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Showing posts with the label Cardiothoracic Surgery

In-Hospital Mortality after Balloon Aortic Valvuloplasty-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: Surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) have been shown to improve symptoms and overall survival in patients with severe, symptomatic aortic stenosis (AS). However, there still remains a group of patients not considered as appropriate candidates due to comorbid conditions and/or hemodynamic instability. The purpose of this study is to evaluate the in-hospital mortality of this high risk group undergoing BAV. Methods: An institutional BAV registry was created to compare baseline clinical characteristics with treatment outcomes and its associations with in-hospital mortality. Univariate analyses for continuous variables were performed with analysis of variance and Mann Whitney tests. Univariate analyses for categorical variables were preformed with Pearson chi square and Fischer’s exact test. Multivariate logistic regre...

Dysphagia Lusoria: An Elusive Diagnosis-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Dysphagia lusoria is a sporadic condition that causes difficulty swallowing. The symptoms are attributed to an aberrant right subclavian artery that has a retroesophageal course leading to vascular compression of the esophagus. Dysphagia lusoria is an uncommon anomaly and even rarer cause of symptoms. However, when symptomatic and occurring in conjunction with similar presenting conditions, it can create a diagnostic and treatment challenge [1]. Case Report A 62-year-old female with a medical history significant for coronary artery disease and gastritis presented to our hospital on multiple occasions complaining of chronic nausea, dyspnea, chest pain and dysphagia. Physical examination was often unrevealing with the exception of hypertensive blood pressure. Laboratory investigation often included completeblood cell count, complete metabolic panel, serial troponi...

Dysphagia Lusoria: An Elusive Diagnosis-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Dysphagia lusoria is a sporadic condition that causes difficulty swallowing. The symptoms are attributed to an aberrant right subclavian artery that has a retroesophageal course leading to vascular compression of the esophagus. Dysphagia lusoria is an uncommon anomaly and even rarer cause of symptoms. However, when symptomatic and occurring in conjunction with similar presenting conditions, it can create a diagnostic and treatment challenge [1]. Case Report A 62-year-old female with a medical history significant for coronary artery disease and gastritis presented to our hospital on multiple occasions complaining of chronic nausea, dyspnea, chest pain and dysphagia. Physical examination was often unrevealing with the exception of hypertensive blood pressure. Laboratory investigation often included complete blood cell count, complete metabolic panel, serial troponins,...

Combined Bone Marrow Stem Cell Therapy and Coronary Artery Bypass Grafting for Ischemic Heart Diseases-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Ischemic heart disease (IHD) is a major cause of mortality and morbidity worldwide. It caused 1 of every 6 deaths in the United States in 2008 [1]. It is also the major contributor to heart failure (HF) which has become a burgeoning disease. According to American Heart Association (AHA) projections, HF prevalence will increase by 46% from 2012 to 2030 [2]. Patients with serious IHD usually, have events such as myocardial infarction (MI) that can result in irreparable loss of viable cardiac mass dramatically affecting their cardiac functions. Despite the important advances achieved in revascularization procedures and medical therapy, many of these patients are left with significant disability [3]. Considering the unclear efficacyof coronary artery bypass grafting (CABG) surgery for these patients and the shortage of donor hearts, a rationale to develop a novel stem cell-bas...