scholarly journals Results of the early and mid-term postoperative period after correction of total anomalous pulmonary venous connection

2021 ◽  
Vol 25 (4) ◽  
pp. 41
Author(s):  
M. V. Plotnikov ◽  
Yu. N. Gorbatykh ◽  
A. N. Аrkhipov ◽  
M. G. Galstyan ◽  
A. V. Bogachev-Prokophiev ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Conflict Of Interest ◽  
Pulmonary Veins ◽  
Sutureless Repair ◽  
Randomised Study ◽  
Data Collection And Analysis ◽  
Anomalous Pulmonary Venous Connection ◽  
Repair Group

<p><strong>Aim.</strong> To compare complications and outcomes in the postoperative period with two different methods for correcting total anomalous pulmonary venous connection.</p><p><strong>Methods. </strong>In this pilot, two-centre, simple, blind, prospective randomised study, the patients’ quality of life after correction of total anomalous pulmonary venous connection in infancy was evaluated using the sutureless (n = 20) and conventional repair methods (n = 20) in 40 patients. The overall mortality and complications in the mid-term were evaluated.</p><p><strong>Results.</strong> The average follow-up was 15 (13; 16) months. Mortality was noted only in the conventional repair group, amounting to 5 (25%) patients (p = 0.018). Severe obstruction of the pulmonary veins anastomosis was also noted only in the conventional repair group (n = 8, 40%; p = 0.0013). Infectious endocarditis was observed in one (6.6%) patient in the conventional repair group (p = 0.42). Arrhythmias were present in 4 (26.6%) patients in the conventional repair group (p = 0.02).</p><p><strong>Conclusion.</strong> The rates of obstruction of the pulmonary vein anastomosis, arrhythmias and death depend on the method of total anomalous pulmonary venous connection correction. The sutureless repair reduces the incidence of early and mid-term postoperative complications compared to conventional repair.</p><p>Received 16 March 2021. Revised 8 June 2021. Accepted 11 June 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interest.</p><p><strong>Contribution of the authors<br /> </strong>Conception and study design: Yu.N. Gorbatykh, A.V. Bogachev-Prokophiev, M.V. Plotnikov<br /> Data collection and analysis: M.V. Plotnikov, M.G. Galstyan, D.G. Tarasov<br /> Statistical analysis: M.V. Plotnikov<br /> Drafting the article: M.V. Plotnikov, Yu.N. Gorbatykh<br /> Critical revision of the article: I.A. Soynov<br /> Final approval of the version to be published: M.V. Plotnikov, Yu.N. Gorbatykh, A.N. Аrkhipov, M.G. Galstyan, A.V. Bogachev-Prokophiev, D.G. Tarasov, I.A. Soynov</p>

scholarly journals Quality of life of patients after total anomalous pulmonary venous connection repair

2021 ◽  
pp. 59-65
Author(s):  
M.V. Plotnikov ◽  
◽  
Y.N. Gorbatih ◽  
D.G. Tarasov ◽  
A.V. Bogachev-Prokopiev ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Period ◽  
Total Sample ◽  
Surgical Correction ◽  
Randomised Study ◽  
Anomalous Pulmonary Venous Connection ◽  
Cognitive Problems ◽  
Prospective Randomised Study

Aim of study. To evaluate the quality of life of children with total anomalous pulmonary venous connection corrected via two methods: the “sutureless” one and the conventional biatrial one. Material and methods. This pilot bicentral simple blind prospective randomised study presents evaluation of patients’ quality of life after surgical correction of total anomalous pulmonary venous connection in 1-year-old children via two methods: the “sutureless” correction (20 patients) and conventional biatrial correction (20 patients). The total sample size amounted to 40 patients. Results. All indices were at quite high levels. The indices of treatment, treatment-related anxiety, cognitive problems and sociability were significantly higher in the group treated via the “sutureless” method. However, the myocardium-related issues and symptoms as well as the appearance perception did not differ between the groups. Conclusion. The quality of life of children after surgical correction of total anomalous pulmonary venous connection in long-term postoperative period remains elevated in both groups despite the high variety of complications

scholarly journals Predictors of adverse events in the mid-term postoperative period in patients who underwent carotid endarterectomy

2017 ◽  
Vol 21 (4) ◽  
pp. 50 ◽  
Author(s):  
R. S. Tarasov ◽  
A. N. Kazantsev ◽  
A. R. Shabaev ◽  
A. V. Mironov ◽  
N. N. Burkov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Adverse Events ◽  
Carotid Endarterectomy ◽  
Postoperative Period ◽  
Conflict Of Interest ◽  
Significant Risk ◽  
Common Adverse Event ◽  
Functional Class ◽  
Syntax Score

