Vulnerability of Coronary Circulation After Norwood Operation

Slides:

Advertisements

Similar presentations

Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting

Advertisements

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Left Ventricular Unloading by Impella Device Versus Surgical Vent During Extracorporeal Life Support Sarah Tepper, BS, Muhammad Faraz Masood, MD, Moises.

Wenrui Ma, MD, Wei Zhang, MD, Wei Shi, MD, Ye Kong, MD, Xinyu Ma, MS

Jason F. Goldberg, MD, Travis P

Michael Kalina, DO, Frederick Giberson, MD

Current Status of Endovascular Training for Cardiothoracic Surgery Residents in the United States Panos N. Vardas, MD, Ada C. Stefanescu Schmidt, MD,

B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability? Tirone E. David, MD, Susan Armstrong, MS,

N-terminal pro B-type natriuretic peptide is an independent predictor of postoperative myocardial injury in patients undergoing major vascular surgery

The Annals of Thoracic Surgery

Improved Myocardial Perfusion and Thickening After Off-Pump Revascularization: 5- Year Follow-Up Chang Young Kim, MD, Ho Young Hwang, MD, Jin Chul Paeng,

Subjective versus statistical model assessment of mortality risk in open heart surgical procedures Joan M.V Pons, MD, Josep M Borras, MD, Josep A Espinas,

Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery: Development of a Predictive Risk Algorithm Mitchell J. Magee, MD, Morley A. Herbert,

Pneumatic Burst Pressures After Inverted Closure of the Left Atrial Appendage: An Ex Vivo Model Nikolas Mirow, MD, Sebastian Vogt, MD, Rainer Moosdorf,

Denton A. Cooley, August 22, 1920, to November 18, 2016

Reply The Annals of Thoracic Surgery

Lu Dai, MSc, Stephanie L. Mick, MD, Keith R. McCrae, MD, Penny L

Simple Index to Predict Likelihood of Skilled Nursing Facility Admission After Coronary Artery Bypass Grafting Among Older Patients David C. Chang, PhD,

Surgical Resection of a Giant Coronary Aneurysm

Amedeo Anselmi, MD, Gianfederico Possati, MD, Mario Gaudino, MD

Tomoaki Murakami, MD, PhD, Atsuhito Takeda, MD, PhD

James D. St. Louis, MD The Annals of Thoracic Surgery

Who Do You Say You Are? The Annals of Thoracic Surgery

Pulmonary Arterial Wall Stiffness and Its Impact on Right Ventricular Afterload in Patients With Repaired Tetralogy of Fallot Ryo Inuzuka, MD, PhD, Mitsuru.

Which Patients Benefit From Stentless Aortic Valve Replacement?

Pulmonary Function Tests Overestimate Chronic Pulmonary Disease in Patients With Severe Aortic Stenosis Mitchell J. Magee, MD, Morley A. Herbert, PhD,

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Impaired Cerebral Perfusion After Bilateral Pulmonary Arterial Banding in Patients With Hypoplastic Left Heart Syndrome Hirofumi Saiki, MD, Clara Kurishima,

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

The Ross Procedure in Adults: Long-Term Follow-Up and Echocardiographic Changes Leading to Pulmonary Autograft Reoperation Alessandro Frigiola, MD, Marco.

Training Surgeons to Perform Robotically Assisted Totally Endoscopic Coronary Surgery Thomas Schachner, MD, Nikolaos Bonaros, MD, Dominik Wiedemann,

Hypotension After Cardiac Operations Based on Autoregulation Monitoring Leads to Brain Cellular Injury Daijiro Hori, MD, Masahiro Ono, MD, PhD, Thomas.

Masahiro Ono, MD, PhD, Charles Brown, MD, Jennifer K

Sameh M. Said, MD, Harold M. Burkhart, MD, Joseph A

Terry Shih, MD, Justin B. Dimick, MD, MPH

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

Redo Aortic Valve Replacement in Children

Long-Term Outcome of Arterial Switch Operation Conversion After Failed Senning/Mustard Procedure Takuya Maeda, MD, Takahiko Sakamoto, MD, Mitsugi Nagashima,

Wall Stress and Geometry of the Thoracic Aorta in Patients With Aortic Valve Disease Barry J. Doyle, PhD, Paul E. Norman, DS, Peter R. Hoskins, DSc, David.

