Kardiologie a kardiochirurgie se k sobě postupně přibližují

Jan Černý

Cor Vasa 2010, 52(5-6):300-301  

Druhá premiéra v Cor et Vasa

Michael Aschermann

Cor Vasa 2010, 52(5-6):300

Aortic valve-sparing surgery. Our experience and medium-term outcomes

Júlia Čanádyová, Aleš Mokráček, Martin Rezler, Miroslav Šulda, Ladislav Pešl, Marek Šetina

Cor Vasa 2010, 52(5-6):307-309 | DOI: 10.33678/cor.2010.080  

The aim of our study was to determine the medium-term outcomes of aortic valve-sparing surgery. A total of 37 such procedures were performed in our centre during the 2002-2009 period. The procedure was indicated for chronic ascending aortic aneurysm in 23 cases, acute dissection in 13, and type A chronic dissection in one case. The follow-up period was 1-5 years. Four patients (10.8%) required re-do surgery for significant aortic regurgitation.

Our current approach to managing complicated sternotomy wounds due to wire cerclage failure - experience with splint osteosynthesis

Martin Rezler, Daniel Čoček, Vojtěch Kurfirst, Milan Forst, Júlia Čanádyová, Aleš Mokráček

Cor Vasa 2010, 52(5-6):310-313 | DOI: 10.33678/cor.2010.081  

The authors present their experience with the use of splint osteosynthesis in the treatment of complicated sternotomy wounds with bone dehiscence due to wire cerclage failure. Two systems for the reconstruction and stable internal fixation of the sternum used by our team and the technique of implantation are mentioned briefly. Discussion outlines the advantages and disadvantages of this relatively new method of stabilization of the sternum the use of which has been widespread in cardiac surgery practice.

Reconstruction of complicated sternal dehiscence using transverse titanium AO plates and spongioplasty

Martin Kaláb, Martin Molitor, Vladimír Lonský, Kateřina Maderová, Josef Novotný

Cor Vasa 2010, 52(5-6):314-317 | DOI: 10.33678/cor.2010.082  

We present the case of a female patient after left-side mastectomy for carcinoma with subsequent actinotherapy, who had a myocardial revascularization procedure using bilateral internal mammary artery harvest.Wound healing was complicated with deep sternal infection with three attempts at closing the dehiscence by soft tissue repair until complete healing. Later on, there was development of a serious degree of sternal mechanical instability associated with bone resorption and prominence of the right ventricular wall into bony fragments.The paper describes the successful use of AO plate osteosynthesis combined with bone tissue replacement by...

Is diabetes mellitus a significant predictor of impaired sternotomy healing when using two skeletonized and harvested internal thoracic arteries?

Andrea Steriovský, Vilém Bruk, Jana Vrbková, Marek Gwozdziewicz, Martin Šimek, Petr Šantavý, Martin Kaláb, Martin Troubil, Ivo Fluger, Vladimír Lonský

Cor Vasa 2010, 52(5-6):318-324 | DOI: 10.33678/cor.2010.083  

Aim: To assess the extent to which diabetes mellitus affects sternotomy healing in patients undergoing myocardial revascularization procedures performed with two skeletonized and harvested internal thoracic arteries.Methods: Data of a series of 300 consecutive patients with coronary heart disease undergoing elective myocardial revascularization procedures were analyzed retrospectively. Entry criteria included age of 70 years or below, left ventricular ejection fraction over 40%, and a hemodynamically significant stenosis in the vascular bed of both left coronary artery branches. Group A consisted of 150 patients with skeletonization of both internal...

Transapikální implantace aortální chlopně při řešení degenerativní aortální stenózy

Jan Harrer, Jan Vojáček, Josef Šťásek, Jan Vojáček, Josef Bis, Tomáš Holubec, Miroslav Brtko, Pavel Polanský

Cor Vasa 2010, 52(5-6):325-331 | DOI: 10.33678/cor.2010.084  

Results of surgical treatment of infective endocarditis

Branislav Laca, Jana Páleníčková, Sláva Kučerová, Marek Šetina

Cor Vasa 2010, 52(5-6):332-339 | DOI: 10.33678/cor.2010.085  

Aim of the study: To evaluate short-term and long-term results of surgical treatment of infective endocarditis (IE) in patients operated on in our department.Methods: From 1994 to 2007, 63 patients with the diagnosis of infective endocarditis underwent operation in Motol University Hospital. Native valve endocarditis was present in 54 cases (85.7%) and prosthetic endocarditis in 9 (14.3%). Sixteen patients (25.4%) had a history of intravenous (i.v.) drug abuse. We conducted a retrospective analysis of this cohort to assess their long-term survival and reoperation and reinfection rates. At follow-up, the clinical status of patients and function...

