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World Journal of Cardiovascular Surgery最新文献

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Non Hodgkin’s Lymphoma with Right Atrial Intra Cardiac Metastases 非霍奇金淋巴瘤合并右心房心内转移
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.137012
Gaind Saurabh, N. Kashyap, Mehsare Pranay Suresh, N. Harshavardhan, N. Chakraborty, R. Satarkar, M. Ravina, Shivam Thakur
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引用次数: 0
Effect of Training Nurses in ICU in Immediate Care Post Cardiac Surgery ICU护士培训在心脏手术后急诊护理中的作用
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.1310016
Fathia Saeed Salih’s Mohamed
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引用次数: 0
One Case of Acute Fluid Pericarditis and Hyperthyroidism at Teaching Hospital of Bouake (Ivory Coast): Cause-Effect Relationship or Accidental Association? 科特迪瓦布瓦克教学医院急性液体性心包炎合并甲状腺功能亢进1例:因果关系还是偶然关联?
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.139014
Gnaba Loa Ambroise, Kouakou Florent Diby, Aka Leon Yves-Roland Akatchi, Pinnin Evelyne Adjara, Abdoulaye Coulibaly, Samuel Abro, Joel Oné, Marie Nicole Konan, Kassi Anicet Adoubi
Cardiovascular complications during hyperthyroidism are dominated by arrhythmias, heart failure and coronary heart disease. Pericardial effusion which is a common complication of hypothyroidism is extremely rare in hyperthyroidism. We report the case of a 45-year-old woman admitted for management of pleuro-pericarditis associated with atrial fibrillation in the context of cardiothyreosis. The treatment consisted of a pericardial puncture associated with synthetic anti-thyroid drugs and anti-tuberculosis drugs with positive clinical and echocardiographic outcomes.
甲亢期间的心血管并发症以心律失常、心力衰竭和冠心病为主。心包积液是甲状腺功能减退症的常见并发症,在甲状腺功能亢进症中极为罕见。我们报告的情况下,45岁的妇女入院管理胸膜心包炎与心房颤动的背景下,甲状腺功能减退。治疗包括心包穿刺,同时使用合成抗甲状腺药物和抗结核药物,临床和超声心动图结果均为阳性。
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引用次数: 0
Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties 腋窝血管和臂丛外伤在阿比让:病变方面和手术困难
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.135008
Yoboua Aimé Kirioua-Kamenan, Assoumou Lucien Asseke, Jean Calaire Degré, K. E. Katché, Ibrahim Junior Yeo, Marc Hervé Kassi, Zolé Cedrick Doh, K. A. Amani, K. Souaga, K. Kendja
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引用次数: 0
Performance of the Peguero-Lo Presti Index in Diagnosis of Left Ventricular Hypertrophy at CIMAK Hospital Center in North Kivu, Democratic Republic of the Congo Peguero-Lo Presti指数在刚果民主共和国北基伍省CIMAK医院中心诊断左心室肥厚的表现
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.132002
F. Mukoso, A. Nkodila, Thierry-Samuel Mbuyi Muhemed, Trésor Mosomo Kashinde, Sévérin Juamungu Ananas, Salomo Ndoole Myatsi, Ariane Namwiza Gakuru, Olivier Gasana Muratwa, Zéphirin Kamuanga, Y. Lubenga, B. P. Kianu, B. Longo-Mbenza, Zacharie Kibendelwa Tsongo
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引用次数: 0
The Clinical Association of Left Atrial Function with Left Ventricular Ejection Fraction 左心房功能与左室射血分数的临床关系
Pub Date : 2023-01-01 DOI: 10.4236/wjcs.2023.133004
V. Ariyarajah, H. Patel, Atif Z. Shaikh, Khurram Liaqat, S. Apiyasawat
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引用次数: 0
Orthotopic Heart Auto-Transplantation in a Swine Model. 猪模型的异位心脏自体移植手术
Pub Date : 2022-09-01 DOI: 10.4236/wjcs.2022.129017
Michael P Rogers, Gregory Fishberger, Nick Martini, Margaret Baldwin, Lei Wang, Wei Chen, Ruisheng Liu, Lucian Lozonschi

Background and aim: The porcine heart bears the best resemblance to the human heart and remains the preferred preclinical model for anatomical, physiological, and medical device studies. In an effort to study phenomena related strictly to ischemia reperfusion and donor preservation protocols, it is essential to avoid the immune responses related to allotransplantation. Orthotopic auto-transplantation is a unique strategy to the field of cardiac transplantation for ex vivo experimentation. Nevertheless, auto-transplantation carries its own technical challenges related to insufficient length of the great vessels that are to be transected and re-anastomosed.

Methods: A novel method for orthotopic cardiac auto-transplantation in the porcine model was developed and was described herein. Porcine models were used for ex vivo experimentation of a novel device to study ischemia reperfusion injury.

