Article
Cardiac & Cardiovascular Systems
Shinichi Fukuhara, Gorav Ailawadi, G. Michael Deeb
Summary: This study investigated the frequency and outcomes of nonaortic valve surgery after TAVR and found that these surgeries were associated with high mortality and observed-to-expected mortality ratio.
ANNALS OF THORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Mahesh Ramanan, Aashish Kumar, Chris Anstey, Kiran Shekar
Summary: This retrospective study analyzed data from cardiac surgical admissions in Australia and New Zealand over a 16-year period to determine the proportion of patients experiencing non-home discharge (NHD), indicating a significant increase over time. Factors associated with NHD included increasing age, female sex, non-elective surgery, surgery type, and Acute Physiology and Chronic Health Evaluation III Score. This has important implications for informed consent discussions and healthcare services planning.
Article
Cardiac & Cardiovascular Systems
Yan Zhu, Lipeng Pei, Ning Li, Yan Zhu
Summary: This study investigates the correlation between preoperative sST2 and postoperative myocardial remodelling and cardiac function. The results show that preoperative sST2 levels are associated with early postoperative myocardial remodelling and can predict the improvement of cardiac function 1 month after surgery.
Article
Cardiac & Cardiovascular Systems
Yafen Liang, Abhijeet Dhoble, Adarsh Pakanati, Yelin Zhao, Felix Kork, Wei Ruan, Travis Markham, Richard Smalling, Prakash Balan, Anthony Estrera, Tom C. Nguyen, Igor Gregoric, Biswajit Kar, Holger Eltzschig
Summary: Catastrophic cardiac events during TAVR are rare but significantly increase perioperative mortality. Causes include cardiac perforation, tamponade, aortic root disruption. Early recognition and standardized team approach are crucial for managing these complications and improving patient outcomes.
CANADIAN JOURNAL OF CARDIOLOGY
(2021)
Article
Multidisciplinary Sciences
Yan Liang, Guiying Yang, Hong Li, Ning Ding, Lin Zhang, Jian Chen
Summary: This study aimed to determine the optimal timing of warfarin discontinuation based on different INR ranges for patients with mechanical heart valves undergoing non-cardiac surgeries. The results indicate that discontinuing warfarin for 3 days is sufficient when the preoperative INR is less than 1.5, and discontinuing warfarin for 3-5 days is appropriate when the INR is less than 1.2. Furthermore, the change in INR after warfarin discontinuation does not significantly affect intraoperative bleeding in non-cardiac surgeries.
Article
Medicine, General & Internal
Alexander Pichler, Andrea Kurz, Michael Eichlseder, Alexandra Graf, Michael Eichinger, Alexander Taschner, Barbara Kabon, Edith Fleischmann, Christian Reiterer, INSIGHT Study Grp
Summary: This study aims to evaluate the association between postoperative inflammation and the occurrence of cardiovascular complications after non-cardiac surgery, as well as the association with days-at-home, acute kidney injury, NT-proBNP concentrations, and neurocognitive decline.
Article
Medicine, General & Internal
Roya Ostovar, Filip Schroeter, Martin Hartrumpf, Ralf-Uwe Kuehnel, Dunja Bruch, Farnoosh Motazedian, Johannes Maximilian Albes
Summary: Advanced age is a risk factor in cardiac surgery, and there is an aging of the heart that differs from chronological age. The elderly show significantly more cardiac deterioration, higher multimorbidity, and worse postoperative outcomes compared to younger patients. Further research and treatment of cardiac aging are needed to address the needs of an aging society.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Hongbai Wang, Xiaoxiao Guo, Xianlin Zhu, Yinan Li, Yuan Jia, Zhe Zhang, Su Yuan, Fuxia Yan
Summary: This retrospective case-control study found that male gender is a significant risk factor for postoperative delirium (POD) in patients following cardiac valve surgery, especially in patients aged younger than 60 years. The study also showed that the incidence of hyperactive delirium is higher in males, emphasizing the importance of attention to male patients to prevent POD occurrence.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Review
Cardiac & Cardiovascular Systems
Ole De Backer, Ivan Wong, Ben Wilkins, Christian Lildal Carranza, Lars Sondergaard
Summary: Contemporary surgical and transcatheter aortic valve interventions provide effective therapy for patients with severe symptomatic aortic valve disease, and decision-making on aortic valve interventions should take into account individual patient factors such as operative risk, anatomy, lifetime management, and specific comorbidities.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Shekhar Saha, Sven Peterss, Christoph Mueller, Simon Deseive, Sebastian Sadoni, Jorg Hausleiter, Steffen Massberg, Christian Hagl, Dominik Joskowiak
Summary: This study retrospectively analyzed the surgical outcomes of patients undergoing secondary cardiac surgery after initial TAVR, finding that conventional cardiac surgical procedures following TAVR are feasible with reasonable results and a low complication rate.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Hongduan Liu, Xiaokang Tu, Hao Zhang, Chengming Fan, Haoyu Tan, Long Song, Qin Wu, Liming Liu
Summary: Primary cardiac calcification is a rare benign mass in patients with end-stage renal disease. Surgical resection led to successful removal of the mass, with no recurrence found during follow-up.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Nina Feirer, Anastasiya Kornyeva, Miriam Lang, Konstantinos Sideris, Bernhard Voss, Markus Krane, Ruediger Lange, Keti Vitanova
Summary: This study examines the long-term functional outcome of minimally invasive mitral valve repair (MVR) and its safety. The results showed excellent functional long-term results with low perioperative and late mortality.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Medicine, General & Internal
Zhe Li, Emily Dawson, Jessica Moodie, Janet Martin, Rodrigo Bagur, Davy Cheng, Bob Kiaii, Adam Hashi, Ran Bi, Michelle Yeschin, Ava John-Baptiste
Summary: The study found that frailty instruments varied across studies, leading to a wide range of frailty prevalence estimates for TAVI recipients and substantial heterogeneity. By synthesising prognostic data, useful information for clinical management was provided, highlighting the need for standardisation of frailty measurement to promote consistency.
Article
Cardiac & Cardiovascular Systems
Fabio Ius, Daniel Moscalenco, Dietmar Boethig, Igor Tudorache, Axel Haverich, Gregor Warnecke, Serghei Cebotari
Summary: This retrospective study examined patients who underwent cardiac valve operations after solid organ transplantation and found high prevalence of postoperative complications, especially in patients with endocarditis or undergoing concomitant transplantation and valve surgery. However, survival conditioned to hospital discharge was satisfactory.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Veterinary Sciences
Ga-Won Lee, Min-Hee Kang, Woong-Bin Ro, Doo-Won Song, Hee-Myung Park
Summary: The study found that dogs with heart, endocrine, and dermatologic diseases had higher circulatory galectin-3 levels compared to healthy dogs, with dogs with concentric cardiomyopathy showing significantly increased levels. Additionally, the conventional echocardiographic index E'/A' was positively associated with galectin-3 levels, and galectin-3 concentration could help evaluate cardiac remodeling and diastolic function in dogs. Further large-scale research is needed to understand the role of circulating galectin-3 in dogs with heart diseases.
FRONTIERS IN VETERINARY SCIENCE
(2021)