Kardiologie a kardiochirurgie v Nemocnici Podlesí, Třinec

Michael Aschermann

Cor Vasa 2010, 52(10):588  

Surgical aortic valve replacement in octogenarians. Our experience and mid-term results

Jakub Balušík, Marian Branny, Miroslav Hudec, Piotr Branny

Cor Vasa 2010, 52(10):589-593 | DOI: 10.33678/cor.2010.151  

Aim: To evaluate the short- and long-term outcomes of surgical aortic valve replacement (AVR) in elderly patients over the age of 80.Methods: During the period from 2002 to 2008, there were 35 consecutive patients aged 80 years or older undergoing surgery for symptomatic severe aortic valve stenosis at the Cardiocentre of Podlesí Hospital in Třinec.They had aortic valve replacement (AVR) or comprehensive procedures including AVR and coronary artery bypass graft surgery or other procedures as necessary.The following parameters were evaluated in our patients: mortality, incidence of stroke, periprocedural myocardial infarction, severe bleeding,...

Aortic valve reimplantation

Jiří Novosad, Karel Lukeš, Martin Urban, Piotr Branny, Renáta Nevřalová, Libor Škňouřil

Cor Vasa 2010, 52(10):594-596 | DOI: 10.33678/cor.2010.152  

Aim: The technique of aortic valve reimplantation (David I) was established in our center in 2005 to be used in the management of patients with aortic root involvement combined with aortic valve insufficiency. The aim of our study was to assess aortic valve function at 1-5 years post-surgery.Method: Overall, seven patients (four men, three women) with a mean age of 56.4 years (43-72) were operated. All were diagnosed to have aortic root and ascending aorta dilatation, and aortic valve insufficiency. No impairment of the cusps was demonstrated. Marfan syndrome or ascending aorta dissection were not diagnosed in any of the patients, and the surgery...

Video-assisted open heart procedures - our experience

Piotr Branny, Michal Janík, Bronislav Holek, Jiří Novosad, Martin Urban

Cor Vasa 2010, 52(10):597-599 | DOI: 10.33678/cor.2010.153  

Aim of study: Retrospective evaluation of outcomes of video-assisted open heart procedure.Methods: We evaluated retrospectively a group of 49 consecutive patients operated on in our department through video-assisted right minithoracotomy with extracorporeal circulation inserted through the groin.Results: Since the year 2005 we performed 49 such procedures. There were 25 females and 24 males. We performed mitral valve repair in 24 cases, mitral valve replacement in 14, closure of atrial septal defect in three, myxoma extirpation in seven, and a lone MAZE procedure in one case. Postoperative complications were: two strokes, one revision for bleeding...

Role of TEE during video-assisted open heart surgery

Bronislav Holek, Libor Škňouřil, Miloslav Dorda, Piotr Branny, Marian Branny

Cor Vasa 2010, 52(10):600-602 | DOI: 10.33678/cor.2010.154  

Aim of study: To describe the use of transesophageal echocardiography (TEE) during miniinvasive open heart surgery procedure.Methods: We evaluated transesophageal echocardiography in a group of 49 patients operated in our department through video-assisted right minithoracotomy with extracorporeal circulation inserted through the groin who had periprocedural transesophageal echocardiography monitoring.Results: Transesophageal echocardiography is an essential part of periprocedural monitoring. In combination with other techniques it helps to asses right set of extracorporeal circulation, it allows to evaluate result of the operation as well as...

Non-coronary use of multidetector computed tomography in cardiology

Libor Škňouřil, Marian Branny

Cor Vasa 2010, 52(10):603-608 | DOI: 10.33678/cor.2010.155  

The advances in computed tomography needed to visualize and assess stenotic coronary arteries have enhanced the potential for thorough examination of additional cardiac structures and diseases. Computed tomography allows for assessment of the anatomy and function of cardiac chambers and valves, and plays an important role in the management of arrhythmias. The technique makes it possible to visualize in detail and accurately involvement of the arterial and venous systems while clearly documenting complex congenital heart defects and their correction. The aim of the paper is to provide a summary of the non-coronary uses of current computed tomography...

Unconventional application of systemic thrombolysis to a patient with infective endocarditis

Martina Hrošová, Libor Škňouřil

Cor Vasa 2010, 52(10):609-612 | DOI: 10.33678/cor.2010.156  

We report the case of a younger adult female patient with a large right atrial lesion adherent to the tip of a port catheter. As an adjunct to antibiotic therapy, systemic thrombolysis enabled the safe removal of the catheter.

Biventricular cardioverter-defibrillator implantation via a persistent left superior vena cava with right superior vena cava agenesis

Otakar Jiravský, Jan Chovančík, Radek Neuwirth, Igor Nykl, Martin Fiala, Marian Branny

Cor Vasa 2010, 52(10):613-616 | DOI: 10.33678/cor.2010.157  

The incidence of persistent left superior vena cava in the population is 0.3%. Its combination with right superior vena cava agenesis is a much rarer occurrence. The aim of this paper is to report the case of complete biventricular cardioverter-defibrillator implantation via a persistent left superior vena cava.

Mitral valve ring as a rare cause of acute coronary syndrome

Petr Juránek, Igor Nykl

Cor Vasa 2010, 52(10):618-621 | DOI: 10.33678/cor.2010.158  

Rare complications of mitral valve surgery include damage to the coronary arteries. Left circumflex coronary artery (LCx) is in close proximity to the mitral annulus. Iatrogenic injury to this artery then gives rise to non-atherosclerotic coronary heart disease with different clinical manifestations. In our case report we present injury to the LCx manifesting by acute coronary syndrome in a patient with initially negative coronary angiography.

