14 documents found, page 1 of 2

Predicting the burden for surgical aortic valve replacement in a tertiary centr...

Background/Objectives: The incidence of aortic stenosis (AS) is predicted to rise with the aging population, emerging as a growing public health challenge in developed countries, leading to an increased demand for intervention. Our aim is to predict the evolution of proposed cases for SAVR in the geographic referral area of our tertiary hospital until 2041. Methods: We used data from the Portuguese Census for 2...

Surgical aortic valve replacement in octogenarians: single-center perioperative...

Introduction and objectives: Aortic stenosis is the most common valvular heart disease. The number of octogenarians proposed for intervention is growing due to increased lifespan. In this manuscript we aim to evaluate perioperative outcome and long-term survival after surgical aortic valve replacement (SAVR) in octogenarians, comparing patients with low surgical risk (EuroscoreII <4%) with intermediate-high ris...

Ascending Aorta Sacular Aneurysm

. A 83 year old woman with history of arterial hypertension, hypothyroidism, obesity, chronic renal insufficiency and incipient dementia was transferred to our hospital after complaints of chest pain. Investigation revealed a sacular ascending aortic aneurysm with the aneurysmal sac adjacent to the sternum. Due to her age, cognitive state and risk of sternal entry, she was refused for surgery. She was discharge...

Role of omega-6 fatty acid metabolism in cardiac surgery postoperative bleeding...

Cardiac surgery is frequently associated with significant postoperative bleeding. Platelet-dysfunction is the main cardiopulmonary bypass (CPB)-induced hemostatic defect. Not only the number of platelets decreases, but also the remaining are functionally impaired. Although lipid metabolism is crucial for platelet function, little is known regarding platelet metabolic changes associated with CPB-dysfunction. Our...

Surgical, anesthesical and perfusion strategies for open thoracoabdominal aneur...

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POST-CARDIOTOMY ECMO: TIME FOR HOPE OR TIME FOR DESPAIR?

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AORTIC VALVE PROSTHESIS TYPE AND AGE - NO NEWS IS GOOD NEWS?

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AGE IS NOT JUST A NUMBER FOR A RAPID DEPLOYMENT VALVE IN OCTOGENARIANS

Introduction: Aortic valve stenosis (AS) is the most common valvular pathology in the elderly and surgery (AVR) remains the gold-standard. However, transcatheter aortic valve replacement (TAVI) has become an emerging alternative to surgery. In a recent survey from the European Society of Cardiology, 9,4% stated that age was the main reason to propose for TAVI. Methods: Single-center retrospective study includin...

CARDIAC SURGERY IN DIALISYS PATIENTS - CAN WE DO BETTER THAN IN THE PAST?

STERNAL CHONDROSSARCOMA

A 28 year old woman presented a painless pre-sternal mass since childhood. At 25 years old, after pregnancy, the mass turned painful and started growing. A percutaneous biopsy diagnosed osteochondroma (Figure 1). Figure 1 Figure 2 A B She underwent partial sternectomy (Figure 2 a) and closure of the sternal defect with a Marlex mesh (Figure 2 b). Histology revealed grade 1 chondrossarcoma with free surgical mar...