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Adult Heart Disease

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Surgery

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Abstract

The surgical treatment of acquired cardiac diseases has become increasingly sophisticated in the past two decades—the expected mortality of most cardiac operations in adults has been reduced to extremely low levels—despite the fact that increasingly higher-risk patients are now candidates for surgery. In this regard, it is important to recognize that 75% of patients undergoing coronary bypass surgery in the Coronary Artery Surgery Study (CASS) in the late 1970s had an ejection fraction that was greater than 50% and all patients were less than 65 years of age, while in the Society of Thoracic Surgery (STS) database for coronary artery bypass in 1994, the average patient age was 65 years, and the average ejection fraction was 51%.1,2 Despite the reality of increasingly high-risk patients undergoing coronary bypass surgery, the observed operative mortality for coronary bypass surgery in the 1994 STS database was 3.4%.2 Similarly, morbidity associated with coronary bypass surgery was found to have decreased from 1986 to 1994 in a series of nearly 8000 patients reported from the Cleveland Clinic, despite a significant rise in the patient risk profile in this series.3 Similar trends can be described for most facets of adult cardiac surgery.

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References

  1. National Heart, Lung and Blood Institute Coronary Artery Surgery Study. Principal investigators of CASS and their associates. Circulation 1981;63(suppl I): I1–I81.

    Google Scholar 

  2. Edwards FH, Grover FL, Shroyer LW, Schwartz M, Bero J. The society of thoracic surgeons national cardiac surgery database: current risk assessment. Ann Thorac Surg 1997; 63: 903–908.

    PubMed  CAS  Google Scholar 

  3. Estafanous FG, Loop FD, Higgins TL, et al. Increased risk and decreased morbidity of coronary bypass grafting between 1986 and 1994. Ann Thorac Surg 1998;65:383–389

    Google Scholar 

  4. Gold JP, Chanson ME, Williams-Russo P, et al. Improvement of outcomes after coronary artery bypass: a randomized trial corn-paring intraoperative high versus low mean arterial pressure. J Thorac Cardiovasc Surg 1995; 110: 1302–1304.

    PubMed  CAS  Google Scholar 

  5. Bigelow WG, Callahan JC, Hopps JA. General hypothermia for experimental intracardiac surgery. Ann Thorac Surg 1950; 33: 52–59.

    Google Scholar 

  6. Woodcock TE, Murkin JM, Farrar JK, et al. Pharmacologic EEG suppression during cardiopulmonary bypass: cerebral haemodynamic and metabolic effects of thiopental or isofurane during hypothermia and normothermia. Anesthesiology 1987; 67: 218–224.

    PubMed  CAS  Google Scholar 

  7. Yamashita C, Nakamura H, Nishikawa Y, Yamamoto S, Okada M, Nakamura K. Retrograde cerebral perfusion with circulatory arrest in aortic asrch aneurysm. Ann Thorac Surg 1992; 54: 566–568

    Google Scholar 

  8. Salerno TA, Houck JP, Barrozo CAM, et al. Retrograde continuous warm blood cardioplegia: a new concept in myocardial protection. Ann Thorac Surg 1991; 5: 245–247.

    Google Scholar 

  9. Martin TC, Craver JM, Gott JP, et al. Prospective randomized trial of retrograde warm blood cardioplegia: myocardial benefit and neurologic threat. Ann Thorac Surg 1994; 57: 298–304.

    PubMed  CAS  Google Scholar 

  10. Stephan H, Weyland A, Kazmaier A, et al. Acid-base management during hypothermic cardiopulmonary bypass does not affect cerebral metabolism but does affect blood flow and neurological outcome. Br J Anaesth 1992; 69: 51–57.

    PubMed  CAS  Google Scholar 

  11. Jonas RA, Bellinger DC, Rappaport LA, et al. Relation of pH strategy and developmental outcome after hypothermic circulatory arrest. J Thorac Cardiovasc Surg 1993; 106: 362–368.

    PubMed  CAS  Google Scholar 

  12. Fang WC, Helm RE, Krieger KH, et al. Impact of minimum hematocrit during cardiopulmonary bypass on mortality in patients undergoing coronary artery surgery. Circulation 1997; 96 (suppl): 194–199.

    Google Scholar 

  13. Rosengart TK, Krieger K, Lang S, et al. Reoperative coronary artery bypass surgery: improved preservation of myocardial function with retrograde cardioplegia. Circulation 1993; 88: 330–335.

    Google Scholar 

  14. Rosenfeldt FL. The theory and practice of cardiac cooling. In: Cardiac surgery: state of the art reviews. Philadelphia: Hanley & Belfus 1988: 219–240.

    Google Scholar 

  15. Salerno TA, Christakis GT, Abel J, et al. Technique and pitfalls of retrograde continuous warm blood cardioplegia. Ann Thorac Surg 1991; 51: 1023–1025.

    PubMed  CAS  Google Scholar 

  16. Gailuinas P Jr, Chawla R, Lazarus JM, et al. Acute renal failure following cardiac operations. J Thorac Cardiovasc Surg 1980; 79: 241.

    Google Scholar 

  17. Abel RM, Buckley MJ, Austeng et al. Etiology, incidence & process of renal failure following cardiac operations: results of a prospective study of 500 consecutive patients. J Thorac Cardiovasc Surg 1976; 71: 323–330.

