Heart, cardiovalvula, vascular disorder

Diagnosis of interventricular septmn dissection aneurysm with echocardiogram, Midterm follow-up of surgical treatment for is - chemic mitral regurgitation , A preliminary research to evaluate the effects of Dor procedure on left ventricular three-dimensional shape and funetion , An early stage morphologic analysis for nonre. strictive external stent to prevent vein graft failure,Study of EPO pretreatment＇s effect on expression of TNF-α gene in cultured cardiac myocytes with hypoxia/reoxygenation injury and the possible mechanism     

Heart, cardiovascula, vascular disorder

Experience on surgical treatment of severe aortic valve stenosis： a report of 171 cases,Double-Switch operation in corrected transposition and double outlet right ventricle with atrioventricular discordance,Optimal surgical management for transposition of great arteries with intact ventricular septum in infant older than 21 days,Follow-up of valve operation： a report of 917 cases,Valve replacement and coronary artery bypass grafting on beating heart     

Heart,cardiovascula,vascular disorder

<正>209409 Mechanical ventilation affects inflammatory mediators in patients undergoing coronary artery bypass grafting/Yan Hengyu(闫恒宇,Dept Cardiaovasc Surg,Gen Hosp Anshan Iron Steal Company,Anshan 114010)…∥Chin J Thorac Cardiovasc Surg.-2009,25(2).-118～120Objective Not only the systemic inflammation and acute organ injury are all caused by inflammatory mediators but also the intension of them are closely related to the levels of inflammatory mediators.Through observation on the content of Interleukin 6,Interleukin 8 in two different mechanical ventilation groups(high tidal volumes/low positive end-expiratory pressure,low tidal volumes/high positive end-expiratory pressure)to find which is the better ventilatory method to the patients undergoing coronary artery bypass grafting.Methods Forty patients undergoing elective coronary artery bypass were randomized to be ventilated after cardiaopulmonary bypass disconnection with high tidal volumes/low positive end-expiratory pressure(10-12 ml/kg and 2-4 cm H2O)or low tidal volumes/high positive end-expiratory pressure(6-8 ml/kg and 8-10 cm H2O).Interleukin 6 and Interleukin 8 levels were measured in the bronchoalveolar lavage fluid and plasma.Samples were taken before sternotomy(T0),immeditately after cardiaopulmonary bypass separation(T1),and after 6 hours of mechanical ventilation(T2).Results Interleukin 6 and Interleukin 8 levels in the bronchoalveolar lavage fluid and plasma significantly increased at T1 in both groups but further increased sighificantly at T2 only in patients ventilated with high tidal volumes/low positive end-expiratory pressure.Conclusion Ventilation with low tital volumes/high positive end-expiratory pressure does not increased the level of inflammatory mediators,protects the systemic function to patients,avoids acute organ injury,is the better ventilatory method for patients undergoing coronary artery bypass grafting from cardiaopulmonary bypass.6 refs,3 tabs.     

Heart, cardiovalvula, vascular disorder

Pathological changes of radial artery used for coronary artery bypass grafting and its related risk factors for intimal hyperplasia; Clinical experience of simultaneous aortic operation and coronary artery bypass grafting; Pulsatile-flow-cultivation recellularization of homograft bioprosthetic valve;Assessment of antegrade/retrograde cardioplegia by magnetic resonance technique; Ventricular performance changes of functional single ventricle in various stages of operation assessed by magnetic resonance imaging;……     

Heart, cardiovascula, vascular disorder

Double switch operation for corrected transposition of the great arteries;Half-turned truncal switch operation for com. plete transposition of the great arteries with ventricular septal defect and pulmonary stenosis and double outlet of right ventricle with pulmonary stenosis;Outcomes after complete repair of tetralogy of fallot in children： a comparison between different age groups;Arterial switch operation for complete transposition of the great arteries with coronary artery from single sinus     

Heart, cardiovascnla, vascular disorder

The clinical study of circmnferentlal ablation around orifice of pulmonary vein by radiofrequeacy energy with chronic atrial fibrillation undergoing rheumatic valvular heart surgery,Coronary endarterectomy and bypass grafting without cardiopulmonary bypass for patients with dlf. fused coronary artery disease,Intracoronary transfection of transforming growth factor β1 gene attenuates acute rejection of cardiae allograft in rats     

Heart, cardiovascula, vascular disorder

Immune properties of decellular human tissueengineering aortic valves conduits; VEGF165 and angiopoietin-1 synergistically improve cardiac function of the infarcted rats; The research of surgical approach of right ventricular outflow tract construction for pulmonary atresia with ventricular septal defect in infant and young children;Double switch operation for congenital corrected transposition of great arteries with heart anomaly; Surgical treatment of cardiac valve disease in the elderly; Comparison of decellularizative procedures of bovine pericardium tissueengineering heart valve scaffold;……     

Heart, cardiovascula, vascular disorder

C-myc antisense oligodeoxynucleotides transferred by soluble stent preventing vein graft stenosis, Surgical indication for treatment of congenital heart disease with severe pulmonary hypertension,Inhibition effects of complement depletion with CVF on cardiac allografts rejection in inbred strain rats,Bentall procedure with composite tissue valve conduit, Long-term follow-up of tricuspid valve function by color Doppler echocardiography after mitral valve replacement[第一段]     

