Research Topics
| Christian SchlensakSummaryAffiliation: University of Freiburg Country: Germany Publications
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Detail Information
Publications
Protection of acutely ischemic myocardium by controlled reperfusionC Schlensak
Division of Cardiovascular Surgery, Universtiy of Freiburg, Germany
Ann Thorac Surg 68:1967-70. 1999..In this article, we review recent advances in surgically controlled reperfusion and speculate on future prospects for myocardial protective techniques in patients with acute coronary artery occlusion...
Controlled limb reperfusion with a simplified perfusion systemC Schlensak
Department of Cardiovascular Surgery, University of Freiburg, Germany
Thorac Cardiovasc Surg 48:274-8. 2000..The results support the notion that controlled limb reperfusion should be applied in any patient with acute ischemia of an extremity...
Bronchial artery perfusion during cardiopulmonary bypass does not prevent ischemia of the lung in piglets: assessment of bronchial artery blood flow with fluorescent microspheresC Schlensak
Department of Cardiovascular Surgery, University of Freiburg, Hugstetter Strasse 55, D 79106, Freiburg, Germany
Eur J Cardiothorac Surg 19:326-31; disciussion 331-2. 2001..This study was undertaken to assess the bronchial artery blood flow during CPB with fluorescent microspheres in a piglet model...
[Explantation of aortic stent-grafts]C Schlensak
Abteilung für Herz und Gefässchirurgie, Universitatsklinikum Freiburg, Germany
Zentralbl Chir 126:975-9; discussion 980-1. 2001..In this study the long-term morbidity of the procedure was evaluated...
Cardiopulmonary bypass reduction of bronchial blood flow: a potential mechanism for lung injury in a neonatal pig modelChristian Schlensak
Department of Cardiovascular Surgery, Albert Ludwigs University, Freiburg, Germany
J Thorac Cardiovasc Surg 123:1199-205. 2002..We tested the hypothesis that bronchial blood flow during cardiopulmonary bypass is insufficient to prevent ischemia of the lung and that perfusion of the pulmonary arteries with oxygenated blood during bypass would reduce lung injury...
Reduced pulmonary inflammatory response during cardiopulmonary bypass: effects of combined pulmonary perfusion and carbon monoxide inhalationUlrich Goebel
Department of Anesthesiology and Critical Care Medicine, University Medical Center Freiburg, Freiburg, Germany
Eur J Cardiothorac Surg 34:1165-72. 2008..We hypothesized that a combination of pulmonary perfusion and carbon monoxide inhalation leads to an even stronger reduction of the lung inflammation...
Prosthesis oversizing in balloon-expandable transcatheter aortic valve implantation is associated with contained rupture of the aortic rootPhilipp Blanke
Department of Diagnostic Radiology, University Hospital Freiburg, Hugstetter Strasse 55, Freiburg, Germany
Circ Cardiovasc Interv 5:540-8. 2012..To retrospectively investigate the potential cause of contained rupture of the aortic root in balloon-expandable transcatheter aortic valve implantation (TAVI) by means of pre- and postinterventional multislice computed tomography...
Implantation of a catheter-based self-expanding pulmonary valve in congenital heart surgery: results of a pilot studyRobert von Wattenwyl
Department of Cardiovascular Surgery, Albert Ludwigs University of Freiburg, Freiburg, Germany
Eur J Cardiothorac Surg 40:552-6. 2011..Dilatation of RV outflow after surgical patch repair represents a problem for seating a percutaneous valve. We present the data of a new catheter-based, self-expanding tissue valve with a diameter up to 31 mm...
Hepatocyte growth factor-transfected skeletal myoblasts to limit the development of postinfarction heart failureAnnika Poppe
Department of Cardiovascular Surgery Department of Radiology, University Medical Center Freiburg, Hugstetterstrasse 55, Freiburg, Germany
Artif Organs 36:238-46. 2012..Scaffold-based therapy in combination with gene therapy accelerates this capacity. This hemodynamic amelioration is accompanied by neovascularization, but not by smaller infarction sizes...
Thoratec paracorporeal biventricular assist device therapy: the Freiburg experienceKerstin Brehm
Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany
Eur J Cardiothorac Surg 41:207-12; discussion 212. 2012..The treatment of severe biventricular (BV) contractile failure using mechanical circulatory support is challenging. We analyzed our center's results following implantation of a biventricular assist device (BVAD)...