    Google Scholar 

  18. Branthwaite MA. Prevention of neurological damage during open heart surgery. J Thorac Surg 1975; 30: 258–264.

    CAS  Google Scholar 

  19. Savageau JA, Stanton BA, Jenkins CD, Frater RWM. Neuropsychological dysfunction following elective cardiac operation: a six-month reassessment. J Thorac Cardiovasc Surg 1982; 84: 595600.

    Google Scholar 

  20. McKhann GM, Goldsborough MA, Borowicz LM, et al. Cognitive outcome after coronary artery bypass: a one year prospective study. Ann Thorac Surg 1997; 63: 510–515.

    PubMed  CAS  Google Scholar 

  21. Hupperts R, Wetzelaer W, Heuts-van Raak L, Lodder J. Is haemodynamical compromise a specific cause of border zone brain infarcts following cardiac surgery? Eur Neurol 1995; 35: 276–280.

    PubMed  CAS  Google Scholar 

  22. Lawhorne TW, Davis WL, Smith GW. General surgical complications after cardiac surgery. Am J Surg 1978; 136: 254.

    PubMed  Google Scholar 

  23. Mueller RL, Rosengart TK, Isom OW. The history of surgery for ischemie heart disease. Ann Thorac Surg 1997; 63: 869–878.

    PubMed  CAS  Google Scholar 

  24. Kuller LH. AHA symposium/epidemiology meeting: atherosclerosis. Circulation 1993;87:I134–1I37.

    Google Scholar 

  25. Ross R, Glomset JA. The pathogenesis of atherosclerosis. New Engl J Med 1976; 295: 369.

    PubMed  CAS  Google Scholar 

  26. Falk E. Unstable angina with fatal outcome: dynamic coronary thrombosis leading to myocardial infarction and/or sudden death. Circulation 1985; 712: 699–708.

    Google Scholar 

  27. Davies MJ. A macro and micro view of coronary vascular insult in ischemic heart disease. Circulation 1990;82(Suppl II):1I38–II46.

    Google Scholar 

  28. Fuster V. Mechanisms leading to myocardial infarction: insights from studies of vascular biology. Circulation 1994; 90: 2126–2146.

    PubMed  CAS  Google Scholar 

  29. Prinzmetal M, et al. Angina pectoris: a variant form of angina pectoris. Am J Med 1959; 27: 375.

    PubMed  CAS  Google Scholar 

  30. Maseri A, L’Abbate A, Barold G, et al. Coronary vasospasm as a possible cause of myocardial infarction: a conclusion derived from the study of “preinfarction” angina. N Engl J Med 1978; 299: 1271.

    PubMed  CAS  Google Scholar 

  31. Budoff MJ, Georgiou D, Brody A, et al. Ultrafast computed tomography as a diagnostic modality in the detection of coronary artery disease: a multicenter study. Circulation 1996; 93: 898–904.

    PubMed  CAS  Google Scholar 

  32. Mair J, Artner-Dworzak E, Leichleitner P, et al. Cardiac troponin in diagnosis of acute myocardial infarction. Clin Chem 1991; 37: 845–852.

    PubMed  CAS  Google Scholar 

  33. Rahimtoola SH. The hibernating myocardium. Am Heart J 1989; 117: 211–221.

    PubMed  CAS  Google Scholar 

  34. European Cooperative Study for Streptokinase Treatment in Acute Myocardial Infarction. Streptokinase in acute myocardial infarction. N Engl J Med 1979; 301: 797–802.

    Google Scholar 

  35. The ISAM Study Group. A prospective trial of intravenous streptokinase in acute myocardial infarction (ISAM): mortality, morbidity, and infarct size at 21 days. N Engl J Med 1986; 314: 1465–1471.

    Google Scholar 

  36. Chesebro JH, Knatterud G, Roberts R, et al. Thrombolysis in myocardial infarction (TIMI) trial, phase I: a comparison between intravenous tissue plasminogen activator and intravenous streptokinase. Circulation 1987; 76: 142–154.

    PubMed  CAS  Google Scholar 

  37. Dalen JE, Gore JM, Braunwald E, et al. Six and twelve month follow-up of the phase I thrombolysis in myocardial infarction (TIMI) trial: the TIMI investigators. Am J Cardiol 1988; 62: 179–185.

    PubMed  CAS  Google Scholar 

  38. The European Myocardial Infarction Project. Prehospital thrombolytic therapy in patients with suspected acute myocardial infarction. N Engl J Med 1993; 329: 383–389.

    Google Scholar 

  39. Gruentzig AR. Transluminal dilation of coronary artery steno-sis (letter. Lancet 1978; 1: 263.

    Google Scholar 

  40. Myler RD, Shaw RE, Stertzer SH, et al. Unstable angina and coronary angioplasty. Circulation I990;82(Suppl II):I188-Ií95.

    Google Scholar 

  41. Landau C, Lange RA, Hillis RD. Percutaneous transluminal coronary angioplasty. N Engl J Med 1994; 330: 981–993.

    PubMed  CAS  Google Scholar 

  42. Laham RJ, Ho KKL, Bain DS, Kuntz RE, Cohen DJ, Carozza JP. Multivessel Palmaz-Schatz stenting: early results and one year outcome. J Am Coll Cardiol 1997; 30: 180–185.

    PubMed  CAS  Google Scholar 

  43. Fishman DL, Leon MB, Bairn DS, et al. A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Med 1994; 331: 496–501.

    Google Scholar 

  44. Grines CL, Browne KE, Marco J, et al. for the Primary Angioplasty in Myocardial Infarction Study Group. A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. N Engl J Med 1993; 328: 673–679.

