OBJECTIVES The objectives were to determine in patients with Tetralogy of Fallot (ToF) and abnormal coronary artery (ACA): the long-term outcomes of different surgical strategies; the risk factors for right ventricular outflow tract (RVOT) obstruction, reoperation, heart failure and mortality. To date, the surgical strategies and prognostic factors for repair of ToF with an ACA, crossing the RV...

PURPOSE: Creating patient-specific replacement organs promises to address shortcomings in transplantation, including the need for immunosuppression and limited donor supply. A major roadblock to tissue engineering is the inability to synthesize an intact circulatory system de novo. Thus, tissues produced by the current paradigm of seeding cellular scaffolds are rendered critically ischemic by t...

We report two cases of patients of cardiac resynchronization therapy (CRT) whose ECGs, during follow up, showed different paced QRS morphology as compared to those of immediate post-device implantation. Parameters of leads, including sensitivity and capture thresholds, were unchanged. There was no lead dislodgement confirmed on fluoroscopy. The ECGs obtained in device off mode showed different ...

The authors report three cases of unicompartmental knee arthroplasty (UKA), complicated with peri-operative periprosthetic fracture of the tibial plateau. The surgical technique was held responsible in all cases. The initial treatment was different in every case; all patients ultimately underwent revision total knee arthroplasty with a good functional outcome. The authors emphasise the importan...

Intraoperative transesophageal echocardiography is now used routinely during aortic valve replacement, allowing immediate evaluation of replaced or repaired valves. It is well recognised that high transvalvular pressure gradients can be detected immediately after implantation of a prosthetic aortic valve which may be due to multifactorial confounding variables, including functional phenomena, p...

Acute aortic type A dissection is a life-threatening disease that requires immediate surgical intervention. When dissection occurs during pregnancy, it is of high risk for both the mother and the fetus. In this study, we reported two cases of acute aortic dissection in late pregnancy at 28 weeks and 32 weeks of gestation respectively. After the two patients underwent a cesarean section and deli...

BACKGROUND Recanalisation for coronary chronic total occlusion (CTO) is associated with high rates of restenosis and reocclusion. The use of intracoronary ultrasound (ICUS) may improve immediate and long-term outcomes following recanalisation. To our knowledge, no study has examined the use of ICUS-guided balloon angioplasty in CTO. AIM To compare the results of ICUS-guided balloon angioplast...

Introduction A promising alternative to bowel transplantation as a treatment option for Short Bowel Syndrome (SBS) is engineering biologically derived, autologously pre-seeded lengths of small intestine. As SBS patients require significant improvement in absorptive function as viable therapy, engineering biologically derived grafts approximately 50cm in length could be considered clinically rel...

UNLABELLED 83 pacemaker (PM)/14 implantable cardioverter-defibrillator (ICD) autopsied patients, predominantly males, deceased 4.0±3.0/2.8±2.5 years after implantation in hospital. Coronary artery disease was most frequent. Its consequences were more severe in ICD patients. Sclerotic and rheumatic heart changes were present in older PM patients group only. The immediate cause of death was mostl...

interventional MRI is warranted. Preoperatively, MRI allowed noninvasive assessment of cardiovascular anatomy and function. During and after implantation, the position of the prosthetic valve was easy to determine. Besides this morphologic information, MRI provided immediate postintervention physiologic parameters of cardiac function and perfusion of the proximal course of the coronary arteries...