replacement. DIAGNOSES: Transesophageal echocardiography revealed a 20 × 33 mm atrial septal defect with a mainly left-to-right shunt and bidirectional shunt. INTERVENTIONS: The defect was successfully occluded using a Shape Memory septal occlude with a waist diameter of 42 mm. OUTCOMES: At follow-up 6 months after, the patient's symptoms were remarkably relieved and chest radiograph showed obvious improvement of the pulmonary congestion. LESSONS: Percutaneous device treatment can be used as an alternative to surgery in iatrogenic atrial septal defects if the anatomical condition of the septal defect is appropriate for transcatheter closure.
[Mh] Termos MeSH primário: Cateterismo Cardíaco
Comunicação Interatrial/cirurgia
Implante de Prótese de Valva Cardíaca/efeitos adversos
Dispositivo para Oclusão Septal
[Mh] Termos MeSH secundário: Ecocardiografia Transesofagiana
Comunicação Interatrial/etiologia
Seres Humanos
Doença Iatrogênica
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009216


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Registro de Ensaios Clínicos
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[PMID]:29222121
[Au] Autor:Carter-Storch R; Møller JE; Christensen NL; Irmukhadenov A; Rasmussen LM; Pecini R; Øvrehus KA; Søndergård EV; Marcussen N; Dahl JS
[Ad] Endereço:From the Departments of Cardiology (R.C.-S., J.E.M., N.L.C., R.P., K.A.Ø., E.V.S., J.E.M.), Thoracic Surgery (A.I.), Clinical Biochemistry (L.M.R.), and Pathology (N.M.), Odense University Hospital, Denmark; and OPEN Odense Patient data Explorative Network, Denmark (R.C.-S., J.E.M.). rcarterstorch@g
[Ti] Título:Postoperative Reverse Remodeling and Symptomatic Improvement in Normal-Flow Low-Gradient Aortic Stenosis After Aortic Valve Replacement.
[So] Source:Circ Cardiovasc Imaging;10(12), 2017 Dec.
[Is] ISSN:1942-0080
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Severe aortic stenosis (AS) most often presents with reduced aortic valve area (<1 cm ), normal stroke volume index (≥35 mL/m ), and either high mean gradient (≥40 mm Hg; normal-flow high-gradient AS) or low mean gradient (normal-flow low-gradient [NFLG] AS). The benefit of aortic valve replacement (AVR) among NFLG patients is controversial. We compared the impact of NFLG condition on preoperative left ventricular (LV) remodeling and myocardial fibrosis and postoperative remodeling and symptomatic benefit. METHODS AND RESULTS: Eighty-seven consecutive patients with reduced aortic valve area and normal stroke volume index undergoing AVR underwent echocardiography, magnetic resonance imaging, a 6-minute walk test, and measurement of natriuretic peptides before and 1 year after AVR. Myocardial fibrosis was assessed from magnetic resonance imaging. Patients were stratified as NFLG or normal-flow high-gradient. In total, 33 patients (38%) had NFLG. Before AVR, they were characterized by similar symptom burden but less severe AS measured by aortic valve area index (0.50±0.09 versus 0.40±0.08 cm /m ; <0.0001), lower LV mass index (74±18 versus 90±26 g/m ; =0.01), but the same degree of myocardial fibrosis. After AVR, NFLG had a smaller reduction in LV mass index (-3±10 versus -±18 g/m ; <0.0001) and a smaller reduction in natriuretic peptides. Both groups experienced similar symptomatic improvement. Normal-flow high-gradient condition independently predicted change in LV mass index. CONCLUSIONS: Patients with NFLG had less severe AS and LV remodeling than patients with normal-flow high-gradient. Furthermore, NFLG patients experienced less reverse remodeling but the same symptomatic benefit. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02316587.
[Mh] Termos MeSH primário: Estenose da Valva Aórtica/cirurgia
Valva Aórtica/cirurgia
Implante de Prótese de Valva Cardíaca
Hemodinâmica
Função Ventricular Esquerda
Remodelação Ventricular
[Mh] Termos MeSH secundário: Idoso
Valva Aórtica/diagnóstico por imagem
Valva Aórtica/fisiopatologia
Estenose da Valva Aórtica/diagnóstico por imagem
Estenose da Valva Aórtica/fisiopatologia
Ecocardiografia Doppler de Pulso
Feminino
Fibrose
Implante de Prótese de Valva Cardíaca/efeitos adversos
Implante de Prótese de Valva Cardíaca/instrumentação
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Tomografia Computadorizada Multidetectores
Miocárdio/patologia
Estudos Prospectivos
Recuperação de Função Fisiológica
Índice de Gravidade de Doença
Fatores de Tempo
Resultado do Tratamento
Teste de Caminhada
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171210
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:28452558
[Au] Autor:Abreu A
[Ad] Endereço:Department of Cardiology, Santa Marta Hospital, CHLC, Lisbon, Portugal.
[Ti] Título:Cardiac rehabilitation in cardiac valve surgery patients: Beyond cost-effectiveness.
[So] Source:Eur J Prev Cardiol;24(11):1145-1147, 2017 07.
[Is] ISSN:2047-4881
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Reabilitação Cardíaca
Análise Custo-Benefício
[Mh] Termos MeSH secundário: Implante de Prótese de Valva Cardíaca/reabilitação
Valvas Cardíacas/cirurgia
Seres Humanos
Pacientes
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1177/2047487317706180