The diagnosis of infective endocarditis and outcomes of its surgical treatment

Jiří Pol, Jan Černý, Jiří Ondrášek, Barbora Žaloudíková, Dušan Vršanský, Tomáš Freiberger, Petr Němec

Cor Vasa 2010, 52(5-6):340-346 | DOI: 10.33678/cor.2010.086  

Aim: To compare the sensitivity of standard methods and those of molecular microbiology for identifying the pathogen causing infective endocarditis (IE). To evaluate the outcome of surgical management of IE in our center over the past five years (January 2005 through December 2009). To determine and compare the five-year cumulative survival rates of patients with native-valve and prosthetic-valve IE.Methods: Data of a total of 113 patients (76 men, 37 women) with a mean age of 57 years, undergoing 117 surgical procedures because of the diagnosis of IE, performed in our center between January 2005 and December 2009, were analyzed. Techniques employed...

Isolated tricuspid surgical procedures

Petr Němec, Milan Frélich, František Štětka, Jan Černý, Jiří Ondrášek, Petr Pokorný

Cor Vasa 2010, 52(5-6):347-352 | DOI: 10.33678/cor.2010.087  

Aim: To evaluate outcome of surgery of the tricuspid valve only.Patients and methods: Between 1998 and 2008, isolated tricuspid valve surgery was performed in 54 patients (8.9% of all patients undergoing combined procedures including the tricuspid valve). The group of patients consisted of 24 men and 30 women aged 20-80 years (mean, 56.5 ± 16.7 years). The majority of patients was in NYHA functional class III and IV. Twenty-seven patients had primary surgery while reoperation was undertaken in another 27 patients. The time interval between the first operation and reoperation was 16.7 ± 13.0 years (1 day-46 years).Results: Tricuspid...

Plasmatic levels of inflammatory markers during cardiopulmonary bypass in hypothermia and normothermia

Jiří Slavík, Marie Bobková, Karel Medek, Jitka Nešporová, Blanka Píchovcová, Jan Černý, Petr Němec

Cor Vasa 2010, 52(5-6):353-356 | DOI: 10.33678/cor.2010.088  

Introduction: The aim of our study is to find out if normothermia during cardiopulmonary bypass (CPB) decreases the intensity of systemic inflammatory response in patients compared with mild hypothermia around 30 °C. An important marker of the stress reaction during CPB is cytokine production.Methods: The plasmatic levels of diferent cytokines were measured eight times before, during, and after cardiac surgery. Two groups of patients - normothermic (n = 23) and hypothermic (n = 20) - undergoing elective coronary revascularisation were compared. We measured and compared the plasmatic levels of the following cytokines: TNF-α, interleukins IL-1-β,...

Blood bank transfusion and blood salvation in cardiac surgery

Robert Wagner

Cor Vasa 2010, 52(5-6):302-306 | DOI: 10.33678/cor.2010.079  

In cardiac surgery, demand for blood transfusion, while historically variable, has been generally high. During the 50 years of evolution of cardiac surgery, average use of transfusions has decreased significantly, but there has been a trend toward a rise in the last decade. The causes are mainly the increasing number of reoperations and procedures in elderly, polymorbid patients with bleeding complications. Our approach involves a multimodal policy of patient's blood salvation extending from preoperative preparation, through surgery and recuperation procedures up to homeostasis maintenance. Despite numerous problems, blood bank transfusion remains...