    PubMed  CAS  Google Scholar 

  45. Zijlstra F, deBoer MJ, Hoorntje JC, Reiffers S, Reiber JH, Surypantra H. A comparison of immediate angioplasty with intravenous streptokinase in acute myocardial infarction. N Engl J Med 1993; 328: 680–684.

    PubMed  CAS  Google Scholar 

  46. Deter K, Peduzzi P, Murphy M, et al. Effect of bypass surgery on survival in patients in low-and high-risk subgroups delineated by the use of simple clinical variables. Circulation 1981; 63: 1329–1338.

    Google Scholar 

  47. The Veterans Administration Coronary Artery Bypass Surgery Cooperative Study Group. Eleven year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. N Engl J Med 1984; 311: 333–339.

    Google Scholar 

  48. European Coronary Surgery Study Group. Long-term results of prospective randomised study of coronary artery bypass surgery in stable angina pectoris. Lancet 1982; 2: 1173–1180.

    Google Scholar 

  49. Varnauskas E, European Coronary Surgery Study Group. Twelve-year follow-up of survival in the randomized European Coronary Surgery Study. N Engl J Med 1988; 319: 332–337.

    Google Scholar 

  50. Vamauskas E, European Coronary Surgery Study Group. Survival, myocardial infarction, and employment status in a prospective randomized study of coronary bypass surgery. Circulation 1985; 72(suppl V(:V90–V101.

    Google Scholar 

  51. Cutlip DE, Leon MB, Ho KK, et al. Acute and nine-month clinical outcomes after “suboptimal” coronary stenting: results from the STent Anti-thrombotic Regimen Study (STARS) registry. J Am Coll Cardiol 1999; 34: 698–706.

    PubMed  CAS  Google Scholar 

  52. King SB. The development of interventional cardiology. J Am Coll Cardiol 1998; 31: 64B–88B.

    PubMed  Google Scholar 

  53. Jones RH, Kesler K, Phillips HR, et al. Long-term survival benefits of coronary artery bypass grafting and percutaneous trans-luminal angioplasty in patients with coronary artery disease. J Thorac Cardiovasc Surg 1996; 111: 1013–1025.

    PubMed  CAS  Google Scholar 

  54. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators. Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. N Engl J Med 1996; 335: 217–225.

    Google Scholar 

  55. The Writing Group for the Bypass Angioplasty Revascularization Investigation (BARI) Investigators. Five year clinical and functional outcome comparing bypass surgery and angioplasty in patients with multivessel coronary disease. JAMA 1997; 277: 715–721.

    Google Scholar 

  56. Hlatky MA, Rogers WJ, Johnstone I, et al. Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery. N Engl J Med 1997; 336: 92–99.

    PubMed  CAS  Google Scholar 

  57. Sim I, Gupta M, McDonald K, Bourassa MG, Hlatky MA. A meta-analysis of randomized trials comparing coronary artery bypass grafting with percutaneous transluminal coronary angioplasty in multivessel coronary artery disease. Am J Cardiol 1995; 76: 1025–1029.

    PubMed  CAS  Google Scholar 

  58. Favaloro RG. Critical analysis of coronary artery bypass graft surgery: a 30-year journey. J Am Coll Cardiol 1998; 31 (suppl B): 1B–6B.

    PubMed  CAS  Google Scholar 

  59. Ryan TJ. Revascularization: reflections of a clinician. J Am Coll Cardiol 1998; 31: 89B–96B.

    PubMed  CAS  Google Scholar 

  60. DeWood MA, Notske RN, Berg R, et al. Medical and surgical management of early Q-wave myocardial infarction: effects of surgical reperfusion on survival, recurrent myocardial infarction, sudden death and functional class at 10 or more years of follow-up. J Am Coll Cardiol 1989; 14: 65–77.

    PubMed  CAS  Google Scholar 

  61. Spencer FC. Emergency coronary bypass for acute infarction: an unproved clinical experiment (editorial). Circulation 1983; 68(Suppl II): 1I 17–I119.

    Google Scholar 

  62. Cannon CP, McCabe CH, Stone PH, et al. The electrocardiogram predicts one year outcome of patients with unstable angina and non-Q wave myocardial infarction: results of the TIMI III registry ECG ancillary study. J Am Coll Cardiol 1997; 30: 133–140.

    PubMed  CAS  Google Scholar 

  63. Gibson RS. Management of acute non-Q-wave myocardial infarction: role of prophylactic pharmacotherapy and indications for predischarge coronary arteriography. Clin Cardiol 1989;12: I1I26–III32.

    Google Scholar 

  64. Bosch X, Theroux P, Waters DD, Pelletier GB, Roy D. Early postinfarction ischemia: clinical, angiographie, and prognostic significance. Circulation 1987; 75: 988–995.

    PubMed  CAS  Google Scholar 

  65. Schuster EH, Bulkley BH. Early post-infarction angina: ischemia at a distance and ischemia in the infarct zone. N Engl J Med 1981; 305: 1101–1105.

    PubMed  CAS  Google Scholar 

  66. Acar C, Jebara VA, Portoghese M, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992; 54: 652–659.

    PubMed  CAS  Google Scholar 

  67. Fremes SE, Christakis GT, DelRizzo DF, et al. The technique of radial artery bypass grafting and early clinical results. J Card Surg 1995; 10: 537–544.

