introduction patients with palliated congenital heart disease may present later in life for major, non-cardiac surgical procedures. although alternative surgical techniques are now available for the treatment of the transposition of the great arteries (tga), an atrial level baffle (mustard or senning procedure) was previously performed. long-term adverse effects of the atrial level switch inclu...

As a consequence of improved management in acute coronary syndromes and improved longevity of the population, the number of patients with heart failure is growing. The prevalence and incidence in industrialised countries are estimated to be around 1% and 0.15% of the population, respectively. Up to 10% of people with heart failure are at an advanced stage, amounting to 300 000 patients in the U...

We described our "surgical approach to reverse ventricular remodeling" in advanced chronic heart failure, based on the unique idea that "downstaging" class IV heart failure by supporting patients with left ventricular assist devices (LVADs) allows treatments mainly indicated for class III patients. The types of surgeries include mitral valve repair, surgical ventricular remodeling, coronary art...

BACKGROUND This study analyzed the association between the volume of heart surgeries and treatment outcomes for hospitals in the last five years. METHODS Hospitals that perform heart surgeries were chosen throughout Korea as subjects using from the Health Insurance Review and Assessment Service. The treatment outcome of the heart surgeries was defined as the mortality within 30 postoperative ...

Hemostatic procedures and control of blood pressure concomitant with rapid transfusion of blood products aimed at recovery of coagulability are necessary for intractable bleeding during cardiac surgery. However, when the bleeding is massive and hemostasis is prolonged for several hours, operative maneuvers such as manual compression of the heart can affect hemodynamics, decrease cardiac output,...

Background Nowadays, the use of cardiopulmonary bypass (CPB) followed by systemic hypothermia is common in cardiac surgery procedures. CPB causes a systemic inflammatory response syndrome (SIRS) that is markedly expressed in congenital caridiosurgical surgery programe resulting with deleterious consequences. Those effects are mediated through cytokines and others mediators of acute inflammatory...

As a consequence of improved management in acute coronary syndromes and improved longevity of the population, the number of patients with heart failure is growing. The prevalence and incidence in industrialised countries are estimated to be around 1% and 0.15% of the population, respectively. Up to 10% of people with heart failure are at an advanced stage, amounting to 300 000 patients in the U...

Progress in paediatric cardiac surgery over the last decades resulted in a growing number of adult patients with (surgical corrected) congenital heart defects. Most of these patients require lifelong care, as the long-term outcome of the complex surgical procedures is often complicated by heart failure, atrial or ventricular arrhythmias, pulmonary hypertension, or endocarditis. In addition, sur...

Cardiovascular surgical procedures/history/trends. The cardiovascular surgery was and has been intensely scrutinized and evaluated. Cardiac surgeons have, in turn, consistently directed the efforts in collecting, analyzing and applying the surgical results in order to improve quality and reassess conducts and procedures1. In this context, the Brazilian cardiac surgery is one of the most respect...