Journal of cardiac surgery
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Comparative Study
Assessment of EuroSCORE in patients undergoing aortic valve replacement.
The logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) is a risk stratification system used to predict the operative risk in patients undergoing surgical aortic valve replacement (AVR). The aim of this study is to investigate how accurate this system is, and how it compares to the observed risk. ⋯ The logistic EuroSCORE overestimates the risks for AVR. Therefore, it should not be used to deny high-risk patients a surgical AVR.
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Intraoperative aortic dissection is a rare but potentially fatal complication of cardiac surgery. In this report, we present a case of intraoperative aortic dissection that was complicated by intestinal ischaemia. The aorta was successfully repaired using both open and endovascular techniques.
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Hemathorax is an uncommon but well-described complication of type B acute aortic dissection. Due to the location and anatomic relations of the descending aorta, aortic rupture of acute type B aortic dissection usually causes a left hemathorax. We now report the case of a 42-year-old male who presented with an acute type B aortic dissection and bilateral hemathoraces.
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Case Reports
Successful surgical correction of anomalous origin of the right pulmonary artery from the aorta in an adult.
We report an adult patient with anomalous right pulmonary artery (RPA) from the ascending aorta with origin stenosis, a secundum type of atrial septal defect (ASD) with severe pulmonary arterial hypertension (PAH) in the left lung, and a protected right lung. Restoration of the continuity between the RPA and the left pulmonary arterial system was achieved without cardiopulmonary bypass.