    PubMed  CAS  Google Scholar 

  68. Hammon JW, Stump DA, Kon ND, et al. Risk factors and solutions for the development of neurobehavioral changes after coronary artery bypass grafting. Ann Thorac Surg 1997; 63: 1613 1618.

    Google Scholar 

  69. Wareing TH, Davila-Roman VG, Daily BB, et al. Strategy for the reduction of stroke incidence in cardiac surgical patients. Ann Thorac Surg 1993; 55: 1400–1408.

    PubMed  CAS  Google Scholar 

  70. Aranki SF, Rizzo RJ, Adams DH, et al. Single-clamp technique: an important adjunct to myocardial and cerebral protection in coronary operations. Ann Thorac Surg 1994; 58: 296–303.

    PubMed  CAS  Google Scholar 

  71. Calafiore AM, Di Giammarco GD, Teodori G, et al. Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass. Ann Thorac Surg 1996; 61: 1658–1665.

    PubMed  CAS  Google Scholar 

  72. Bennetti FJ, Nasclli G, Wood M, Geffner L. Direct myocardial revascularization without extracorporeal circulation: experience in 700 patients. Chest 1991; 100: 312–316.

    Google Scholar 

  73. Bufolo E, deAndrade JCS, Branco JNR, Teles CA, Aguiar LF, Gomes WJ. Coronary artery bypass grafting without cardiopulmonary bypass. Ann Thorac Surg 1996; 6: 63–66.

    Google Scholar 

  74. Reichenspumer H, Gulielmos V, Wunderlich J, et al. Port-access coronary artery bypass grafting with the use of cardiopulmonary bypass and cardioplegic arrest. Ann Thorac Surg 1998; 65: 413–419.

    Google Scholar 

  75. Machiraju VR. Redo Cardiac Surgery in Adults. Southampton, NY: CME Network Publishing, 1997.

    Google Scholar 

  76. Engelman RM, Rousou JA, Flack JE III, et al. Fast-track recovery of the coronary bypass patient. Aim Thorac Surg 194; 58: 1742–1746.

    Google Scholar 

  77. Helm RE, Rosengart TK, Klemperer JD, et al. Comprehensive multimodality blood conservation: 100 consecutive CABG operations without transfusion. Ann Thorac Surg 1998; 65: 125–136.

    PubMed  CAS  Google Scholar 

  78. Cheung EH, Craver JM, Jones EL, et al. Mediastinitis after cardiac valve operations: impact upon survival. J Thorac Cardiovase Surg 1985; 90: 517.

    CAS  Google Scholar 

  79. Edwards FH, Clark RE, Schwartz M. Coronary artery bypass grafting: the Society of Thoracic Surgery national database experience. Ann Thorac Surg 1994; 57: 12–19.

    PubMed  CAS  Google Scholar 

  80. Disch DL, O’Connor GT, Birkmeyer JD, et al. Changes in patient undergoing coronary artery bypass grafting: 1987–1990. Ann Thorac Surg 1994; 57: 416–423.

    PubMed  CAS  Google Scholar 

  81. New York State Department of Health. Coronary artery bypass graft surgery in New York State. New York State Department of Health, 1997.

    Google Scholar 

  82. Elefertiades JA, Tolis G, Levi E, Mills LK, Zaret BL. Coronary artery bypass grafting with severe left ventricular dysfunction: excellent survival with improved ejection fraction and functional state. J Am Coll Cardiol 1993; 22: 1411–1417.

    Google Scholar 

  83. Shapira I, Isakov A, Yakirevich VV, Topilsky M. Long-term results of coronary bypass surgery in patients with severely depressed left ventricular dysfunction. Chest 1995; 108: 1546–1550.

    PubMed  CAS  Google Scholar 

  84. Fitzgibbon GM, Leach AJ, Keon WJ, Burton JR, Kafka HP. Coronary artery bypass graft fate: angiographie study of 1,179 vein grafts early, one year anf five years after operation. J Thorac Cardiovasc Surg 1986; 91: 773–778.

    PubMed  CAS  Google Scholar 

  85. Bourassa MG, Enjalbert M, Campeau L, Lesperance J. Progression of atherosclerosis in coronary arteries and bypass grafts: ten years later. Am J Cardiol 1984; 53: 102C–107C.

    PubMed  CAS  Google Scholar 

  86. Grondin CM, Lesperance J, Dourassa MG, et al. Serial angiographic evaluation in 60 consecutive patients with aortocoronary artery vein grafts, 2 weeks, 1 year and 3 years after operation. J Thorac Cardiovasc Surg 1974; 67: 1–6.

    PubMed  CAS  Google Scholar 

  87. Grondin CM, Campeau L, Lesperance J, et al. Comparison of late changes in internal mammary artery and saphenous vein grafts in two consecutive series of patients 10 years after operation. Circulation 1984; 70 (suppl I): 208–212.

    Google Scholar 

  88. Loop FD, Lytle BW, Cosgrove DM, et al. Influence of the internal mammary artery graft on 10 year survival and other cardiac events. N Engl J Med 1986; 314: 1–6.

    PubMed  CAS  Google Scholar 

  89. Mariani MA, Boonstra PW, Grandjean JG, et al. Minimally invasive coronary artery bypass grafting versus coronary angioplasty for isolated type C stenosis of the left anterior descending artery. J Thorac Cardiovasc Surg 1997; 114: 434–439.

