Short overview of the history of cardiovascular surgery

Michael Aschermann, Petr Němec

Cor Vasa 2015, 57(2):e61-e62 | DOI: 10.1016/j.crvasa.2015.03.009  

Immediate coronary artery bypass graft surgery for acute coronary syndrome - Outcomes and trends over the past eight years

Jiří Bárta, Radim Brát, Jaroslav Gaj, Martin Kolek, Kamil Novobílský, Martin Porzer

Cor Vasa 2015, 57(2):e63-e69 | DOI: 10.1016/j.crvasa.2015.02.013  

Background: Patients with acute coronary syndrome (ACS) who are indicated for an immediate cardiac procedure represent a high-risk population, burdened with an increased frequency of serious postoperative complications and higher mortality. In our study, we present the outcomes and trends within a group of patients who underwent a surgical procedure at our centre between 2006 and 2013.Methods: We retrospectively analyzed data obtained from the National Registry of Cardiac Surgery for the period between 2006 and 2013; the patient population was further subdivided into two time periods, in order to facilitate the comparison: 2006-2009, n = 185; 2010-2013,...

Minimally invasive implantation of left ventricular assist device HeartWare HVAD

Vladimír Horváth, Jiří Ondrášek, Petr Fila, Jiří Slavík, Helena Bedáňová, Petr Pokorný, Petr Pavlík, Jan Krejčí, Marek Orban, Petr Němec

Cor Vasa 2015, 57(2):e70-e74 | DOI: 10.1016/j.crvasa.2015.02.011  

Introduction: Long-term left ventricular assist devices are nowadays part of standard therapy for patients in terminal phase of heart failure. Lower invasiveness of implantation might have the potential to enhance results of these high risk patients. The aim of this study is to introduce our minimally invasive approach to the implantation of left ventricular assist device of the latest generation HeartWare ventricle assist device (HVAD) and our initial experience with this method.Methods: In our department we implanted HVAD between November 2013 and November 2014 in 8 patients as a bridge to heart transplantation. All patients were male with average...

A retrospective analysis of deep sternal wound infections after longitudinal median sternotomy

David Nešpor, Jiří Fabián, Petr Němec

Cor Vasa 2015, 57(2):e75-e81 | DOI: 10.1016/j.crvasa.2015.02.014  

Median sternotomy is the most commonly performed surgical procedure in the treatment of heart conditions in both adults and children. Deep sternal wound infections (DSWI) present a serious complication occurring after surgery, highly demanding both of patients and surgery departments.The present study is a retrospective analysis of 9 110 patients who underwent a cardiac surgery at the Center of Cardiovascular Surgery and Transplantations, Brno, Czech Republic, in the years 2005-2012, and as its objective it has a definition of risk factors of DSWI after median sternotomy.In this study, a multivariate analysis found sepsis to be the most serious...

Simultaneous cardiac surgery with pulmonary resection

Petr Šantavý, Marek Szkorupa, Tomáš Bohanes, Vladimír Lonský

Cor Vasa 2015, 57(2):e82-e85 | DOI: 10.1016/j.crvasa.2015.02.007  

Introduction: Combined heart surgery and lung resection remain a controversial issue. This method facilitates the treatment of two major problems with one intervention, reducing hospitalization cost with acceptable outcomes. On the other hand, skepticism exists related to the effects of cardiopulmonary bypass on malignancy, proper extent of lung resection from non-standard approach and to a possible greater risk of perioperative bleeding.Methods: Between November 2010 and April 2014 ten patients (male 9, female 1) underwent simultaneous cardiac surgery and pulmonary resection (mean age 69 ± 7 years). Pathological findings were as follows:...

Five-year experience with cardiac surgery procedures in dialysis-dependent patients

Aleš Klváček, Petr Šantavý, Ondřej Zuščich, Jakub Konečný, Roman Hájek, Vladimír Lonský

Cor Vasa 2015, 57(2):e86-e90 | DOI: 10.1016/j.crvasa.2015.03.004  

The purpose of this study was to review the outcome of dialysis-dependent patients undergoing cardiac surgery. We retrospectively reviewed 36 dialysis-dependent patients with a mean age of 63 ± 9.4 years who underwent cardiac operations. Surgery included coronary artery bypass grafting (CABG) in 27 patients (75%), valve surgery in 2 (5.5%), combined CABG plus valve surgery in 5 (13.8%), combined valve surgery and MAZE procedure in 1 patient, combined valve surgery, CABG and MAZE procedure in 1 patient, major aortic surgery in 1 patient, suture of injured right ventricle in 1 patient and extirpation of infected right atrial thrombus in 1 patient....

