The Heart Surgery Forum  

Maqsood M. Elahi, Khalid A. Osman, Manoj Bhandari, Ramana Rao V. Dhannapuneni

Background: The incidence of conduction disorders requiring permanent pacing (PPM) in patients operated on for aortic valve replacement (AVR) has been reported to be 5.7%. However, perioperative risk predictors for PPM following AVR are not well character... see more

A. Kurita, H. Shintani

Background: Although off-pump coronary artery bypass grafting (CABG) is now used worldwide for coronary revascularization, the pre- and intraoperative risk factors for myocardial injury associated with the surgical procedure remain to be elucidated. We pe... see more

Maja Sostaric

Aim of the study: To evaluate the new method of postoperative pain relief following port access (PA) heart surgery. Methods: Patients scheduled for PA heart surgery under cardioplegic arrest were enrolled in the study. At the end of the operation an epidu... see more

Sven Beholz, Steven Hunter, Carlos A. Infantes Alcón, Claudio Zussa

Based on our experience of 1000 subcoronary implants of the Sorin Pericarbon Freedom stentless valve, we give recommendations for the exact implantation technique. This article illustrates basic issues in the implantation technique with respect to continu... see more

Hitoshi Hirose, R. Thomas Temes

We report a case of acute left subclavian artery occlusion after blunt trauma, presenting with symptoms of acute left upper arm ischemia. Angiography was performed to confirm the injury. The injured left subclavian artery was approached via left thoracoto... see more

Basbug HS, Tasatargil A, Aksoy NH, Golbas I, Turkay C, Mete A, Sadan G, Bayezid O

Background: Because commercial minimally invasive harvesting equipments significantly increase operation costs, they are not always available in all clinics worldwide. The aim of this study was to investigate whether minimally invasive saphenous vein harv... see more

Hitoshi Hirose, Anthony D. Cassano, Benjamin A. Youdelman, J. Steve Hou, Michael D. Strong III

We report a rare case of an inflammatory descending aneurysm. At surgery, the patient had multiple aneurysms on the descending aorta. Histology of the specimen demonstrated an infiltration of chronic inflammatory cells in the aortic media.

Donald S. Likosky, Desmond J. Donegan, Robert C. Groom, Scott A. Buchanan, Jeremy R. Morton, Cathy S. Ross, Gerald T. O.Connor

Background: Neurologic injury is a rare yet devastating outcome of coronary artery bypass grafting surgery. Mechanisms producing both focal and global neurologic injuries include embolization, cerebral hypoperfusion, and hypotension. In this present study... see more

Dimitrios Buklas, Guido Gelpi, Eugenio Neri, Gerard Babatasi, Olivier LePage, Calin Ivascau, Samuele Bichi, Carlo Antona, Jean Louis Gerard, Andrè Khayat, Massimo Massetti

Background. For coronary surgery we often use the radial artery (RA) instead of the saphenous vein, trying to exploit the advantages offered by this conduit. To eliminate the problems regarding alteration of upper-extremity function after RA procurement r... see more

Baron L. Hamman, Cory H. White, Michael Fontes, Lise Labiche

The Spyder is a novel device that enables the attachment of a vein to the aorta by compliant, interrupted anastomosis; this minimizes aortic manipulation during off pump-coronary artery bypass (OPCAB) surgery. Its use may reduce transcra-nial Doppler sign... see more

Rabin Gerrah, Mark Pappof, Vadim Shatz, Arthur Pollak, Dan Gilon

We describe herein a case of bioprosthetic valve malfunction, which closely imitates a stuck valve. Although the term "stuck" was used originally for the immovable mechanical valve leaflets, the echocardiographic manifestation of this malfunction is simil... see more

Christopher W. Nickum, W. Douglas Boyd, Richard J. Novick, Eugene H. Blackstone, Carolyn Apperson-Hanson, John A. McAuliffe

Background. Utilization of the radial artery as a conduit for coronary artery bypass grafting has increased significantly over the past 8 years. Concurrently, minimally invasive surgical techniques have been increasingly applied resulting in improved aest... see more

B. Knap, P. Trunk, G. Juznic

Background. It is asumed that the shape and size of the left ventricle could change after successful revascularization and that the shape and size reflect left ventricular function. Methods. Echocardiography and Simpson's rule were used for evaluating the... see more

Naz Bige Aydin, Tufan Sener, Ilknur Kiygil Kehlibar, Tansel Turkoglu, Osman Eren Karpuzoglu, Vedat Ozkul, Hakan Gercekoglu

Background. Sternal wound complication is a major concern in bilateral internal thoracic artery grafting. The purpose of this study was to assess whether avoiding cardiopulmonary bypass has beneficial effects with fewer wound complications in patients rec... see more

Mehmet Erdem Toker, Suat Nail Ömeroglu, Kaan Kirali, Mehmet Balkanay, Cevat Yakut

Objective. Using the bilateral internal mammary artery (IMA) in coronary artery bypass grafting (CABG) surgery has prolonged survival, improved functional capacity, and reduced the rate of reintervention without increasing postoperative early morbidity an... see more

Otoni M. Gomes, Eros S. Gomes

The maze procedure initially proposed by Cox for primary atrial fibrillation treatment somehow, in its complexity, increases the morbidity risk associated with mitral valve surgery. Objective. We sought to describe a surgical technique that considers the ... see more

Kaan Kirali

Background. A new technique has been developed that permits complete arterial revascularization of the lateral wall of the heart using in situ bilateral internal thoracic artery grafts in awake patients. This technique, performed without cardiopulmonary b... see more