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Rheumatic heart disease: The role of global cardiac surgery

Abstract Rheumatic heart disease (RHD) remains a neglected disease of poverty. While nearly eradicated in high‐income countries due to timely detection and treatment of acute rheumatic fever, RHD remains highly..

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Tachyarrhythmia as a possible symptom of coronavirus in a neonate diagnosed with transposition of the great arteries

Abstract Background The coronavirus disease 2019 (COVID‐19) pandemic poses broad challenges to healthcare systems and providers. The manifestations of this disease are still being described in a variety of different..

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Editorial comment: “Plug‐In Hybrid”—Are we ready for this in heart valve surgery?

Abstract If we think about plug‐in hybrids, the treatment of paravalvular leaks in cardiac surgery may not be the first thing that comes to mind. Yet, there appears to be..

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The impact of patient‐prosthesis mismatch on early and long‐term survival after aortic replacement with the Edwards Perimount valve: A propensity…

Abstract Background To investigate the impact of severe patient‐prosthesis mismatch (PPM) related to the Edwards Lifesciences Perimount (EP) bioprosthesis in the aortic position on early in‐hospital outcomes and long‐term survival...

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Total thoracoscopic repair of ventricular septal defect: A single‐center experience

Abstract Objectives To explore the safety and efficacy of total thoracoscopic repair of ventricular septal defects (VSD). We compared clinical outcomes of VSD via a total thoracoscopic approach with those..

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Cytokine adsorption in patients with severe COVID-19 pneumonia requiring extracorporeal membrane oxygenation (CYCOV): a single centre, open-label, randomised, controlled trial

Abstract Background We sought to clarify the benefit of cytokine adsorption in patients with COVID-19 supported with venovenous extracorporeal membrane oxygenation (ECMO). Methods We did a single-centre, open-label, randomised, controlled..

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Intersection of Heart Failure and Pregnancy: Beyond Peripartum Cardiomyopathy

Abstract Heart failure (HF) is a leading cause of morbidity and mortality in pregnant women in the United States. Although peripartum cardiomyopathy is the most common diagnosis for pregnant women..

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Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of…

Abstract In this document, we propose a universal definition of heart failure (HF) as a clinical syndrome with symptoms and/or signs caused by a structural and/or functional cardiac abnormality and..

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Robotic Surgery in the Adult Congenital Cardiac Patient: Back to the Future?

Abstract In the early years of 2000, a growing enthusiasm toward robotic and minimally invasive techniques became more prevalent in the field of cardiac surgery. Robotically assisted surgical systems were..

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Endoscopic Tricuspid Valve Surgery is a Safe and Effective Option

Abstract Objective Isolated tricuspid surgery through median sternotomy can be associated with a high morbidity and mortality. Reports of minimally invasive isolated tricuspid valve operations are rare, but the outcomes..

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Minimally Invasive Cardiac Surgical Procedures in Children

Abstract Efforts to reduce the trauma and discomfort associated with thoracic and cardiac procedures in children have a long and complex history. While much of the early focus has been..

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Transport and Retrieval on Extracorporeal Membrane Oxygenation (ECMO): Setup and Activities of an Immersive Transport and Retrieval on ECMO Workshop

Abstract Extracorporeal life support and extracorporeal membrane oxygenation (ECMO) are widely used for acute severe refractory cardiac and respiratory failure. An increasing number of patients are treated with ECMO worldwide. This can be attributed to..

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Platelet transfusion: Alloimmunization and refractoriness

Abstract The transfusion of platelets for both prophylaxis and treatment of bleeding is relevant to all areas of medicine and surgery. Historically, guidance regarding platelet transfusion has been limited by..

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Appropriate Clinical Trial Registration Is the Key to Transparent Reporting and Publication

Abstract WHAT IS the purpose of trial registration and why is it so important to the integrity of research? Clinical trial registration serves the following purposes. First, by preregistering the..

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Anticoagulation in Critically Ill Adults during Extracorporeal Circulation

Abstract Extracorporeal circuits including renal replacement therapy, extracorporeal membrane oxygenation, and ventricular assist devices are increasingly used in critically ill patients. The need for anticoagulation to provide circuit patency and..

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From less invasive to minimal invasive extracorporeal circulation

Abstract Development of minimally invasive cardiac surgery (MICS) served the purpose of performing surgery while avoiding the surgical stress triggered by a full median sternotomy. Minimizing surgical trauma is associated..

