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Journal Braz J Cardiovasc Surg

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The Current Role of Surgery in the Treatment of Cardiac Metastases from Malignant Melanoma: an Educational Presentation.

Kyriakos Spiliopoulos, Peter Engels, Konstantina Kimpouri, Iraklis Floudas, Nikolaos S Salemis, Franz-Xaver Schmid,

A 71 year-old male with a history of multiple excisions of an initial Clark's level V melanoma of the breast followed by combined radiation and interferon treatment, as well as a recurrence, 3 years later, of a BRAF-positive tumor of the shoulder, with subsequent therapy with dabrafenib and trametinib, presented ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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3D Rapid Prototyping Heart Model Validation for Teaching and Training - A Pilot Project in a Teaching Institution.

Sivakumar Krishnasamy, Raja Amin Raja Mokhtar, Ramesh Singh, Sivakumar Sivallingam, Yang Faridah Abdul Aziz, Vickneswaran Mathaneswaran,

<h4>Introduction</h4>Rapid prototyping is a process by which threedimensional (3D) computerized surface models are converted into physical models. In this study, a 3D heart bio model was created using the rapid prototyping method and the accuracy of this heart model was assessed by clinicians.<h4>Methods</h4>The two-dimensional images of normal heart from gated ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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Patient with Unicuspid Aortic Valve and Ascending Aorta Aneurysm Treated with Ozaki Procedure and Ascending Aorta Replacement.

Antonios Roussakis, Simone Calvi, Eliana Raviola, Alberto Albertini,

Although aortic valve replacement remains the gold standard treatment for aortic valve diseases like stenosis (AS) or insufficiency, new surgical methods have been developed with a focus in the reconstruction of the aortic valve rather than replacing it. The Ozaki procedure involves a tailored replacement of each individual valvular leaflet ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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Inspiratory Muscle Weakness is Related to Poor Short-Term Outcomes for Heart Transplantation.

Isis Begot, Walter J Gomes, Isadora S Rocco, Caroline Bublitz, Laion R A Gonzaga, Douglas W Bolzan, Vinicius Batista Santos, Rita Simone Lopes Moreira, João R Breda, Dirceu Rodrigues de Almeida, Ross Arena, Solange Guizilini,

<h4>Introduction</h4>In heart transplantation (HT) recipients, several factors are critical to promptly adopting appropriate rehabilitation strategies and may be important to predict outcomes way after surgery. This study aimed to determine preoperative patient-related risk factors that could adversely affect the postoperative clinical course of patients undergoing HT.<h4>Methods</h4>Twenty-one hospitalized patients with heart ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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Blood mRNA Expression Profiles of Autophagy, Apoptosis, and Hypoxia Markers on Blood Cardioplegia and Custodiol Cardioplegia Groups.

Deniz Elcik, Aydın Tuncay, Elif Funda Sener, Serpil Taheri, Reyhan Tahtasakal, Ecmel Mehmetbeyoğlu, Isın Gunes, Omer Naci Emirogullari,

<h4>Introduction</h4>Blood cardioplegia (BC) and Custodiol cardioplegia (CC) have been used for a long time in open heart surgery and are highly effective solutions. The most controversial issue among these two is whether there is any difference between them regarding myocardial damage after ischemia surgery. In this study, autophagy, apoptosis, and ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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Management of Acute Type A Aortic Dissection at a Public Cardiac Center in the Northeast Region of Brazil.

Pablo Cesar Lustosa Barros Bezerra, Ricardo de Carvalho Lima, Pedro Rafael de Salerno, Antonio Cavalcanti de Albuquerque Martins, Geovanna Menezes de Medeiros Lustosa, Alvaro Monteiro Perazzo, Juliana Vieira de Oliveira Salerno, Carolina Vieira de Oliveira Salerno, Pedro Rafael Vieira de Oliveira Salerno,

<h4>Introduction</h4>Aortic diseases are among the most serious cardiovascular diseases; the overall mortality rate due to diseases such as aneurysms and aortic dissections has been estimated at 2.78 per 100,000 persons in 2010, with a higher mortality rate in men than women. Our objective was to evaluate the epidemiological profile of ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2021, :]

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Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review.

Tatiana Farias de Oliveira, Carlos Alberto de Oliveira Rocha, Aisla Graciele Galdino Dos Santos, Luiz Carlos Francelino Silva Junior, Saulo Henrique Salgueiro de Aquino, Euclides José Oliveira da Cunha, Rafaela Campos Alcântara, Rodrigo da Rosa Mesquita, Gabriel Monteiro Arnozo, Fernanda Mayara Santos Santana, Etvaldo Rodrigues da Silva Filho, Carlos Dornels Freire de Souza,

<h4>Introduction</h4>The present study intends to systematically review the literature on the use of extracorporeal membrane oxygenation (ECMO) in patients with coronavirus disease 2019 (COVID-19).<h4>Methods</h4>The research was carried out according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Studies were selected from PubMed/MEDLINE and LILACS ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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A Simplest Method to Enhance the Benefits of Internal Thoracic Artery Distal Occlusion.

