Seeking medical care abroad: A challenge to empathy.

Seeking medical care abroad: A challenge to empathy. Zein NN. Cleve Clin J Med. 2016 Nov;83(11):801-803. doi: 10.3949/ccjm.83a.16097.

Outcomes of Endovascular Repair of Ascending Aortic Dissection in Patients Unsuitable for Direct Surgical Repair.

Outcomes of Endovascular Repair of Ascending Aortic Dissection in Patients Unsuitable for Direct Surgical Repair.

 

J Am Coll Cardiol. 2016 Nov 1;68(18):1944-1954. doi: 10.1016/j.jacc.2016.08.031.

Outcomes of Endovascular Repair of Ascending Aortic Dissection in Patients Unsuitable for Direct Surgical Repair.

Abstract

BACKGROUND:

Stent grafting is a therapeutic option for patients who are unable to undergo urgent surgical repair of ascending aortic dissections. However, follow-up regarding outcomes is limited.

OBJECTIVES:

This study reports mid-term outcomes with endovascular repair for ascending aortic dissections in patients deemed high risk for open repair.

METHODS:

Between May 1, 2009 and January 31, 2011, 15 ascending aortic dissection patients (ages 45 to 78 years) ineligible for direct surgical repair underwent endovascular repair (1 acute dissection, 7 subacute dissections, and 7 chronic dissections) and were closely followed up for a median of 72 months (range 61 to 81 months).

RESULTS:

The mean interval between aortic dissection onset and treatment was 25.5 (range 6 to 353) days. Technical success was achieved in all patients. No major morbidity or deaths occurred perioperatively. During the follow-up period, there were no deaths, 8 complications occurred, and there were 4 reinterventions. A new dissection in the aortic arch was treated with a branched endograft. One patient developed retrograde aortic dissection and a left ventricular pseudoaneurysm was successfully treated with open surgery. One cardiovascular ischemia was treated with stenting and 1 supraventricular tachycardia was treated with radiofrequency ablation. Other morbidities included perigraft endoleak, a bird-beak sign, a temporary pericardial effusion, and a left kidney atrophy. Significant enlargements of true lumens and shrinkage of false lumens and overall thoracic aorta were observed at 12 months. No significant changes were detected subsequently. Minimal impact on aortic valve function was recorded over time.

CONCLUSIONS:

Our results with the novel endovascular procedure appear acceptable. Additional evidence and studies with larger sample size and longer follow-up are needed to support the durability of this new technique.

A case of asymptomatic patient with right ventricular dilatation

 

A case of asymptomatic patient with right ventricular dilatation

Wael AlJaroudi1, Firas El Bitar2, Ghida Mouharram3, Jihad Daher3, Gebrine El-Khoury4

1Division of Cardiovascular Medicine, 2Division of Cardiothoracic Surgery, 3Department of Radiology, Clemenceau Medical Center, Beirut, Lebanon; 4Division of Cardiothoracic Surgery, St-Luc hospital, Bruxelles, Belgium

Correspondence to: Wael AlJaroudi, MD, FESC, FACC, FAHA. Associate Professor of Medicine, Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon. Email: wael.jaroudi@cmc.com.lb.

Abstract: Sinus venous defect is an uncommon type of atrial septal defect (ASD), often associated with anomalous pulmonary vein drainage and left to right shunting. If undetected, it leads to right atrial and ventricular volume overload. The current case describes an asymptomatic athlete with missed large sinus venosus defect since birth, and the different types of cardiac imaging modalities that lead to the detection of the defect and guiding the appropriate surgical intervention.

Keywords: Sinus venosus defect; anomalous pulmonary vein drainage; shunt; right ventricular dilatation

http://xym.amegroups.com/article/view/3633/4336

 

3633-pb5-r1

Our Focus Issue about cardiothoracic surgery in sub-saharan Africa is online!

Our Focus Issue about cardiothoracic surgery in sub-saharan Africa is online. http://cdt.amegroups.com/issue/view/489

suppl-oct-cdt

Vol 6, No 5 (October 2016): Cardiovascular Diagnosis and Therapy

October issue

Vol 6, No 5 (October 2016): Cardiovascular Diagnosis and Therapy

Original Article

Meta-analysis of randomized controlled trials on efficacy and safety of extended thienopyridine therapy after drug-eluting stent implantation
Wenyi Tang, James Yeh, Jian Chen, Mao Liu, Jianting Ke, Guangyi Tan, Xiufang Lin, Wei Wu
Skeletal myopathy in a family with lamin A/C cardiac disease
Subha Ghosh, Rahul Renapurkar, Subha V. Raman
Use of bio-informatics assessment schema (BIAS) to improve diagnosis and prognosis of myocardial perfusion data: results from the NHLBI-sponsored women’s ischemia syndrome evaluation (WISE)
Mark Doyle, Gerald M. Pohost, C. Noel Bairey Merz, Leslee J. Shaw, George Sopko, William J. Rogers, Barry L. Sharaf, Carl J. Pepine, Diane V. Thompson, Geetha Rayarao, Lindsey Tauxe, Sheryl F. Kelsey, Robert W. W. Biederman
Right ventricular failure predicted from right bundle branch block: cardiac magnetic resonance imaging validation
Santhosh R. Devarapally, Sameer Arora, Ali Ahmad, Mike Sood, Amaar El Sergany, Terrence Sacchi, Barry Saul, Rahul Gaglani, John Heitner
Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a cross-sectional study
Alain Menanga, Sandrine Edie, Clovis Nkoke, Jérôme Boombhi, Ahmadou Jingi Musa, Liliane Kuate Mfeukeu, Samuel Kingue
Daily cardiac catheterization procedural volume and complications at an academic medical center
Kipp Slicker, Wesley G. Lane, Ola O. Oyetayo, Laurel A. Copeland, Eileen M. Stock, Jeffrey B. Michel, John P. Erwin
The burden of Fallot’s tetralogy among Nigerian children
Barakat Adeola Animasahun, Akpoembele D. Madise-Wobo, Bode A. Falase, Samuel I. Omokhodion

Case Report

Cardiocutaneous syndrome (Naxos disease) in a Bangladeshi boy
AKM Monwarul Islam, Md. Toufiqur Rahman, Abu Hana Chowdhury
Acute extensive anterior ST elevation myocardial infarction following bee sting: a rare report of Kounis syndrome in LAD territory
Mohammad Reza Karimlu, Aida Alavi-Moghaddam, Omid Rafizadeh, Arsalan Azizpour, Isa Khaheshi

Arts and Medicine

Biomorphic garden party

International Academy of Cardiology Annual Scientific Sessions 2017 22nd World Congress on Heart Disease

Annual Scientific Sessions 2017
22nd World Congress on Heart Disease

Hyatt Regency Vancouver

Vancouver, BC, Canada

July 14-16, 2017

 

Vancouver Canada place_Panoramic

NEJM: Defibrillator Implantation in Patients with Nonischemic Systolic Heart Failure

Defibrillator Implantation in Patients with Nonischemic Systolic Heart Failure — NEJM

Conclusions

In this trial, prophylactic ICD implantation in patients with symptomatic systolic heart failure not caused by coronary artery disease was not associated with a significantly lower long-term rate of death from any cause than was usual clinical care. (Funded by Medtronic and others; DANISH ClinicalTrials.gov number, NCT00542945.)