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Delayed migration of sapien valve following a transcatheter mitral valve‐in‐valve implantation 下载免费PDF全文
Vinayak Nilkanth Bapat FRCS.CTh Feras Khaliel MD Leo Ihleberg MD 《Catheterization and cardiovascular interventions》2014,83(1):E150-E154
We report two cases of delayed migration of the Sapien XT device after a successful mitral valve‐in‐valve (VIV) implantation. The procedure was performed through a transapical approach. Echocardiography was used to choose the size of the Sapien XT device. Although the immediate results were satisfactory both the cases presented with severe regurgitation (1 week and 3 months). Investigations revealed atrial migration of the Sapien device in both the cases, which was confirmed at the time of reoperation. We discuss possible mechanisms, which could have resulted in the delayed migration and highlight the difference between VIV procedures in mitral position versus other positions. © 2013 Wiley Periodicals, Inc. 相似文献
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Improvement in perioperative care in pediatric cardiac surgery by shifting the primary focus of treatment from cardiac output to perfusion pressure: Are beta stimulants still needed? 下载免费PDF全文
Amir‐Reza Hosseinpour MD FRCS‐CTh Mathieu van Steenberghe MD MSc Marc‐André Bernath MD Stefano Di Bernardo MD Marie‐Hélène Pérez MD David Longchamp MD Mirko Dolci MD Yann Boegli MD Nicole Sekarski MD Javier Orrit MD Michel Hurni MD René Prêtre MD Jacques Cotting MD 《Congenital heart disease》2017,12(5):570-577
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IRA Goldsmith FRCS GYH Lip MD MRCP PP Kumar FRCS RL Patel MD FRCS CTh 《International journal of clinical practice》1999,53(1):9-14
To survey the in-hospital morbidity, mortality, length of stay in the intensive therapy unit (ITU) and hospital and quality of life in patients of Indo-Asian origin following coronary artery bypass (CABG) surgery, 345 consecutive patients (mean age 58 years; SD 8.9; range 32-88 years) undergoing primary, isolated CABG were studied. Non-elective CABG was undertaken in 41% of patients. The left anterior descending artery (LAD) was grafted in 89%, although in 30% of these the internal mammary artery (IMA) was not used. Following CABG, the hospital morbidity and mortality was within the expected range, although there was a trend towards higher in-hospital mortality in the Parsonnet low risk group of patients. The length of ITU and hospital stay was not prolonged. Using the SF-36 questionnaire in postoperative patients, low quality of life scores were obtained for six of the eight modalities tested including physical functioning, bodily pain and general health perception. The low quality of life scores and IMA usage in Indo-Asians needs to be addressed. 相似文献
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Sugeevan Savarimuthu MD Jalal BinSaeid MD FRCS CTh Amer Harky MBChB MRCS MSc 《Journal of cardiac surgery》2020,35(6):1298-1301
Arising from the city of Wuhan, Hubei province in China, a novel coronavirus named severe acute respiratory syndrome coronavirus 2 has been rapidly spreading since its first presentation in late 2019. The World Health Organization declared a pandemic on the 11th March 2020, and as of 29th of April 2020 more than 3 million cases have been reported worldwide with over 225 000 confirmed deaths. Where mechanical ventilation may not be enough, extracorporeal membrane oxygenation (ECMO) could play a role as a form of rescue therapy and may provide beneficial results in the hands of skilled clinicians in centers with experience of using ECMO appropriately in selected patients. Our understanding of COVID-19 is ever-changing and the need for intensive care beds is rising, which means that ECMO will surely play a key role in the near future. 相似文献
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Vinayak Bapat FCRS CTh Muhammed Z. Khawaja MBBS Rizwan Attia MBChB Ashok Narayana MBBS Karen Wilson BSc Kirsty Macgillivray BSc Christopher Young MD Jane Hancock PhD Simon Redwood MD Martyn Thomas MD 《Catheterization and cardiovascular interventions》2012,79(5):733-740
Objectives: To evaluate feasibility and outcome of Transoartic Transcatheter Sapien valve implantation. Background: Transcatheter Aortic valve implantation (TAVI) using the Edwards SAPIEN device (Edwards LifeScience, Irvine, CA) is usually performed via the transfemoral (TF) or transapical (TA) routes. Some patients are not suitable for these approaches. We report our experience with the novel transaortic (TAo) approach via a partial upper sternotomy and discuss the advantages and future applications. Methods: Between January 2008 to March 2011 193 patients with severe aortic stenosis underwent TAVI with the Edwards SAPIEN bioprosthesis at the St. Thomas' Hospital, London. 108 patients were unable to undergo a TF‐TAVI and of those 17 were accepted for a TAo‐TAVI on the basis of anatomy, risk, LV function, and significant respiratory disease. Results: The TAo‐TAVI group (n = 17) had more prevalent respiratory disease than the TA‐TAVI group (47.0% vs. 18.7%, P = 0.011). Otherwise the groups were similar in demographics and history. Despite this the 30 day mortalities were not significantly different between the groups (TAo‐TAVI 4.3% at 30 days versus TA‐TAVI 7.7%, P = 0.670). There were no significant differences in procedural complications. Conclusions: The TA‐TAVI approach may not be desirable in patients with severe chest deformity, poor lung function or poor left ventricular function. TAo‐TAVI via a partial sternotomy is safe and feasible in these patients. © 2011 Wiley Periodicals, Inc. 相似文献
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Samer Bazerbashi FRCS Jaime Villaquiran FRCS CTh Mohammad Yousaf Awan FRCS Michael Jonathan Unsworth-White FRCS CTh Joe Rahamim FRCS Adrian Marchbank FRCS CTh 《Annals of surgical oncology》2009,16(12):3482-3487