Heart, cardiovalvula, vascular disorder

Experimental study on mechanical properties of decellularized porcine aortic valve and effects of precoating methods of biological scaffold on histocmpatibility; New preparation of acellular aortic valve conduit scaffold by using sodium n-lauroyl sarcosine and function analysis; Effects of ischemic postconditioning on myocardial cell during ischemia/reperfusion period in rabbits     

Heart, cardiovascula, vascular disorder

207638 Cli mical study of off-pump plication for left ventricular aneurysm/Sun Hansong(孙寒松,Dept Car- diovasc Surg Cardiovasc Inst Fuwai Hosp,CAMS,Beijing 100037)…∥Chin J Thorac Cardiovasc Surg.-2007 ,23 (3) .-147 ~149 Objective To evaluate the surgical results of off- pumpfor plicationforleft ventricular aneurysm.Methods The study included 34 patients withleft ventricular a- neurysm,who underwentleft ventricular aneurysmectomy and plication on pumpin groupⅠ(17 cases ) andsi mply …     

Heart,cardiovascula,vascular disorder

<正>210307 Early death causes in 2349 patients who receiving heart valve replacement/Chen Haisheng(陈海生,Dept Cardiothorac Surg,Guangzhou Univ Tradit Chin Med 1st Hosp,Guangzhou 525200)…Chin J Thorac Cardiovasc Surg.-2010,26(3).-151～155     

氨溴索、酚妥拉明、多巴酚丁胺治疗肺心病顽固性心衰疗效观察

目的:探讨氨溴索,酚妥拉明,多巴酚丁胺联合治疗肺心病顽固性心衰的临床疗效。方法:选择综合治疗加合理应用强心剂利尿剂为对照组与综合治疗加用氨溴索,酚妥拉明,多巴酚丁胺为治疗组的对比治疗。结果:治疗组对缓解临床症状,改善肺心功能明显优于对照组。结论:此方案对治疗肺心病顽固性心衰是一种较为有效的方案,较好地改善患者的生活质量,降低死亡率。     

Heart cardiovascula,vascular disorder

<正>209247 Analysis of mortality risk factors in children complicated acute renal dysfunction after congenital cardiac surgery/Huang Jihong(Dept Thorac Cardiovasc Srug,Shanghai Children’s Med Center,Shanghai Jiaotong Univ Med Col,Shanghai 200127)…∥Chin J Thorac Cardiovasc Surg.-2009,25(1).-32~34Objective Peritoneal dialysis offers one of effective methods for treating acute renal dyfunction after congenital cardiac surgery,however the mortality of these patients are still relatively high.The aim of this study was trying to predict the risk factors of mortality risk at initiation of peritoneal dialysis using clinical and laboratory data.Methods From Jun.2006 to Jan.2007,1312 patients with congenital heart disease were treated with cardiac surgery.Twenty seven patients accepted dialysis due to acute renal dysfunction.We analyzed retrospectively the clinical and experimental data obtained befroe starting peritoneal dialysis.Results In 27 children with peritoneal dialysis,there were 13 nonsurvivors(48.1%),14 survivors,there was a significant difference between survivors and nonsurvivors with regard to the viriables parameters such as cardiac troponin I(cTnI),pH,PIP,colloid osmotic pressure(COP),base excess(BE),lactate(Lact),arterial-venous oxygen saturation difference(ΔSO2),and inotropic score(InS).The stepwise regression analysis indicates a multivariate influence of cTnI(P=0.01),pH(P=0.04),PIP(P=0.02),COP(P=0.05) on mortality.Conclusion The variables of cTnI,pH,PIP and COP can help to predict mortality as risk factors at the initiation of peritoneal dialysis.8 refs.     

Heart cardiovascula, vascular disorder

Analysis of surgical treatment for Standford type A aortic dissection; Surgical repair of complex mitral valve regurgitation with the comprehensive application of multiple technique; One stage repair of interrupted aortic arch in 10 patients with associacted cardiac anomalies;The results of surgical treatment of 14 patients underwent repeated tricuspid valve operations; The value of HFABP in the early detection of myocardial injury following open-heart surgery with cardiopulmonary bypass……     

冠心病心衰中医证型与心功能分级、LVEF、CO、CI及BNP的相关性分析

目的探讨冠心病所致慢性心力衰竭(CHF)患者中医证型与心功能分级、脑钠肽(BNP)及心脏超声指标(LVEF、CO、CI)的关系,为冠心病心力衰竭临床辨证提供参考指标。方法选择冠心病住院患者154例,按NYHA分级标准进行心功能分级,中医辨证分为心气阴虚证、心气阳虚证、气虚血瘀证、阳虚水泛证、心阳虚脱证5型,检测BNP、超声心动图指标(LVEF、CO、CI)。结果各中医证型组中,LVEF、CO、CI从心气阴虚、心气阳虚、气虚血瘀、阳虚水泛、心阳虚脱呈依次降低趋势,BNP呈依次增高趋势,组间比较,差异有统计学意义(P<0.05或P<0.01);心功能分级阶次升高。结论 LVEF、CO、CI、BNP均可间接反应冠心病心力衰竭患者的患病程度及预后,中医辨证分型与心功能分级密切相关,各项参考指标可为中医辨证分型提供客观量化依据。