Cardiac tamponade caused by right atrial destruction due to pleural mesothelioma metastasis

Olga Ondrůšková, Vladimír Horváth, Marek Orban, Petr Němec

Cor Vasa 2010, 52(5-6):357-358 | DOI: 10.33678/cor.2010.089  

This report describes the case of a 51-year-old patient who was referred with the diagnosis of pericardial tamponade from another hospital. After drainage of 1900 cc of hemorrhagic exsudate, the suspicion of aortic dissection was ruled out by a subsequent CT angiogram and the source of bleeding was identified in perforation of the right atrium. The patient was operated acutely, tamponade was relieved and atrial perforation was sutured. An nfiltrating cardiac tumor was identified as the cause of the perforation. Histology revealed pleural mesothelioma metastasis.

Caseous calcification of the mitral annulus

David Nešpor, Jan Černý

Cor Vasa 2010, 52(5-6):359-361 | DOI: 10.33678/cor.2010.090  

Caseous calcification of the mitral annulus is a rare form of mitral annular calcification which may often cause diagnostic quandary. We report the case of a 69-year-old man scheduled for cardiac surgery on suspicion of a malignant process involving the posterior mitral annulus and encroaching upon the left atrium and left ventricular myocardium. During surgery, a caseous calcification of the mitral annulus was detected; a large quantity of white, toothpaste-like, caseous material was obtained, eliminating the suspicion of a tumour. Following surgery, motility of the posterior mitral valve leaflet was regained and the mitral valve gradient decreased...

Tricuspid valve endocarditis in a drug addict: will two operations do?

Pavel Žáček, Jan Dominik, Jan Harrer, Jan Vojáček, Miroslav Solař

Cor Vasa 2010, 52(5-6):362-364 | DOI: 10.33678/cor.2010.091  

A case of tricuspid valve endocarditis in a young drug addict is described which was treated surgically by valve replacement. Failure to stop intravenous drug abuse led to early destruction of the implanted bioprosthesis in a new onset of prosthetic valve endocarditis. A comparison of the operative findings at the initial operation and reoperation underlines the difficulties in the treatment of infective endocarditis in intravenous drug addicts. Different treatment strategies are discussed.

Petr Bartůněk a spol.: Lyme carditis

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2010, 52(5-6):381  

Bikuspidalizace unikuspidální aortální chlopně jako alternativa její náhrady

Jaroslav Hlubocký, Hans-Joachim Schäfers, Pavel Žáček, Jan Vojáček, Tomáš Paleček, Alfred Hornig, Lenka Skalická, Jaroslav Lindner

Cor Vasa 2010, 52(5-6):365-366 | DOI: 10.33678/cor.2010.092  

Zápis ze schůze výboru ČKS konané dne 6. dubna 2010 v Brně

Cor Vasa 2010, 52(5-6):382-383  

XX. workshop intervenční kardiologie

Cor Vasa 2010, 52(5-6):384-388  

Chirurg výzkumník (vědec) - fikce, či realita?

Prof. MUDr. Jan Pirk, DrSc., MUDr. Vladimír Vinduška, CSc.

Cor Vasa 2010, 52(5-6):368  

Zamyšlení nad dosavadním vývojem a dalším směřováním kardiochirurgie

Prof. MUDr. Jan Dominik, CSc.

Cor Vasa 2010, 52(5-6):369-371  

Prof. MUDr. Andrej Dukát, CSc., FESC, FACP (Hon.), šesťdesiatročný

Doc. MUDr. Peter Gavorník, Ph.D., mim. prof.

Cor Vasa 2010, 52(5-6):372-373  

K životnímu jubileu prof. MUDr. Jindřicha Špinara, CSc., FESC

Prof. MUDr. Jiří Vítovec, CSc., FESC

Cor Vasa 2010, 52(5-6):374  

Spomienka na prof. MUDr. Juraja Fabiána, DrSc., FESC

Eva Goncalvesová

Cor Vasa 2010, 52(5-6):375-376  

Medaile profesora Libenského za rok 2009 udělena doc. MUDr. Jiřímu Endrysovi, CSc.

MUDr. Josef Bis, Prof. MUDr. Jan Vojáček, DrSc., FESC, FACC

Cor Vasa 2010, 52(5-6):377  

Mozaika kardiovaskulárních onemocnění

MUDr. Tomáš Novotný

Cor Vasa 2010, 52(5-6):378-380  

Zahraniční akce

Cor Vasa 2010, 52(5-6):388