The neutrophil-to-lymphocyte ratio (NLR) has been suggested as a novel predictive marker of cardiovascular disease. However, its prognostic role in patients undergoing coronary artery bypass grafting (CABG) is unclear. This study aimed to determine the association between preoperative NLR and early mortality CABG.Cardiac surgery was performed 2,504 at Seoul St. Mary's Hospital from January 2010 December 2021. retrospectively reviewed 920 who underwent isolated CABG, excluding those for whom...

Postoperative delirium (POD) is a common but serious complication after cardiac surgery and associated with various short- long-term outcomes. In this study, we investigated the effects of intraoperative glycemic variability (GV) other variables on POD surgery.A retrospective single-center cohort analysis was conducted using data from electronic medical record 2018 to 2020. A total 705 patients undergoing coronary artery bypass graft and/or valve surgery, aortic replacement were included in...

With the increasing use of multi-detector CT, number detected cases with coronary-to-pulmonary artery fistula (CPAF) has increased. Several previous studies reported severe angina, but no appropriate tests to evaluate myocardial perfusion for patients CPAF have been established. We evaluated hemodynamic characteristics using thallium-201 (Tl-201) single photon emission computed tomography (SPECT).Tl-201 SPECT was performed in 17 CPAF, without evidence coronary disease on angiography (CCTA)...

Development of thoracic aortic aneurysms and dissections (TAAD) is attributed to unbearable wall tension superimposed on defective integrity impaired repair mechanisms. Central this mechanisms are well-balanced adequately functional cellular components the wall, including endothelial cells, smooth muscle cells (SMCs), inflammatory adventitial fibroblasts. Adventitial fibroblasts naturally produce extracellular matrix (ECM), and, when injured, they can be transformed into SMCs, which in turn...

This study followed the results of any development neurologic outcomes according to presence or absence cerebral stroke in infective endocarditis patients after early cardiac surgery. We also analysed regardless microbleeds embolic surgery.We retrospectively studied 55 with left-sided who underwent surgery and hospitalization between May 2010 2015. Preoperatively, there were 33 group 22 non-embolic event group. Among patients, 13 had additional on brain imaging.After surgery, intracranial...

The optimal timing for surgery in infective endocarditis (IE) with hemorrhagic stroke and neurologic deficits is difficult to decide because of the risk exacerbating provoking intracranial conversion after using cardiopulmonary bypass (CPB). This retrospective study aimed investigate impact presence or absence preoperative hemorrhage (ICH) on surgical outcomes IE recent stroke.The medical records all patients who underwent open heart active from February 2009 December 2020 were...

The aim of the present study was to identify chromosomal loci that contribute pathogenesis aortic dissection (AD) in a Korean population using array comparative genomic hybridization (CGH) and confirm results real-time polymerase chain reaction (PCR).Eighteen patients with ADs were enrolled this study. Genomic DNA extracted from individual blood samples, CGH analyses performed. Four corresponding genes obvious changes analyzed PCR order assess level imbalance identified by CGH.Genomic gains...

The presence of a fourth aortic valve cusp (quadricupsid valve) is rare congenital malformation and often accompanied by other anomalies the adjacent cardiovascular structures. Among these concomitant anomalies, simultaneous association both single coronary ostium aneurysmal ascending dilation in combination with quadricupsid has not been reported yet. We experienced case 56-year-old female patient presenting as regurgitation resulted from malcoaptation valve. had also accompanying...

The endoscopic vein harvesting (EVH) method has been used in coronary artery bypass surgery many countries. We started using the EVH recently, and investigated results during early learning period.Between March 2012 June 2014, 75 patients (31 group, 44 open group) who underwent isolated first-time grafting grafts were retrospectively analyzed with respect to outcomes including graft patency risk factors for leg wound complications. For assessing of graft, we performed computed tomography...

Extracorporeal life support (ECLS) in patients with hematologic malignancies is considered to have a poor prognosis. However, date, there only one case series reported the literature. In this study, we compared in-hospital survival of ECLS and without malignancies.We reviewed total 66 who underwent for treatment acute respiratory failure from January 2012 December 2014. Of these patients, 22 (32%) were diagnosed malignancies, 13 (59%) stem cell transplantation before ECLS.The rate was 5%...

An 85-year old man with a history of transcatheter aortic valve implantation (TAVI) for severe symptomatic stenosis was readmitted cerebral stroke accompanied by fever. infected prosthetic revealed echocardiography (Supplementary Video 1) and retrieved successfully surgical approach (Fig. 1). Supplementary material (Video is available at EJCTS online. 1: Transoesophageal echocardiographic evaulation showing shaggy materials attached to the 1-cm floating linear vegetations.

Abstract Atrial-esophageal fistula is an extremely rare disease and a life-threatening complication after catheter ablation for atrial fibrillation. There no consensus on the management or repair atrial-esophageal which has high mortality rate. Here, we describe lateral thoracotomy approach focused simplifying procedure in two patients.

: Hemolytic anemia after thoracic aortic surgery is rare. A 69-year-old female patient, who underwent ascending aorta replacement for acute type dissection 7 years ago, was transferred from another hospital due to hemolytic necessitating regular blood transfusions. After engaging in interdisciplinary discussions, we ruled out alternative medical diagnoses and treatments, ultimately identifying the kinked graft as primary cause of hemolysis. Due patient's comorbidity, it deemed high-risk...

Fig. 1. A 45-year-old female was admitted with chest pain and dyspnoea for 2 days. She had a medical history of anti-phospholipid syndrome. Coronary angiogram showed total occlusion left circumflex artery (A). Moreover, severe ischaemic mitral regurgitation without papillary muscle rupture found on echocardiography (ECG showing regular sinus rhythm) (B). Preoperative computerised tomography (CT) scan no abnormal findings abdominal visceral vascular structures (C-1 C-2). After myocardial...

Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University Korea, 505 Banpo-dong, Seocho-gu, 137-701, Republic Korea Interventional Radiology, Incheon 665-8 Bupyeong 6-dong, Bupyeong-gu, 403-720,

Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain heart murmur. The echocardiographic diagnosis was vegetation on aortic mitral valves, moderate regurgitation from both valves due infective endocarditis. No aneurysm detected abdominal computed tomography, double-valve replacement performed. On postoperative day 25, patient experienced abrupt pain, tomography revealed a mycotic SMA...

Among the vascular involvements of Takayasu arteritis, a supra-valvular aortic stenosis has been reported very rarely. We report case surgically corrected, caused by arteritis.A 32-year-old female was diagnosed with transthoracic echocardiography for evaluation cardiac murmur constitutional symptoms. Under impression non-familial sporadic type stenosis, surgical correction performed. However, after 1 year from operation, we could know cause her disease through findings computed tomographic...

We report a 72-year-old male with known myelodysplastic syndrome who presented to the emergency department 7-day history of fever and dyspnea. Echocardiography revealed round echogenic mass 13×16 mm in size attached atrial side tricuspid valve. Considering high risk infective endocarditis patient low absolute neutrophil count (130/mm(3)), surgery was performed. Intraoperatively, single gelatinous neoplasm resected, subsequent reconstruction involved leaflet accomplished using autologous...