Subjects -> MEDICAL SCIENCES (Total: 8679 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (219 journals)
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    - CARDIOVASCULAR DISEASES (338 journals)
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CARDIOVASCULAR DISEASES (338 journals)                  1 2 | Last

Showing 1 - 200 of 338 Journals sorted alphabetically
Acta Angiologica     Open Access   (Followers: 5)
Acta Cardiologica     Hybrid Journal   (Followers: 2)
Acute Cardiac Care     Hybrid Journal   (Followers: 8)
Adipositas - Ursachen, Folgeerkrankungen, Therapie     Hybrid Journal  
AJP Heart and Circulatory Physiology     Hybrid Journal   (Followers: 12)
Aktuelle Kardiologie     Hybrid Journal   (Followers: 1)
American Heart Journal     Hybrid Journal   (Followers: 60)
American Journal of Cardiology     Hybrid Journal   (Followers: 68)
American Journal of Cardiovascular Drugs     Hybrid Journal   (Followers: 18)
American Journal of Hypertension     Hybrid Journal   (Followers: 29)
Anales de Cirugia Vascular     Full-text available via subscription   (Followers: 1)
Anatolian Journal of Cardiology     Open Access   (Followers: 6)
Angiología     Full-text available via subscription  
Angiologia e Cirurgia Vascular     Open Access   (Followers: 1)
Angiology     Hybrid Journal   (Followers: 3)
Annales de Cardiologie et d'Angéiologie     Full-text available via subscription   (Followers: 1)
Annals of Circulation     Open Access   (Followers: 2)
Annals of Noninvasive Electrocardiology     Hybrid Journal   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 12)
AORTA     Open Access  
Archives of Cardiovascular Diseases     Full-text available via subscription   (Followers: 6)
Archives of Cardiovascular Diseases Supplements     Full-text available via subscription   (Followers: 4)
Archives of Cardiovascular Imaging     Open Access   (Followers: 2)
Archivos de cardiología de México     Open Access   (Followers: 1)
Argentine Journal of Cardiology (English edition)     Open Access   (Followers: 2)
Arquivos Brasileiros de Cardiologia     Open Access   (Followers: 2)
Arrhythmia & Electrophysiology Review     Open Access   (Followers: 1)
Arteriosclerosis, Thrombosis and Vascular Biology     Full-text available via subscription   (Followers: 33)
Artery Research     Hybrid Journal   (Followers: 5)
ARYA Atherosclerosis     Open Access  
ASAIO Journal     Hybrid Journal   (Followers: 4)
ASEAN Heart Journal     Open Access   (Followers: 3)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2)
Aswan Heart Centre Science & Practice Services     Open Access   (Followers: 1)
Atherosclerosis : X     Open Access  
Bangladesh Heart Journal     Open Access   (Followers: 3)
Basic Research in Cardiology     Hybrid Journal   (Followers: 9)
BMC Cardiovascular Disorders     Open Access   (Followers: 22)
Brain Circulation     Open Access   (Followers: 1)
British Journal of Cardiology     Full-text available via subscription   (Followers: 18)
Canadian Journal of Cardiology     Hybrid Journal   (Followers: 18)
Cardiac Cath Lab Director     Full-text available via subscription  
Cardiac Electrophysiology Review     Hybrid Journal   (Followers: 2)
Cardiac Failure Review     Open Access   (Followers: 2)
Cardiocore     Full-text available via subscription   (Followers: 1)
Cardiogenetics     Open Access   (Followers: 3)
Cardiology     Full-text available via subscription   (Followers: 20)
Cardiology and Angiology: An International Journal     Open Access   (Followers: 1)
Cardiology and Therapy     Open Access   (Followers: 11)
Cardiology Clinics     Full-text available via subscription   (Followers: 14)
Cardiology in Review     Hybrid Journal   (Followers: 9)
Cardiology in the Young     Hybrid Journal   (Followers: 35)
Cardiology Journal     Open Access   (Followers: 6)
Cardiology Plus     Open Access   (Followers: 1)
Cardiology Research     Open Access   (Followers: 15)
Cardiology Research and Practice     Open Access   (Followers: 11)
Cardiopulmonary Physical Therapy Journal     Hybrid Journal   (Followers: 9)
Cardiorenal Medicine     Full-text available via subscription   (Followers: 1)
Cardiothoracic Surgeon     Open Access   (Followers: 1)
CardioVasc     Full-text available via subscription   (Followers: 1)
Cardiovascular & Haematological Disorders - Drug Targets     Hybrid Journal   (Followers: 1)
Cardiovascular & Hematological Agents in Medicinal Chemistry     Hybrid Journal   (Followers: 2)
CardioVascular and Interventional Radiology     Hybrid Journal   (Followers: 15)
Cardiovascular and Thoracic Open     Open Access  
Cardiovascular Diabetology     Open Access   (Followers: 10)
Cardiovascular Drugs and Therapy     Hybrid Journal   (Followers: 14)
Cardiovascular Endocrinology & Metabolism     Hybrid Journal   (Followers: 1)
Cardiovascular Engineering     Hybrid Journal   (Followers: 1)
Cardiovascular Engineering and Technology     Hybrid Journal   (Followers: 1)
Cardiovascular Intervention and Therapeutics     Hybrid Journal   (Followers: 5)
Cardiovascular Journal     Open Access   (Followers: 6)
Cardiovascular Journal of Africa     Full-text available via subscription   (Followers: 5)
Cardiovascular Journal of South Africa     Full-text available via subscription   (Followers: 2)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Cardiovascular Pathology     Hybrid Journal   (Followers: 4)
Cardiovascular Regenerative Medicine     Open Access  
Cardiovascular Research     Hybrid Journal   (Followers: 16)
Cardiovascular Revascularization Medicine     Hybrid Journal   (Followers: 1)
Cardiovascular System     Open Access  
Cardiovascular Therapeutics     Open Access   (Followers: 1)
Cardiovascular Toxicology     Hybrid Journal   (Followers: 6)
Cardiovascular Ultrasound     Open Access   (Followers: 5)
Case Reports in Cardiology     Open Access   (Followers: 7)
Catheterization and Cardiovascular Interventions     Hybrid Journal   (Followers: 3)
Cerebrovascular Diseases     Full-text available via subscription   (Followers: 3)
Cerebrovascular Diseases Extra     Open Access  
Chest     Full-text available via subscription   (Followers: 104)
Choroby Serca i Naczyń     Open Access   (Followers: 1)
Circulation     Hybrid Journal   (Followers: 270)
Circulation : Cardiovascular Imaging     Hybrid Journal   (Followers: 15)
Circulation : Cardiovascular Interventions     Hybrid Journal   (Followers: 19)
Circulation : Cardiovascular Quality and Outcomes     Hybrid Journal   (Followers: 12)
Circulation : Genomic and Precision Medicine     Hybrid Journal   (Followers: 17)
Circulation : Heart Failure     Hybrid Journal   (Followers: 28)
Circulation Research     Hybrid Journal   (Followers: 36)
Cirugía Cardiovascular     Open Access  
Clínica e Investigación en Arteriosclerosis     Full-text available via subscription  
