Comparison of Neurocognitive Functions after Beating-Heart Mitral Valve Replacement without Aorta Cross-Clamping and after Standard Mitral Valve Replacement with Cardioplegic Arrest

Kervan, Ümit; Çiçekçioğlu, Ferit; Tuluce, Hicran; Özen, Anıl; Babaroglu, Seyhan; Karakaş, Sibel; Katırcıoğlu, Salih Fehmi

doi:10.1532/hsf98.20101173

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…Our team is accustomed to performing beating heart cardiac surgery in dogs and large animal species (e.g., sheep, pigs, cattle) . We believe that keeping the heart beating during CPB (as performed in the present case), compared to cardiac arrest, diminishes the risks of ischemia–reperfusion injury that has been observed in people for mitral surgery . Cardiopulmonary bypass can alter normal hemostatic balance and predispose patients to the risk of excessive postoperative bleeding .…”

Section: Discussionmentioning

confidence: 83%

Surgical Treatment of Cor Triatriatum Sinister in a Cat Under Cardiopulmonary Bypass

Borenstein¹,

Gouni

Behr³

et al. 2015

Veterinary Surgery

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Section: Discussionmentioning

confidence: 83%

Surgical Treatment of Cor Triatriatum Sinister in a Cat Under Cardiopulmonary Bypass

Borenstein¹,

Gouni

Behr³

et al. 2015

Veterinary Surgery

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“…The procedure could be the procedure of choice for the valve operation or combined operation (valve operation and CABG) in high-risk patients with low ejection fractions 9 . Kervan et al concludes that the technique of mitral valve replacement with normothermic CPB without cross-clamping of the aorta may be safely used for the majority of patients requiring mitral valve replacement without causing deterioration in neurocognitive function 10 . The advantages of on-pump beating mitral valve replacement are due to the fact that the heart is under more physiologic conditions than cardioplegic arrested state with left ventricular beating tonus, thus eliminating adverse effects of global myocardial ischemia produced from reperfusion injury.…”

Section: Resultsmentioning

confidence: 99%

Mitral Valve Replacement on Beating Heart;

Ahmad¹,

Hussain²,

Shahzad³

2018

TPMJ

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Introduction: Cardiac reperfusion injury is a well-described complication occurringafter ischemia or following cardioplegic arrest. The primary aim of this study was to evaluateand compare safety of Mitral valve replacement on beating heart without using cross clampwith the conventional Mitral valve replacement. Material and methods: It was a retrospectiveobservational study for study duration from 2012-2014. A total of 50 patients were randomlyselected and were divided in 2 groups, 25 patients in each group. This study was conductedat the Department of Cardiovascular Surgery of Choudhry Pervaiz Elahi Institute of Cardiology,Multan. We divided the patients in two groups. All operations were carried out by team led bya consultant surgeon in our institution. Results: Our patients had the age range from 12 to 65years (Mean ages=32.5 years ± 13.9000) the mostly this study included males 60 %. The studyincluded Group A and Group B (beating heart versus conventional heart surgery) both groupscontained randomized controlled patients with purposeful sampling. Minimum operative time100 minutes or maximum operative time 160 minutes (Mean 195± 95.75) The P value remainednon significant that P <0.001. The CPB time was 22 to 388 minutes (104.8 ± 97.4. Cross Clamptime, ICU stay intubation time, drainage, inotrope remained almost same in both groups. With P<0.001 Outcome variables of the patients. Discussion: The hazards of cardiopulmonary bypassand Cardioplegia are well known. Various studies have demonstrated decreased accumulationof extra cellular fluid, diminished lactate production and greater preservation of high energystores when a strategy of myocardial protection simultaneous antegrade/ retrograde continousnormothermic, normokalemic blood perfusion was used. These findings were the basis forusing beating heart technique for mitral valve replacement, Aortic cross-clamping, Cardioplegia,and reperfusion injury leads to myocardial ischemia and is a critical issue in mitral valve surgerydespite novel approaches to myocardial protection. Myocardial edema induced by the lack ofmyocardial contractions and impaired lymphatic flow due to Cardioplegia in the heart remainingin diastole is another cause of myocardial dysfunction. Conclusions: Outcomes obtained usingthis strategy of myocardial protection seem to compare favorably to those of historical series inwhich conventional myocardial protection with cardioplegic arrest were used.