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Literature-based considerations regarding organizing and performing cardiac surgery against the backdrop of the coronavirus pandemic

Abstract Background The ongoing coronavirus disease 2019 (Covid-19) pandemic presents challenges for surgeons of all disciplines, including cardiologists. The volume of cardiac surgery cases has to comply with the mandatory..

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Development and Validation of a Risk Score for Respiratory Failure After Cardiac Surgery

Abstract Background Postoperative respiratory failure, defined as ventilator dependency for more than 48 hours or unplanned reintubation within 30 days, is a costly complication of cardiac surgery that increases mortality..

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Brain Injury in Extracorporeal Membrane Oxygenation: A Multidisciplinary Approach

Abstract Extracorporeal membrane oxygenation (ECMO) represents an established technique to provide temporary cardiac and/or pulmonary support. ECMO, in veno-venous, veno-arterial or in extracorporeal carbon dioxide removal modality, is associated with..

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How would we treat our own heparin-induced thrombocytopenia during cardiac surgery?

Abstract The aim of this article is to provide a comprehensive review of the current state of knowledge on heparin-induced thrombocytopenia (HIT) in cardiac surgery. The management of HIT patients..

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Are We Ready for Hyperthermic Intraperitoneal Chemotherapy in the Upfront Treatment of Ovarian Cancer?

Abstract Advanced epithelial ovarian cancer (EOC) has a well-characterized pattern of spread; the cancer cells tend to stay within the peritoneal cavity, attaching to organ surfaces and only invading superficial..

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NNeMo (Neonatal NeuroMonitor) - a hybrid optical system to characterize perfusion and metabolism in the newborn brain

Abstract Premature birth, defined as a gestational period less than 37 weeks, occurs in 8% of infants born in Canada. These births are associated with a higher risk of developing..

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Association of Intravenous Tranexamic Acid With Thromboembolic Events and Mortality

Abstract Importance   Tranexamic acid (TXA) is an efficient antifibrinolytic agent; however, concerns remain about the potential adverse effects, particularly vascular occlusive events, that may be associated with its use. Objective  ..

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Thromboembolic and Bleeding Events in COVID-19 Patients receiving Extracorporeal Membrane Oxygenation

Abstract   Background Extracorporeal membrane oxygenation (ECMO) is a potential treatment option in critically ill COVID-19 patients suffering from acute respiratory distress syndrome (ARDS) if mechanical ventilation (MV) is insufficient;..

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Intraoperative Urinary Biomarkers and Acute Kidney Injury After Cardiac Surgery

Abstract Objectives To evaluate the association of intraoperative urinary biomarker excretion during cardiac surgery and the subsequent development of acute kidney injury (AKI). Design Prospective, nonrandomized, observational study. Setting Single..

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Oxygen delivery-guided perfusion for the prevention of acute kidney injury: A randomized controlled trial

Abstract Objectives The reduction of postoperative acute kidney injury in patients undergoing cardiopulmonary bypass surgery using an oxygen delivery-guided perfusion strategy (oxygen delivery strategy) for cardiopulmonary bypass management compared with..

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Monitoring of the Progression of the Perioperative Serum Lactate Concentration Improves the Accuracy of the Prediction of Acute Mesenteric Ischemia…

Abstract Objectives To examine the sensitivity and specificity of perioperative lactate gradients for the prediction of subsequent  development in patients undergoing cardiovascular surgery. Design Retrospective, single-center, case-control study. Setting University hospital...

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Initial Single-center Experience of PIPAC in Patients With Unresectable Peritoneal Metastasis

Abstract Introduction Peritoneal carcinomatosis remains a condition with poor prognosis and limited therapeutic options. Pressurized Intrapertioneal Aerosol Chemotherapy (PIPAC) has been developed as a new tool for delivering intraperitoneal chemotherapy..

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The Use of Extracorporeal Circulation in Suspected Brain Dead Organ Donors with Cardiopulmonary Collapse

Abstract Bleeding and thrombosis-related complications are common in pediatric cardiac patients supported by extracorporeal membrane oxygenation (ECMO) and are associated with morbidity and mortality. The purpose of this study was..

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Effective Use of Reporting Guidelines to Improve the Quality of Surgical Research

Abstract Historically, the surgical literature was defined based on a predominance of case series, case reports, and anecdotal experiences of surgical investigators. But over the past several decades, the methodologic..

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