Abstract The MMI Symani ® is a recently approved robotic microsurgical system for surgical procedures in adults. enables the surgeon to create microanastomoses. Clinical applications so far include lymphatic vessels surgery and creation of special flap plastics. use coronary arteries has not yet been assessed. aim this preclinical study was evaluate applicability anastomoses cadaveric porcine model. A total 12 were performed by three senior cardiovascular surgeons on left main artery hearts....

Introduction: The choice of type heart valve prosthesis is determined by the patient's age since bioprostheses have a limited lifespan.This article reviews current recommendations and literature on cardiac replacement.Methods: Selective search in Medline/PubMed back to 1996 review national international from specialist societies.Results: guiding replacement been revised recent years.Of particular interest are new generation biological prostheses with extended durability, growing use...

Surgical site infection (SSI) of the sternum is a devastating complication in cardiac surgery. The aim this prospective randomized controlled two-centre clinical study was to compare use gentamicin-collagen sponge (Genta-Coll® resorb) and cyanoacrylate-based microbial skin sealant (InteguSeal®) on SSI rate sternum. We analysed data from 996 consecutive patients following isolated coronary artery bypass grafting between 2012 2014. were into three groups: standard group (S-group), Genta-Coll...

Abstract Background Although gender-related disparities in cardiovascular surgery have been investigated extensively the past decades, knowledge about impact of gender on outcomes after for acute aortic dissection type A (AADA) is sparse. This study early morbidity and mortality follow-up outcome patients AADA to analyze risk factors 30-day mortality. Methods retrospective included 368 consecutive (male 65.8% vs. female 34.2%) undergoing between 2001 2016 at our department. Survival was...

Saphenous vein graft patency is frequently limited by degeneration. Experimental studies have indicated that rigid external support of venous grafts a flexible, tubular nitinol mesh may improve patency. The study presented was part prospective, randomized, multicenter first-in-man trial investigating the safety and effectiveness nitinol-supported in coronary artery bypass (CABG) surgery. From our clinic, 25 subjects with multivessel disease requiring saphenous CABG right (RCA) circumflex...

The Symani Surgical System is a novel robotic microsurgical platform. This study investigated its feasibility for arterial reconstructive techniques in an vitro model. Two senior surgeons without preliminary expertise surgery performed different porcine artery circulation model (bypass, patch plastic, and direct closure of arteriotomy). There was overall improvement procedure times with minor leakage rate upper range values the qualitative assessment anastomoses. In this model, seems to be...

Demographic changes lead to a rising incidence of octogenarians undergoing surgical revascularization coronary artery disease. Minimally invasive direct bypass (MIDCAB) represents treatment with reduced trauma and without the use cardiopulmonary bypass. The aim this study was evaluate short- long-term outcomes after MIDCAB in octogenarians. Between 1998 2012, 1060 patients underwent at our department. Among them, 72 (6.8%) were older than 80 years time operation. Incidence major adverse...

<b>Objectives</b> The impact of patient–prosthesis mismatch (PPM) after aortic valve replacement (AVR) on short-term and long-term mortality remains controversial. objective this study was to evaluate the incidence severity PPM its survival in a large cohort patients treated with isolated stented biological AVR single institution. <b>Methods</b> We analyzed retrospectively data 632 consecutive stenosis undergoing between January 2007 February 2012 at our defined as an indexed effective...

Objectives: Over the last decade, extracorporeal membrane oxygenation (ECMO) has become a promising option for patients with severe acute respiratory distress syndrome (ARDS). In this single-center observational cohort study, data from patient group ARDS treated ECMO was analyzed. Methods: Data 46 [median age 54 years (18 to 72), male: 65.2%] were evaluated retrospectively between January 2009 and September 2015. Results: Diagnosis leading pneumonia in 63.1% of patients. The median SOFA...

In Brief BACKGROUND: Neonates with complex congenital heart defects have traditionally undergone surgery during deep hypothermic cardiac arrest (HCA). Selective cerebral perfusion (SCP) is thought to minimize ischemic brain injury by providing adequate blood flow. We investigated SCP different flow rates compared HCA respect and tissue oxygenation as assessed near-infrared spectroscopy. METHODS: Twenty-one piglets were placed on cardiopulmonary bypass at 18°C, then underwent either or 25 50...

OBJECTIVESVisceral malperfusion after coronary artery bypass grafting (CABG) results in high morbidity and mortality. This study was designed to evaluate the effect of CABG performed by surgical techniques on visceral perfusion function.

Summary Background: Few data exist regarding antegrade selective cerebral perfusion (ASCP) and its application in newborn juvenile patients. Clinical suggest ASCP alone to be superior deep hypothermic circulatory arrest (DHCA); however, the effects of moderate hypothermia during on metabolism this patient population are still unclear. Methods: After obtaining approval from animal investigation committee, 16 piglets were randomly assigned combined with either at 27°C or DHCA 18°C for 90 min....

In a female patient with acute cardiac decompensation, an auxiliary finding of giant left atrium emerged. The surgical therapy the atrial reduction, in addition to mitral valve replacement and coronary artery bypass grafting, is hereby presented.

Female gender is reported as an independent risk factor for a poor outcome after coronary artery bypass grafting. We analysed the influence of on surgical in patients with single-vessel disease undergoing minimally invasive direct (MIDCAB).From January 1998 to December 2016, total 607 consecutive (31.9% women) underwent MIDCAB at our institution. Major adverse cardiac and cerebrovascular events (MACCE) were recorded during median follow-up period 8.0 years. Survival time was estimated all...

Background Increasing life expectancy makes cardiac surgery in octogenarians not very uncommon. In this study, the impact of gender on outcome after coronary artery bypass grafting (CABG) was assessed. Materials and Methods We retrospectively studied 485 (176 females: mean age 82.4 ± 2.2 years vs. 306 males: 82.2 2.4 years) who underwent isolated CABG using extracorporeal circulation between January 2005 December 2012. Results No significant differences were noted both groups with regard to...