Clínica e Investigación en arteriosclerosis (English Edition)     Hybrid Journal  
Clinical and Experimental Hypertension     Hybrid Journal   (Followers: 3)
Clinical Cardiology     Hybrid Journal   (Followers: 10)
Clinical Hypertension     Open Access   (Followers: 5)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 6)
Clinical Research in Cardiology     Hybrid Journal   (Followers: 5)
Clinical Research in Cardiology Supplements     Hybrid Journal  
Clinical Trials and Regulatory Science in Cardiology     Open Access   (Followers: 4)
Congenital Heart Disease     Hybrid Journal   (Followers: 6)
Congestive Heart Failure     Hybrid Journal   (Followers: 4)
Cor et Vasa     Full-text available via subscription   (Followers: 1)
Coronary Artery Disease     Hybrid Journal   (Followers: 3)
CorSalud     Open Access  
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 5)
Current Cardiology Reports     Hybrid Journal   (Followers: 6)
Current Cardiology Reviews     Hybrid Journal   (Followers: 3)
Current Cardiovascular Imaging Reports     Hybrid Journal   (Followers: 1)
Current Cardiovascular Risk Reports     Hybrid Journal  
Current Heart Failure Reports     Hybrid Journal   (Followers: 5)
Current Hypertension Reports     Hybrid Journal   (Followers: 6)
Current Hypertension Reviews     Hybrid Journal   (Followers: 6)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 13)
Current Problems in Cardiology     Hybrid Journal   (Followers: 3)
Current Research : Cardiology     Full-text available via subscription   (Followers: 1)
Current Treatment Options in Cardiovascular Medicine     Hybrid Journal   (Followers: 1)
Current Vascular Pharmacology     Hybrid Journal   (Followers: 5)
CVIR Endovascular     Open Access   (Followers: 1)
Der Kardiologe     Hybrid Journal   (Followers: 1)
Echo Research and Practice     Open Access   (Followers: 2)
Echocardiography     Hybrid Journal   (Followers: 4)
Egyptian Heart Journal     Open Access   (Followers: 2)
Egyptian Journal of Cardiothoracic Anesthesia     Open Access  
ESC Heart Failure     Open Access   (Followers: 4)
European Cardiology Review     Open Access   (Followers: 1)
European Heart Journal     Hybrid Journal   (Followers: 68)
European Heart Journal - Cardiovascular Imaging     Hybrid Journal   (Followers: 10)
European Heart Journal - Cardiovascular Pharmacotherapy     Full-text available via subscription   (Followers: 2)
European Heart Journal - Quality of Care and Clinical Outcomes     Hybrid Journal  
European Heart Journal : Acute Cardiovascular Care     Hybrid Journal   (Followers: 1)
European Heart Journal : Case Reports     Open Access   (Followers: 1)
European Heart Journal Supplements     Hybrid Journal   (Followers: 7)
European Journal of Cardio-Thoracic Surgery     Hybrid Journal   (Followers: 9)
European Journal of Cardio-Thoracic Surgery Supplements     Full-text available via subscription   (Followers: 2)
European Journal of Cardiovascular Nursing     Hybrid Journal   (Followers: 5)
European Journal of Heart Failure     Hybrid Journal   (Followers: 13)
European Journal of Preventive Cardiology.     Hybrid Journal   (Followers: 6)
European Stroke Organisation     Hybrid Journal   (Followers: 3)
Experimental & Translational Stroke Medicine     Open Access   (Followers: 9)
Expert Review of Cardiovascular Therapy     Full-text available via subscription   (Followers: 3)
Folia Cardiologica     Open Access  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontiers in Cardiovascular Medicine     Open Access   (Followers: 1)
Future Cardiology     Hybrid Journal   (Followers: 5)
General Thoracic and Cardiovascular Surgery     Hybrid Journal   (Followers: 3)
Global Cardiology Science and Practice     Open Access   (Followers: 5)
Global Heart     Hybrid Journal   (Followers: 3)
Heart     Hybrid Journal   (Followers: 49)
Heart and Mind     Open Access  
Heart and Vessels     Hybrid Journal  
Heart Failure Clinics     Full-text available via subscription   (Followers: 2)
Heart Failure Reviews     Hybrid Journal   (Followers: 3)
Heart India     Open Access   (Followers: 2)
Heart International     Full-text available via subscription  
Heart Rhythm     Hybrid Journal   (Followers: 11)
Heart Views     Open Access   (Followers: 2)
HeartRhythm Case Reports     Open Access  
Hellenic Journal of Cardiology     Open Access   (Followers: 1)
Herz     Hybrid Journal   (Followers: 2)
High Blood Pressure & Cardiovascular Prevention     Full-text available via subscription   (Followers: 2)
Hypertension     Full-text available via subscription   (Followers: 24)
Hypertension     Open Access   (Followers: 2)
Hypertension in Pregnancy     Hybrid Journal   (Followers: 9)
Hypertension Research     Hybrid Journal   (Followers: 4)
Ibrahim Cardiac Medical Journal     Open Access  
IJC Heart & Vessels     Open Access   (Followers: 1)
IJC Heart & Vasculature     Open Access   (Followers: 1)
IJC Metabolic & Endocrine     Open Access   (Followers: 1)
Indian Heart Journal     Open Access   (Followers: 5)
Indian Journal of Cardiovascular Disease in Women WINCARS     Open Access  
Indian Journal of Thoracic and Cardiovascular Surgery     Hybrid Journal  
Indian Pacing and Electrophysiology Journal     Open Access   (Followers: 1)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 1)
Insuficiencia Cardíaca     Open Access  
Interactive CardioVascular and Thoracic Surgery     Hybrid Journal   (Followers: 6)
International Cardiovascular Forum Journal     Open Access  
International Journal of Angiology     Hybrid Journal   (Followers: 2)
International Journal of Cardiology     Hybrid Journal   (Followers: 17)
International Journal of Cardiology Hypertension     Open Access   (Followers: 1)
International Journal of Cardiovascular and Cerebrovascular Disease     Open Access   (Followers: 3)
International Journal of Cardiovascular Imaging     Hybrid Journal   (Followers: 2)
International Journal of Cardiovascular Research     Hybrid Journal   (Followers: 6)
International Journal of Heart Rhythm     Open Access  
International Journal of Hypertension     Open Access   (Followers: 8)
International Journal of Hyperthermia     Open Access  
International Journal of Stroke     Hybrid Journal   (Followers: 33)
International Journal of the Cardiovascular Academy     Open Access  
Interventional Cardiology Clinics     Full-text available via subscription   (Followers: 2)
Interventional Cardiology Review     Open Access  
JACC : Basic to Translational Science     Open Access   (Followers: 6)
JACC : Cardiovascular Imaging     Hybrid Journal   (Followers: 19)
JACC : Cardiovascular Interventions     Hybrid Journal   (Followers: 21)
JACC : Heart Failure     Full-text available via subscription   (Followers: 16)
JAMA Cardiology     Hybrid Journal   (Followers: 32)