Results: A total of five porcine models were used for ex vivo experimentation of a novel device to mitigate ischemia reperfusion injury and determine effects of donor preservation. Modifications to routine cardiac transplantation protocols to allow for successful auto-transplantation are described.

Conclusion: Orthotopic cardiac auto-transplantation in the porcine model is a plausible and technically feasible method for reliable study of ischemia reperfusion injury and donor preservation protocols. Here, we describe methods for both direct orthotopic porcine cardiac auto-transplantations as well as a simplified protocol that can be substituted for full surgical auto-transplantation for the studies of preservation of donor hearts.

背景和目的:猪心脏与人类心脏最为相似,仍然是解剖学、生理学和医疗设备研究的首选临床前模型。为了研究与缺血再灌注和供体保存方案严格相关的现象,必须避免与同种异体移植相关的免疫反应。同种异体移植是心脏移植领域进行体外实验的一种独特策略。然而,自体移植也有其自身的技术难题,即需要横断和重新吻合的大血管长度不够:方法:本文介绍了一种在猪模型中进行正位心脏自体移植的新方法。猪模型被用于研究缺血再灌注损伤的新型装置的体外实验:共使用了五种猪模型对新型装置进行体外实验,以减轻缺血再灌注损伤并确定供体保存的效果。本文介绍了对常规心脏移植方案的修改,以实现成功的自体移植:结论:猪模型中的异位心脏自动移植是研究缺血再灌注损伤和供体保存方案的可靠方法,在技术上是可行的。在此,我们介绍了直接正位猪心脏自体移植的方法,以及一种简化方案,该方案可替代完整的手术自体移植,用于研究供体心脏的保存。
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引用次数: 0
Cardiovascular Complications of Large Hiatal Hernias: Expanding the Indications for Robotic Surgical Anatomic and Physiologic Repair: A Review 大裂孔疝的心血管并发症:扩大机器人手术解剖和生理修复的适应症:综述
Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.123005
F. Gharagozloo, M. Meyer, R. Poston
Background: Historically, the pathophysiology of Hiatal Hernias (HH) has not been fully understood. As a result, the surgical therapy of HH has focused primarily on gastrointestinal symptoms and Gastroesophageal Reflux (GERD). This treatment strategy has been associated with poor relief of symptoms and poor long-term outcomes. In fact, until recently, most patients with HH have been watched and referred for surgery as a last resort. Recent experience has shown that a large (giant) Hiatal Hernia (GHH) is a common problem known to impact adjacent organs such as the hearts and lungs. Those referred for surgical repair often complain of dyspnea, which is erroneously attributed to pulmonary compression or aspiration, but has been shown to be from tamponade caused from compression of the heart by herniated abdominal contents. This article reviews the present understanding of GHH, the cardiac complications which result from GHH, and the most advanced robotic minimally invasive surgical approach to the anatomic and physiologic repair of GHH. Methods: In a prospective cohort study, we evaluated patients undergoing RRHH with at least a 2-year follow-up. All patients undergoing elective (RRHH) were identified preoperatively and enrolled prospectively in this study. Preoperative characteristics, medical comorbidities, and clinical information were all recorded prospectively and recorded into a secure surgical outcomes database. All patients received the previously validated Gastroesophageal Reflux Disease-Health-Related Quality of Life (GERD-HRQL) questionnaire preoperatively and at postoperative time points of 1 month, 1 year, and 2 years. Patients routinely had a barium swallow postoperatively before discharge but did not undergo a barHow to cite this paper: Gharagozloo, F., Meyer, M. and Poston, R. (2022) Cardiovascular Complications of Large Hiatal Hernias: Expanding the Indications for Robotic Surgical Anatomic and Physiologic Repair: A Review. World Journal of Cardiovascular Surgery, 12, 39-69. https://doi.org/10.4236/wjcs.2022.123005 Received: February 12, 2022 Accepted: March 14, 2022 Published: March 17, 2022 Copyright © 2022 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