<p><strong>Aim.</strong> Emphasis in the study was placed on the identification of unfavorable prognosis factors associated with carotid endarterectomy (CEE) during mid-term follow-up.<br /><strong>Methods.</strong> Over a period from 2015 to 2016, 222 CEE operations were performed. Most patients (n = 190; 85.5%) underwent CEE using a patch of xenopericardium, 14.4% (n = 32) received eversion CEE, and a temporary shunt was used in 14.4% (n = 32). Hybrid revascularization in the volume of percutaneous coronary intervention (PCI) + CEE was performed in 9.9% (n = 22) patients. The groups under study were compared by using a chi-square test followed by subsequent analysis of the shares, or if ordinal characters or quantitative traits with a distribution different from the normal one occurred—by using a Mann – Whitney U-test. Correction of multiple comparisons was done by calculating an average fraction of false discoveries of the hypotheses (false discovery rate). The analysis of prognostic factors was done using the odds ratio (OR) by means of the 2 × 2 tables.<br /><strong>Results.</strong> Among the complications detected in the mid-term follow-up, the most common adverse event was the development of MI in 3.6% (n = 8) of patients. According to color duplex scanning of brachiocephalic arteries, restenosis of the operated ICA was observed in 4.5% of patients. The following risk factors significantly increased the risk of adverse events: angina pectoris II–III functional class (OR = 3.84%, CI = 1.24–11.9), SYNTAX Score &gt;22 (OR = 2.83, CI = 1.137–7.086).<br /><strong>Conclusion.</strong> Based on the results of a single-center prospective retrospective study, significant risk factors for adverse outcome in the mid-term postoperative period were identified.</p><p>Received 10 May 2017. Revised 27 September 2017. Accepted 5 October 2017.</p><p><strong>Funding:</strong> The research was done with support of the grant (No. 12090ГУ/2017) awarded by the Fund for Facilitation of Innovations within the framework of the “Umnik-2016” project (Kemerovo).</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interest.</p><p><strong>Author contributions</strong><br />Conception and study design: R.S. Tarasov, A.I. Anufriyev <br />Data collection and analysis: A.R. Shabaev<br />Drafting the article: A.N. Kazantsev, N.N. Burkov <br />Critical revision of the article: A.V. Mironov<br />Final approval of the version to be published: L.S. Barbarash</p>

Repair of a mixed form of supracardiac total anomalous pulmonary venous connection

2020 ◽  
pp. 1-3
Author(s):  
Yuki Kawasaki ◽  
John N. Dentel ◽  
Henry L. Walters ◽  
James M. Galas ◽  
Daisuke Kobayashi
Keyword(s):  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Right Atrial ◽  
Pulmonary Venous Obstruction ◽  
Mixed Form ◽  
Vertical Vein ◽  
Vena Cava Superior ◽  
Anomalous Pulmonary Venous Connection

Abstract Total anomalous pulmonary venous connection is a rare congenital heart defect. We report an infant with a mixed form of supracardiac TAPVC, in whom all pulmonary veins, except the right upper, entered a pulmonary venous confluence that is connected to a vertical vein and drained into the superior vena caval–right atrial junction. Several segmental right upper pulmonary veins entered the superior vena cava, superior to the entry of the vertical vein. Surgical repair consisted of the Warden procedure combined with direct anastomosis of the vertical vein to the left atrium. Separate pulmonary venous drainage pathways decreased the risk of post-operative pulmonary venous obstruction. Our patient had an uneventful post-operative course and encouraging 2-month follow-up echocardiography. Careful follow-up is warranted to detect post-operative complications, including obstruction of the pulmonary venous and cavoatrial anastomoses.

scholarly journals Using adenosine triphosphate in catheter radiofrequency pulmonary vein isolation: does elimination of “dormant” atriovenous conduction really allow to refine long-term results?