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“…[6][7][8] Hyperventilation caused by increased anger levels has also been shown to result in vasospasms and arrhythmia, even in healthy individuals. [8,9] In addition, some studies have reported that anger may lead to a ventricular ectopic beat and tachycardia, which can lead to myocardial infarction. [10][11][12] A change in cerebral activity during emotional stress can also lead to the presence of nonhomogenous repolarization fields as the electrical stability deteriorates.…”

Section: Discussionmentioning

confidence: 99%

Preoperative education may attenuate anger scores of patients after cardiac surgery

Uyar¹

2014

Turk Gogus Kalp Dama

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Bu çalışmada açık kalp ameliyatı yapılan hastaların öfke durumu değerlendirildi ve psikolojik desteğin öfke kontrolü üzerindeki muhtemel etkileri araştırıldı. Ça lış m a pla nı: Eylül 2012-Ocak 2013 tarihleri arasında koroner arter baypas greftleme (KABG) yapılan 68 hastada öfke durumu ve tip A kişilik değerlendirildi. Hastalar iki gruba ayrıldı: grup 1'e (18 erkek, 16 kadın; ort. yaş 55.0±8.7 yıl; dağılım 43-78 yıl) rutin ameliyat öncesi uygulamalar yapılırken, grup 2'ye (17 erkek, 17 kadın; ort. yaş 54.9±9.1 yıl; dağılım 41-81 yıl) ameliyat öncesi dönemde ameliyattan bir gün önce kalp ameliyatı sonrası öfke yönetimine ilişkin 30 dakikalık hasta eğitimi verildi. Ameliyattan önce ve dört gün sonra hasta gruplarının öfke skorlarını hesaplamada Sürekli Öfke ve Öfke İfade Tarzı Ölçeği-2 ve Tip A Davranış Ölçeği kullanıldı. Bul gu lar: Başlangıç ameliyat öncesi özellikler ve ameliyat sırası değişkenler gruplar arasında benzerdi. Ameliyat öncesi test sonuçlarına göre, total öfke skoru gruplar arasında benzer olmakla birlikte, ameliyat sonrası dönemde grup 2'de anlamlı düzeyde daha düşüktü (p<0.001). Total öfke skoru ameliyat sonrasında grup 1'de anlamlı düzeyde artmıştı. Ameliyat öncesi ve sonrası sürekli öfke skorları, hasta grupları arasında anlamlı düzeyde farklıydı. Grup 2'de sürekli öfke skoru ameliyat sonrasında artış göstermezken, baskılanmış öfke (Ax-In) ameliyat sonrası anlamlı düzeyde daha düşüktü (p<0.001). Ameliyat sonrası öfke tarzı gruplar arasında benzerdi. So nuç:Koroner arter baypas greftleme öncesinde öfke yönetimine ilişkin verilen hasta eğitiminin, cerrahi prognozun olumlu yönde etkilenmesinde ve hastanede kalış süresinin kısaltılmasında çok önemli olduğu görüşündeyiz. Anah tar söz cük ler: Öfke; koroner arter baypas greftleme; yönetim; hasta eğitimi. Background: This study aims to evaluate the anger status of patients undergoing open heart surgery and to examine possible effects of psychological support on anger control. Methods: Anger status and type A personality were evaluated in 68 patients who underwent coronary artery bypass grafting (CABG) between September 2012 and January 2013. The patients were divided into two groups: group 1 (18 males and 16 females; mean age 55.0±8.7 year; range 43 to 78 years) received routine preoperative preparations, whereas group 2 (17 males and 17 females; mean age 54.9±9.1 years; range 41 to 81 years) received patient education for 30 minutes one day before surgery during preoperative period on anger management after heart surgery. To obtain anger scores of the patients, The State-Trait Anger Expression Inventory-2 and Scale of Type A Behavior were used to achieve anger scores of the patient groups before surgery and four days after surgery. Results: Baseline preoperative characteristics and operative variables were similar between the groups. Based on the preoperative test results, total anger scores were similar in both groups, however, it was significantly lower in group 2 in the postoperative period (p<0.001). The total anger scores significantly increased ...

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Comparison of Neurocognitive Functions after Beating-Heart Mitral Valve Replacement without Aorta Cross-Clamping and after Standard Mitral Valve Replacement with Cardioplegic Arrest

Abstract: The technique of mitral valve replacement with normothermic CPB without cross-clamping of the aorta may be safely used for the majority of patients requiring mitral valve replacement without causing deterioration in neurocognitive functions.

Cited by 5 publications

References 23 publications

Surgical Treatment of Cor Triatriatum Sinister in a Cat Under Cardiopulmonary Bypass

Surgical Treatment of Cor Triatriatum Sinister in a Cat Under Cardiopulmonary Bypass

Mitral Valve Replacement on Beating Heart;

Preoperative education may attenuate anger scores of patients after cardiac surgery

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