scholarly journals Long-term management of bradyarrhythmias following open heart surgery: Surgical A-V block and sick sinus syndrome after surgery for secundum atrial septal defects treated with permanent cardiac pacing.

1986 ◽  
Vol 50 (9) ◽  
pp. 903-917 ◽  
Author(s):  
Satoshi OHNISHI ◽  
Hiroshi KASANUKI ◽  
Kunitake TAKAMIZAWA ◽  
Atsuyoshi TAKAO ◽  
Koshichiro HIROSAWA
Keyword(s):  
Heart Surgery ◽  
Sick Sinus Syndrome ◽  
Open Heart Surgery ◽  
Cardiac Pacing ◽  
Open Heart ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Term Management

scholarly journals Outcome of Surgical Closure of Atrial Septal Defect in Sulaimani City

2020 ◽  
Author(s):  
Aso Faeq Salih ◽  
Hakam Marwan Mhadi ◽  
Shkar Raeof
Keyword(s):  
Atrial Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Age Group ◽  
Open Heart ◽  
Group 13 ◽  
Surgical Closure ◽  
Septal Defects ◽  
Atrial Septal Defects

An atrial septal defect (ASD), sometimes called a hole in the heart is a type of congenital heart defect in which there is an abnormal opening in the dividing wall between the upper filling chambers of the heart (the atria). To determine the outcome of surgical closure in patients with atrial septal defects, we designed a retrospective study, including 120 patients present with an atrial septal defect after surgical closure done in the cardiac teaching center in Sulaimani city. The data collected include the patients that admitted which are known cases of ASD and treated by open heart surgery during the last nine years from 1st of January 2008 until the 1st of January 2018. A total of 120 children diagnosed with Atrial Septal Defect (ASD) were included in this study with a mean age of 7.8±4.4 years; 32.5% of them were 1-5 years old, 50.8% of them were in the age group 6-12 years, and 16.7% of them were in the age group 13-19 years. Only three ASD children received medical treatment while all of them were treated surgically with open-heart surgery. The mean age of ASD children at surgery was7.8±4.4 years; 5.8% of them were 1-2 years old, 28.4% of them were 3-5 years old, 49.1% of them were in the age group 6-12 years, and 16.7% of them were in the age group 13-19 years. There was a significant association between primum ASD type and large ASD with posteroinferior deficient rims (P=0.04). A significant association was observed between primum ASD type and large IAS (P=0.006). Mean ASD diameter was significantly higher among patients with primum ASD type (P=0.01). The outcome of surgical closure of the atrial septal defect in children is effective and safe. Ventricular arrhythmia in the form of ectopic was the postoperative complication in one patient. The main echocardiography findings of children with atrial septal defects were large ASD with posteroinferior deficient rims.

Axillary artery: An unanticipated choice of access in the cath lab!

2021 ◽  
pp. 021849232110264
Author(s):  
Puneet Varma ◽  
Bharath A Paraswanath ◽  
Anand Subramanian ◽  
Jayaranganath Mahimarangaiah
Keyword(s):  
Hospital Stay ◽  
Heart Surgery ◽  
Septal Defect ◽  
Axillary Artery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Rare Site

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.

Short and Long-term Results of Open Heart Surgery in Aortic Valve Disease

1998 ◽  
Vol 28 (9) ◽  
pp. 1509 ◽  
Author(s):  
Hyun-Sook Kim ◽  
Jae-Kwan Song ◽  
Jae-Hwan Lee ◽  
Young-Hak Kim ◽  
Min-Kyu Kim ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Disease ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Valve Disease ◽  
Long Term Results ◽  
Open Heart ◽  
Short And Long Term

P1836Constrictive pericarditis after open heart surgery: a 20-year case controlled study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A E Moreyra ◽  
Y Yang ◽  
S Zinonos ◽  
N M Cosgrove ◽  
J Cabrera ◽  
...  
Keyword(s):  
Constrictive Pericarditis ◽  
Heart Surgery ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Controlled Study ◽  
Robert Wood Johnson Foundation ◽  
Open Heart ◽  
Significant Difference ◽  
Long Term Prognosis