2017 ◽  
Vol 21 (4) ◽  
pp. 23
Author(s):  
Y. S. Krivosheev ◽  
D. I. Bashta ◽  
A. A. Simonyan ◽  
T. A. Myznikova ◽  
Z. A. Mishodzheva ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Adenosine Triphosphate ◽  
Conflict Of Interest ◽  
Pulmonary Veins ◽  
Prognostic Significance ◽  
Long Term Results ◽  
Data Collection And Analysis ◽  
Critical Revision

<p>This literature review looks at the efficacy of removing “dormant” atriovenous conduction, which can be identified by means of intravenous ejection of adenosine triphosphate following catheter isolation of pulmonary vein ostia in patients with atrial fibrillation. The incidence of detecting conduction “breakthroughs” in the ablation lines when carrying out drug tests after isolation of pulmonary veins, as well as the prognostic significance of this phenomenon for atrial fibrillation recurrence are evaluated. Also assessed are drawbacks and limitations of the studies looking at the possibility of improving the efficiency of catheter ablation of atrial fibrillation by combining the removal of “dormant” atriovenous conduction zones identified by adenosine triphosphate testing and the ablation of ganglionated plexi.</p><p>Received 10 April 2017. Accepted 23 October 2017.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p><p><strong>Author contributions</strong><br />Conception and study design: Y.S. Krivosheev, V.N. Kolesnikov.<br />Data collection and analysis: Y.S. Krivosheev, D.I. Bashta.<br />Drafting the article: Y.S. Krivosheev, A.A. Simonyan.<br />Critical revision of the article: V.N. Kolesnikov.<br />Final approval of the version to be published: Y.S. Krivosheev, D.I. Bashta, A.A. Simonyan, T.A. Myznikova, Z.A. Mishodzheva, V.N. Kolesnikov.</p><p> </p>

scholarly journals Use of Intramedullary Locking Nail for Displaced Intraarticular Fractures of the Calcaneus: What is the Evidence?

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0013
Author(s):  
Alessio Bernasconi ◽  
Paolino Iorio ◽  
Yaser Ghani ◽  
Miltiadis Argyropoulos ◽  
Shelain Patel ◽  
...  
Keyword(s):  
Conflict Of Interest ◽  
Nerve Entrapment ◽  
Wound Complications ◽  
Potential Conflict ◽  
Invasive Approach ◽  
Joint Congruency ◽  
Intraarticular Fractures ◽  
Wound Breakdown

Category: Trauma Introduction/Purpose: There is increasing interest on how to best manage displaced intraarticular calcaneal fractures (DIACF). Intramedullary locking devices (ILDs) have recently been advocated since the technique adopts a minimally invasive approach which may minimise complications and therefore improve outcomes. We reviewed the literature of commercially available devices to identify their characteristics, efficacy and safety. Methods: Medline, Scopus and EMBASE databases were searched to identify studies reporting use of ILDs for treating DIACF. A PRISMA checklist was used to sort eligible studies. Technical notes and biomechanical studies were first reviewed. Cohort studies were then reviewed for demographics, surgical technique, postoperative protocol, clinical and radiographic scores, complications and reoperations. The modified Coleman Methodology Score (CMS) was used to assess the quality of studies. Results: Thirteen studies investigated two devices (Calcanail; C-Nail). Four technical notes described how to use these devices and three biomechanical studies proved they offered adequate primary stability, stiffness, interfragmentary motion and load to failure. Seven clinical studies (302 feet, 289 patients) demonstrated satisfactory clinical (AOFAS, VAS) and radiographic (Bohler’s angle, Gissane angle, Goldzak index, posterior facet step-off) outcome at 16-months average follow-up. Metalware irritation (up to 20%) and temporary nerve entrapment symptoms (up to 30%) were the most common complications; soft tissue issues were reported in 3-5% of cases. Conversion to subtalar fusion was necessary in 4-6% of cases. Four (57%) studies were authored by implant designers and in 5 (71%) relevant conflict of interest were disclosed. Mean CMS was 61 (moderate quality). Conclusion: Treating DIAFCs with ILDs leads to satisfactory clinical outcomes at short term follow-up, enabling restoration of calcaneal height and improved subtalar joint congruency. Metalware irritation and temporary nerve entrapment symptoms are common complications although wound complications including infection and wound breakdown are less frequent than after open lateral approaches. The quality of evidence provided so far is only moderate and biased by potential conflict of interest, raising concerns about the generalisability of results.

scholarly journals Complex treatment of recurrent pulmonary vein stenosis

2018 ◽  
pp. 94-96
Author(s):  
Я. Б. Микичак
Keyword(s):  
Pulmonary Vein ◽  
Pulmonary Veins ◽  
Mortality Rates ◽  
Pulmonary Vein Stenosis ◽  
Interventional Treatment ◽  
Initial Surgery ◽  
Aggressive Interventions ◽  
Vein Stenosis ◽  
Anomalous Pulmonary Venous Connection

