Farzan Filsoufi

..This study analyzed the incidence and timing of stroke, the topography and mechanisms of cerebral lesions, independent predictors, and late outcome after the occurrence of this complication in patients undergoing CABG...

..Operative mortality remains high in class C patients. Careful patient selection is critical in order to improve surgical outcome in patients with cirrhosis...

..The aim of this study was to determine the effect of preoperative clopidogrel treatment on postoperative bleeding, mortality, and morbidity in patients after coronary artery bypass graft surgery...

..To investigate early and late outcome of aortic valve replacement (AVR) in a large cohort of patients aged 80 and older...

..In this article, the authors define ischemic MR and review its pathophysiology, current management strategies, and future directions...

..Herein we report our experience with the off-label use of rFVIIa in patients with refractory postcardiotomy bleeding...

..The authors also analyzed early and late outcome of patients with this complication...

..We report the outcome of cardiac surgery recently performed in patients with documented human immunodeficiency virus type 1 infection...

..A new 3-dimensional remodeling prosthesis has been developed to address the issue of residual TR. We report our early experience with this new 3-dimensional prosthetic remodeling ring, the Edwards MC 3 system...

..To determine the incidence and independent predictors of gastrointestinal complications (GICs) following cardiac surgery...

..However, the potential impact of off-pump CABG in this group of patients remains unknown. In addition, there are only scarce data regarding long-term survival and its predictors in this patient population...

..This study was designed to analyze the incidence, predictors of RF, and early and late outcomes following this complication in a large contemporary cardiac surgery population...

..The results were compared with 2 other age groups including septuagenarians and patients <70 years old...

..NDRF is a strong independent predictor of hospital mortality and morbidity in patients undergoing cardiac surgery. Preoperative renal dysfunction also adversely affects long-term survival in these patients...

..Herein we report the incidence, clinical presentation, treatment strategies and early and late outcome after this complication...

..Therefore, our data suggest that diabetes may, in fact, not be a risk factor for adverse outcome following CABG. However, long-term survival in diabetics remains significantly inferior compared to non-diabetics...

..Few previous studies have reported on the outcome of patients with renal failure (RF) undergoing valvular surgery, particularly with regard to choice of valve prosthesis...

..The aim of this study was to determine the outcome of contemporary CABG following the implementation of the above measures in our practice...

..Our data suggest that these patients should be considered for cardiac surgery in reference centers with expertise in complex cardiac procedures and perioperative management of these highly specific patients...

..We measured the preoperative and postoperative BNP levels in this population and analyzed the impact of the increased BNP level on surgical outcome...

..Today, reconstructive techniques are standardized, reliable, and reproducible, and therefore should be applied systematically to all patients with degenerative valvular disease...

..Herein we report our early experience with a new three-dimensional remodeling prosthetic ring (Edwards MC3 annuloplasty system [Edwards LifeSciences, Irvine, CA])...

..This study was designed to determine the incidence and predictors of RF in these patients. We also aimed to create a model based on these risk factors that could serve as a tool for the prediction of this complication...

..Herein we report our experience in a group of patients requiring surgical correction of symptomatic severe TR after OHT...

..Herein, operative mortality rates in patients undergoing combined CABG and mitral annuloplasty for moderate ischemic MR were examined...

..The early and late outcomes of patients with this complication also were analyzed...

..We report the results of our experience in a high-risk patient population with an emphasis on operative mortality, long-term survival, and valve related events according to the type of prosthesis...

..In this article we define ischemic mitral regurgitation and review its pathophysiology, clinical presentations, diagnosis, indication for surgery, and management...

..The study aim was to determine the incidence and predictors of renal failure in these patients, and to create a model based on these risk factors that could serve as a tool to predict this complication...

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..It appears, however, that there is a higher rate of recurrence during later follow-up...

..In conclusion, stroke after valvular surgery is associated with an increased hospital mortality and morbidity and decreased long-term survival...

..The authors aimed to establish the relative impact of dialysis-dependent renal failure (DRF) and nondialysis-dependent renal failure (NDRF) on early and late outcome after CABG surgery...

..Feasibility and efficacy of mitral repair in the elderly remain controversial. This study aims to compare outcomes of mitral repair and replacement in octogenarians...

..8, 95% CI 1.3 to 2.5, p<0.001). In conclusion, cardiac surgery can be performed safely in both underweight and obese patients but carries a higher postoperative rate of major complications...

..This study was conducted to analyze the interaction between these two variables. We hypothesize that respiratory failure and not tracheostomy per se is associated with an increased risk of DSWI...

..In addition, predictors of long-term outcome are not well characterized...