Yoandy López-de la Cruz, Yolepsis Fidel Quintero Fleites, Manuel Nafeh Abi Rezk,

A common element of internal thoracic artery harvesting techniques is a distal vascular clamp placement at the end of the procedure, not only to avoid bleeding, but also to increase the internal hydrostatic pressure, diameter and flow. The logic indicates that the placement of this clamp at the beginning of ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Surgical Treatment of Pseudoaneurysm of the Ascending Aorta in a Patient with Sepsis.

Igor Zivkovic, Stefan Stankovic, Stasa Krasic, Miodrag Peric, Ivan Stojanovic,

Pseudoaneurysm of the ascending aorta (PAA) is a hazardous and potentially fatal cardiovascular disease. This condition is caused by the rupture of at least one layer of the vessel and contained by the remaining vascular layers or the surrounding mediastinal structures. We presented the surgical treatment of a patient with ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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A Rare Associated Anomaly in Tetralogy of Fallot: Scimitar Syndrome in an Infant.

Betül Çınar, Sezen Ugan Atik, Alper Güzeltaş,

Pulmonary venous connections may be infrequently abnormal in patients with tetralogy of Fallot (TOF). A special subgroup of partial anomalous pulmonary venous return,"scimitar cyndrome", and its coexistence with TOF is less frequently reported. It may proceed unnoticed, as cyanosis already predominates in the clinical picture. This uncommon association must be ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Hybrid Approach to Complex Stanford Type B Dissection: Unusual Extra-anatomical Bypass (Aorto- Celiac-Mesenteric Bypass) + Thoracic Endovascular Aortic Repair (TEVAR) + Cholecystectomy.

Sinan Demirtaş, Nazım Kankılıç, Celal Yavuz,

Patients with complex Stanford type B aortic dissection are very difficult to treat. Many methods have been proposed so far in the treatment of these patients, and the emergence of hybrid techniques has made the treatment easier. In this article, we shared the extra-anatomical bypass (aorto-celiac-mesenteric bypass) + thoracic endovascular ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Visceral Adiposity Index and Prognostic Nutritional Index in Predicting Atrial Fibrillation after On-Pump Coronary Artery Bypass Operations: a Prospective Study.

Mesut Engin, Kadir Kaan Ozsin, Muhammed Savran, Orhan Guvenc, Ahmet Fatih Ozyazicioglu,

<h4>Introduction</h4>Rhythm problems are the most observed complications following coronary artery bypass grafting (CABG), the most common being postoperative atrial fibrillation (PoAF), with an incidence reaching 50% of the patients. In this study, we aimed to investigate the predictive importance of prognostic nutritional index (PNI) and visceral adiposity index (VAI) in ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Soluble ST2 as a Potential Biomarker in Pericardial Fluid of Coronary Artery Patients.

Reşat Dikme, Mahmut Padak, Mesut Işık, İsmail Koyuncu, Ebru Temiz, Mehmet Salih Aydın, Ömer Göç,

<h4>Introduction</h4>The growth Stimulation expressed gene 2 (ST2) (or interleukin 1 receptor-like 1, also known as IL1RL1) is considered a biomarker of poor prognosis in cardiovascular diseases. The aims of this study are to investigate ST2 in the pericardial fluid (PF) of coronary artery disease patients and to contribute to the ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Early Hemodynamic Profile after Aortic Valve Replacement - A Comparison between Three Mechanical Valves.

Khaled D Algarni, Essam Hassan, Amr A Arafat, Mostafa A Shalaby, Hussein H Elawad, Claudio Pragliola, Turki B Albacker,

<h4>Introduction</h4>There are scarce data comparing different mechanical valves in the aortic position. The objective of this study was to compare the early hemodynamic changes after aortic valve replacement between ATS, Bicarbon, and On-X mechanical valves.<h4>Methods</h4>We included 99 patients who underwent aortic valve replacement with mechanical valves between 2017 and 2019. ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Research Status of SARS-CoV-2 on Cardiovascular System Injury in Children.

Yuhai Zhang, Liang Wang, Shixiong Wei,

In December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began to break out in the Hubei Province of China. At present, the epidemic situation in the world continues and the number of confirmed cases is increasing every day. A recent review showed that children under the age of ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Transcatheter Aortic Valve Implantation in Bicuspid Aortic Valve with Aortic Stenosis: a Meta-Analysis and Trial Sequential Analysis.