        1 2 | Last

Similar Journals
Journal Cover
Asian Cardiovascular and Thoracic Annals
Journal Prestige (SJR): 0.305
Number of Followers: 2  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0218-4923 - ISSN (Online) 1816-5370
Published by Sage Publications Homepage  [1090 journals]
  • Muscle flaps in pulmonary infections: a case series from Northeast India
    • Authors: Reuben Lamiaki Kynta, Neelamjingbha Sun, Manuj Kumar Saikia
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      AimTreatment of complications due to pulmonary infections usually involves lung resection with or without debridement. Managing residual intrathoracic defects, chronic empyema, and bronchopleural fistulae after such resections poses unique challenges.MethodsWe retrospectively reviewed the data of all 9 patients referred to us with complications due to pulmonary infections, including the surgical procedures, flaps used, and their outcomes between 2018 and 2019.ResultsThe mean age of the patients was 30 years (range 9'48 years). The primary disease was tuberculosis in 6 (66%) patients. Complications of primary infections were pneumothorax (n = 3), auto-pneumonectomy (n = 2), organized empyema (n = 3), and recurrent hemoptysis (n = 1). Initial interventions included lobectomy (n = 2), tracheoesophageal repair (n = 1), bronchial artery embolization (n = 1), intercostal tube drainage (n = 4), and decortication(n = 1). Complications after primary interventions included bronchopleural fistula (n = 4, 45%), recurrent empyema (n = 3, 33%), tracheal stump dehiscence (n = 1, 11%) and non-resolving hemoptysis (n = 1, 11%). Pathological microorganisms were isolated in 8 (88%) patients. Secondary corrective surgical interventions along with pedicled muscle flap interposition and reinforcement were undertaken. Nine flap procedures with or without thoracoplasty were performed. There was no open thoracostomy conversion. There was one death postoperatively.ConclusionA locoregional pedicled flap with or without thoracoplasty is an effective option to manage complications of pulmonary infections. The cardiothoracic surgeon should have a knowledge of the locoregional flaps of the thorax and abdomen to address such complications.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-07T04:24:18Z
      DOI: 10.1177/0218492320949074
       
  • Right atrial blood cyst in elderly patient: the timing of surgery
    • Authors: Akito Imai, Yoshiharu Enomoto, Osamu Shigeta, Yasuyuki Suzuki
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A regular check up on a 59-year-old man showed a high carcinoembryonic antigen level in his blood. A computed tomography scan showed tumors in the right atrium. We performed tumor resection successfully. The resected specimen was found to be blood cysts that had developed from the right atrium to the inferior vena cava. Intracardiac blood cysts are generally observed in infants, spontaneously disappear during the first 6 months of life, and are located in the left side of heart and on atrioventricular valves. Therefore, this case is extremely rare. Also, it is worth considering the timing of this surgery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-06T04:14:08Z
      DOI: 10.1177/0218492320949406
       
  • Mitral valve repair for infective endocarditis: Kobe experience
    • Authors: Yukikatsu Okada, Takeo Nakai, Takashi Muro, Hisato Ito, Yu Shomura
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectivesWe retrospectively analyzed our experience of mitral valve repair for native mitral valve endocarditis in a single institution.MethodsFrom January 1991 to October 2011, 171 consecutive patients underwent surgery for infective endocarditis. Of these, 147 (86%) had mitral valve repair. At the time of surgery, 98 patients had healed (group A) and 49 had active infective endocarditis (group B). Repair procedures included resection of all infected tissue and thick restricted post-infection tissue, leaflet and annulus reconstruction with treated autologous pericardium, chordal reconstruction with polytetrafluoroethylene sutures, and ring annuloplasty if necessary. Fifty-two (35%) patients required concomitant procedures. The study endpoints were overall survival, freedom from reoperation, and freedom from valve-related events. The median follow-up was 78 months.ResultsThere was one hospital death (hospital mortality 0.7%). Survival at 10 years was 88.5% ± 3.5% with no significant difference between the two groups (p = 0.052). Early reoperation was required in 4 patients in group B due to persistent infection or procedure failure. Freedom from reoperation at 5 years was 99% ± 1.0% in group A and 89.6 ± 4.0% in group B (p = 0.024). Event-free survival at 10 years was 79.3% ± 4.8% (group A: 83.4% ± 5.9%, group B: 72.6% ± 6.9%, p = 0.010).ConclusionsMitral valve repair was highly successful using autologous pericardium, chordal reconstruction, and ring annuloplasty if required. Long-term results were acceptable in terms survival, freedom from reoperation, and event-free survival. Mitral valve repair is recommended for mitral infective endocarditis in most patients.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-06T04:14:07Z
      DOI: 10.1177/0218492320947586
       
  • COVID-19-tailored approach to cardiac surgical safeguarding: stepwise
           protocol
    • Authors: Yasir khan, Hamdan Mallick, Syed Shahabuddin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-06T04:14:06Z
      DOI: 10.1177/0218492320949661
       
  • Congenital left ventricular aneurysm with myocardial noncompaction pattern
    • Authors: Andrea Daprati, Carlo Gaetano Sassi, Andrea Garatti, Gugliemo Saitto, Lorenzo Menicanti
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Congenital left ventricular aneurysm or diverticulum is very rare. Most congenital left ventricular aneurysms are asymptomatic but some cause systemic embolization, left ventricular free wall rupture, or ventricular arrhythmias causing sudden cardiac death. A 29-year-old woman with congenital left ventricular aneurysm and nonsustained ventricular tachycardia underwent surgical plication of the aneurysm with left ventricular reshaping to improve heart failure symptoms, prevent rupture of the aneurysm wall and the possibility of thrombus formation, and excise the fibrotic tissue of the left ventricular aneurysm, which could be a trigger for left ventricular aneurysm arrhythmias. The postoperative course was unremarkable.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-06T04:14:05Z
      DOI: 10.1177/0218492320949833
       
  • Early mobilization reduces delirium after coronary artery bypass graft
           surgery
    • Authors: Fahimeh Shirvani, Seyed Ali Naji, Elham Davari, Mohsen Sedighi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundPostoperative delirium is common in patients undergoing coronary artery bypass grafting, characterized by cognitive decline. This study aimed to evaluate the effect of early planned mobilization on delirium after coronary artery bypass grafting.MethodsThis double-blind randomized clinical trial enrolled 92 consecutive patients who underwent coronary artery bypass grafting from September to December 2018. The patients were divided into two groups of 46: a mobilization protocol was applied in the intervention group in the first 2 days after surgery; the control group received routine nursing care only. Demographic data, medical records, and Neecham confusion scores were analyzed.ResultsPatients in the control group used cigarettes (31.1% vs. 11.1%, p = 0.020) and opium poppy for recreation (35.6% vs. 8.9%, p = 0.002) more frequently, had longer intubation times (11.91 ± 3.87 vs. 10.23 ± 2.71 h, p = 0.020), and fewer blood components infused (15.6% vs. 33.3%, p = 0.05). More patients in the intervention group had normal function on the 2nd postoperative day compared to the control group (25 vs. 2, respectively, p = 0.001). The intervention group had significantly higher Neecham scores on postoperative day 2 (22.49 ± 2.03 vs. 26.82 ± 2.10, p = 0.001). Multivariable analysis showed significant associations between Neecham score and age (p = 0.022), ejection fraction (p = 0.015), myocardial infarction (p = 0.016), systolic pressure (p = 0.009), and diastolic pressure (p = 0.008).ConclusionsEarly planned mobilization was effective in reducing postoperative delirium in patients undergoing coronary artery bypass grafting.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-06T04:14:04Z
      DOI: 10.1177/0218492320947230
       
