OBJECTIVE Live broadcasting of cardiac surgical procedures has an educational intention. There is an ongoing debate whether live surgery increases risk. Aim of this study was to evaluate the outcomes of patients who underwent a cardiac surgical procedure during live broadcasting. METHODS A total of 250 cardiac operations were performed during 32 live broadcastings at four different clinical s...

Cardiac surgery has been a vibrant field since the early pioneering procedures were attempted, became successful, and eventually reproducible. From the successful closure of a patent ductus arteriosus in 1938 and the Blalock-Taussig shunt, discovery and innovation have been the hallmarks of cardiac surgery. Dr John Gibbon’s first clinical use of the heart lung machine in 1953 opened the door to...

The goal of organ-conserving cardiac surgery is the preservation of heart function in the setting of heart failure. One way to improve heart function is left ventricular surgical reconstruction. This article briefly reviews the pathophysiology of left ventricular cardiomyopathy and the evolution of surgical left ventricular reconstruction techniques. These techniques are now part of a well-acce...

The progressive ageing of the population, the extensive application of cardiac interventional procedures and the improved prognosis of diseases with a so far dismal outcome have generated several predictable corollaries. Of remarkable importance is the rising number of ‘survivors’ who have combined heart and kidney failure [1,2]. More specifically, we do not refer to the severe cardiovascular d...

Despite recent advances, the selection of appropriate treatment options in patients with mitral regurgitation, especially those with heart failure, represents an important clinical problem. Although mitral regurgitation is an independent predictor of worse prognosis in patients with heart failure, patients are commonly denied cardiac surgery repair procedures, owing to perceived high procedural...

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...

1024x768 normal 0 false false false en-us x-none fa background : heart failure is a common health problem with poor prognosis. the gold standard for diagnosis is echocardiography but it is not always reachable, especially in emergency conditions. nt-pro-brain natriuretic peptide (nt-probnp) is a novel indicator for the diagnosis of heart failure and is being used in routine tests in emergency r...

introduction: coverage of bone grafts is very important in reconstructive surgery. in edentulous alveolar ridges this coverage is particularly important for supporting dental prostheses. here we present the case of a patient with a large deficient maxillary anterior region that was reconstructed with a bilateral palatal submucosal periosteal connective tissue flap: a soft tissue reserve for upp...

For more than 30 years, heart transplantation has been a successful therapy for patients with terminal heart failure. Mechanical circulatory support (MCS) was developed as a therapy for end-stage heart failure at a time when cardiac transplantation was not yet a useful treatment modality. With the more successful outcomes of cardiac transplantation in the 1980s, MCS was applied as a bridge to t...