Heart, lung & circulation
-
Heart, lung & circulation · May 2016
Randomized Controlled Trial Multicenter StudyPulmonary Protective Effects of Remote Ischaemic Preconditioning with Postconditioning in Patients undergoing Cardiac Surgery involving Cardiopulmonary Bypass: A substudy of the Remote Ischaemic Preconditioning with Postconditioning Outcome trial.
The RISPO (Remote Ischemic Preconditioning with Postconditioning Outcome) trial evaluated whether remote ischaemic preconditioning (RIPC) combined with remote ischaemic postconditioning (RIPostC) improves the clinical outcomes of patients undergoing cardiac surgery. This substudy of the RISPO trial aimed to evaluate the effect of RIPC with RIPostC on pulmonary function in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). ⋯ In our study, RIPC-RIPostC improved the post-operative 24h PaO2/FIO2 ratio. Remote ischaemic preconditioning-Remote ischaemic postconditioning has limited and delayed pulmonary protective effects in cardiac surgery patients with CPB.
-
Heart, lung & circulation · May 2016
Case ReportsSuccessful One Stage Surgical Removal of Intravenous Leiomyomatosis with On Pump Beating Heart Technique.
An intravenous leiomyomatoma is a rare benign smooth muscle tumour originating from myometrial veins. Surgical resection is the best treatment for intracardiac extension of intravenous leiomyoma. Here we present a very rare case of intravascular and intracardiac leiomyomatosis. We successfully performed one-stage surgery to remove the leiomyomatosis with beating heart under cardiopulmonary bypass.
-
Heart, lung & circulation · May 2016
Clinical TrialImpact of Obstructive Sleep Apnoea on Heart Failure with Preserved Ejection Fraction.
The impact of obstructive sleep apnoea on heart failure with preserved ejection fraction is unknown. ⋯ Obstructive sleep apnoea, even when treated appropriately, may worsen long-term cardiac function and outcomes in patients who have heart failure with preserved ejection fraction.
-
Heart, lung & circulation · May 2016
Case ReportsSuccessful Bridge to Orthotopic Cardiac Transplantation with Implantation of a HeartWare HVAD in Management of Systemic Right Ventricular Failure in a Patient with Transposition of the Great Arteries and Previous Atrial Switch Procedure.
A clinical case is described of a patient with a history of dextro-transposition of the great arteries (d-TGA) and prior atrial switch procedure who developed significant pulmonary hypertension whilst awaiting orthotopic cardiac transplantation. The increase in his pulmonary pressures necessitated de-listing for cardiac transplantation. ⋯ A small number of cases with this abnormality undergoing VAD implantation have been described. Mechanical circulatory support has an important role in some patients with congenital heart disease.