  • Pleural and serum markers for diagnosis of malignant pleural effusion
    • Authors: Amr M Allama, Dalia H Abou-Elela, Islam M Ibrahim
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundDifferentiation between benign and malignant exudative pleural effusion remains a clinical challenge. Recently, several markers have been reported to increase the diagnostic accuracy of malignant pleural effusion, with controversial results.MethodsPatients with exudative pleural effusion were divided into 2 groups: a malignant pleural effusion group (39 patients) diagnosed by malignant cells in pleural fluid cytology or by malignant infiltration of the pleura on pleural biopsy, and a benign pleural effusion group (51 patients) with neither malignant cells in pleural fluid cytology nor malignant infiltration of the pleura on pleural biopsy. Matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 were determined in both serum and pleural fluid samples, using commercially available enzyme-linked immunosorbent assay kits.ResultsThe etiology of malignant pleural effusion in the malignant group was breast cancer in 43.6% and bronchogenic carcinoma in 25.6%. There was a statistically significant difference between the 2 groups regarding sex, with more males in the benign group. There was no significant difference between groups regarding age. The median levels of matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 were higher in the malignant group than in the benign group, and the differences were highly significant in both pleural fluid (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-08-02T10:54:18Z
      DOI: 10.1177/0218492320948311
       
  • A pseudoaneurysm complicating valve replacement within a Bentall graft
    • Authors: Andrei M Beliaev, Jens Lund, Colleen J Bergin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-30T05:47:17Z
      DOI: 10.1177/0218492320947839
       
  • Correlation of intracranial and aortic aneurysms
    • Authors: Saad Moughal, Mohamad Bashir
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-30T05:47:16Z
      DOI: 10.1177/0218492320947237
       
  • Is it safe to move away from a full sternotomy for aortic valve
           replacement'
    • Authors: Ayman Kenawy, Abdelrahman Abdelbar, Charlene Tennyson, Rebecca Taylor, Joseph Zacharias
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundMinimally invasive surgical approaches have gained popularity among patients and surgeons. The aim of this project was to assess the safety of initiating aortic valve replacement via an anterior right thoracotomy program.MethodsBetween May 2015 and May 2019, data of all isolated primary aortic valve replacements were extracted retrospectively from our prospectively collected database and categorized into conventional median sternotomy, hemisternotomy, and anterior right thoracotomy cases. In total, 661 patients underwent isolated primary aortic valve replacement, of whom 429 (65%) had a median sternotomy, 126 (19%) had a hemisternotomy, and 106 (16%) had an anterior right thoracotomy. Preoperative characteristics were similar in each of the three groups. Statistical testing of the surgical groups was undertaken using the chi-square test for categorical variables and one-way analysis of variance with Tukey post-hoc pairwise tests (where appropriate) for continuous variables, to identify differences between pairs of data.ResultsCardiopulmonary bypass and crossclamp times were significantly longer in the anterior right thoracotomy group compared to the hemisternotomy and median sternotomy groups (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-30T05:47:16Z
      DOI: 10.1177/0218492320948321
       
  • Standardized loop technique for mitral valve repair offers good midterm
           results
    • Authors: Ilir Hysi, Laurence Gautier, Olivier Rebet, Ionut Carjaliu, Mihai Radutoiu, Olivier Fabre
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundWe reviewed the midterm results of our approach for mitral valve repair with the use of standardized loops.MethodsIn a retrospective single-center study, mitral repairs performed between November 2015 and December 2019 with the standardized loop technique were included. Predefined loops of 15 and 25 mm (Gore-Tex) were implanted for posterior or anterior mitral prolapses, respectively. Isolated or concomitant mitral repairs were performed by either a sternotomy or minithoracotomy. Mean follow-up was 25.3 ± 14.7 months.ResultsAmong 92 patients operated on for mitral repair during this period, 65 had repair with the standardized loop technique. They were mostly men (73.8%) and the mean age was 65.1 ± 9.7 years. Valve prolapse was mainly posterior (87.7%), and cordal rupture was seen in 81.5% of cases. The procedures were carried out by a minithoracotomy in 49.2% of patients. Isolated mitral repairs represented 63.1% of cases. Crossclamp and bypass times were 102 ± 22.8 min and 144.7 ± 34.9 min, respectively. The mean number of loops implanted was 2.7 ± 0.9. No patient left the operating room with moderate or severe mitral regurgitation. Postoperative morbidity was 18.4% (12 patients) and 30-day mortality was 3.1% (2 patients). Overall 4-year survival and freedom from reoperation for mitral repair failure were 84.4% and 91.7%, respectively.ConclusionsThe standardized loop technique for mitral repair showed good midterm results. This technique can be valuable in the armamentarium of mitral repairs. Further evaluation is needed for long-term follow-up.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-29T04:34:05Z
      DOI: 10.1177/0218492320947545
       
  • Correlation of intracranial and aortic aneurysms
    • Authors: Ajay Malhotra, Xiao Wu
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-28T05:44:04Z
      DOI: 10.1177/0218492320947223
       
  • Prevalence and predictors of postoperative peritoneal dialysis in infants
    • Authors: Michael Caesario, Dicky Fakhri, Pribadi Wiranda Busro, Salomo Purba, Liza Fitria, Budi Rahmat
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundData regarding predictors of the eventual need for postoperative peritoneal dialysis in infants undergoing open heart surgery is still limited. We aimed to determine whether prolonged cardiopulmonary bypass time, surgical complexity classified according to Risk Adjustment for Congenital Heart Surgery category, younger age, and lower body weight increase the probability of requiring postoperative peritoneal dialysis.MethodsWe retrospectively analyzed data of 181 infants who underwent open heart surgery at our institution from January 1 to December 31, 2018. Cardiopulmonary bypass time, Risk Adjustment for Congenital Heart Surgery category, age, body weight, and the need for postoperative peritoneal dialysis were recorded and analyzed.ResultsThirteen (7.2%) of the 181 patients required postoperative peritoneal dialysis. This group was found to have a longer cardiopulmonary bypass time, younger age, and lower body weight. Longer cardiopulmonary bypass time (p = 0.001), higher Risk Adjustment for Congenital Heart Surgery category (p = 0.018), younger age (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-28T05:44:03Z
      DOI: 10.1177/0218492320947543
       
  • Thoracic aortic aneurysm gene dictionary
    • Authors: Stefanie Rohde, Mohammad A Zafar, Bulat A Ziganshin, John A Elefteriades
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Thoracic aortic aneurysm is typically clinically silent, with a natural history of progressive enlargement until a potentially lethal complication such as rupture or dissection occurs. Underlying genetic predisposition strongly influences the risk of thoracic aortic aneurysm and dissection. Familial cases are more virulent, have a higher rate of aneurysm growth, and occur earlier in life. To date, over 30 genes have been associated with syndromic and non-syndromic thoracic aortic aneurysm and dissection. The causative genes and their specific variants help to predict the disease phenotype, including age at presentation, risk of dissection at small aortic sizes, and risk of other cardiovascular and systemic manifestations. This genetic “dictionary” is already a clinical reality, allowing us to personalize care based on specific causative mutations for a substantial proportion of these patients. Widespread genetic sequencing of thoracic aortic aneurysm and dissection patients has been and continues to be crucial to the rapid expansion of this dictionary and ultimately, the delivery of truly personalized care to every patient.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-21T04:21:13Z
      DOI: 10.1177/0218492320943800
       
  • Cardiac surgeons between apprehension and ethical duty in the COVID-19
           pandemic
    • Authors: Ahmed MA Bakry, Ehab Sobhy, Hysam Abdelmohty
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundCardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance.MethodsThis was an observational cross-sectional survey that included 77 Egyptian cardiothoracic surgeons. The survey consisted of a self-administered constructed questionnaire with six sections, and was delivered as a Google Forms questionnaire (https://www.google.com/forms/about) that was sent to individuals via social networks and email.ResultsMore than 80% of Egyptian cardiothoracic surgeons believe they and their patients are at risk. Out of all participants, none had actually been infected with COVID-19 but 26% had encountered a positive COVID-19 person in their surgical team. Although 51% were testing patients before surgery, they reported 9 confirmed cases postoperatively. Computed tomography was the most recommended investigation prior to surgery (by 69%). Most had postponed elective surgeries and only one-third of all surgeons recommended performing elective surgeries cautiously with pretesting for COVID-19 and maximizing protective measures, while more than 40% recommended not performing high-risk elective surgeries.ConclusionWe are committed to the safety of our patients, ourselves, our staff, and our families. Planning for the new phase of reopening, whether total reopening or step-by-step reopening, should carefully consider how we should utilize our resources, respect social distancing, and prevent exposure to untested patients or health workers who might turn out to be an undetected positive case.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-20T05:43:21Z
      DOI: 10.1177/0218492320943355
       
  • Immunological therapeutics in acute aortic syndrome
    • Authors: Lara Jane Rimmer, Saad Moughal, Mohamad Bashir
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Acute aortic syndrome is a group of interlinked conditions with common presenting symptoms, including aortic dissection, penetrating atherosclerotic ulcer, and intramural hematoma. Pharmacological management of acute aortic syndrome is a growing area, with key themes to address the underlying inflammatory pathways believed to be the cause. Research into interleukins, matrix metalloproteinases, and granulocyte macrophage colony-stimulating factor are just some of the many immunological properties being investigated and translated into medical therapies. Stem cell experiments may indicate further advances in the pathologies of acute aortic syndrome. The study of pharmacogenomics to improve treatment across different genomes is also a novel area outlined in this paper.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-17T05:50:20Z
      DOI: 10.1177/0218492320943350
       
  • Using bilateral radial arteries in coronary artery bypass grafting is safe
    • Authors: Karanrat Ua-anusorn, Teerapong Tocharoenchok, Thaworn Subtaweesin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundRecent studies have revealed that radial artery grafts have excellent patency rates. However, harvesting of the radial artery is generally limited to the non-dominant forearm. We would like to demonstrate the effectiveness and safety of bilateral radial artery harvesting.MethodsWe enrolled 173 patients undergoing coronary artery bypass. Bilateral RA were used in 64 cases and unilateral in 109. The primary endpoint was post-harvest forearm and hand complications.ResultsForearm and hand complications occurred immediately postoperatively in 28.1% of the bilateral radial artery group, significantly more than in the unilateral radial artery group (8.3%). During follow-up, no overall difference was found in post-harvest forearm and hand complications. However, the forearm and hand perception score in the bilateral radial artery group was higher: 8.78 ± 1.45 vs. 8.35 ± 0.84 in the unilateral radial artery group. Subgroup analysis in the bilateral radial artery group revealed no significant difference in forearm and hand perception score between the dominant and non-dominant donor forearms (8.78 ± 1.45 in non-dominant and 8.66 ± 1.00 in dominant forearms). The bilateral radial artery group had more arterial coronary anastomoses, longer operative times, and longer cardiopulmonary bypass times. However, a backward multiple linear regression model revealed that only two factors related to operative time, these were the number of arterial distal coronary anastomosis and cardiopulmonary bypass time.ConclusionsThis study demonstrated that bilateral radial artery conduits can be used effectively and safely with no difference in persistent complications related to the hands and forearms.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-17T05:50:20Z
      DOI: 10.1177/0218492320944748
       
  • Giant presternal subcutaneous bronchogenic cyst: a rare but possible
           occurrence
    • Authors: Giuseppe Mangiameli, Alex Arame, Françoise Le Pimpec-Barthes
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Bronchogenic cysts are generally detected in the mediastinum, along the tracheobronchial tree, or in the lung parenchyma. Subcutaneous presternal bronchogenic cysts have been rarely described, and they are usually of small size (
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-13T03:02:06Z
      DOI: 10.1177/0218492320943338
       
  • Repair of pulmonary artery sling with tracheal and intracardiac defects
    • Authors: Nagarajan Muthialu, Thomas Martens, Meletios Kanakis, Laurynas Bezuska, Masakazu Nakao, Graham Derrick, Jan Marek, Sachin Khambadkone, Martin Kostolny, Victor Tsang
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundPulmonary artery sling is commonly associated with tracheal stenosis and intracardiac anomalies. While surgical repair is standardized, coexistent anomalies often determine outcomes. With the paucity of risk stratification, this study aimed to review our experience and stratify risk factors for the surgical outcome of complex pulmonary artery sling repair in the presence of airway or intracardiac lesions.MethodsSeventy-nine consecutive children with pulmonary artery sling were evaluated retrospectively following surgical repair. Median age at surgery was 5 months (interquartile range 3–9). Surgical approaches included pulmonary artery sling alone (n = 10), pulmonary artery sling with tracheoplasty (n = 41), and pulmonary artery sling with both intracardiac and tracheal surgery (n = 28).ResultsThere were 7 early (8.8%) deaths. Two patients after left pulmonary artery reimplantation needed revision of the anastomosis. The median intensive care and hospital stay were 11 (interquartile range 9.2–24.8) and 17.9 (interquartile range 4.3–19.8) days, and considerably longer when associated tracheal surgery (p = 0.002). Follow-up was complete in 66/69 and 3 (3.8%) children died late: 2.7, 10.2, and 17 months after surgery. Univariate analysis showed abnormal lung and coexisting structural heart disease as risk factors. Multivariate analysis revealed total cardiopulmonary bypass time as an independent predictor of overall mortality.ConclusionComplex pulmonary artery sling repair can be performed with a good surgical outcomes even when associated with airway malformations or structural heart diseases. Lung abnormality and longer cardiopulmonary bypass time as a surrogate marker of complex surgery, are possible risk factors.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-13T03:02:06Z
      DOI: 10.1177/0218492320943342
       