Pulmonary vein stenosis (PVS) in children is a rare heart disease characterized by high recurrence and mortality rates. Objective. We describe a case of recurrent PVS, which was treated surgically and subsequently with repeated balloon angioplasties. Materials and methods. Echocardiogram showed total anomalous pulmonary venous connection, mixed form. A CT scan of the chest confirmed the diagnosis. Month later after initial surgery angiography detected the presence of stenosis in all pulmonary veins. Results. Currently patient has moderate residual stenosis in each PV. His prognosis is considered bleak due to continuous requirement in aggressive interventions in order at least temporarily resolve pulmonary vein stenosis. Conclusions. Pulmonary vein stenosis still bears high recurrence, reintervention and mortality rates. Rigorous surveillance and combination of surgical and interventional treatment is warranted in this subset of patients to maintain quality of life.

scholarly journals Premature Ventricular Contraction in Children

2019 ◽  
Vol 15 (6) ◽  
pp. 435-446 ◽  
Author(s):  
Alexander A. Baranov ◽  
Elena S. Vasichkina ◽  
Roza A. Ildarova ◽  
Dmitry S. Lebedev ◽  
Leyla S. Namazova-Baranova ◽  
...  
Keyword(s):  
Conflict Of Interest ◽  
Pediatric Patients ◽  
Premature Ventricular Contraction ◽  
Evidence Based ◽  
Russian Society ◽  
Ventricular Contraction ◽  
Premature Ventricular Contractions ◽  
Based Medicine

The article presents updated data on the problem of premature ventricular contractions in children based on the clinical guidelines of the Russian Society of Cardiology and the Union of Pediatricians of Russia for the diagnosis, treatment and management of pediatric patients with premature ventricular contraction. The issues of diagnosis and treatment based on the principles of evidence-based medicine as well as important aspects of prevention of exacerbations and follow-up have been clarified in detail. The criteria for assessing the quality of care for patients with premature ventricular contractions have been presented.CONFLICT OF INTEREST. Not declared.

scholarly journals Evaluation of the quality of life dynamics by methods of survival analysis in patients with hip joint ar-throplasty

2021 ◽  
Vol 27 (5) ◽  
pp. 527-531
Author(s):  
A.N. Tkachenko ◽  
◽  
A.A. Korneenkov ◽  
Yu.L. Dorofeev ◽  
D.Sh. Mansurov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Survival Analysis ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Postoperative Period ◽  
Young Patients ◽  
Long Term Results

Abstract. Introduction The study deals with the approaches to the analysis of the dynamics in the course of a long-term postoperative period in patients who underwent hip arthroplasty. Aim To feature the variants in the course of a long-term postoperative period in patients who underwent arthroplasty of the hip joint. Materials and methods 806 patients (age range, 9 to 88 years) suffering from osteoarthritis underwent primary total hip arthroplasty (THA). Statistical analysis was carried out using the R programming language, freely available at https://cran.r-project.org. The probability of maintaining satisfactory quality of life (QoL) at a certain time of observation t (year of observation) was assessed with the Kaplan-Meier method. To compare the likelihood of maintaining a satisfactory QoL level throughout the observation period in several groups (for example, patients of different sexes), the logrank test was used. Results By year 6 of follow-up, the following tendency emerges regarding the age of the patients. The indicators are the best in young patients (up to 44 years old), where the probability of maintaining a satisfactory QoL evaluation was 0.92 (0.84; 0.96). A somewhat lower values were observed in the patients of the middle age group (from 45 to 64 years old) – 0.87 (0.78; 0.92). Excellent and good QoL was found in patients aged 65 and older, 0.83 (0.76; 0.88). Discussion Survival analysis methods have been used for the first time in traumatology and orthopedics. Previous researchers assessed the long-term results of the quality of specialized traumatological and orthopedic care without considering censored observations. Thus, the coverage of the investigated clinical observations averaged 80-85%. Information about 10-15% of cases was excluded from the studies. The proposed method of analysis provides information about all patients. Conclusions Five years following THA, an excellent and good quality of life could be expected in 85 % of patients. Satisfactory and poor levels are observed in 15 % of patients. At 5-year follow-up after THA, the quality of life is worse in older female groups with severe concomitant pathology; however, there are no statistically significant differences. This is a tendency, and requires further study.

scholarly journals Lung cancer with partial anomalous pulmonary venous connection in a different lobe: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hikaru Watanabe ◽  
Naoki Kanauchi ◽  
Kouhei Abe ◽  
Soumei Matsuo
Keyword(s):  
Lung Cancer ◽  
Pulmonary Veins ◽  
Lower Lobe ◽  
Right Heart ◽  
Lower Lobectomy ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection ◽  
Right Lower Lobectomy ◽  
Circulatory Dynamics