Functional regeneration of ischemic myocardium by transplanted cells overexpressing stromal cell-derived factor-1 (SDF-1): intramyocardial injection versus scaffold-based applicationBritta Blumenthal
Department of Cardiovascular Surgery, University Medical Center Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany
Eur J Cardiothorac Surg 40:e135-41. 2011..We hypothesized that transplantation of stem cells overexpressing SDF-1 might improve cardiac function after myocardial infarction (MI). We compared intramyocardial injection with a scaffold-based application of SDF-1-transfected cells...
Pulsatile pulmonary perfusion during cardiopulmonary bypass reduces the pulmonary inflammatory responseMatthias Siepe
Department of Cardiovascular Surgery, University Medical Center, Freiburg, Germany
Ann Thorac Surg 86:115-22. 2008..We now hypothesized that avoiding ischemia of the lungs during CPB by active pulmonary perfusion would decrease pulmonary inflammatory response...
Acquired Von Willebrand syndrome is an early-onset problem in ventricular assist device patientsClaudia Heilmann
Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Hugstetter Str 55, 79194 Freiburg, Germany
Eur J Cardiothorac Surg 40:1328-33; discussion 1233. 2011..The onset of AVWS after VAD implantation is not yet determined. We examined VAD patients for presence of an AVWS in the early, intermediate, and late phase after VAD implantation...
Acquired von Willebrand syndrome in patients with extracorporeal life support (ECLS)Claudia Heilmann
Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Hugstetter Str 55, 79106 Freiburg, Germany
Intensive Care Med 38:62-8. 2012..Since ECLS and VAD share several features, we investigated patients with ECLS for AVWS...
Scaffold-based transplantation of akt1-overexpressing skeletal myoblasts: functional regeneration is associated with angiogenesis and reduced infarction sizeMatthias Siepe
Department of Cardiovascular Surgery, University Medical Center Freiburg, Freiburg, Germany
Tissue Eng Part A 17:205-12. 2011..In conclusion, SkM overexpressing Akt1 can maintain myocardial function after infarction, reduce infarction size, and induce neovascularization. Scaffold-based cell transfer does not augment this reverse remodeling capacity...
Hybrid pulmonary valve implantation: injection of a self-expanding tissue valve through the main pulmonary arterySven Dittrich
Department of Congenital Heart Disease, Albert Ludwigs University of Freiburg, Freiburg, Germany
Ann Thorac Surg 85:632-4. 2008..The stented valve was fixed with three single sutures to avoid embolization. The interventional result was well with full competence of the valve. The boy was discharged at day 4 after the procedure...
Polyurethane scaffolds seeded with genetically engineered skeletal myoblasts: a promising tool to regenerate myocardial functionBritta Blumenthal
Department of Cardiovascular Surgery, University Medical Center Freiburg, Freiburg, Germany
Artif Organs 34:E46-54. 2010..Because this matrix also allows us to circumvent previous cell application drawbacks, it may represent a promising tool for tissue regeneration and the re-establishment of cardiac function after myocardial infarction...
Haemolysis in patients with ventricular assist devices: major differences between systemsClaudia Heilmann
Department of Cardiovascular Surgery, University Medical Center Freiburg, Hugstetter Str 55, 79106 Freiburg, Germany
Eur J Cardiothorac Surg 36:580-4. 2009..This complex also undergoes lysosomal degradation in various cells. Only now, the excessive free haemoglobin can be measured in plasma. Here, we investigated haemolysis in patients supported by different VAD types...
Trans-catheter closure of the native aortic valve with an Amplatzer Occluder to treat progressive aortic regurgitation after implantation of a left-ventricular assist deviceJochen Grohmann
Department of Pediatric Cardiology CHD, University Hospital Freiburg, Freiburg, Germany
Eur J Cardiothorac Surg 39:e181-3. 2011....
Biventricular cannulation is superior regarding hemodynamics and organ recovery in patients on biventricular assist device supportChristian Schlensak
Department of Cardiovascular Surgery, University Medical Center, Freiburg, Germany
J Heart Lung Transplant 30:1011-7. 2011..We hypothesized that hemodynamics and organ recovery would improve after biventricular, apical cannulation compared with right atrial cannulation...
Twenty-four hours postoperative results after orthotopic cardiac transplantation in swineMatthias Siepe
Division of Cardiovascular Surgery, Albert Ludwigs University Medical Center, Freiburg, Germany
J Card Surg 22:287-94. 2007..However, there is no functional data available for a longer time period after transplantation. We have established a pig model to investigate myocardial function 24 hours after orthotopic transplantation...