Subclavian approach to catheter-based aortic valve replacement - TAVI

Katarína Martiaková, Jaroslav Januška, Radoslav Šolek, Marian Branny

Cor Vasa 2010, 52(10):622-626 | DOI: 10.33678/cor.2010.159  

Aortic stenosis is the most common valvular heart disease. Its prevalence increases with age and affects approximately 3% of the population older than 75 year of age. Patients of this age with comorbidities present a medical problem for high risk surgical complications. Nowadays, an alternative way of surgical intervention is transcatheter aortic valve replacement through the apical, antegrade or retrograde approach. The standard retrograde approach through the femoral artery is contraindicated in cases of unfavourable anatomy or extensive peripheral artery disease. In these patients, a trans-subclavian retrograde approach may be a feasible, safe and...

Myocardial bridging as an atypical cause of acute coronary syndrome

Igor Nykl, Jindřich Černý, Jan Indrák, Alexandra Vodzinská, Marian Branny

Cor Vasa 2010, 52(10):627-631 | DOI: 10.33678/cor.2010.160  

Atherosclerosis clearly dominates as the cause of coronary artery disease in patients treated for acute coronary syndrome. Infrequently, non-atherosclerotic causes such as myocardial bridging can be identified. In such a case, the coronary vessel dips into the myocardium for varying lengths and can induce myocardial ischemia with potentially serious clinical consequences. The left anterior descending artery (LAD) is by far the most often overbridged vessel. We report the case of a patient with an unusual clinical manifestation of myocardial bridging in association with coronary atherosclerosis as a cause of acute coronary syndrome.

Descending thoracic aortic aneurysm in a female patient with Marfan syndrome

Michal Janík, Jiří Novosad, Piotr Branny

Cor Vasa 2010, 52(10):632-634 | DOI: 10.33678/cor.2010.161  

Our paper is the case report of a female Marfan syndrome patient with descending thoracic aortic aneurysm who had ascending aortic replacement using the Bentall technique three years ago.

Spontaneous coronary artery dissection as the cause of acute STEMI in a young female

Júlia Borová, Marian Branny

Cor Vasa 2010, 52(10):635-638 | DOI: 10.33678/cor.2010.162  

Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes that is burdened with a relatively high mortality. It occurs more frequently in younger women without the presence of risk factors for atherosclerosis. In the diagnosis of the disease, it is essential to perform coronary angiography or intravascular ultrasound. Its pathophysiology is not exactly known and optimal therapeutic strategy has not been established. We report the case of a young woman with an acute STEMI based on the presence of spontaneous left coronary artery dissection. Despite immediate revascularization, there was severe left ventricular dysfunction and...

Fractional flow reserve in the diagnosis of focal and diffuse stenosis of coronary artery

Krystyna Prymusová, Petr Kala, Martin Poloczek, Petr Jeřábek, Otokar Boček, Miroslav Vytiska, Petr Neugebauer

Cor Vasa 2010, 52(10):639-642 | DOI: 10.33678/cor.2010.163  

We present the case report of a patient with a history of acute ST elevation myocardial infarction (STEMI) of the left ventricular inferolateral wall, treated with percutaneous coronary intervention (PCI) of the obtuse marginal branch. Residual diffuse stenosis of the left anterior descending artery (LAD) was tested functionally with fractional flow reserve (FFR). The lesion was evaluated as significant and was partially treated with PCI using implantation of two drug-eluting stents. The functionally optimal outcome enabled partial revascularization with residual borderline distal stenosis of LAD. Functional testing of borderline coronary stenoses...

Transaortic ablation of incessant ventricular tachycardia after aortic valve replacement by a mechanical prosthesis

Bogdan Szmek, Radek Neuwirth, Martin Fiala

Cor Vasa 2010, 52(10):643-645 | DOI: 10.33678/cor.2010.164  

We present the case of a young lady who underwent aortic valve replacement for serious regurgitation due to infectious endocarditis and in whom the postoperative course was complicated by incessant regular tachycardia with a narrow QRS complex. Because of a transient postoperative second-degree AV block, which precluded antiarrhythmic therapy commencement, she underwent an electrophysiological study demonstrating ventricular origin of the arrhythmia. The focal source in the left ventricular outflow tract was subsequently eliminated by radiofrequency ablation using the retrograde approach through the mechanical prosthesis.

Ivo Šteiner: Kardiopatologie pro patology i kardiology

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2010, 52(10):652  

Informace ze III. jarního setkání Pracovní skupiny ošetřovatelství v kardiologii České kardiologické společnosti

Jitka Panská, MUDr. Jiří Leso

Cor Vasa 2010, 52(10):648 | DOI: 10.33678/cor.2010.166  

IV. sjezd české společnosti kardiovaskulární chirurgie

Cor Vasa 2010, 52(10):655-680  

Jedenáctý rozhodne

Prof. MUDr. Roman Čerbák, CSc.

Cor Vasa 2010, 52(10):647  

Studie SHIFT a nemocní se srdečním selháním

Prof. MUDr. Jiří Vítovec, CSc., FESC, prof. MUDr. Jindřich Špinar, CSc., FESC

Cor Vasa 2010, 52(10):649-650  

České kardiologické dny 2010. 9.-10. listopadu 2010, Clarion Congress Hotel, Praha

Cor Vasa 2010, 52(10):653-654