  • Atrial functional mitral regurgitation: mechanisms and surgical
           implications
    • Authors: Yiting Fan, Song Wan, Randolph Hung-Leung Wong, Alex Pui-Wai Lee
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      The term atrial functional mitral regurgitation refers to a newly recognized disease entity in which mitral regurgitation occurs secondary to left atrial disease, without left ventricular dilatation and intrinsic mitral valve disease, typically in the setting of long-standing atrial fibrillation. Recent evidence suggests that atrial functional mitral regurgitation is associated with increased risk of death and heart failure re-hospitalization. The etiology, pathophysiology, and mechanism of atrial functional mitral regurgitation is not completely understood but they should not be regarded as the same as for the conventional type of functional mitral regurgitation secondary to left ventricular dilatation and dysfunction. Mitral annular dilatation, atriogenic leaflet distortion, insufficient leaflet remodeling, and subtle left ventricular dysfunction may play a role in the pathogenesis of atrial functional mitral regurgitation. The therapeutic and surgical considerations of atrial functional mitral regurgitation are different from those of ventricular functional mitral regurgitation. In this review, we assess current evidence regarding this new disease entity and propose a new surgical approach based on up-to-date understanding and experience of this condition.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-02T05:00:08Z
      DOI: 10.1177/0218492320941388
       
  • Rheumatic mitral valve repair: the Score procedure
    • Authors: Luo Tiange, Meng Xu
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We have defined a standard surgical procedure for rheumatic mitral valve repair (the Score procedure) including four steps: shaving, checking, commissurotomy, and relaxing. Here, we summarize the clinical pathological classification for making a decision on repair or replacement. Given the large number of patients in China, we consider it the responsibility of Chinese cardiac surgeons to adopt a therapeutic schedule for rheumatic mitral valve disease, which includes a simple operation with reliable effects and easy to promote. This schedule would ensure that millions of patients get the best treatment to extend survival and improve their quality of life.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-30T04:04:07Z
      DOI: 10.1177/0218492320935251
       
  • Contemporary trends in mitral valve surgery in East China: a 10-year
           experience
    • Authors: Liang Ma, Renyuan Li, Lijun Jiang, Weidong Li, Haige Zhao, Yu Zou, Liping Shi, Yiming Ni
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundContemporary nationwide data from mainland China on trends in mitral valve surgery are scarce. The purpose of the present study was to review a single-center experience with mitral valve surgery over a 10-year period in East China.MethodsBetween July 2009 and June 2019, 3238 consecutive patients who underwent mitral valve surgery in our center were retrospectively reviewed. The patients were evenly divided into three periods: July 2009 to October 2012 (period I), November 2012 to February 2016 (period II), March 2016 to June 2019 (period III).ResultsThe 3238 patients included 536 (16.6%) who had mitral valve repair and 2702 (83.4%) who had mitral valve replacement. Early mortalities for mitral valve repair and mitral valve replacement were 0.2% and 0.9%, respectively. There were trends towards a higher proportion of degenerative valve lesions (24.6%, 35.8%, 54.7% in periods I, II, and III, respectively) and a lower proportion of rheumatic valve lesions (71.0%, 62.6%, 38.0%) in more recent years. The proportions of minimally invasive surgery (0.7%, 2.1%, 30.2%), mitral valve repair (8.3%, 15.4%, 27.5%), use of a bioprosthesis (10.1%, 17.0%, 23.1%), and concomitant tricuspid valve procedures (13.2%, 28.5%, 46.0%) increased dramatically, while early mortality remained constant during the 10-year period (1.0%, 0.3%, 0.9%).ConclusionsIn the past 10 years, the spectrum of mitral valve disease experienced a trend towards more degenerative valve lesions and less rheumatic valve lesions in East China. Mitral valve repair, bioprostheses, tricuspid valve repair, and minimally invasive surgery have been more often applied in recent years.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-09T11:44:09Z
      DOI: 10.1177/0218492320932743
       
  • Circulating microRNAs vs. aortic diameter in bicuspid aortic valve
           aortopathy
    • Authors: Shiho Naito, Johannes Petersen, Tatiana Sequeira-Gross, Tanja Zeller, Hermann Reichenspurner, Evaldas Girdauskas
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      There is growing clinical need and interest to implement novel risk prediction tools in bicuspid aortic valve-associated proximal aortic disease, so-called bicuspid aortic valve aortopathy. Inherent limitations of the diameter-based risk stratification for adverse aortic events in bicuspid aortic valve aortopathy patients have recently been recognized. Therefore, alternative diagnostic tools and subsequent adjustments in the treatment guidelines are urgently needed. Herein, we summarize the current evidence on recent diagnostic developments to improve risk stratification in bicuspid aortic valve aortopathy, including circulating microRNAs as biomarkers to predict the progression of aortic disease.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-05T03:58:03Z
      DOI: 10.1177/0218492320927233
       
  • Perspectives on surgical treatment of mitral valve disease
    • Authors: Tirone E David
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A sound knowledge of the functional anatomy of the mitral valve and the alterations caused by different diseases is indispensable for surgeons treating patients with mitral valve disease. Rheumatic mitral valve disease remains the most common heart valvular disorder in developing countries, whereas mitral regurgitation due myxomatous degeneration of the valve is the most common in developed countries. The mitral valve should be repaired whenever possible, as long as the outcome is predictably better than that of replacement. The intraoperative decision to repair or replace is not always simple and depends on the experience of the surgeon and the pathological changes that caused mitral valve dysfunction.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-29T06:25:34Z
      DOI: 10.1177/0218492320930846
       
  • Challenges and experience of setting up an aortic service
    • Authors: Saeid Hosseini, Yousef Rezaei, Alireza Alizadeh Ghavidel
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Aortic surgery is a complex procedure posing high risks in comparison to other adult cardiac surgeries. Novel surgical approaches including minimally invasive procedures, sutureless aortic valve replacement, and transcatheter aortic valve implantation have been found to be acceptable alternatives to conventional surgeries. In addition, novel endovascular repair techniques and hybrid procedures have been introduced for the management of patients with thoracoabdominal aortic pathologies. However, these modalities are not readily available in every center, and such novel procedures impose a learning curve for surgeons and high costs for affected patients. In this review, we discuss the challenges of setting up an aortic service, having regard to the Iranian experience.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-29T06:25:33Z
      DOI: 10.1177/0218492320930841
       
