Long-term results of children operated for hypoplastic left heart syndrome in Children's Heart Centre

Pavel Vojtovič, Tomáš Tláskal, Roman Gebauer, Oleg Reich, Václav Chaloupecký, Viktor Tomek, Sylvia Krupičková, Tomáš Matějka, Petr Hecht, Jan Janoušek

Cor Vasa 2014, 56(6):e449-e455 | DOI: 10.1016/j.crvasa.2014.07.006  

Introduction: Hypoplastic left heart syndrome (HLHS), one of the most serious congenital heart defects, can be surgically paliated using 3 subsequent stages. Long-term results of this approach are reviewed in this study.Patients: Fifty-two consecutive patients (pts.) operated for HLHS from 1999 to 2012 were evaluated retrospectively.Methods and results: Norwood stage I operation was performed at the median age of 6.5 days with a total mortality of 19%. Significant risk factor for death was lower weight at surgery (Cox proportional risk per 1 g increase = 0.997, CI 0.995-0.990, p < 0.001). Between stages I and II, 15 catheter/surgical reintervention...

The findings of the oesophageal echocardiography in patients with acute cerebral ischaemia

Markéta Pešková, Jan Lhotský, Richard Rokyta

Cor Vasa 2014, 56(6):e456-e462 | DOI: 10.1016/j.crvasa.2014.07.001  

Introduction: The cerebrovascular accident ranks among the main causes of mortality and morbidity worldwide. In the Czech Republic, the cerebrovascular disease was the direct cause of the death in 10% of the cases of death in the year 2012 (Healthcare Annual CZ 2012).Aim: The aim of our study was to evaluate the transoesophageal echocardiogram findings (TOE) in patients with suspicion for cardioembolic stroke or TIA who were indicated to this examination in our echocardiography laboratory.Methodology: During the period from July 2009 to March 2013 (45 months), 108 TOE had been realized in our echocardiographic laboratory that was indicated...

High-dose spironolactone changes renin and aldosterone levels in acutely decompensated heart failure

João Pedro Ferreira, Mário Santos, Sofia Almeida, Irene Marques, Paulo Bettencourt, Henrique Carvalho

Cor Vasa 2014, 56(6):e463-e470 | DOI: 10.1016/j.crvasa.2014.06.004  

Background: In acutely decompensated heart failure (ADHF) patients higher aldosterone levels correlate with worse post-discharge outcomes, suggesting that further modulation of the mineralocorticoid system during or immediately after hospitalization might favourably improve outcomes.Methods and results: This was an observational, retrospective secondary analysis of a study including 100 patients with ADHF. In that study 50 patients were submitted to spironolactone treatment (50-100 mg/day). A higher proportion of patients with renin levels above 16.5 pg/mL and aldosterone levels above 100 ng/dL was observed in subjects submitted to spironolactone...

Ventricular twist in isolated left ventricular noncompaction

Jana Rudolecká, Tomáš Veiser, Jiří Plášek, Miroslav Homza, Jana Fürstová

Cor Vasa 2014, 56(6):e471-e477 | DOI: 10.1016/j.crvasa.2014.05.004  

The study aimed at assessing the rotational motion of the left ventricle around the long axis in patients affected by isolated left ventricular noncompaction (LVNC) and comparing their results with those of healthy volunteers.Patients and methods: The study comprised eight patients with LVNC confirmed by echocardiography and magnetic resonance imaging (mean age 41 ± 19 years; four males; left ventricular ejection fraction [LVEF] 45 ± 25%). The patients were divided into Group A with an LVEF above 50% (four patients; one male) and Group B with an LVEF below 50% (four patients; three males). For both groups, age- and sex-matched volunteers...

Dedicated Tryton Side Branch Stents used in the treatment of coronary bifurcation lesions

Leoš Pleva, Tomáš Jonszta, Pavel Kukla, Jana Zapletalová, Petr Berger, Jan Mrózek, Martin Porzer, Branislav Obžut

Cor Vasa 2014, 56(6):e478-e485 | DOI: 10.1016/j.crvasa.2014.06.001  

Introduction: Coronary bifurcation lesions account for 15-20% of all percutaneous coronary interventions. Dedicated bifurcation stents have recently been introduced with the aim to simplify treatment and improve early and late outcomes following stenting of bifurcation lesions. The purpose of our study was to assess the safety and effectiveness of the Tryton dedicated side branch stent at a 6-month clinical and angiography follow-up.Methods: Forty-two patients with bifurcation lesions were included in our study. The primary endpoint was a 6-month MACE and angiographic stent patency was also evaluated by MS-CT coronarography.Results: Twenty-two...