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[PMID]:29235151
[Au] Autor:Changwei R; Sun L; Xu S; Lai Y
[Ad] Endereço:Department of Cardiovascular Surgery Center, Capital Medical University, Beijing Anzhen Hospital, Beijing, China.
[Ti] Título:One-stage ascending-to-abdominal aortic bypass with concomitant aortic valve procedures for aortic coarctation combined with aortic valve pathology in adult patients.
[So] Source:J Card Surg;32(12):817-821, 2017 Dec.
[Is] ISSN:1540-8191
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aims to evaluate the results of one-stage ascending-to-abdominal aortic bypass and aortic valve replacement for concomitant aortic coarctation combined with aortic valve pathology. METHODS: From June 2009 to March 2017, 28 consecutive adult patients (23 males and five females) with aortic coarctation combined with aortic valve pathology underwent one-stage ascending-to-abdominal aorta bypass and aortic valve replacement or a Bentall procedure. Patients were followed for a mean of 45.5 ± 26.5 months (range 3-96 months). RESULT: All patients successfully underwent the one-stage procedure. No early deaths were recorded. The mean aortic cross-clamp and cardiopulmonary bypass times were 71 ± 23 and 113 ± 37 mins, respectively. Re-exploration for bleeding was performed on one patient (3.6%). The average post-operative hospital stay was 15.9 ± 4.9 days and the average operation time was 5.2 h. No paraplegia or stroke was observed. The blood pressure gradient of the upper and lower extremities significantly decreased (P < 0.001). Systolic blood pressure decreased from 158 ± 36 mmHg pre-operatively to 121 ± 18 mmHg post-operatively. No deaths or significant gradients between the upper and lower extremities occurred during follow-up. No death and complications of bypass grafts occurred during follow-up. CONCLUSION: Ascending-to-abdominal aortic bypass and concomitant aortic valve procedures are a suitable therapeutic option for severe aortic coarctation combined with aortic valve pathology in adult patients.
[Mh] Termos MeSH primário: Aorta/cirurgia
Coartação Aórtica/cirurgia
Insuficiência da Valva Aórtica/cirurgia
Estenose da Valva Aórtica/cirurgia
Implante de Prótese de Valva Cardíaca/métodos
Enxerto Vascular/métodos
[Mh] Termos MeSH secundário: Adulto
Coartação Aórtica/complicações
Insuficiência da Valva Aórtica/complicações
Estenose da Valva Aórtica/complicações
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:171214
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.13505


  10 / 18542 MEDLINE  
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[PMID]:29235147
[Au] Autor:Gualis J; Estevez-Loureiro R; Alonso D; Castaño M
[Ad] Endereço:Deparment of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
[Ti] Título:Transapical mitral valve-in-valve ring implantation with the Edwards Sapien 3 prosthesis.
[So] Source:J Card Surg;32(12):791-793, 2017 Dec.
[Is] ISSN:1540-8191
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We present the case of a high-risk patient with symptomatic severe mitral regurgitation following a surgical annuloplasty ring. An inverted aortic Edwards Sapien 3 bioprosthesis (Edwards Lifesciences, Irvine, CA) was successfully implanted through a transapical approach inside the previously implanted annuloplasty ring.
[Mh] Termos MeSH primário: Bioprótese
Implante de Prótese de Valva Cardíaca/métodos
Próteses Valvulares Cardíacas
Anuloplastia da Valva Mitral/métodos
Insuficiência da Valva Mitral/cirurgia
Valva Mitral/cirurgia
Reoperação/métodos
[Mh] Termos MeSH secundário: Idoso
Implante de Prótese de Valva Cardíaca/instrumentação
Seres Humanos
Masculino
Anuloplastia da Valva Mitral/instrumentação
Recidiva
Reoperação/instrumentação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[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:171214
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.13506



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