Value of autopsy in cardiac surgery

Petr Němec, Petr Fila, Jan Štěrba, Jiří Černošek

Cor Vasa 2015, 57(2):e91-e94 | DOI: 10.1016/j.crvasa.2015.03.001  

Introduction: With improvements in preoperative diagnostics and postoperative care the value of autopsy has been questioned. The aim of our study was to prospectively assess the current value of autopsy in patients after cardiac surgery.Methods: Between January 2007 and December 2013 there were 7 800 patients operated on for heart disease. Two hundred and thirteen of them died postoperatively, resulting in an overall in-hospital mortality of 2.7%. Autopsy was performed on 158 patients (74%). Data regarding the cause of death from clinical and autopsy findings were analysed and compared.Results: Artificial ventilation, inotropic support before...

How to proceed in the case of a tumour thrombus in the inferior vena cava with renal cell carcinoma

Bohuslav Čertík, Vladislav Třeška, Jiří Moláček, Richard Šulc

Cor Vasa 2015, 57(2):e95-e100 | DOI: 10.1016/j.crvasa.2015.02.015  

Renal cell carcinoma accounts for about 3% of all malignant tumours in humans at adult age. The occurrence of a tumour thrombus in the inferior vena cava was recorded in 4% up to 10% of patients. In the period of 2006-2014 in the Department of Surgery of the Teaching Hospital and Faculty of Medicine in Pilsen we operated a total of 12 patients at the age from 44 to 80 for renal cell carcinoma with a tumour thrombus. Our results have proven clearly the benefit of nephrectomy with tumour thrombectomy in patients with renal cell carcinoma growing through the venous system.

The importance of and current trends in the endovascular program - A single center experience

Petr Šedivý, Khaled El Samman, Helena Přindišová, Petr Štádler

Cor Vasa 2015, 57(2):e101-e107 | DOI: 10.1016/j.crvasa.2015.02.016  

Introduction: Open vascular surgery and endovascular (EV) interventions are continually developing and their application differs depending on the arterial regions treated. We aim to demonstrate that current EV procedures do not mean a restriction, but on the contrary, an increase in the number of patients who can be successfully treated.Methods: We have retrospectively followed all open surgery procedures and endovascular interventions done for carotid artery stenosis and subrenal abdominal aortic aneurysms (AAA) from 1990/1993 to 2014 in the Vascular Surgery Department at Na Homolce Hospital.Results: From 1990 to 2014, 1 659 open AAA surgery...

An aortoenteric and a graft-enteric fistulae - A severe acute abdominal event

Jiří Moláček, Vladislav Třeška, Bohuslav Čertík, Jan Baxa, Karel Houdek, Václav Opatrný

Cor Vasa 2015, 57(2):e108-e114 | DOI: 10.1016/j.crvasa.2015.03.006  

Introduction: An aortoenteric or a graft-enteric fistulae refers to a severe acute abdominal event always resulting in the patient's death unless immediate therapy is provided. Early diagnostics and the corresponding acute therapy are of key importance.Methods: The authors represent the experience they gained in relation to the therapy of primary aortoduodenal fistulae and secondary graft-duodenal fistulae from a set of 8 patients who underwent treatment in the Department of Surgery of the University Hospital and Faculty of Medicine in Pilsen in the period from January the 1st 2008 to December 31st 2013. Seven patients were treated by open resection...

Pulmonary endarterectomy combined with cardiac surgery: A 7-year retrospective analysis

Jaroslav Lindner, David Ambrož, Róbert Novotný, Matúš Nižňanský, Iveta Šimková, Marcela Boháčeková, Ondrej Pecha, Pavel Jansa

Cor Vasa 2015, 57(2):e115-e120 | DOI: 10.1016/j.crvasa.2015.02.009  

Background: Pulmonary artery endarterectomy (PEA) is established as a successful method for the treatment of chronic thromboembolic pulmonary hypertension (CTEPH). A significant fraction of patients indicated for the pulmonary endarterectomy has other severe comorbidities that generally increase the risk of cardiac surgery. The aim of our study is to analyze the process of indications and therapeutic procedures at our Cardio-Centre, as well as comparing hemodynamic parameters and long-term results in order to determine the continuation of the treatment.Method: From September 2004 to August 2012, 192 patients underwent PEA for CTEPH. We carried...