Jeffrey Shi Kai Chan, Sukhdeep Singh, Peter Eriksen, Lok Him Tsui, Amer Harky,

<h4>Objectives</h4>Bicuspid aortic valve (BAV) is an important aetiology of aortic stenosis and the use of transcatheter aortic valve implantation (TAVI) has not been fully explored in this cohort. This systematic review and meta-analysis compared the outcomes of TAVI in stenotic BAV against tricuspid aortic valve (TAV).<h4>Methods</h4>An electronic literature search was ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Morbidity and Mortality in Patients Undergoing Mitral Valve Replacement at a Cardiovascular Surgery Referral Service: A Retrospective Analysis.

Júlia Lasserre Moreira, Pedro Henrique Andrade Araújo Salvatore Barletta, José Augusto Baucia,

<h4>Introduction</h4>We aimed to identify predictors of morbidity and mortality in patients undergoing isolated mitral valve replacement.<h4>Methods</h4>This is a retrospective cohort study with 164 patients who underwent isolated mitral valve replacement at a referral hospital for cardiovascular diseases, which were performed from January 2011 to December 2016. Data were obtained from ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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COVID-19 and Methylene Blue.

Viroj Wiwanitkit,

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Relationship Between Waist Circumference, Epicardial Fat Thickness, and Genders.

Fatih Aksoy, Serdar Güler,

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Application of Remote Follow-Up Via the WeChat Platform for Patients who Underwent Congenital Cardiac Surgery During the COVID-19 Epidemic.

Qi-Liang Zhang, Shu-Ting Huang, Ning Xu, Zeng-Chun Wang, Hua Cao, Qiang Chen,

<h4>Introduction</h4>To investigate the effect of WeChat-based telehealth services on the postoperative follow-up of children who underwent congenital heart surgery during the COVID-19 epidemic.<h4>Methods</h4>This study retrospectively analyzed the clinical and family data of 108 children who underwent congenital heart surgery and underwent remote follow-up via the WeChat platform from December 2019 ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Multidisciplinary Approach to Right Ventricular Myxoma.

Ali Karagöz, Berhan Keskin, Ahmet Karaduman, Seda Tanyeri, Taylan Adademir,

Right ventricular (RV) myxoma that obstructs the RV outflow tract is rare. Multimodality imaging is crucial due to the curved and triangular shape of the RV anatomy. Incomplete resection by the right atrial approach in cardiac myxomas may be prevented by preoperative imaging with echocardiography, computed tomography and magnetic resonance ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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WeChat-Assisted Preoperative Health Education Reduces Burden of Care on Parents of Children with Simple Congenital Heart Disease: a Prospective Randomized Controlled Study.

Qi-Liang Zhang, Ning Xu, Shu-Ting Huang, Qiang Chen, Hua Cao,

<h4>Introduction</h4>The purpose of this study was to explore the clinical effect of preoperative health education based on the WeChat platform for parents of children with simple congenital heart disease.<h4>Methods</h4>In this study, participants were randomly divided into an intervention group (WeChat group, n=40) and a control group (leaflet group, n=40) in ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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The Aortic Pathologies: How Far We Understand It and Its Implications on Thoracic Aortic Surgery.

Amer Harky, Pawel Aleksander Sokal, Khubbaib Hasan, Andreas Papaleontiou,

Thoracic aortic diseases contribute to a major part of cardiac surgeries. The severity of pathologies varies significantly from emergency and life-threatening to conservatively managed conditions. Life-threatening conditions include type A aortic dissection and rupture. Aortic aneurysm is an example of a conservatively managed condition. Pathologies that affect the arterial wall ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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Spinal Anesthesia Increases the Frequency of Extubation in the Operating Room and Decreases the Time of Mechanical Ventilation after Cardiac Surgery.

Gustavo Siqueira Elmiro, Artur Henrique de Souza, Stanlley de Oliveira Loyola, Maurício Lopes Prudente, Celina Lumi Kushida, José Onofre de Carvalho Sobrinho, Fabiano Zumpano, Giulliano Gardenghi,

<h4>Introduction</h4>The delayed extubation of patients undergoing mechanical ventilation (MV) in the postoperative period of cardiac surgery (CS) is associated with mortality. The adoption of spinal anesthesia (SA) combined with general anesthesia in CS influences the orotracheal intubation time (OIT). This study aims to verify if the adoption of SA reduces ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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The Role of the Axillary Artery as a Second Access Choice in TAVI Procedures.

Ana Paula Tagliari, Rodrigo Petersen Saadi, Enrico Ferrari, Maurizio Taramasso, Eduardo Keller Saadi,

With transcatheter aortic valve implantation (TAVI) technology expanding its indications for low-risk patients, the number of TAVIeligible patients will globally grow, requiring a better understanding about the second-best access choice. Regarding the potential access sites, the transfemoral retrograde route is recognized as the standard approach and first choice according to ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, :]

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