Past, present and future of cardiovascular twin studies

Adam Domonkos Tarnoki, David Laszlo Tarnoki, Andrea Agnes Molnar

Cor Vasa 2014, 56(6):e486-e493 | DOI: 10.1016/j.crvasa.2014.07.005  

The increasing burden of cardiovascular disorders highlights the crucial need to research efforts in the prevention and screening of heritable disorders or cardiovascular risk factors. Twin studies offer an opportunity to assess the influence of genetic and environmental factors and gene-environment interactions as well. Blood pressure and its components, arterial stiffness, carotid intima-media thickness were found to have a moderate heritability, whereas carotid plaque formation and coronary atherosclerosis seemed to be strongly genetically determinated. These findings so far underlined the importance of identification of the specific genetic factors...

Summary of 2013 ESH/ESC Guidelines for the management of arterial hypertension. Prepared by the Czech Society of Hypertension/Czech Society of Cardiology

Jan Filipovský, Jiří Widimský jr., Jindřich Špinar

Cor Vasa 2014, 56(6):e494-e518 | DOI: 10.1016/j.crvasa.2014.07.007  

Right atrial diverticulum associated with the Wolff-Parkinson-White syndrome in a child

Ondřej Materna, Peter Kubuš, Jan Janoušek

Cor Vasa 2014, 56(6):e519-e522 | DOI: 10.1016/j.crvasa.2014.07.003  

A child with Wolff-Parkinson-White syndrome showed large right atrial diverticulum overlying the right ventricle and the right coronary artery at CT angio with right atrial appendage as a separate structure. The accessory pathway was located at the diverticulum. Catheter ablation was not regarded feasible and surgery was indicated. A broad muscular connection between the right atrium and ventricle was interrupted by transsection and cryoablation as confirmed by disappearance of preexcitation. This precisely CT documented case represents a rarely reported right atrial diverticulum posing a high risk of life-threatening arrhythmias.

Hybrid repair of aortic arch aneurysm

František Sabol, Boris Bilý, Adrian Kolesár, Panagiotis Artemiou, Ľubomír Špak, Ján Luczy

Cor Vasa 2014, 56(6):e523-e526 | DOI: 10.1016/j.crvasa.2014.07.004  

Aneurysms of the transverse aortic arch requiring surgery most often affect elderly patients with multiple co-morbidities and represent a significant challenge to both patient and surgeon. The hybrid approach developed in recent years (debranching followed by endovascular repair) may improve the morbidity and mortality of the population risk. We present a case-report of 72-year-old man with aortic arch aneurysm arising at the origin of the left subclavian artery involving whole caudal segment of an aortic arch with concomitant single vessel coronary disease. The hybrid procedure was carried out in two stages, first (open surgical approach) performing...

STEMI and multivessel disease: How should we treat?

Michael Želízko

Cor Vasa 2014, 56(6):e527-e528 | DOI: 10.1016/j.crvasa.2014.06.003  

Riociguat - první prokazatelně účinná farmakoterapie u pacientů s inoperabilní a reziduální chronickou tromboembolickou plicní hypertenzí

Doc. MUDr. Pavel Jansa, Ph.D.

Cor Vasa 2014, 56(6):687-688  

Postavení beta-blokátorů u pacientů s arteriální hypertenzí a metabolickými poruchami

Prof. MUDr. Hana Rosolová, DrSc., FESC

Cor Vasa 2014, 56(6):689-691  

Zápis ze schůze výboru ČKS konané 24. června 2014 v Brně

M. Táborský, P. Čermáková, L. Klímová

Cor Vasa 2014, 56(6):682-683  

Zápis ze schůze výboru ČKS konané 16. září 2014 v kanceláři ČKS v Praze

P. Widimský, P. Čermáková, L. Klímová

Cor Vasa 2014, 56(6):684-685  

12. konference pracovní skupiny Akutní kardiologie České kardiologické společnosti

Cor Vasa 2014, 56(6):692-712  

Pavel Ševčík (pořadatel), Martin Matějovič, Vladimír Černý, Karel Cvachovec, Ivan Chytra (spolupráce na pořádání): Intenzivní medicína

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2014, 56(6):681  

Editorial Board

Editorial board

Cor Vasa 2014, 56(6):i | DOI: 10.1016/S0010-8650(14)00086-1