Initial experience of follow up of patients after the endovascular treatment of abdominal aortic aneurysms using contrast-enhanced ultrasound

Karel Houdek, Vladislav Třeška, Bohuslav Čertík, Hynek Mírka, Eva Korčáková, Jiří Moláček, Richard Šulc, Miloslav Čechura

Cor Vasa 2015, 57(2):e121-e126 | DOI: 10.1016/j.crvasa.2015.03.005  

Introduction: All patients who underwent the endovascular treatment of abdominal aortic aneurysm require regular check-ups for possible occurrence of endoleak and further growth of the aneurysm. Such check-ups are performed in most cases by CT imaging with the administration of a contrast agent which may cause allergies or impairment of renal functions. CT itself represents a significant radiation dose incurred by the patient. When contrast-enhanced ultrasound (CEUS) is used, patients are exposed neither to these risks nor to X-ray radiation.Objective: Verify the diagnostic recovery of contrast-enhanced ultrasound for the monitoring of patients...

Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment

Luboš Kubíček, Robert Staffa, Robert Vlachovský, Stanislav Polzer, Peter Kružliak

Cor Vasa 2015, 57(2):e127-e132 | DOI: 10.1016/j.crvasa.2015.02.005  

Aim: Abdominal aortic aneurysm rupture (AAA) threatens a patient's life, requiring an urgent open repair or endovascular surgery. If an asymptomatic AAA is found before a rupture the next steps are directed by its diameter - if it is less than 55 mm the patient is dispensarized, and if it is more a repair is indicated. According to literary sources 10-24% of ruptured AAA are less than 55 mm in diameter, thus a significant portion of dispensarized patients are threatened by a rupture. The objective of our study was to determine a portion of small ruptured AAA repaired in our center in the last four years and try to identify potential risk factor. The...

Eight years experience with thoracoscopic surgical ablation of stand-alone atrial fibrillation in Cardiocenter Kralovske Vinohrady - The evolution of methods and indications and summary of the results

Petr Budera, Pavel Osmančík, David Talavera, Richard Fojt, Dalibor Heřman, Tomáš Vaněk, Petr Brůček, Zbyněk Straka

Cor Vasa 2015, 57(2):e133-e138 | DOI: 10.1016/j.crvasa.2015.02.010  

Aim: Atrial fibrillation (AF) can be successfully treated with interventional methods of catheter or surgical ablation. New surgical minimally invasive methods have been created for patients with a stand-alone form of AF.Methods and results: In this article, we describe our eight years experiences with a thoracoscopic epicardial off-pump ablation. We narrate the methodology, indications and also summarize our outcomes.Conclusions: AF can be safely and successfully treated through a minimally invasive surgical approach. Results can be improved with usage of bipolar radiofrequency energy and close collaboration with electrophysiologists.

Periprocedural antithrombotic medication in acute ischemic stroke treated by catheter-based thrombectomy. A review

Petr Widimský

Cor Vasa 2015, 57(2):e139-e142 | DOI: 10.1016/j.crvasa.2015.02.012  

This review summarized limited information known about periprocedural antithrombotic therapy before, during and immediately after percutaneous catheter-based thrombectomy for acute ischemic stroke. Very few data on this topic were published so far. In general, rtPA should be used upfront whenever clinically clearly indicated (0-3 h from stroke onset, absence of contraindications) irrespective of subsequent mechanical thrombectomy. If mechanical treatment follows after thrombolysis, neither anticoagulation, nor antiplatelet agents should be used in the acute phase. No data exist about the periprocedural use of anticoagulation or antiplatelet therapy...

