Determinants of non-recovery in physical health-related quality of life one year after cardiac surgery: a prospective single Centre observational study.

Background: Recent studies show that substantial percentage of patients experienced worsening of health related quality of life (HRQoL) 1 year after cardiac surgery. The aim of this study is to identify risk factors that interfere with improvement of HRQoL.

Methods: From December 2015 till July 2017 a prospective single centre observational study was carried out in 1920 patients participated who underwent non-salvage cardiac surgery.

Thoracic aortic surgery: an overview of 40 years clinical practice.

Objective: The objective of our study was to report on the total experience in thoracic aortic surgery over a 40-year time period for a single institution.

Methods: All 1075 patients who underwent surgery for thoracic aortic pathology from 1972 to 2011 (n = 1159) were included. Patient, procedural, and follow-up information was obtained from hospital records and the civil registry.

How should I treat impaired systolic function and clinical deterioration after surgery of type A aortic dissection?

Background: A 50-year-old male with diagnosis of acute type A aortic dissection underwent surgical repair. Immediately after surgery the patient had transient ECG changes, a raise in serum cardiac markers and physical signs of heart failure.

Investigation: Physical examination, electrocardiography, echocardiography (transthoracic and transoesophageal), coronary angiography, intravascular ultrasound.