    PubMed  CAS  Google Scholar 

  90. Calafiore CM, Teodori G, Giammarco G, et al. Minimally invasive coronary artery bypass grafting on the beating heart. Ann Thorac Surg 1997; 63: S72–S75.

    PubMed  CAS  Google Scholar 

  91. Carrel T, Horber P, Turina MI. Operation for two-vessel coronary artery disease: midterm results of bilateral ITA grafting versus unilateral ITA and saphenous vein grafting. Ann Thorac Surg 1996; 62: 1289–1294.

    PubMed  CAS  Google Scholar 

  92. Huddleston CB, Stoney WS, Alford WC, et al. Internal mammary artery crafts: technical factors influencing patency. Ann Thorac Surg 1986; 42: 5–17.

    Google Scholar 

  93. Fiore AC, Naunheim KS, Dean P, et al. Results of internal thoracic artery grafting over 15 years: single versus double grafts. Ann Thorac Surg 1990; 49: 202–209.

    PubMed  CAS  Google Scholar 

  94. Schroeder E, Gurne O, Chenu P, et al. Angiographie follow-up data after myocardial revascularization by using a free inferior epigastric arterial graft. Presented at the International Workshop on Arterial Conduits for Myocardial Revascularization; November 16–18,1994; Rome, Italy.

    Google Scholar 

  95. Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994; 344: 563–570.

    PubMed  CAS  Google Scholar 

  96. Emond M, Mock MB, Davis KB, et al. Long-term survival of medically treated patients in the coronary artery surgery study (CASS) registry. Circulation 1994; 90: 2645–2657.

    PubMed  CAS  Google Scholar 

  97. Horvath K. Clinical studies of TMR with the CO2 laser. In: Rosengart TK and Sanborn TA eds. The Journal of Clinical Laser Medicine and Surgery 1997;15(6):281–286.

    Google Scholar 

  98. Mack CA, Patel SR, Magovern CJ, Crystal RG, Rosengart TK. Myocardial angiogenesis: biology and therapy. In: Transmyocardial Revascularization. Whittaker P, Abala G, eds. Direct GS myocardial Revascularization: History, Methodology, Technology. Norwell, MA: Kluwer Academic, 1999.

    Google Scholar 

  99. Mack CA, Patel SR, Rosengart TK. Myocardial angiogenesis as a possible mechanism for TMLR efficacy. In: Rosengart TK and Sanborn TA, eds. The Journal of Clinical Laser Medicine and Surgery 1997;15(6:275–279.

    Google Scholar 

  100. Rosengart TK, Patel SR, and Crystal RG. Therapeutic angiogenesis: protein and gene therapy delivery strategies. J Cardiovase Risk 1999; 6: 29–40.

    CAS  Google Scholar 

  101. Mack CA, Patel SR, Schwarz EA, et al. Biologic bypass with the use of adenovirus-mediated gene transfer of the complementary deoxyribonucleic acid for vascular endothelial growth factor 121 improves myocardial perfusion and function in the ischemie porcine heart. J Thorac Cardiovasc Surg 1998; 115: 168177.

    Google Scholar 

  102. Schumaker B, Percher P, von Specht BU, Stegman T. Induction of neoangiogenesis in ischemic myocardium by human growth factors. Circulation 1998; 97: 645–650.

    Google Scholar 

  103. David TE. Surgery for postinfarction rupture of the free wall of the ventricle. In: David TE. Mechanical Complications of Myocardial Infarction. Austin, RG Landes Co, 1993.

    Google Scholar 

  104. Padro JM, Mesa JM, Silvestre J, et al. Subacute cardiac rupture: repair with a sutureless technique. Ann Thorac Surg 1993; 55: 20–24.

    PubMed  CAS  Google Scholar 

  105. Cooley DA. Ventricular endoaneurysmorrhaphy: a simplified repair for extensive post infarction aneurysm. J Cardiac Surg 1989; 4: 200–205.

    CAS  Google Scholar 

  106. Jatene AD. Left ventricular aneurysmectomy: resection or reconstruction. J Thorac Cardiovasc Surg 1985; 89: 321–331.

    PubMed  CAS  Google Scholar 

  107. Dor V. Left ventricular aneurysms: the endoventricular circular path plasty. Semin Thorac Cardiovasc Surg 1997; 9: 123–130.

    PubMed  CAS  Google Scholar 

  108. Dor V. The treatment of refractory ischemic ventricular tachycardia by endoventricular patch plasty reconstruction of the left ventricle. Semin Thorac Cardiovasc Surg 1997; 9: 146–155.

    PubMed  CAS  Google Scholar 

  109. Komeda M, David TE, Malik A, et al. Operative risks and longterm results of operation for left ventricular aneurysm. Ann Thorac Surg 1992; 53: 22–29.

    PubMed  CAS  Google Scholar 

  110. Cosgrove DM, Lytle BW, Taylor PC, et al. Ventricular aneurysm resection. Trends in surgical risk. Circulation 1989; 79 (suppl I): I97–I101.

    PubMed  CAS  Google Scholar 

  111. Madsen JC, Daggett WM. Postinfarction ventricular septal defect repair. In: Cox JL, Sundt, TM III, eds. Operative Techniques in Cardiac and Thoracic Surgery 1997; 2: 161–169.

