Integrated approach to aortic valve replacement, coronary intervention, and aortic aneurysm in severe LV dysfunction: A case report.

Introduction And Importance: In the complex field of cardiac care, managing patients with severe aortic stenosis, coronary artery disease, aortic aneurysm, and left ventricular dysfunction poses significant challenges. Traditionally, such conditions demand highly invasive surgeries, like open-heart surgery with prolonged cardiopulmonary bypass, increasing the risk of complications and the need for mechanical circulatory support.

Case Presentation: This case report details a management of a 53-year-old with no significant past medical history who presented with a three-month history of progressive exertional dyspnea, mixed aortic valve disease, comprising severe aortic regurgitation and moderate aortic stenosis, in addition to coronary artery disease and left ventricular dysfunction.

Ultrasonic scalpel versus electrocautery for internal mammary artery harvesting: a meta-analysis.

Objective: Although an ultrasonic harmonic scalpel (HS) has been used to harvest the internal mammary artery (IMA) for coronary artery bypass grafting, the benefits and risks compared to conventional electrocautery (EC) are not clear. We aimed to compare the outcomes of HS versus EC for IMA harvesting.

Methods: An electronic search was performed to identify all relevant studies.

An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery.

Background: Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).

Aim: We aim to highlight our experience using percutaneous axillary artery cannulation to safely facilitate CPB for minimally invasive cardiac surgery MICS.

Long-term outcomes in heart transplantation using donors with a history of past and present cocaine use.

Objectives: Organ donors with a history of cocaine use are thought to be less favourable for orthotopic heart transplantation (OHT). This study examined long-term survival in OHT using donors with a history of cocaine use.

Methods: The United Network for Organ Sharing (UNOS) database was examined for primary, adult heart transplants from 2000 to 2010.