A pragmatic approach in aiming to do the right things in patients with thoracic aortic pathology involving the aortic arch

Martin Czerny

Cor Vasa 2015, 57(2):e143-e148 | DOI: 10.1016/j.crvasa.2015.02.002  

The last decade has overwhelmed the surgical community with options regarding the treatment of patients with thoracic aortic pathology involving the aortic arch as to a point where supply exceeds demand. Consequently, surgeons are confronted with a new challenge being weighing conventional surgery to several other options where some are good, some are bad and some are ugly. This manuscript is meant to serve as a pragmatic companion for the interested physician in accompanying patients with thoracic aortic disease through the natural history of the disease, to indicate the right time for treatment with adequate risk stratification, to balance options...

A history of the surgical treatment of aortic regurgitation

Pavel Žáček, Jan Vojáček, Jan Dominik, Jan Harrer

Cor Vasa 2015, 57(2):e149-e155 | DOI: 10.1016/j.crvasa.2015.03.002  

Aortic valve sparing strategies have a valuable potential to treat the patient's valvular disease. In contrast to the mitral and tricuspid valve, aortic repair is more difficult with respect to specific valve features. Authors give a historical overview of the evolution of surgical concepts to achieve the valve competency. Over the period of seventy years, manifold innovative approaches were tested in relation to contemporary level of knowledge in search of effective, standardized, safe and durable reconstructive procedures. Current focus on three geometrical components of aortic valve competency is a logical heir to this long-lasting effort.

Zmírnění příznaků a ochrana myokardu při léčbě Preductalem MR u pacientů s reziduální anginou pectoris po PCI

Petr Widimský

Cor Vasa 2015, 57(2):267-268  

Klinická kasuistika: reziduální angina pectoris po léčbě infarktu myokardu perkutánní revaskularizací

Petr Widimský

Cor Vasa 2015, 57(2):269  

Jak studie IMPROVE-IT změnila preventivní kardiologii? Ezetimib snižuje kardiovaskulární riziko. A nejen to

Richard Češka

Cor Vasa 2015, 57(2):270-273  

Nové požadavky na zajištění kardiovaskulárně bezpečné léčby pacientů s diabetem 2. typu

Zuzana Zafarová

Cor Vasa 2015, 57(2):274-276  

Profesor MUDr. Bohuslav Ošťádal, DrSc., předsedou International Academy of Cardiovascular Sciences

Michael Aschermann

Cor Vasa 2015, 57(2):251  

Zápis ze schůze výboru ČKS konané 26. listopadu 2014 v salonku Prague A hotelu Diplomat v Praze

P. Widimský, T. Bracková, L. Klímová

Cor Vasa 2015, 57(2):277-278  

Historie České kardiologické společnosti a hlavní mezníky kardiologie

Prof. MUDr. Jiří Widimský, DrSc., FESC, FAHA

Cor Vasa 2015, 57(2):254-262  

Novinky v léčbě poranění srdce

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2015, 57(2):265  

Urgentní příjem. Nejčastější znaky, příznaky a nemoci na oddělení akutního příjmu

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2015, 57(2):266  

Posúdenie rizikových faktorov kardiovaskulárnych ochorení u žien po menopauze

Monika Labudová, Andrea Botíková, Silvia Puteková

Cor Vasa 2015, 57(2):279-280 | DOI: 10.33678/cor.2015.030  

Životní jubileum prof. Jiřího Widimského

Vladimír Staněk

Cor Vasa 2015, 57(2):246-247  

Významné životní jubileum prof. MUDr. Jiřího Widimského, DrSc.

Bohuslav Ošťádal

Cor Vasa 2015, 57(2):248  

Pan profesor Jiří Widimský se dožívá životního jubilea

Michael Aschermann

Cor Vasa 2015, 57(2):249  

Mr. Jaroslav Stark, MD, FRCS, FACS, FACC-The icon of World's paediatric cardiac surgery turned eighty

Cor Vasa 2015, 57(2):250-251  

Prof. MUDr. Renata Cífková, CSc., slaví životní jubileum

Michael Aschermann

Cor Vasa 2015, 57(2):252  

Profesor Josef Veselka slaví 50. narozeniny

Michael Aschermann

Cor Vasa 2015, 57(2):253  

K nedožitému jubileu Prokopa Málka

Mgr. Jaroslav Hořejší

Cor Vasa 2015, 57(2):263-264  

Editorial Board

Editorial board

Cor Vasa 2015, 57(2):i | DOI: 10.1016/S0010-8650(15)00040-5