European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Jan 2015
Elective use of femoro-femoral cardiopulmonary bypass during transcatheter aortic valve implantation.
Elective use of normothermic cardiopulmonary bypass (CPB) may reduce the risks associated with the transcatheter aortic valve implantation (TAVI) procedure in selected high-risk TAVI patients. ⋯ The use of preoperatively planned CPB may increase the safety of the TAVI procedure in patients with severely reduced heart function or in cardiogenic shock.
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Eur J Cardiothorac Surg · Jan 2015
Results of minimally invasive, video-assisted mitral valve repair in advanced Barlow's disease with bileaflet prolapse.
Minimally invasive mitral valve (MV) surgery has recently gained popularity as the standard approach for MV repair, albeit there could be potential concerns about the feasibility of complex repair in the presence of extreme Barlow's disease via a minimally invasive route. ⋯ Minimally invasive approach for complex MV repair is feasible and safe and provided excellent early and mid-term results.
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Eur J Cardiothorac Surg · Jan 2015
Recovery of donor hearts after circulatory death with normothermic extracorporeal machine perfusion.
A severe donor organ shortage leads to the death of a substantial number of patients who are listed for transplantation. The use of hearts from donors after circulatory death could significantly expand the donor organ pool, but due to concerns about their viability, these are currently not used for transplantation. We propose short-term ex vivo normothermic machine perfusion (MP) to improve the viability of these ischaemic donor hearts. ⋯ Our results indicate that functional recovery from global WI is possible during short-term ex vivo reperfusion, allowing subsequent cold storage without compromising organ viability. We expect that once refined and validated, this approach may enable safe transplantation of hearts obtained from donation after circulatory death.
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Eur J Cardiothorac Surg · Jan 2015
EuroSCORE II with SYNTAX score to assess risks of coronary artery bypass grafting outcomes.
We evaluated the usefulness of the combination of European System for Cardiac Operative Risk Evaluation score (EuroSCORE II) and SYNergy between percutaneous intervention with TAXus drug-eluting stents and cardiac surgery (SYNTAX) score in predicting risks associated with early and late outcomes after coronary artery bypass grafting (CABG). ⋯ The combination of EuroSCORE II and SYNTAX score was useful in predicting early major complications after CABG. In the long term, EuroSCORE II continued to be associated with late mortality, but SYNTAX score did not.
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Eur J Cardiothorac Surg · Jan 2015
Comparative StudyMinimal invasive aortic valve replacement surgery is associated with improved survival: a propensity-matched comparison.
To compare early and long-term outcomes of minimally invasive surgery (MIS) versus full sternotomy (FS) isolated aortic valve replacement (AVR). ⋯ MIS AVR is associated with very good early and long-term survival, despite longer myocardial ischaemic times. MIS AVR can be performed safely with results that are at least equivalent to those achieved through an FS.