Penetration of left and right atrial wall and aortic root by an Amplatzer atrial septal occluder in a nine year old boy with Marfan syndrome: Case reportFlorian Loeffelbein
Clinic of Pediatric Cardiology, Children s University Hospital, Freiburg, Mathildenstrasse 1, D 79106 Freiburg, Germany
J Cardiothorac Surg 3:25. 2008..To describe complications associated with Amplatzer septal occluders in a patient with Marfan syndrome..
Extra-anatomic bypass for recurrent abdominal aortic and renal in-stent stenoses following radiotherapy for neuroblastomaMaximilian Luehr
Department of Cardiovascular Surgery, University Medical Center Freiburg, Freiburg, Germany
Interact Cardiovasc Thorac Surg 8:488-90. 2009..Vascular surgery with placement of extra-anatomic bypasses will provide a definite treatment...
Preoperative assessment of aortic annulus dimensions: comparison of noninvasive and intraoperative measurementAlexey Dashkevich
Department of Cardiovascular Surgery, University Medical Centre Freiburg, Freiburg, Germany
Ann Thorac Surg 91:709-14. 2011..The purpose of this study was to compare the measurement of the aortic annulus during surgery in patients undergoing conventional aortic valve replacement with noninvasive methods...
Stem cells used for cardiovascular tissue engineeringMatthias Siepe
Department of Cardiovascular Surgery, University Clinic Freiburg, Hugstetterstrasse 55, Freiburg, Germany
Eur J Cardiothorac Surg 34:242-7. 2008..It is important that ongoing basic and clinical research in cardiovascular surgery might explore the potential of different cell types either using tissue engineering constructs or in cell transplantation approaches...
Reducing the ischemic time of donor hearts will decrease morbidity and costs of cardiac transplantationsBartosz Rylski
Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
Interact Cardiovasc Thorac Surg 10:945-7. 2010..For longer distance harvesting, the reduction of TIT by the fastest possible transport (learjet, helicopter) would have economic advantages with regards to the high cost of treatment in ICU...
Emergency repair of a broken Jarvik 2000 power connector using a paper-clipChristoph Benk
Department of Cardiovascular Surgery, University Clinic Freiburg, Freiburg, Germany
ASAIO J 55:1-2. 2009..We report the case of a successful emergency repair of a power connector of a Jarvik 2000 left ventricular assist device by using a paper-clip in a patient who was supported with the device for >7 years at our institution...
Controlled reperfusion after acute and persistent limb ischemiaFriedhelm Beyersdorf
Department of Cardiovascular Surgery, University Medical Center, Albert Ludwigs University Freiburg, Freiburg im Breisgau, Germany
Semin Vasc Surg 22:52-7. 2009....
Supportive psychotherapy for patients with heart transplantation or ventricular assist devicesClaudia Heilmann
Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Hugstetter Str 55, 79196 Freiburg, Germany
Eur J Cardiothorac Surg 39:e44-50. 2011..In addition, we evaluated the use for supportive psychotherapy for the families of our patients and present two typical cases...
Successful interventional closure of a patent foramen ovale in a pediatric patient supported with a biventricular assist deviceFlorian Loeffelbein
Department of Pediatric Cardiology, Children s University Hospital, Freiburg, Mathildenstrasse 1, 79106 Freiburg, Germany
Interact Cardiovasc Thorac Surg 6:778-9. 2007..The diagnosis of a PFO may be missed under ECMO-treatment. Interventional closure of a PFO can successfully be performed even if the patient is supported with a BVAD...
Increased systemic perfusion pressure during cardiopulmonary bypass is associated with less early postoperative cognitive dysfunction and deliriumMatthias Siepe
Department of Cardiovascular Surgery, University Medical Center Freiburg, Freiburg, Germany
Eur J Cardiothorac Surg 40:200-7. 2011..We hypothesized that low systemic perfusion pressure during cardiopulmonary bypass (CPB) would correlate with early postoperative cognitive dysfunction in on-pump patients...
Controlled reperfusion using a simplified perfusion system preserves function after acute and persistent limb ischemia: a preliminary studyMarkus Peter Wilhelm
Department of Cardiovascular Surgery Albert-Ludwigs-University, Freiburg, Germany
J Vasc Surg 42:690-4. 2005....
