Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Jul 2019
Comparative StudyModerate and deep hypothermic circulatory arrest has a comparable effect on acute kidney injury after total arch replacement with frozen elephant trunk procedure in type A aortic dissection.
The goal was to investigate the prevalence of acute kidney injury (AKI) after total arch replacement with frozen elephant trunk procedure, which was achieved by antegrade cerebral perfusion and moderate hypothermic circulatory arrest (MHCA) or deep hypothermic circulatory arrest (DHCA) among patients with type A aortic dissection. ⋯ MHCA was not superior to DHCA in decreasing postoperative AKI. Thus, MHCA should not definitively replace DHCA.
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Interact Cardiovasc Thorac Surg · Jul 2019
Randomized Controlled TrialDistal aortic remodelling after the standard and the elongated frozen elephant trunk procedure.
The aim of this study was to evaluate abdominal aortic remodelling after the standard compared with the elongated frozen elephant trunk (FET) technique in patients with aortic dissection. ⋯ The standard FET technique is an adequate measure to induce false lumen thrombosis and improve abdominal aortic remodelling. The elongated FET technique seems to be superior to the standard FET procedure in terms of freedom from aortic remodelling and the distal reintervention rate.
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Interact Cardiovasc Thorac Surg · Jul 2019
Impact of postoperative acute kidney failure in long-term survival after heart valve surgery.
We investigated the impact of acute kidney failure after a heart valve procedure among patients with or without chronic kidney disease (CKD). ⋯ Patients with CKD are at higher risk of postoperative adverse events and have poorer long-term outcomes. Postoperative acute kidney failure increases long-term mortality.