背景:历史上,裂孔疝(HH)的病理生理学尚未完全了解。因此,HH的手术治疗主要集中在胃肠道症状和胃食管反流(GERD)上。这种治疗策略与症状缓解不良和长期预后不良有关。事实上,直到最近,大多数HH患者一直在观察并将手术作为最后的手段。最近的经验表明,大(巨大)裂孔疝(GHH)是一种常见的问题,已知会影响邻近器官,如心脏和肺部。那些接受手术修复的患者经常抱怨呼吸困难,这被错误地归因于肺压迫或误吸,但已经证明是由于腹部内容物疝压迫心脏引起的心包填塞。本文综述了目前对GHH的认识,GHH引起的心脏并发症,以及最先进的机器人微创手术方法对GHH进行解剖和生理修复。方法:在一项前瞻性队列研究中,我们对接受RRHH的患者进行了至少2年的随访。所有接受选择性手术(RRHH)的患者术前确定并前瞻性纳入本研究。术前特征、医疗合并症和临床信息均被前瞻性记录,并记录到安全的手术结果数据库中。所有患者术前和术后1个月、1年和2年接受了先前验证的胃食管反流疾病-健康相关生活质量(GERD-HRQL)问卷调查。患者在出院前常规进行钡餐吞咽,但未进行钡餐。本文来源:Gharagozloo, F., Meyer, M.和Poston, R.(2022):大裂孔疝的心血管并发症:扩大机器人手术解剖和生理修复的适应症:综述。中华心血管外科杂志,12,39-69。https://doi.org/10.4236/wjcs.2022.123005收稿日期:2022年2月12日收稿日期:2022年3月14日出版日期:2022年3月17日版权所有©作者/作者:Scientific Research Publishing Inc。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/
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引用次数: 1
Recurrent Stroke after Percutaneous Placement of Post-Infarct Septal Occluder Device 经皮置放梗死后间隔闭塞器后卒中复发
Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.129015
S. Ohira, B. S. M. Grunfeld, Amanda Hetzel, R. Morris
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引用次数: 0
Robotic Surgery of the Mediastinum: A Review 纵隔机器人手术:综述
Pub Date : 2022-01-01 DOI: 10.4236/wjcs.2022.123006
F. Gharagozloo
Background: The mediastinum is a complex anatomical region which contains many vital structures. Many aspects of mediastinal surgery, like that for other anatomic regions, have evolved from a maximally invasive approach involving a median sternotomy, anterior mediastinotomy, mediastinoscopy or thoracotomy, to a minimally invasive video-assisted approach. Robotic surgery is pres-ently the most advanced form of minimally invasive surgery. Methods: We reviewed our experience with a robotic approach to mediastinal pathology. In addition, an extensive search was conducted using PubMed, in order to extract references for the application of robotics to surgical conditions of the mediastinum. Results: The first robotic procedure by our group was a mediastinal procedure in 2003. In the past eighteen years, 203 patients have undergone robotic surgery for mediastinal pathology. There were 119 procedures for the Anterior Mediastinum, 33 procedures for the Middle Mediastinum, and 51 procedures for the Posterior Mediastinum. 78 patients underwent robotic thymectomy using a left-sided approach. 43/78 (55%) patients underwent radical thymectomy for Myasthenia Gravis. Thymoma was histologically identified in 32% of patients with Myasthenia Gravis. In patients with thymoma, there was no tumor recurrence. In patients with Myasthenia Gravis, the overall improve-ment rate after robotic radical complete thymectomy was 91% (39/43). Following robotic surgery for the mediastinal disease, the median hospitalization was 3 days, major complications occurred in 0.9% of number of small incisions or ports, while at the same time providing the patient with minimally invasive benefits including shorter hospitalizations, quicker returns to preoperative activity, less pain, less inflammatory response and better cosmesis. The excellent range of motion of the robotic instruments makes them particularly suitable to maneuver around the vital structures and the rigid axial skeleton encountered in various compartments of the mediastinum, and for reaching those “distant” areas of the mediastinum that are difficult to explore and dissect with conventional Video-Assisted Thoracic Surgery (VATS).
背景:纵隔是一个复杂的解剖区域,包含许多重要的结构。纵隔手术的许多方面,就像其他解剖区域的手术一样,已经从包括胸骨正中切开术、前纵隔切开术、纵隔镜或开胸术在内的最大侵入性入路发展到微创视频辅助入路。机器人手术是目前最先进的微创手术形式。方法:我们回顾了我们的经验,机器人入路的纵隔病理。此外,在PubMed上进行了广泛的搜索,以便为机器人技术在纵隔手术条件下的应用提取参考文献。结果:2003年,我们组首次采用机器人进行纵隔手术。在过去的18年中,203名患者因纵隔病理接受了机器人手术。有119例前纵隔手术,33例中纵隔手术,51例后纵隔手术。78例患者采用左侧入路进行机器人胸腺切除术。43/78(55%)患者行重症肌无力根治性胸腺切除术。32%的重症肌无力患者组织学上发现胸腺瘤。胸腺瘤患者无肿瘤复发。在重症肌无力患者中,机器人彻底胸腺切除术后的总体改善率为91%(39/43)。机器人手术治疗纵隔疾病后,中位住院时间为3天,主要并发症发生率为0.9%的小切口或孔数,同时为患者提供了微创的好处,包括更短的住院时间,更快地恢复术前活动,更少的疼痛,更少的炎症反应和更好的美容。机器人器械出色的运动范围使它们特别适合在纵隔各个隔室中遇到的重要结构和刚性轴向骨架周围进行机动,并且可以到达传统视频辅助胸外科(VATS)难以探索和解剖的纵隔“遥远”区域。
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引用次数: 2
期刊
World Journal of Cardiovascular Surgery
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