Publications by authors named "B P Meyns"
Objective: We aimed to explore the feasibility of an inverted-T upper hemisternotomy approach for pulmonary endarterectomy (PEA) and report the results after 17 cases.
Methods: PEA was conducted through a 7-cm skin incision using an inverted-T upper hemisternotomy across the third intercostal spaces. Cardiopulmonary bypass (CPB) was established through central arterial and percutaneous femoral dual-staged venous cannulation.
Article Synopsis
- Study Purpose
- : The research aimed to determine if using a hemoadsorption device during thoraco-abdominal normothermic regional perfusion (TA-NRP) in heart donation after circulatory death could reduce inflammation and improve heart function.
- Methodology
- : Involved 15 pigs undergoing induced circulatory arrest, followed by TA-NRP with and without a hemoadsorption device. Plasma cytokine levels were measured at various points, and cardiac function was evaluated using pressure-volume loop analysis.
- Findings
- : The hemoadsorption device did not significantly influence cytokine levels or cardiac function post-TA-NRP, indicating that inflammation levels and heart performance were not improved by this intervention
Introduction: Left ventricular assist device (LVAD) therapy may lead to an aortic regurgitation, limiting left ventricular unloading and causing adverse events. Whether concomitant aortic valve replacement may improve outcomes in patients with preoperative mild-to-moderate aortic regurgitation remains unclear.
Methods: A retrospective propensity score-matched analysis of adult patients with preoperative mild-to-moderate aortic regurgitation undergoing durable LVAD implantation between 01/01/2011 and 30/11/2021 was performed.
Background: We conducted a volume-outcome (V-O) meta-analysis of PEA procedures for chronic thromboembolic pulmonary hypertension (CTEPH), to objectively determine the minimum required annual case load that can define a high-volume centre.
Methods: Three electronic databases were systematically queried until May 1st, 2024. Centres were divided in volume tertiles (Ts).
Defining the causes for Fontan circulatory failure in total cavopulmonary connection patients.
Interdiscip Cardiovasc Thorac Surg
November 2024
Objectives: This study aims to identify the causes of failure in Fontan patients with a total cavopulmonary connection.
Methods: We conducted a comprehensive review of all patients who underwent a total cavopulmonary connection procedure at our centre between 1988 and 2023, aiming to identify and analyse the factors contributing to Fontan failure (defined as mortality, heart transplantation, Fontan takedown, protein-losing enteropathy, plastic bronchitis or New York Heart Association Functional Classification class III or IV).
Results: The study included 217 patients (median age at time of Fontan completion 3.