Abstract Background Anomalous pulmonary venous connection (APVC) is a congenital malformation in which the pulmonary veins connect to the systemic venous system but not to the left atrium. APVC can be classified as total or partial (PAPVC). PAPVC is rare among surgical patients with lung cancer, and most cases are detected incidentally during surgery. We herein report a patient with lung cancer in whom PAPVC was diagnosed before surgery, which made it difficult to determine the surgical procedure. Case presentation A 71-year-old man was followed-up as an outpatient after surgery for renal cell carcinoma. Chest computed tomography showed a 22-mm nodule in the right lower lobe and PAPVC in the right upper lobe. He was diagnosed with lung adenocarcinoma (cT1cN0M0 stage IA3) and scheduled for surgery. Preoperative catheterization showed a pulmonary to systemic flow ratio (Qp/Qs) of 1.64 and mean pulmonary artery pressure (MPAP) of 16 mmHg. Surgical repair of PAPVC is indicated when a patient is symptomatic and has a Qp/Qs ≥1.5–2.0. The patient was scheduled for right lower lobectomy, but postoperative worsening of right heart strain was considered. Concomitant PAPVC repair was therefore considered, but he had no atrial septal defect and was asymptomatic; therefore, PAPVC treatment was considered unnecessary. However, we planned to perform concomitant PAPVC repair if his circulatory dynamics worsened during surgery or if his MPAP exceeded 25 mmHg. His MPAP was 20 mmHg and his circulatory dynamics remained stable, and right lower lobectomy was therefore completed. His postoperative course was favorable. Follow-up catheterization at 6 months showed a Qp/Qs of 1.19 and MPAP of 18 mmHg, with no evidence of increased right heart strain. There was no evidence of right heart failure or recurrence of lung cancer at last follow-up at 18 months after surgery. Conclusions We present a case of right lower lung cancer complicated by PAPVC in the right upper lobe. This case suggests that concomitant repair of PAPVC in the right upper lobe may not be necessary when performing right lower lobectomy, although the patient’s Qp/Qs and MPAP should be considered.

Long-term results of simultaneous hybrid ablation of therapy-resistant atrial fibrillation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A Baimbetov ◽  
K Bizhanov ◽  
I Yakupova ◽  
B Bairamov ◽  
U Medeubekov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Left Atrium ◽  
Atrial Flutter ◽  
Pulmonary Veins ◽  
Long Term Results ◽  
Hybrid Ablation

Abstract Background A hybrid technique using thoracoscopic epicardial and standard endocardial ablation of atrial fibrillation (AF) is a strategy used to treat AF patients with therapy-resistant symptomatic AF. We conducted comparative study of efficacy and safety of simultaneous hybrid ablation in patients with non-paroxysmal forms of AF and evaluated the factors that determine success and quality of life. Methods The study included 56 consecutive patients who underwent simultaneous hybrid ablation. First, epicardial ablation was performed using thoracoscopic access: to isolate the pulmonary veins and the posterior wall of the left atrium. After this, an endocardial electrophysiological assessment was carried out from the pulmonary veins to the left atrium and additional endocardial ablation was performed, where necessary. The next day, a loop ECG recorder was implanted subcutaneously in the thoracic region. Efficiency was evaluated using implanted loop ECG recorders. The average follow up was 24 months, the studied patients came to the clinic every 3 months to receive diagnostic reports from loop recorders. Recurrence was defined as AF, atrial flutter and other atrial tachycardia, recorded in reports of loop recorders lasting &gt;30 sec during follow up period. Results Continuous follow up was carried out in 56 patients, the average age of which was 57±9 years. Of these, 39 (70%) men, 6 (10%) paroxysmal, 38 (68%) persistent and 12 (22%) long-standing persistent AF. Within 24 months of follow up, 45 (80%) maintened a sinus rhythm. Most recurrenses were atrial flutter (8/11 patients). Success was associated with factors such as left atrial size, patient age and duration of arrhythmia. Patients with paroxysmal AF had the highest success, patients with long-standing persistent AF had the least success. 5 (9%) patients had complications associated with the procedure. Quality of life after ablation improved in patients with sinus rhythm. Conclusion The efficiency of simultaneuous hybrid AF ablation was 80% for 24 months of continuous follow up period associated with the type of AF. Quality of life improved significantly, complications associated with the procedure occurred in 9%. Funding Acknowledgement Type of funding source: None

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