Repair of a Supracristal Ventricular Septal Defect in an Adult.

Ventricular septal defects (VSDs) are the most common congenital cardiac abnormalities occurring in five out of every 1000 births. Supracristal VSDs (located above the crista supraventicularis) are very rare and comprise only 2%-3% of all VSDs. Many VSDs close spontaneously during childhood; however, a substantial portion may not and are present in adulthood with a myriad of symptoms.

A Comparison of Inflammatory Responses Between Robotically Enhanced Coronary Artery Bypass Grafting and Conventional Coronary Artery Bypass Grafting: Implications for Hybrid Revascularization.

Objective: The inflammatory response elicited by robotically enhanced coronary artery bypass grafting (r-CABG) has not been well described. When r-CABG is performed as part of hybrid coronary revascularization, the inflammatory milieu and the timing of percutaneous coronary intervention may affect the stent patency negatively in the short and long term. The goal of this study was to describe the extent and time course of cytokine release after r-CABG compared with conventional CABG (c-CABG) and to elucidate the optimal timing for r-CABG in the setting of hybrid coronary revascularization for a future study.