  • Ascending aorta mechanics in bicuspid aortopathy: controversy or fact'
    • Authors: Dimitrios C Iliopoulos, Dimitrios P Sokolis
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Bicuspid aortic valve is the most common congenital cardiovascular defect, often associated with proximal aortic dilatation, and the ideal management strategy is debated. The inconsistency in previous and present guideline recommendations emphasizes the insufficiency of the maximal diameter as the sole criterion for prophylactic repair. Our ability to guide clinical decisions may improve through an understanding of the mechanical properties of ascending thoracic aortic aneurysms in bicuspid compared to tricuspid aortic valve patients and non-aneurysmal aortas, because dissection and rupture are aortic wall mechanical failures. Such an understanding of the mechanical properties has been attempted by several authors, and this article addresses whether there is a controversy in the accumulated knowledge. The available mechanical studies are briefly reviewed, discussing factors such as age, sex, and the region of mechanical examination that may be responsible for the lack of unanimity in the reported findings. The rationale for acquiring layer-specific properties is presented along with the main results from our recent study. No mechanical vulnerability of ascending thoracic aortic aneurysms was evidenced in bicuspid aortic valve patients, corroborating present conservative guidelines concerning the management of bicuspid aortopathy. Weakening and additional vulnerability was evidenced in aged patients and those with coexisting valve pathology, aortic root dilatation, hypertension, and hyperlipidemia. Discussion of these results from age- and sex-matched subjects, accounting for the region- and layer-specific aortic heterogeneity, in relation to intact wall results and histologic confirmation, helps to reconcile previous findings and affords a universal interpretation of ascending aorta mechanics in bicuspid aortopathy.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-25T07:41:28Z
      DOI: 10.1177/0218492320928731
       
  • Goal-directed cerebral perfusion in aortic arch surgery: scientific leap
           or hype'
    • Authors: Xiaoying Lou, Edward P Chen
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Although significant advancements in cerebral protection strategies in aortic surgery have been achieved in recent years, controversy remains on what constitutes the optimal strategy. Deep hypothermic circulatory arrest alone is a viable approach in many instances, but the need for a prolonged duration of circulatory arrest and increasing case complexity have led to the utilization of adjunctive cerebral perfusion strategies. In this review, we discuss the efficacy of deep hypothermic circulatory arrest and its limitations, the role of retrograde cerebral perfusion and unilateral and bilateral antegrade cerebral perfusion, and the trend towards goal-directed perfusion strategies, all emphasizing the pressing need for randomized clinical trials to better define the optimal strategy.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-22T04:23:36Z
      DOI: 10.1177/0218492320929212
       
  • Rheumatic mitral valve repair: a personal perspective and results
    • Authors: Taweesak Chotivatanapong
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Rheumatic mitral valve disease remains a challenge for cardiac surgeons. Valve repair has several advantages over valve replacement but is technically demanding for good results. To improve rheumatic mitral valve repair, surgeons need to have a deep understand of the mitral valve complex and its dynamics. The goal of repair is to restore normal diastolic and systolic function. The current approach is to perform a holistic repair of the entire mitral complex. Each part of the complex is thoroughly explored to define the problem. Several innovative techniques have been introduced to correct valve dysfunction and provide gratifying results. The details of these techniques will be described, based on an understanding of the relationship of the mitral valve complex and dynamics. With this approach, rheumatic mitral valve repair is becoming more successful, reproducible, and safe. Long-term follow-up is mandatory.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-21T03:06:46Z
      DOI: 10.1177/0218492320927315
       
  • Alternatives to the frozen elephant trunk in acute type A aortic
           dissection
    • Authors: Bashi V Velayudhan, A Mohammed Idhrees
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Acute type A aortic dissection remains one of the most challenging condition in cardiothoracic surgery, with a high mortality rate. Various improvements and innovations have happened over the years to better the outcome of this lethal condition. The frozen elephant trunk prosthesis has been developed to negate the long-term complications of acute type A aortic dissection, but at the cost of increased morbidity compared to hemiarch replacement. Although hemiarch and total arch replacement seem have less morbidity than the frozen elephant trunk technique, they do not address the long-term complications of the distal dissected aorta. Few surgeons now suggest hybrid aortic arch repair as a solution for acute type A aortic dissection. The long-term results need to be studied in all procedures before standardizing them. Although multiple strategies are evolving, the short-term goal of acute type A aortic dissection has not changed: to save the patient’s life. The surgical strategy has to be tailored according to the patient’s condition and the surgeon’s experience.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-21T03:06:46Z
      DOI: 10.1177/0218492320928744
       
  • Endo-Bentall for proximal aortic dissection: from conception to
           application
    • Authors: Maximilian Kreibich, Bartosz Rylski, Friedhelm Beyersdorf, Matthias Siepe, Martin Czerny
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      The endovascular treatment of pathologies of the ascending aorta has not been incorporated into routine clinical practice. The aim of this article is to provide an overview of the endovascular treatment of pathologies of the ascending aorta, particularly type A aortic dissection. A thorough analysis and discussion of anatomical, physiological, clinical and technical challenges, and obstacles is performed. Conventional straight stent-grafts alone are not capable of fixing the entire complex underlying problem in the vast majority of patients with acute type A aortic dissection. An endovascular valve-carrying conduit consisting of a proximal transcatheter aortic valve connected to a covered stent-graft would be able to close a primary entry tear in the ascending aorta, ensure coronary perfusion, initiate true lumen expansion, treat malperfusion, treat aortic regurgitation, drain any pericardial effusion through a transapical approach, and possibly stabilize the distal aorta. Two thirds of all patients with acute aortic dissection are potential candidates for endovascular treatment, and the concept may help to significantly improve survival in patients with acute aortic dissection.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-21T03:06:45Z
      DOI: 10.1177/0218492320929211
       
  • Repair of the rheumatic mitral valve: Is the controversy over'
    • Authors: Manuel J Antunes
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-05-14T03:24:40Z
      DOI: 10.1177/0218492320927316
       
  • Butterfly technique in mitral valve repair
    • Authors: Tohru Asai
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-04-07T01:07:33Z
      DOI: 10.1177/0218492320916298
       
  • Early outcomes of mitral valvuloplasty by minimally invasive surgery or
           sternotomy
    • Authors: Huan-lei Huang, Qian Yan, Xu-jing Xie, Kan Zhou, Biao-chuan He, Liang Yang
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-03-03T04:34:59Z
      DOI: 10.1177/0218492320911756
       
  • Saudi Society for Cardiac Surgeons consensus document on COVID-19, April
           1, 2020
    • Authors: Turki B Albacker, Khalid Eskandar, Huda Ismail, Aadel Tash, Khalid Alkhamees, Zuhair Alhalees, Walid Abu-Khudair
      First page: 307
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      The COVID-19 pandemic represents an international health crisis that is challenging to all governments. Health practitioners in different fields have a duty to guide people and governments to achieve safe health practices. The Saudi Society for Cardiac Surgeons recognizes that it is difficult to establish evidence-based guidelines for safe cardiac surgery practices in such a crisis because this is an unprecedented health pandemic. So we decided to work with our colleagues in other societies by reviewing different recommendations and safe practices issued by different health organizations and scientific societies. The aim was to come up with recommendations that could guide hospitals, physicians, and other members of the healthcare team on the best available practices that are applicable to our community and that will not only ensure optimum patient care delivery but also protect healthcare workers from the risk of infection and aid the national effort in containing and managing this worldwide pandemic.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-26T08:46:54Z
      DOI: 10.1177/0218492320933442
       