    Google Scholar 

  112. Cooley DA. Postinfarction ventricular septal rupture. Semin Thorac Cardiovasc Surg 1998; 10: 100–104.

    PubMed  CAS  Google Scholar 

  113. David TE. Repair of postinfarction ventricular septal defect. In: Cox JL, Sundt TM III, eds. Operative Techniques in Cardiac and Thoracic Surgery 1997;2(2):170–178.

    Google Scholar 

  114. Tepe NA, Edmunds LH Jr. Operation for acute postinfarction mitral insufficiency and cardiogenic shock. J Thorac Cardiovasc Surg 1985; 89: 525–530.

    PubMed  CAS  Google Scholar 

  115. Cohen LH, Rizzo RJ, Adams DH, et al. The effect of pathophysiology on the surgical treatment of ischemic mitral regurgitation: operative and late risks of repair versus replacement. Eur J Cardiothorac Surg 1995; 9: 568–574.

    Google Scholar 

  116. David TE. Techniques and results of mitral valve repair for ischemic mitral regurgitation. J Card Surg 1994; 9: 274–277.

    PubMed  CAS  Google Scholar 

  117. Cosgrove DM, Chavez AM, Lytle BW, et al. Results of mitral valve reconstruction. Circulation 1986; 74 (suppl I): I82–I87.

    PubMed  CAS  Google Scholar 

  118. Passik CS, Ackermann DM, Pluth JR, Edwards WD. Temporal changes in the cause of aortic stenosis: a surgical pathologic study of 646 cases. Mayo Clin Proc 1987; 62: 119–123.

    PubMed  CAS  Google Scholar 

  119. Mancini GBJ, Goldberger AL. Cardioversion of atrial fibrillation, consideration of embolization, anticoagulation prophylactic pacemaker, and long-term success. Am Heart J 1982; 104: 617–621.

    PubMed  CAS  Google Scholar 

  120. Wood P. An appreciation of mitral stenosis: a review. Brit Med J 1954: 105: 1113.

    Google Scholar 

  121. Selzer A. Changing aspects of the natural history of valvular aortic stenosis. N Engl J Med 1987; 317: 91–98.

    PubMed  CAS  Google Scholar 

  122. Chizner MA, Pearle DL, deLeon AC Jr. The natural history of aortic stenosis in adults. Am Heart J 1980; 99: 419.

    PubMed  CAS  Google Scholar 

  123. Oleson KH. The natural history of 271 patients with mitral stenosis under medical treatment. Br Heart J 1962; 24: 349.

    Google Scholar 

  124. Fischl SJ, Gorlin R, Herman MW. Cardiac shape and function in aortic valvular disease: physiologic and clinical implications. Am J Cardiol 1977; 39: 170.

    PubMed  CAS  Google Scholar 

  125. Bonow RO, Rosing DR, Kent KM, et al: Timing of operation for chronic aortic regurgitation. Am J Cardiol 1982; 50: 325–336.

    PubMed  CAS  Google Scholar 

  126. Assey ME, Spann JF Jr. Indications for heart valve replacement. Clin Cardiol 1990; 13: 81–88.

    PubMed  CAS  Google Scholar 

  127. Duran CMG, Pomar JI, Colman T, Figueroa A, Revuelta JM, Ubago JI. Is tricuspid valve repair necessary? J Thorac Cardiovase Surg 1980; 80: 849.

    CAS  Google Scholar 

  128. Turi ZG, Reyes VP, Raju BS, et al. Percutaneous balloon valvuloplasty versus closed commissurotomy for mitral stenosis: a prospective, randomized trial. Circulation 1991; 83: 1179.

    PubMed  CAS  Google Scholar 

  129. Smerida NG, Ports TA, Merrick SH, Rankin DS. Balloon aortic valvuloplast as a bridge to aortic valve replacement in critically ill patients. Ann Thorac Surg 1993; 55: 914–918.

    Google Scholar 

  130. Hejjer JJ, Wann LS, Weyman AE, Dillon JC, Feigenbaum H. Long term changes in mitral valve area after successful mitral cornmissurotomy. Circulation 1979; 59: 443.

    Google Scholar 

  131. Starr A, Grunkemeier GL. The expected lifetime of porcine valves. Ann Thorac Surg 1989; 48: 317.

    PubMed  CAS  Google Scholar 

  132. Magilligan DJ Jr, Lewis JW Jr, Stein P, Alam M The porcine bio-prosthetic valve: experience at 15 years. Ann Thorac Surg 1989; 48: 324.

    PubMed  Google Scholar 

  133. Auport MR, Sirinelli AL, Diermont FF, et al. The last generation of pericardial valves in the aortic position: ten year follow-up in 589 patients. Ann Thorac Surg 1996; 61: 615–620.

    Google Scholar 

  134. Westaby S, Huysman HA, David TE. Stentless aortic bioprosthesis: compelling data from the second international symposium. Ann Thorac Surg 1998; 65: 235–240.

    PubMed  CAS  Google Scholar 

  135. Matsuki O, Okita Y, Almeida RS, et al. Two decades’ experience with aortic valve replacement with pulmonary autograft. J Thorac Cardiovasc Surg 1988; 95: 705–711.

