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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298923 | PMC |
| http://dx.doi.org/10.1016/j.xjtc.2020.03.011 | DOI Listing |
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From Zone -1 to Zone 3: Feasibility and Safety of Complex Endovascular Aortic Repairs in Type A Aortic Dissection.
J Thorac Cardiovasc Surg
January 2025
University of Maryland School of Medicine, Division of Cardiothoracic Surgery. Electronic address:
Objective: Over 30% of patients presenting with acute type A aortic dissection (ATAAD) are considered high - risk or inoperable. This study aims to investigate the early and mid-term outcomes of complex endovascular aortic repair of aortic root, ascending aorta, and aortic arch among patients with ATAAD.
Methods: From January 2018 to January 2023, 29 patients who were considered high risk for open operation underwent endovascular aortic repair.
Successful surgical treatment of left main coronary stenosis with CABG and cardiac resynchronization therapy in a patient after the modified Bentall procedure: A case report.
SAGE Open Med Case Rep
December 2024
Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
We present a case of an 82-year-old woman who developed sustained heart failure with left ventricular dyssynchrony after the modified Bentall procedure. Persistent circulatory instability and complete atrioventricular block suggested coronary artery stenosis. Multidetector computed tomography revealed stenosis of the grafted portion of the coronary artery.
View Article and Find Full Text PDFReoperative minimal invasive off-pump coronary artery bypass graft in early left main stem stenosis following Modified Bentall procedure.
J Cardiothorac Surg
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Department of Cardiothoracic Surgery, University Hospitals NHS North Midlands NHS Trust, Stoke-on-Trent, UK.
Six months following modified Bentall procedure a patient presented with angina and acute ST depression. CT coronary angiogram revealed severe narrowing of the left main coronary artery. Minimal invasive off pump coronary artery bypass grafting avoided complex reoperative surgery and delivered an excellent clinical outcome.
View Article and Find Full Text PDFTreatment With mTOR Inhibitors as Primary Immunosuppression After Combined Heart and Kidney Transplantation.
J Card Fail
December 2024
Department of Cardiovascular Diseases and Health Sciences Research and the William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, Minnesota. Electronic address:
Introduction: Sirolimus (SRL) mitigates cardiac allograft vasculopathy (CAV) progression and confers renal protection after heart transplantation (HT). However, its safety and efficacy in patients undergoing combined heart and kidney transplantation (HKT) are unclear. This study aimed to investigate the impact of conversion from calcineurin inhibitors (CNIs) to SRL on CAV progression, renal function, and outcomes in HKT compared with isolated HT.
View Article and Find Full Text PDFModified-Bentall Single-Patch Konno Enlargement Technique for Aortic Stenosis and Prosthesis-Patient Mismatch.
Ann Thorac Surg
December 2024
Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio; Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland Clinic, Cleveland, Ohio.
Article Synopsis
- The BeSPoKE technique is a surgical method used to enlarge the aortic outflow tract in adults with complex heart issues, specifically those facing aortic stenosis and prosthesis-patient mismatch.
- A study involving 25 adults showed significant improvement in aortic valve gradients post-surgery, with a median size increase of the prosthesis and no reports of operative mortality.
- Postoperative complications included atrial fibrillation and heart block, but overall survival at two years was high at 92%, indicating that this technique is a safe and effective option for patients with small left ventricular outflow tracts.
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