  • Frequency of risk factors in patients of acute coronary syndrome due to
           coronary ectasia
    • Authors: Noor Dastgir, Ahmed Muqeet, Arslan Masood, Gul Zaman Khan Niazi
      First page: 312
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundCoronary artery ectasia is a relatively common entity characterized by inappropriate dilatation of the coronary vasculature. In some cases of acute coronary syndrome without obstructive coronary lesions, coronary ectasia is the sole cause. The exact mechanism of its development is unknown but evidence suggests a combination of genetic predisposition, common risk factors for coronary artery disease, and abnormal vessel wall metabolism. As there are few data regarding the pattern of coronary risk factors in patients with coronary ectasia, the objective of the study was to determine the frequency and distribution of coronary risk factors in patients with acute coronary syndrome solely due to coronary ectasia.MethodsThe study included 155 patients over a period of 6 months, with coronary angiographic evidence of coronary ectasia as the sole cause of acute coronary syndrome. There were 79 (51%) men and 76 (49%) women with a mean age 51.92 ± 7.83 years; 73 (47.10%) were aged 20–50 years and 82 (52.90%) were 51–80 years of age. The frequencies of coronary risk factors were stratified according to sex and the two age groups.ResultsSeventy-one patients (45.80%) had diabetes mellitus, 83 (53.54%) had hypertension, 55 (35.48%) were smokers, 46 (29.68%) had dyslipidemia, and 47 (30.3%) were obese.ConclusionHypertension is the leading coronary risk factors in patients with acute coronary syndrome solely due to coronary ectasia, followed by diabetes mellitus and smoking.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-19T11:41:03Z
      DOI: 10.1177/0218492320937155
       
  • Coronary-coronary bypass grafting: artery or vein'
    • Authors: Vladlen Bazylev, Evgeny Rosseikin, Dmitriy Tungusov, Artur Mikulyak
      First page: 316
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThe method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study.MethodsThis was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out.ResultsTwelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period.ConclusionArterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-03T05:04:47Z
      DOI: 10.1177/0218492320941689
       
  • Thoracic cancer surgery during the COVID-19 pandemic: A consensus
           statement from the Thoracic Domain of the Asian Society for Cardiovascular
           and Thoracic Surgery
    • Authors: Sanghoon Jheon, Aneez DB Ahmed, Vincent WT Fang, Woohyun Jung, Ali Zamir Khan, Jang-Ming Lee, Alan DL Sihoe, Punnarerk Thongcharoen, Masahiro Tsuboi, Akif Turna, Jun Nakajima
      First page: 322
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectivesHealthcare resources have been mobilized to combat the COVID-19 pandemic of 2020. The Thoracic Domain of the Asian Society for Cardiovascular and Thoracic Surgery reports a consensus statement on the provision of thoracic cancer surgery during this pandemic.MethodsA Thoracic Experts Panel was convened by the Society. A consensus on the provision, safety, and setting of thoracic cancer surgery during the pandemic was obtained through a Delphi process.ResultsResponses were received from 26 panel members (96% response rate) from 10 regions across Asia. The Society recommended that elective thoracic cancer surgery services may need to be reduced or postponed if medical resources were needed for COVID-19 patients, especially intensive care unit beds and ventilators. However, thoracic cancer surgery should proceed as normal for all solid tumors, without restrictions based on disease stage, availability of non-surgical treatment options, or patient condition (unless there is a high likelihood of postoperative intensive care unit stay). Aerosol-forming procedures should be avoided intra- and perioperatively. The surgical approach does not make a difference in terms of safety. Services for thoracic cancer patients should be offered only in hospitals that maintain isolation wards for patients with confirmed or suspected COVID-19.ConclusionsServices for patients with thoracic cancer should be maintained during the COVID-19 pandemic. The position of the Society is that thoracic surgeons have a responsibility to perform good surgical management of thoracic cancer during the pandemic, to advocate for patients’ rights to receive it, and to safeguard patients and staff from infection.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-01T05:59:24Z
      DOI: 10.1177/0218492320940162
       
  • Thoracic endovascular aortic repair for an ascending aortic pseudoaneurysm
    • Authors: Shintaro Takago, Hiroki Kato, Yoshitaka Yamamoto, Kenji Iino, Keiichi Kimura, Hirofumi Takemura
      First page: 330
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      An 80-year-old woman underwent aortic valve replacement and ascending aortic replacement. Two years later, computed tomography revealed a pseudoaneurysm of the ascending aorta replaced with a prosthesis. The pseudoaneurysm arose from the stump of a side branch of the prosthesis. Endovascular treatment for the pseudoaneurysm was carried out using the aortic extension cuff of an infrarenal endovascular system. The postoperative course was uneventful.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-19T11:41:03Z
      DOI: 10.1177/0218492320937142
       
  • Corridor technique for coronary arteries from a single arterial sinus
    • Authors: Kota Agematsu, Mitsugi Nagashima, Yoshiharu Nishimura, Takashi Higaki
      First page: 333
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      The introduction of the arterial switch operation has improved the surgical outcome of transposition of the great arteries. However, coronary anomalies such as intramural coronary arteries, single coronary artery, or coronary arteries originating from a single arterial sinus have been reported as independent risk factors for early mortality and late morbidity after an arterial switch operation. We performed an arterial switch operation using a unique technique for translocation of the coronary arteries originating from a single left-side arterial sinus, to prevent coronary artery distortion and subsequent coronary malperfusion.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-19T11:41:04Z
      DOI: 10.1177/0218492320937506
       
  • Epicardial blebs and septal hematoma after ventricular septal defect
           closure
    • Authors: Joyce Mary Jose, Sri Rama Ananta Nagabhushanam Padala, Sundararaj Rajkumar, Sreevathsa KS Prasad, Ajay Kumar Jha
      First page: 336
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Rapidly progressive epicardial hemorrhagic blebs during weaning from cardiopulmonary bypass after perimembranous ventricular septal defect closure has not been reported previously. Here, we describe the case of a 3-month-old baby with life-threatening epicardial hemorrhagic blebs and an interventricular septal hematoma after perimembranous ventricular septal defect patch closure.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-16T02:06:32Z
      DOI: 10.1177/0218492320935248
       
  • What is minimal in “minimally invasive cardiac surgery”'
    • Authors: Arkalgud Sampath Kumar
      First page: 339
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-06-19T11:41:04Z
      DOI: 10.1177/0218492320937140
       
  • Corrigendum to “Frequency of risk factors in patients of acute coronary
           syndrome due to coronary ectasia”
    • First page: 341
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2020-07-02T01:23:07Z
      DOI: 10.1177/0218492320942444
       
 
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