    PubMed  CAS  Google Scholar 

  136. Elkins RC. Pulmonary autograft: the optimal substitute for the aortic valve. N Engl J Med 1994; 330: 59–60.

    PubMed  CAS  Google Scholar 

  137. Carpentier A. Cardiac valve surgery: the “French correction.” J Thorac Cardiovasc Surg 1983; 86: 323–337.

    PubMed  CAS  Google Scholar 

  138. Deloche A, Jebara VA, Relland JYM, et al. Valve repair with Carpentier techniques: the second decade. J Thorac Cardiovasc Surg 1990; 99: 990–1002.

    PubMed  CAS  Google Scholar 

  139. Carpentier AF, Lessana A, Relland JYM, et al. The “PhysioRing”: an advanced concept in mitral valve annuloplasty. Ann Thorac Surg 1993; 55: 860–863.

    Google Scholar 

  140. Cosgrove DM, Arcidi JM, Rodriguez L, Stewart WJ, Powell K, Thomas JD. Initial experience with the Cosgrove-Edwards Annuloplasty System. Ann Thorac Surg 1995; 60: 499–504.

    PubMed  Google Scholar 

  141. David TE, Omran A, Armstrong, et al. Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluorothylene. J Thorac Cardiovasc Surg 1998; 115: 1279–1286.

    PubMed  CAS  Google Scholar 

  142. Lillehei CW, Levy MJ, Bonnabeau RC. Mitral valve replacement with preservation of papillary muscles and chordae tendinae. J Thorac Cardiovasc Surg 1964; 47: 532–543.

    PubMed  CAS  Google Scholar 

  143. Edmunds LH Jr. Thromboembolic complications of current cardiac valve prostheses. Ann Thorac Surg 1981; 34: 96.

    Google Scholar 

  144. David TE, Bos J, Christakis GT, Brofman PR, Wong D, Feindel CM. Heart valve operations in patients with active endocarditis. Ann Thorac Surg 1990; 49: 701.

    PubMed  CAS  Google Scholar 

  145. Christakis GT, Weisel RD, David TE, et al. Factors of operative survival after valve replacement. Circulation 1988;78jsuppl I ): 125.

    Google Scholar 

  146. Klodas E, Enriquez-Sarano M, Tajik AJ, et al. Optimizing timing of surgical correction in patients with severe aortic regurgitation: role of symptoms. J Am Coll Cardiol 1997; 30: 746–752.

    PubMed  CAS  Google Scholar 

  147. Blackstone EH, Kirklin JW. Death and other time-related events after valve replacement. Circulation 1985; 72: 753.

    PubMed  CAS  Google Scholar 

  148. Duarte IG, Murphy CO, Kosinski AS, et al. Late survival after valve operation in patients with left ventricular dysfunction. Ann Thorac Surg 1997; 64: 1089–1095.

    PubMed  CAS  Google Scholar 

  149. Grossi EA, Galloway AC, Miller JS, et al. Valve repair versus replacement for mitral insufficiency: when is a mechanical valve still indicated? J Thorac Cardiovasc Surg 1998; 115: 389–396.

    PubMed  CAS  Google Scholar 

  150. Bonow RO. Left ventricular structure and function in aortic valve disease. Circulation 1989; 79: 966.

    PubMed  CAS  Google Scholar 

  151. Dhuikuri H. Effects of mitral valve replacement on left ventricular function in mitral regurgitation. Br Heart J 1983; 49: 328–333.

    Google Scholar 

  152. Crawford MH, Souchek J, Oprian CA, et al. Determinants of survival and left ventricle performance after mitral valve replacement. Circulation 1990; 81: 1173–1181.

    PubMed  CAS  Google Scholar 

  153. Galloway AC, Colvin SB, Baumann FG, et al. Long-term results of mitral valve reconstruction with Carpentier techniques in 148 patients with mitral insufficiency. Circulation 1998; 78 (suppl I): I97–I105.

    Google Scholar 

  154. Gillinov MA, Cosgrove DM, Lytle BW, et al. Reoperation for failure of mitral valve repair. J Thorac Cardiovasc Surg 1997; 113: 467–475.

    PubMed  CAS  Google Scholar 

  155. Duran CG. Repair of anterior mitral leaflet chordal rupture or elongation the flipover technique). J Cardiac Surg 1986; 1: 161–166.

    CAS  Google Scholar 

  156. Galloway AC, Colvin SB, Baumann FG, et al. A comparison of mitral valve reconstruction with mitral valve replacement: intermediate term results. Ann Thorac Surg 1989; 47: 655.

    PubMed  CAS  Google Scholar 

  157. Spencer FC, Galloway AC, Gross EA, et al. Recent developments and evolving techniques of mitral valve reconstruction. Ann Thorac Surg 1998; 65: 307–313.

    PubMed  CAS  Google Scholar 

  158. Lopez-Sendon J, Gonzalez A, Lopez de Sa E, et al. Diagnosis of subacute ventricular wall rupture after acute myocardial infarction: sensitivity and specificity of clinical, hemodynamic and echocardiographic criteria. J Am Coll Cardiol 1992; 19: 1145–1153.

    PubMed  CAS  Google Scholar 

  159. Schwarz CD, Punzengruber C, Ng CK, et al. Clinical presentation of rupture of the left ventricular free wall after myocardial infarction: report of five cases with successful surgical repair. Thorac Cardiovasc Surg 1996; 44: 71–75.

    PubMed  CAS  Google Scholar 

  160. Purcaro A, Costantini C, Ciampani N, et al. Diagnostic criteria and management of subacute ventricular free wall rupture cornplicating myocardial infarction. Am J Cardiol 1997; 80: 397–405.