Abstract Background Constrictive pericarditis (CoPe) after open-heart surgery (OHS) is a rare complication. Information on the incidence, determinants, and prognosis of this condition has been scarcely reported. Purpose To investigate the long term prognosis of CoPe after OHS. Methods Using the Myocardial Infarction Data Acquisition System database, we analyzed records of 144,902 patients that had OHS in New Jersey hospitals between 1995 and 2015. CoPe was identified in 79 patients after discharge. Differences in proportions were analyzed using chi square. Cases and controls were matched for demographics and comorbidities. Cox proportional hazard models were used to evaluate outcome risks. Log-rank test was used to assess differences in the Kaplan-Meier survival curves. Results Patients with CoPe were more likely to have history of valve disease (HVD) (p<0.0001), atrial fibrillation (AF) (p=0.0006) and chronic kidney disease (CKD) (p=0.012). Significant predictors of CoPe were AF (HR 1.62, 95% CI 1.02–2.59), CKD (HR 2.70, 95% CI 1.53–4.76), diabetes (HR 1.73, 95% CI 1.08–2.80) and HVD (HR 3.11, 95% CI 1.88–5.15). Patients with CoPe compared to matched controls had a higher 10-year mortality (p<0.0001). This became a statistically significant difference at 6 years after surgery (Figure). Survival Curve Conclusion Constrictive pericarditis is a rare complication of OHS and occurs more frequently in patients with AF, CKD, diabetes and HVD. It is associated with an unfavorable long-term prognosis. The data highlight the need for strategies to help prevent this complication. Acknowledgement/Funding Robert Wood Johnson Foundation

scholarly journals Continuous, Long-Term Measurement of Cardiac Output after Open-Heart Surgery

1971 ◽  
Vol 174 (3) ◽  
pp. 357-363 ◽  
Author(s):  
Bryn T. Williams ◽  
S. Sancho-Fornos ◽  
D. B. Clarke ◽  
L. D. Abrams ◽  
Worthington G. Schenk
Keyword(s):  
Cardiac Output ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Long Term Measurement

scholarly journals SHORT- AND LONG-TERM OUTCOMES OF THREE APPROACHES TO CAROTID REVASCULARIZATION AMONG PATIENTS REQUIRING OPEN HEART SURGERY

2011 ◽  
Vol 57 (14) ◽  
pp. E1579
Author(s):  
Sridhar Venkatachalam ◽  
Samir R. Kapadia ◽  
Heather L. Gornik ◽  
Penny Houghtaling ◽  
Zhiyuan Sun ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Long Term Outcomes ◽  
Carotid Revascularization ◽  
Short And Long Term

scholarly journals Long-term cerebral outcome after open-heart surgery. A five-year neuropsychological follow-up study.

Stroke ◽  
1986 ◽  
Vol 17 (3) ◽  
pp. 410-416 ◽  
Author(s):  
K A Sotaniemi ◽  
H Mononen ◽  
T E Hokkanen
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Follow Up Study

scholarly journals Cardiac Troponin T for Prediction of Short- and Long-Term Morbidity and Mortality after Elective Open Heart Surgery

2004 ◽  
Vol 50 (9) ◽  
pp. 1560-1567 ◽  
Author(s):  
Stephanie Lehrke ◽  
Henning Steen ◽  
Hans H Sievers ◽  
Hanno Peters ◽  
Armin Opitz ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Cell Injury ◽  
Troponin T ◽  
Open Heart Surgery ◽  
Cleveland Clinic ◽  
Myocardial Cell ◽  
Risk Indicators ◽  
Open Heart ◽  
Cardiac Mortality

Abstract Background: Increased cardiac troponins in blood are observed after virtually every open heart surgery, indicating perioperative myocardial cell injury. We sought to determine the optimum time point for blood sampling and the respective cutoff value of cardiac troponin T (cTnT) for risk assessment in patients undergoing cardiac surgery. Methods: In a series of 204 patients undergoing scheduled open heart surgery, mainly for coronary artery bypass grafting (n = 132) or valve repair (n = 27), cTnT concentrations were measured before and 4 and 8 h after cross-clamping and then daily for 7 days. Individual risk was assessed by use of the Cleveland Clinic Foundation Risk score and intraoperative risk indicators such as duration of cardiopulmonary bypass, cross-clamping, and perioperative release of cardiac markers. Patients were followed for 28 months. Results: Cardiac mortality, all-cause mortality rates, and rates of nonfatal acute myocardial infarction (AMI) at 28 months were 6.9%, 8.8%, and 6.8%, respectively. cTnT was higher in patients with Q-wave AMI or postoperative heart failure requiring inotropic support, and in nonsurvivors. The ROC curve revealed a cTnT ≥0.46 μg/L at 48 h as the optimum discriminator for long-term cardiac mortality. Stepwise logistic regression identified higher Cleveland Clinic Risk Score [odds ratio (OR) = 2.6 per point], cross-clamp time &gt;65 min (OR = 6.6), and cTnT (OR = 4.9) as significant and independent predictors of long-term cardiac mortality. Conclusions: A single postoperative cTnT measurement can be used to estimate myocardial cell injury that impacts long-term survival after open heart surgery. It adds independently to established risk indicators.

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