Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract The heart with its intrinsic and indispensable function is a vital organ in the human body. Surgical management of diseases affecting it was initially thought to be incompatible with life. Surgeons who desired the respect of their colleagues were barred from operating on the heart, on the ground that human knowledge is very limited in that area. This notion was however changed in 1893 when laceration in the left ventricle was successfully repaired at Chicago Provident Hospital in USA. Three years later, the same feat was successfully reproduced several times in Fran K furt Germany. Also by 1938 in Boston Children Hospital, Massachusetts, USA, Robert Gross successfully interrupted a PDA in a 7 year old child. This was followed by successful repair of coarctation of the aorta and the famous blue baby operation, all in 1944, thus unequivocally, proving that successful operation ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Keywords Keywords: Coronary artery anomalies; Cardiac surgery; Chest pain Case Report A 59-year-old woman with a history of hypertension and mild asthma was brought to the emergency department complaining of acute onset chest pain. Electrocardiogram en-route by EMS showed ST-segment elevations in inferior leads, which normalized on arrival to the emergency department thirty minutes later. Initial serum troponin-T was 0.12ng/ml (reference range: 0.0-0.1ng/ml). Coronary angiography revealed a suspected culprit, apical "wraparound" distal LAD stenosis with vasospasm and a difficult to engage right coronary artery (RCA) with 40% ostial stenosis. Her symptoms improved with intravenous nitroglycerin. Coronary computed tomography angiography showed an anomalous RCA arising from a separate origin in the left sinus of valsalva, with an "intramu...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: Full median sternotomy has been a standard surgical approach for heart surgery for more than 50 years. Several advantages increasing the use of less invasive approaches to the mitral valve surgery including, cosmetic, blood product use, respiratory, and pain advantages over conventional surgery. Parasternal incision, right mini-thoracotomy and partial sternotomy are described approaches for less invasive cardiac surgery. Objective: Comparing the standard approach via conventional median sternotomy vs. less invasive approach via upper partial sternotomy. Methods: Sixty patients, underwent mitral valve replacement with or without tricuspid valve repair in NHI, were enrolled in this study and divided into two equal groups, Group I via conventional median sternotomy (CMS), and Group II via upper partial sternotomy (UPS). The preoperative characteristics, operative ...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Quality of life, in almost all the current literature reviewed; affirm that it is a set of conditions and situations that engulf the physical, spiritual, psychological, emotional well being, besides social relationships, family, friends, etc. If we analyze this affirmation, we can say that it is the daily life of every human being, healthy, productive, and active and that has internalized values like dignity and feelings of social belonging. Congestive heart failure is a condition in which the heart is unable to pump blood into the bloodstream in sufficient quantity to meet the needs of the body. (I would like to remind you that I am not a cardiologist and the point of analysis and revision in this article of opinion is about the quality of life and the emotional processes and impacts on the human being). In developed countries 6 to 10% of the population over 65 is affected...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract In various fields of complex environments, checklists have been introduced, mainly to improve procedural related aspects like logistics, personnel support and equipment. However, in order to pursue better outcome, major patient-related factors may be likewise important to check immediately before surgical procedures. Therefore, a specific checklist, the Isala Safety Check, was developed in a high-volume cardio-thoracic surgery unit. It concerns a short list focusing on the presence of potential sources for peri-operative complications, including actual information of cardiac function, pulmonary comorbidities, renal impairment, neurological condition, predisposing factors for postoperative infections and risk of transfusion. Special attention is paid to the on-site information obtained by standard transesophageal echo, particularly the visualization of the condition of the asc...