..This may be due to improved ventricular loading conditions (decreased PA pressures, more effective diuresis) and/or a direct myocardial effect of BNP. Further prospective evaluation of the role of BNP in cardiac surgery is warranted...

..Limited data exist regarding the epidemiology and prognosis of seizures in adults after cardiac surgery. The aim of this study was to define preoperative predictors of seizures and impact on postoperative outcomes...

..However, patients with strong risk factors for postoperative renal and respiratory failure might derive less benefit from conventional surgical AVR...

..We report our experience with the use of large rings in Barlow's disease...

..The aims of this study were to review the rationale underlying the creation of the ring and to report our early clinical experience...

..Informed patient choice is the most important factor in deciding which valve to use, with biological valves increasingly favored over mechanical valves in middle-aged patients...

..Further investigations are warranted to better define the clinical predictors of recurrent AF to improve patient selection and potentially to modify current maze techniques...

..MRI shows specific tissue characteristics facilitating the diagnosis of myxoma preoperatively. Surgery should be performed promptly and this can provide excellent early and mid-term results...

..Valve reconstruction is rarely performed in patients with carcinoid heart disease. However, in selected cases it is a valuable alternative technique with good mid-term outcome...

..The data clearly indicate that no patient group is "too old" for cardiac surgery and that excellent outcomes can be achieved in selected group of elderly patients...

..Recent studies have suggested that outcomes in patients with EF less or equal to 20% undergoing coronary artery bypass graft (CABG) surgery are improving, but the trend in the outcomes remains unclear...

..The efficacy and safety of epicardial beating-heart PV isolation with clamp devices using cryothermy or bipolar radiofrequency energy was studied...

..We evaluate a new mouse model of surgical vein grafting to investigate the mechanisms of neointimal formation in the setting of type 2 diabetes...

..Patients with a kidney allograft are at high risk for the development of cardiovascular diseases that may require surgical intervention. Little is known about the outcome of cardiac surgery in these patients...

..The mass was resected and the diagnosis confirmed on histopathologic examination. This case illustrates the utility of a multimodal approach in characterizing cardiac masses...

..Using cardiac magnetic resonance imaging (MRI), we studied the safety and effectiveness of a new device for LAA occlusion in a primate model...

..We examine the epidemiology of stroke after cardiac surgery in a contemporary surgical population...

..An emergent reoperation with surgical revascularization was performed. Intraoperatively, the mechanism of injury to the LCX was determined to be compression of the distal LCX by the sewing ring of the two prosthetic valves...

..Therefore, the modified maze procedure should be offered to all mitral valve surgery patients and potentially to all cardiac surgery patients with a history of paroxysmal, persistent, or permanent atrial fibrillation...

..This review describes the rationale behind current surgical approaches to AF and summarizes the results achieved with current techniques...

..It has become increasingly apparent that off-pump coronary artery bypass grafting can be performed safely in reference centers...

..Successful transcatheter closure using an Amplatzer Muscular VSD Occluder was facilitated by direct percutaneous left ventricular access...

..As a consequence, referrals for cardiovascular surgery have increased...

..The patient developed a malignant deep sternal wound infection that subsequently led to an aortic pseudoaneurysm at the site of proximal anastomosis...

..Pathology showed a myxoma that measured 15 x 3 cm implying a growth rate of 1.36 x 0.3 cm/month...

..Herein, we report our experience with computed tomography coronary angiography, describing 2 clinical cases of patients with symptomatic congenital coronary artery anomalies requiring cardiac surgery...

..For patients with mild AS who are undergoing CABG, a tailored approach involving intraoperative transesophageal echocardiography and valve inspection is the most appropriate surgical option...

..Patients who require ventricular assistance or exploration for ongoing mediastinal bleeding continue to have a high mortality rate...

..Reoperation was accomplished with acceptable morbidity and mortality, and often required mitral valve replacement; however, late results indicated the absence of prosthetic valve endocarditis...

..A prospective randomized trial between CABG and CABG + mitral annuloplasty is necessary to further define the best management strategy for patients with moderate ischemic MR...

..This novel etiology-specific strategy may result in improved outcomes in IMR patients...

..These findings clarify the mechanism of expression of alpha1,3galactosyltransferase gene expression in valve endothelial cells, suggesting that delayed rejection of fresh porcine cardiac valves may occur...

..She was successfully managed with an interposition graft fashioned from the lateral femoral circumflex artery...

..To date, no study has been published documenting the safety and efficacy of the latter practice...

..A precise edge-to-edge IVC anastomosis was successfully performed in all patients. This technique may result in greater anastomotic precision and improved outcomes...