Aortic atresia with aortico-left ventricular tunnel mimicking severe aortic incompetence in uteroMatthias Siepe
Department of Cardiovascular Surgery, University Hospital Freiburg, Hugstetter Str 55, D 79106 Freiburg, Germany
Eur J Cardiothorac Surg 29:845-7. 2006..The combination of congenital aortico-left ventricular tunnel and aortic atresia can be misinterpreted in prenatal echocardiography as aortic regurgitation. This pathology may require urgent operative interventions...
Human neonatal thymus-derived mesenchymal stromal cells: characterization, differentiation, and immunomodulatory propertiesMatthias Siepe
Department of Cardiovascular Surgery, University Medical Center Freiburg, Freiburg, Germany
Tissue Eng Part A 15:1787-96. 2009..Our results confirm that the neonatal thymus contains mesenchymal stromal cells (nTMSC) with full mesenchymal differentiation potential and immunomodulatory properties...
Sternum augmentation with bovine bone substitute in the neonateRobert von Wattenwyl
Department of Congenital Heart Disease, Albert Ludwigs University Hospital Freiburg, Freiburg, Germany
Ann Thorac Surg 91:311-3. 2011..We succeeded in closing the chests in these 2 neonates using this augmentation technique. To the best of our knowledge, these are the first 2 reports of this type of sternum augmentation technique in neonates...
Heart valve surgery today: indications, operative technique, and selected aspects of postoperative care in acquired valvular heart diseaseHans Joachim Geissler
Abteilung für Herz und Gefässchirurgie, Chirurgische Klinik, Universitatsklinikum Freiburg, Germany
Dtsch Arztebl Int 106:224-33; quiz 234. 2009..The optimal diagnostic evaluation, surgical treatment, and postoperative care of these patients are only possible through a cooperative effort of the primary care physician, the cardiologist, and the cardiac surgeon...
Cytoprotection by inhaled carbon monoxide before cardiopulmonary bypass in preclinical modelsTorsten Loop
Department of Anesthesiology and Critical Care Medicine, University Medical Center Freiburg, Germany
Curr Pharm Biotechnol 13:797-802. 2012..Mechanisms like the heat shock response as well as an expanded view regarding toxicity and side effects are described broadly...
Non-surgical bleeding in patients with ventricular assist devices could be explained by acquired von Willebrand diseaseUlrich Geisen
Department of Clinical Chemistry, University Medical Center Freiburg, Freiburg, Germany
Eur J Cardiothorac Surg 33:679-84. 2008..We, therefore, analysed patients with two VAD types for laboratory parameters of VWD and compared them with patients after heart transplantation (HTX)...
Images in cardiovascular medicine. Traumatic aortic valve ruptureMichael P Siegenthaler
Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
Circulation 112:e118-9. 2005
Aorto-caval fistula from acute rupture of an abdominal aortic aneurysm treated with a hybrid approachMatthias Siepe
Department of Cardiovascular Surgery, University Medical Center, Freiburg, Germany
J Vasc Surg 49:1574-6. 2009..The ease of this hybrid approach justifies suggesting it as a possible treatment option for this severe disease...
Cardioplegia in pediatric cardiac surgery: do we believe in magic?Torsten Doenst
Department of Cardiovascular Surgery, Albert Ludwigs University of Freiburg, Freiburg i Br, Germany
Ann Thorac Surg 75:1668-77. 2003..We provide evidence that the benefit of cardioplegia over hypothermia alone is minor at low temperatures (below 15 degrees C), but becomes substantial when the temperature increases...
Carbon monoxide inhalation reduces pulmonary inflammatory response during cardiopulmonary bypass in pigsUlrich Goebel
Department of Anesthesiology and Critical Care Medicine, University Medical Center Freiburg, Germany
Anesthesiology 108:1025-36. 2008..The authors hypothesized that inhaled carbon monoxide before initiation of CPB would reduce inflammatory response in the lungs...
Images in cardiovascular medicine. In vivo 3-dimensional flow connectivity mapping after extracardiac total cavopulmonary connectionAlex Frydrychowicz
University Hospital Freiburg, Department of Diagnostic Radiology and Medical Physics, Hugstetter Str 55, 79106 Freiburg, Germany
Circulation 118:e16-7. 2008
Cardiopulmonary bypass: Evidence or experience based?Claus Bartels
Clinic for Cardiac Surgery, Medical University of Luebeck, Germany
J Thorac Cardiovasc Surg 124:20-7. 2002..The purpose of this study was to evaluate the amount and quality of scientific evidence supporting principles that are currently applied for cardiopulmonary bypass performance...
