35 documents found, page 1 of 4
Impact of COVID-19 Pandemic in a Brazilian High-Volume Aortic Center
Dias,Ricardo R.; Santiago,José Augusto Duncan; Madrini Junior,Vagner; Mady,Charles; Jatene,Fabio B.Abstract Introduction: The coronavirus disease 2019 (COVID-19) pandemic brought an unprecedented lack of control of what was to come. The intent of this document is to provide a balance of how much was ceased to be done for patients with aortic disease, to assess the mortality of these patients, and to show what happened to those who became COVID-19 positive during their hospitalization. Methods: From April 1st...
Anemia in Cardiac Surgery - Can Something Bad Get Worse?
Faria,Leandro Batisti de; Mejia,Omar Vilca; Miana,Leonardo Augusto; Lisboa,Luiz Augusto Ferreira; Manuel,Valdano; Jatene,Marcelo B.; Jatene,Fabio B.Abstract Introduction: Anemia and blood transfusion are risk factors for morbidity/mortality in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The objective of this study is to analyze the association of blood transfusion with morbidity/mortality in patients undergoing coronary artery bypass grafting (CABG) under CPB in the state of São Paulo, Brazil. Methods: This is a retrospective ana...
Impact of COVID-19 Pandemic in a Pediatric and Congenital Cardiovascular Surger...
Miana,Leonardo A.; Manuel,Valdano; Caneo,Luiz Fernando; Strabelli,Tânia Mara Varejão; Arita,Elisandra Trevisan; Monteiro,RosângelaAbstract Introduction: The coronavirus disease 2019 (COVID-19) has negatively impacted healthcare services worldwide. We hypothesized that the pandemic would affect our case mix and mortality. Our objective was to study this impact. Methods: We retrospectively studied all patients who underwent congenital heart surgeries from March 21st to August 21st in 2019 and 2020 using the institutional electronic database...
Translation and Validation of the Boston Technical Performance Score in a Devel...
Miana,Leonardo A.; Nathan,Meena; Tenório,Davi Freitas; Manuel,Valdano; Guerreiro,Gustavo; Fernandes,Natália; Campos,Carolina Vieira de; Gaiolla,Paula V.Abstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned...
Treatment and Chest Reconstruction for Mediastinitis Following Sternotomy for C...
Pagotto,Vitor Penteado Figueiredo; Gallafrio,Samuel Terra; Carneiro,Igor Castro; Gemperli,Rolf; Jatene,Fabio B.Abstract This study presents the method used for chest reconstruction and treatment of mediastinitis following cardiac surgery at the Heart Institute of the University of São Paulo Medical School. After infection control with antibiotic therapy associated with aggressive surgical debridement and negative pressure wound therapy, chest reconstruction is performed using flaps. The advantages and disadvantages of n...
Pericardial-Peritoneal Window as an Alternative Treatment for Large and Recurre...
Dallan,Luis Roberto Palma; Dallan,Luis Alberto Oliveira; Mejía,Omar Vilca; Dallan,Luis Augusto Palma; Lisboa,Luiz Augusto Ferreira; Jatene,Fabio B.Abstract Introduction: The presence of mild to moderate pericardial effusion after cardiac surgery is common and oral medical therapy is usually able to treat it. Larger effusions are less frequent and surgical intervention is usually necessary. However, there are some rare cases of large effusions that are recurrent even after intervention and become challenging to treat. Methods: We describe the case of a pat...
Preoperative Neutrophil-Lymphocyte Ratio Can Predict Outcomes for Patients Unde...
Manuel,Valdano; Miana,Leonardo A.; Guerreiro,Gustavo Pampolha; Turquetto,Aida; Santos,Rômullo Medeiros; Fernandes,Natália; Tenório,Davi FreitasAbstract Introduction: Elevated neutrophil-lymphocyte ratio (NLR) has been associated with poorer outcomes in cyanotic patients undergoing single ventricle palliation. Little is known about this biomarker on patients with tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease. Our objective is to study the impact of preoperative NLR on outcomes of TOF patients undergoing total repair. Meth...
Impact of Vacuum-Assisted Venous Drainage on Forward Flow in Simulated Pediatri...
Guimarães,Daniel Peres; Caneo,Luiz Fernando; Matte,Gregory; Carletto,Luciana P.; Policarpo,Valéria Camargo; Castro,Ana Vitória C. X.Abstract Objective: To analyze the impact of vacuum-assisted venous drainage (VAVD) on arterial pump flow in a simulated pediatric cardiopulmonary bypass circuit utilizing a centrifugal pump (CP) with an external arterial filter. Methods: The simulation circuit consisted of a Quadrox-I Pediatric oxygenator, a Rotaflow CP (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set primed wit...
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...
Quadricuspid Aortic Valve: Three Cases Report and Literature Review
Veronese,Elinthon Tavares; Brandão,Carlos Manuel de Almeida; Steffen,Samuel Padovani; Pomerantzeff,Pablo; Jatene,Fabio B.Abstract Quadricuspid aortic valve (QAV) is a rare cardiac malformation. Many cases are incidentally diagnosed in aortic surgeries or autopsies and it usually appears as an isolated anomaly. The most widely classification used is the one by Hurwitz and Roberts[1], which divides 7 alphabetical subtypes based on the cusps size. The aim of this report is to describe three different anatomic presentations of this r...