Pseudoaneurysm Caused by Perforation of Mitral-Aortic Intervalvular Fibrosa Kazuhito Imanaka, MD, Hideaki Yamabi, MD, Hiroshi Goto, MD, Takahiro Matsuoka,

Editorial Board, January 2010

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Randomized Study of a New Noninvasive Skin Closure Device for Use After Congenital Heart Operations Yuki Tanaka, MD, Takashi Miyamoto, MD, PhD, Yuji.

Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Eeva-Maija.

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting

Augmentation Index Is Elevated in Aortic Aneurysm and Dissection

Brian M. Cardis, MD, Derek A. Fyfe, MD, PhD, William T. Mahle, MD

Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia Lubica Kovacikova, MD, PhD, Nina Hakacova, MD, Dusan Dobos, MD, Peter.

Aortopulmonary Window and Anomalous Coronary Artery: An Exceptional Association Carlo Pace Napoleone, MD, Guido Oppido, MD, Emanuela Angeli, MD, Simone.

Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population Christian McNeely, MD, Stephen.

Invited Commentary The Annals of Thoracic Surgery

High-Risk Mitral Valve Surgery: Perioperative Hemodynamic Optimization with Nesiritide (BNP) Sacha P. Salzberg, MD, Farzan Filsoufi, MD, Anelechi Anyanwu,

Pulmonary Embolectomy for Acute Massive Pulmonary Embolism

Left heart bypass during descending thoracic aortic aneurysm repair does not reduce the incidence of paraplegia Joseph S Coselli, MD, Scott A LeMaire,

Tailored therapy for aggressive dilatation of systemic veins and arteries may result in improved long-term Fontan circulation Clara Kurishima, MD, Hirofumi.

Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD

Brain Natriuretic Peptide and Magnetic Resonance Imaging in Tetralogy With Right Ventricular Dilatation Ali Dodge-Khatami, MD, PhD, Emanuela Valsangiacomo.

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Mark I. Block, MD The Annals of Thoracic Surgery

The Annals of Thoracic Surgery

Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Heart Transplant Program Volume Is Not a Measure of Quality

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

Vinay Badhwar, MD, J. Scott Rankin, MD, Jeffrey P. Jacobs, MD, David M

Presentation transcript:

Vulnerability of Coronary Circulation After Norwood Operation Hirofumi Saiki, MD, Seiko Kuwata, MD, Clara Kurishima, MD, Satoshi Masutani, MD, Hideaki Senzaki, MD The Annals of Thoracic Surgery Volume 101, Issue 4, Pages 1544-1551 (April 2016) DOI: 10.1016/j.athoracsur.2015.10.077 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Representative aortic pressure waveforms used for the calculation of the subendocardial viability ratio (SEVR) in (A) control patients, (B) pulmonary artery and aortopulmonary shunt, and (C) Norwood groups. SEVR was calculated as the tension time index (TTI) divided by the diastolic time index (DTI). The Annals of Thoracic Surgery 2016 101, 1544-1551DOI: (10.1016/j.athoracsur.2015.10.077) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Group data for the subendocardial viability ratio (SEVR). Each box-and-whisker plot shows the sample distribution: minimum (lower whisker), lower quartile (bottom border of the box), median (horizontal line), upper quartile (top border of the box) and maximum (top whisker). The SEVR in the Norwood (0.57 ± 0.18; 95% confidence interval, 0.50 to 0.64) and aortopulmonary (AP) shunt (0.66 ± 0.10; 95% confidence interval, 0.62 to 0.70) groups was significantly lower than in the controls (0.94 ± 0.25; 95% confidence interval, 0.85 to 1.03). After controlling for heart rate, the SEVR in Norwood patients was significantly lower than in AP shunt patients. *p < 0.01 vs control group, †p < 0.01 vs AP shunt group after controlling for heart rate. The Annals of Thoracic Surgery 2016 101, 1544-1551DOI: (10.1016/j.athoracsur.2015.10.077) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Relations between the subendocardial viability ratio (SEVR) and hormonal activities. SEVR was negatively correlated with renin-angiotensin (ATII)-aldosterone (Ald) as well as atrial (ANP) and brain (BNP) natriuretic peptides. The Annals of Thoracic Surgery 2016 101, 1544-1551DOI: (10.1016/j.athoracsur.2015.10.077) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions