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View article: Patch Repair of Double Sinus of Valsalva Aneurysms
Patch Repair of Double Sinus of Valsalva Aneurysms Open
Background Sinus of Valsalva aneurysm (SoVA) is a rare, acquired or congenital heart anomaly in which one or more of the aortic sinuses become abnormally dilated. SoVAs are commonly asymptomatic and found incidentally on cardiac imaging st…
View article: Successful open three-stage repair of multifocal aortic aneurysms in a 34-year-old
Successful open three-stage repair of multifocal aortic aneurysms in a 34-year-old Open
Open replacement of multifocal aortic aneurysms is an operative and clinical challenge. Thoughtful consideration of both surgical technique and timing is important to reduce risk of major cardiovascular and neurologic complications. We dis…
View article: Economic Benefits of Surgical Aortic Valve Replacement on Patients With Symptomatic Aortic Valve Regurgitation
Economic Benefits of Surgical Aortic Valve Replacement on Patients With Symptomatic Aortic Valve Regurgitation Open
Background Aortic regurgitation is distinguished by the backflow of blood from the aorta into the left ventricle. American College of Cardiology/American Heart Association guidelines recommend surgical aortic valve replacement (SAVR) for p…
View article: Operative Repair of Type A Aortic Dissection in Jehovah’s Witnesses: Insights From a Case Series
Operative Repair of Type A Aortic Dissection in Jehovah’s Witnesses: Insights From a Case Series Open
Bloodless aortic dissection repair in these rare patients can be performed safely in specialized centers using the techniques described. Furthermore, we believe that these techniques can be applied to the general population of patients und…
View article: A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture Open
We present the case of a 60-year-old man who presented with a post-myocardial infarction ventricular septal rupture caused by a delayed presentation of myocardial infarction. Despite revascularization, hemodynamic stability, and a 10-day d…
View article: Acute traumatic injury of the aorta: presentation, diagnosis, and treatment
Acute traumatic injury of the aorta: presentation, diagnosis, and treatment Open
Despite advances in detection and treatment, acute traumatic aortic injury (ATAI) is associated with high rates of morbidity and mortality. Both physical and hemodynamic forces have been postulated as mechanisms of aortic injury during a t…
View article: Pedicle Flap Coverage for Infected Ventricular Assist Device Augmented with Dissolving Antibiotic Beads: Creation of an Antibacterial Pocket
Pedicle Flap Coverage for Infected Ventricular Assist Device Augmented with Dissolving Antibiotic Beads: Creation of an Antibacterial Pocket Open
Infectious complications following left ventricular assist device implantation can carry significant morbidity and mortality. The main tenet of treatment is source control which entails local wound care, intravenous antimicrobial therapy, …
View article: Predictors and impact of right heart failure severity following left ventricular assist device implantation
Predictors and impact of right heart failure severity following left ventricular assist device implantation Open
RHF remains a postoperative threat and is associated with worsened surgical outcomes. Ongoing research will reveal further opportunities to mitigate RHF post-LVAD.
View article: Determinants and Outcomes of Vasoplegia Following Left Ventricular Assist Device Implantation
Determinants and Outcomes of Vasoplegia Following Left Ventricular Assist Device Implantation Open
Background Vasoplegia is associated with adverse outcomes following cardiac surgery; however, its impact following left ventricular assist device implantation is largely unexplored. Methods and Results In 252 consecutive patients receiving…
View article: Reoperative sternotomy is associated with primary graft dysfunction following heart transplantation†
Reoperative sternotomy is associated with primary graft dysfunction following heart transplantation† Open
Prior sternotomy is associated with increased morbidity and mortality following heart transplantation. However, its effect on primary graft dysfunction (PGD), a major contributor to early mortality, is unknown. Herein, this effect is studi…
View article: Locally advanced carcinosarcoma of the pancreas
Locally advanced carcinosarcoma of the pancreas Open
Carcinosarcoma is a rare subtype of pancreatic neoplasm including both carcinomatous and sarcomatous components. Fewer than 30 cases have been reported to the Surveillance, Epidemiology, and End Results Program database. Given such rarity,…
View article: Thoracoscopic management of a mediastinal abscess caused by extra-esophageal migration of a metal brush bristle
Thoracoscopic management of a mediastinal abscess caused by extra-esophageal migration of a metal brush bristle Open
Foreign body perforations of the esophagus are infrequent events yet have the potential to cause significant morbidity and mortality. The clinical consequences of esophageal perforation by a foreign body are dependent upon the severity of …
View article: Primary and Rescue Endoluminal Vacuum Therapy in the Management of Esophageal Perforations and Leaks
Primary and Rescue Endoluminal Vacuum Therapy in the Management of Esophageal Perforations and Leaks Open
Utilized as either a primary or rescue therapy, EVAC therapy appears to be beneficial in the management of esophageal perforations or leaks.