    PubMed  CAS  Google Scholar 

  161. Komeda M and David TE. Surgical treatment of postinfarction false aneurysm of the left ventricle. J Thorac Cardiovasc Surg 1993; 106 (6): 1189–1191.

    PubMed  CAS  Google Scholar 

  162. Csapo K, Voith L, Szuk T, et al. Postinfarction left ventricular pseudoaneurysm. Clin Cardiol 1997; 20: 898–903.

    PubMed  CAS  Google Scholar 

  163. Frances C, Romero A and Grady D. Left ventricular pseudo-aneurysm. J Am Coll Cardiol 1998; 32: 557–561.

    PubMed  CAS  Google Scholar 

  164. Yeo TC, Malouf JF, Oh JK, et al. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med 1998; 128: 299–305.

    PubMed  CAS  Google Scholar 

  165. Mickleborough LL, Maruyama H, Liu P, et al. Results of left ventricular aneurysmectomy with a tailored scar excision and primary closure technique. J Thorac Cardiovasc Surg 1994; 107 (3): 690–698.

    PubMed  CAS  Google Scholar 

  166. Cooley DA. Management of left ventricular aneurysm by intracavitary repair. In: Cox JL, Seendt TM III, eds. Operative Techniques in Cardiac and Thoracic Surgery 1997;2(2):170–178.

    Google Scholar 

  167. Skillington PD, Lamb RK, Monro JL, et al. Surgical treatment for infarct related ventricular septal defects: improved early results combined with analysis of late functional status. J Thorac Cardiovasc Surg 1990; 99: 798–808.

    PubMed  CAS  Google Scholar 

  168. Muehrcke DD, Daggett WM Jr., Buckley MJ, et al. Postinfarct ventricular septal defect repair: effect of coronary artery bypass grafting. Ann Thorac Surg l992;54(5):876–882.

    Google Scholar 

  169. David TE, Armstrong S. Surgical repair of postinfarction ventricular septal defect by infarct exclusion. Semin Thorac Cardiovasc Surg 1998; 102 ): 105–110.

    Google Scholar 

  170. Dalrymple-Hay MJ, Monro, JL, Livesey SA, et al. Postinfarction ventricular septal rupture: the Wessex experience. Semin Thorac Cardiovasc Surg 1998; 10 (2): 111–116.

    PubMed  CAS  Google Scholar 

  171. Panos A, Christakis GT, Lichtenstein SV, et al. Operation for acute postinfarction mitral insufficiency using continuous oxygenated blood cardioplegia. Ann Thorac Surg 1989; 48: 816–819.

    PubMed  CAS  Google Scholar 

  172. Hendren WG, Nemec JJ, Lytle BW, et al. Mitral valve repair for ischemic mitral insufficiency. Ann Thorac Surg 1999; 52: 1246 1252.

    Google Scholar 

  173. Horsikoitc D, Schulie HD, Niehues R, et al. Diagnostic and therapeutic consideration in acute, severe mitral regurgitation: experience in 42 consecutive patients entering the intensive care unit with pulmonary edema. J Heart Valve Disease 1993; 2: 51 2522.

    Google Scholar 

  174. Dion R, Benetis R, Elias B, et al. Mitral valve procedures in ischernic regurgitation. J Heart Valve Disease 1995; 4 (Suppl. II): S124–S131.

    Google Scholar 

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Authors
  1. Todd K. Rosengart
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  2. William de Bois
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  3. Nicola A. Francalancia
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Editor information

Editors and Affiliations

  1. University of California, San Francisco, USA

    Jeffrey A. Norton MD (Professor and Vice-Chairman of Surgery, Chief) (Professor and Vice-Chairman of Surgery, Chief)

  2. Surgical Service, San Francisco VA Medical Center, San Francisco, California, USA

    Jeffrey A. Norton MD (Professor and Vice-Chairman of Surgery, Chief) (Professor and Vice-Chairman of Surgery, Chief)

  3. Division of General Surgery, Duke University Medical Center, Durham, North Carolina, USA

    R. Randal Bollinger MD, PhD (Professor of Surgery, Professor of Immunology, Chief) (Professor of Surgery, Professor of Immunology, Chief)

  4. Division of Surgical Oncology, University of Michigan, Comprehensive Cancer Center, Ann Arbor, Michigan, USA

    Alfred E. Chang MD (Chief, Hugh Cabot Professor of Surgery) (Chief, Hugh Cabot Professor of Surgery)

  5. Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    Stephen F. Lowry MD (Professor and Chairman) (Professor and Chairman)

  6. Division of General Surgery, University of California, San Francisco, San Francisco, California, USA

    Sean J. Mulvihill MD (Professor of Surgery, Chief) (Professor of Surgery, Chief)

  7. Karmanos Cancer Institute, Wayne State University, Harper Hospital, Detroit, Michigan, USA

    Harvey I. Pass MD (Professor of Surgery and Oncology, Chief of Thoracic Oncology) (Professor of Surgery and Oncology, Chief of Thoracic Oncology)

  8. Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri, USA

    Robert W. Thompson MD (Associate Professor of Surgery) (Associate Professor of Surgery)

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Rosengart, T.K., de Bois, W., Francalancia, N.A. (2001). Adult Heart Disease. In: Norton, J.A., et al. Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57282-1_60

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  • DOI: https://doi.org/10.1007/978-3-642-57282-1_60

  • Publisher Name: Springer, Berlin, Heidelberg

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