30 documents found, page 1 of 3
The Anaortic Technique with Bilateral Internal Thoracic Artery Grafting - Filli...
Gomes,Walter J.; Gomes,Eduardo N.; Bertini Jr,Ayrton; Reis,Pedro H.; Hossne Jr,Nelson A.Abstract Coronary artery bypass grafting (CABG) has consolidated its role as the most effective procedure for treating patients with advanced atherosclerotic coronary artery disease, reducing the long-term risk of myocardial infarction and death compared to other therapies and relieving angina. Despite the recognized benefits afforded by surgical myocardial revascularization, a subset of higher-risk patients be...
COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian E...
Gomes,Walter J.; Rocco,Isadora; Pimentel,Wallace S.; Pinheiro,Aislan H. B.; Souza,Paulo M. S.; Costa,Luiz A. A.; Teixeira,Marjory M. P.Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain...
Inspiratory Muscle Weakness is Related to Poor Short-Term Outcomes for Heart Tr...
Begot,Isis; Gomes,Walter J.; Rocco,Isadora S.; Bublitz,Caroline; Gonzaga,Laion R. A.; Bolzan,Douglas W.; Santos,Vinicius BatistaAbstract Introduction: 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. Methods: Twenty-one hospitalized patient...
Valve Heart Surgery in Brazil - The BYPASS Registry Analysis
Zilli,Alexandre Cabral; Guizilini,Solange; Rocco,Isadora S.; Santo,José Amalth do Espírito; Berwanger,Otavio; Kalil,Renato Abdala KaramAbstract Objective: To analyze the profile and outcomes of patients who underwent valve heart surgery in Brazil, using information retrieved from the Brazilian Registry of Cardiovascular Surgeries in Adults (BYPASS Registry) database. Methods: This is a multicenter cohort study, evaluating 920 patients submitted to heart valve surgery. Demographics and postoperative clinical outcomes were assessed and compared ...
Cardiovascular involvement in COVID-19: not to be missed
Rocco,Isadora S.; Gomes,Walter J.; Viceconte,Marcela; Bolzan,Douglas W.; Moreira,Rita Simone L; Arena,Ross; Guizilini,SolangeAbstract In December 2019, a striking appearance of new cases of viral pneumonia in Wuhan led to the detection of a novel coronavirus (SARS-CoV2). By analyzing patients with severe manifestations, it became apparent that 20 to 35% of patients who died had preexisting cardiovascular disease. This finding warrants the important need to discuss the influence of SARS-CoV2 infection on the cardiovascular system and ...
Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Thro...
Paez,Rodrigo Pereira; Hossne Junior,Nelson Américo; Santo,José Amalth do Espírito; Berwanger,Otavio; Santos,Renato Hideo NakagawaAbstract Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a database on the practice and results of CABG. In anticipation of the recommendation, the BYPASS Registry was introduced in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CAB...
A Dedicated Stitch to Allow Early Safe Mobilization Avoiding Drain-Induced Hear...
Gomes,Walter J.; Rocco,Isadora S.; Bublitz,Caroline; Begot,Isis; Viceconte,Marcela; Pimentel,Walace de Souza; Hossne Jr.,Nelson; Carvalho,Alexandre R.Abstract Placement of a mediastinal drain is a routine procedure following heart surgery. Postoperative bed rest is often imposed due to the fear of potential risk of drain displacement and cardiac injury. We developed an encapsulating stitch as a feasible, effective and low-cost technique, which does not require advanced surgical skills for placement. This simple, novel approach compartmentalizes the drain all...
Extended-time of Noninvasive Positive Pressure Ventilation Improves Tissue Perf...
Nasrala,Mara L. S.; Bolzan,Douglas W.; Lage,Yumi G.; Prado,Fabiana S.; Arena,Ross; Lima,Paulo R. L.; Feguri,Gibran; Silva,Ageo M. C.Abstract Objective: To compare the effects of extended- versus short-time noninvasive positive pressure ventilation on pulmonary function, tissue perfusion, and clinical outcomes in the early postoperative period following coronary artery bypass surgery in patients with preserved left ventricular function. Methods: Patients were randomized into two groups according to noninvasive positive pressure ventilation i...
Hemodynamic Changes During Heart Displacement in Aorta No-Touch Off-Pump Corona...
Carvalho,Alexandre R.; Guizilini,Solange; Murai,Gustavo M.; Begot,Isis; Rocco,Isadora S.; Hossne Jr,Nelson A.; Chamlian,Eduardo G.Abstract Objective: To evaluate the sequential changes of hemodynamic and metabolic parameters in patients who underwent aorta no-touch off-pump coronary artery bypass surgery (OPCAB). Methods: Prospective study involving twenty-seven consecutive patients who underwent aorta no-touch OPCAB. The FloTrac/PreSep/Vigileo™ system (Edwards Lifesciences) was used to continuously record heart rate (HR), mean arterial b...
Use of 3D Printing in Preoperative Planning and Training for Aortic Endovascula...
Gomes,Eduardo Nascimento; Dias,Ricardo Ribeiro; Rocha,Bruno Aragão; Santiago,José Augusto Duncan; Dinato,Fabrício José de Souza; Saadi,Eduardo KellerAbstract Introduction: Three-dimensional (3D) printing has become an affordable tool for assisting heart surgeons in the aorta endovascular field, both in surgical planning, education and training of residents and students. This technique permits the construction of physical prototypes from conventional medical images by converting the anatomical information into computer aided design (CAD) files. Objective: To...