101
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Sodian R, Zänkert E, Schmauss D, Bigdeli A, Shakibaei M, Kuebler WM, Schmitz C, Reichart B. Tissue engineering of cardiovascular structures using umbilical cord cells. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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102
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Radic K, Eifert S, Überfuhr P, Vicol C, Schmitz C, Reichart B, Brenner P. Comparison of postoperative outcomes between emergently bypassed patients without preoperatively implanted stents, with preoperatively implanted bare metal stents (BMS) and with preoperatively implanted drug eluting stents (DES). Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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103
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Sodian R, Haeberle S, Weber S, Lueth T, Beiras-Fernandez A, Schmitz C, Reichart B. Medical rapid prototyping (MRP) in adult- and paediatric cardiac surgery. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1268946] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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104
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Schmitz C, Schramm S, Hankiss J. Reconstruction of a four-quadrant full-thickness abdominal wall defect after removal and debridement of an infected mesh hernioplasty. J Plast Reconstr Aesthet Surg 2010; 64:e44-6. [PMID: 20952264 DOI: 10.1016/j.bjps.2010.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2010] [Revised: 09/02/2010] [Accepted: 09/04/2010] [Indexed: 10/18/2022]
Abstract
This case-report shows our experience with a patient, who underwent mesh hernioplasty followed by infection of the mesh and full-thickness loss of the abdominal wall after debridement due to necrosis. The anamnesis included generalised arteriosclerosis, chronic nicotine and alcohol abuse and recurring wound-healing disorders after surgical procedures. The initial infection was treated by radical debridement, targeted antibiotics and V.A.C.(®) Therapy. After this, a staged plastic reconstructive procedure with four pedicled flaps was performed. The functional integrity of the abdominal wall was completely re-established. The patient was able to continue her occupation as a facility manager. Although the use of free flaps is very common in modern plastic and reconstructive surgery, procedures such as pedicled flaps still have their significance for special indications. In this case, a full recovery of the abdominal wall with autologous tissue was successful under difficult vascular conditions by using local flaps.
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105
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Jungmann E, Bolle J, Schmitz C. Wirkung von Metformin zur Nacht im Vergleich zu Metformin beim Abendessen auf die Blutzuckereinstellung bei Typ-2-diabetischen Patienten mit intensivierter Insulintherapie. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1253890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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106
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Pöllinger A, Schneider P, Volkwein N, Schreiter N, Piper S, Meier S, Schmitz C. Kontrastmittel-gestützte Nah-Infrarot-Bildgebung der Brust mit hoher zeitlicher Auflösung. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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107
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Schmitz C, Wolf M, Sodian R, Pohl T, Lange P, Abicht J, Nikolaou K, Schmoeckel M, Wenke K, Steinbeck G, Reichart B, Boekstegers P. The Munich Grosshadern team approach for transcatheter aortic valve implantation: primary and redo procudures. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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108
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Wolf M, Boekstegers P, Sodian R, Primaychenko M, Juchem G, Abicht J, Nikolaou K, Steinbeck G, Schmoeckel M, Reichart B, Schmitz C. Transapical aortic valve replacement for redo surgery. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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109
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Dewald O, Vlajnic D, Bernhardt C, Herberg U, Doll U, Schirrmeister J, Esmailzadeh B, Probst C, Heinze I, Thees C, Schmitz C, Welz A, Breuer J. Norwood operation with a RV-PA conduit preserves growth of pulmonary arteries. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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110
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Abicht J, Schmitz C, Sodian R, Wolf M, Nikolaou K, Boekstegers P, Reichart B, Christ F. Cerebral oximetry monitoring during transapical aortic valve replacement. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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111
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Wolf M, Sodian R, Boekstegers P, Primaychenko M, Juchem G, Abicht J, Nikolaou K, Schmoeckel M, Steinbeck G, Reichart B, Schmitz C. Transapical aortic valve implantation after previous homograft aortic valve replacement. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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112
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Akra B, Uhlig A, Haas U, Fano C, Dauner M, Schmitz C, Meiser B, Reichart B. Fibroblasts and endothelial cells adhesion to polyurethane aortic valve scaffolds under low- and high-flow conditions. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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113
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Januszewska K, Kellerer D, Malec E, Meiser B, Schmitz C, Reichart B, Überfuhr P. Heart-lung transplantation – single center experience. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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114
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Sodian R, Abegg-Zips S, Kuebler WM, Shakibaei M, Beiras-Fernandez A, Vogt F, Schmitz C, Reichart B. Human tissue-engineered heart valves based on umbilical cord blood cells. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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115
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Kowert A, Vogt F, Kilian E, Schmitz C, Reichart B. Homograft redo operations. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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116
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Vogt F, Beiras-Fernandez A, Böll BMV, Uhlig A, Kilian E, Sodian R, Reichart B, Schmitz C. Does AB0 incompatibility affect long-term durability of cryopreserved aortic homografts? Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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117
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Schwedhelm E, von Leitner EC, Atzler D, Schmitz C, Jacobi J, Meinertz T, Münzel T, Baldus S, Cooke JP, Böger RH, Maas R, Sydow K. Extensive characterization of the human DDAH1 transgenic mice. Pharmacol Res 2009; 60:494-502. [DOI: 10.1016/j.phrs.2009.08.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2009] [Revised: 07/31/2009] [Accepted: 08/01/2009] [Indexed: 11/16/2022]
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118
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Grantham V, Martin C, Schmitz C. Enhancing Laboratory Activities in Nuclear Medicine Education. J Nucl Med Technol 2009; 37:244-9. [DOI: 10.2967/jnmt.108.059022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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119
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Urschel S, Dalla Pozza R, Loeff M, Schmitz C, Sodian R, Schmoeckel M, Kowalski C, Netz H. Successful ABO-incompatible heart transplantation in a child despite blood-group sensitization after ventricular assist device support. Pediatr Transplant 2009; 13:773-6. [PMID: 19170929 DOI: 10.1111/j.1399-3046.2008.01030.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In the first two yr of life blood-group incompatible (ABO-incompatible) heart transplantation can be performed leading to immune tolerance to donor blood group. Antibody titers should be below 1:4. VAD use is correlated with sensitization toward blood-group antigens. A boy was diagnosed with dilated cardiomyopathy at nine months of age and listed for 0-compatible transplantation. Progressive heart failure required implantation of a left VAD. His listing was extended for ABO-incompatible transplantation despite antibody titers of 1:32 anti-A and 1:8 anti-B. After 26 days on VAD, he was transplanted with a B donor heart. No hyperacute or acute rejection occurred in 12 months post-transplant. Anti-B antibodies rose to a maximum of 1:2. No use of rituximab or plasmapheresis was required. There are no signs of graft vasculopathy. This indicates that inclusion criteria for ABO-incompatible transplantation may be extended to immediate cases. This is the first case with a healthy immune system to show signs of tolerance development after ABO-incompatible heart transplantation with increased prior antibody titers and without specific treatment.
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120
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Mehnert J, Margulies DS, Schmitz C, Steinbrink J, Obrig H, Villringer A. Resting-State Networks Revealed with Whole-head Near-Infrared Spectroscopy. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)71728-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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121
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Schmitz C, Centelles L, Roth M, Assaiante C. Understanding social interactions using body motion perception: a developmental fMRI study. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70676-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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122
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Koch S, Menert J, Schmitz C, Holtze S, Villringer A, Obrig H. High-density optical mapping of the human somatosensory cortex to vibrotactile stimulation. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)71732-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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123
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Dalla Pozza R, Kozlik-Feldmann R, Le TP, Schmitz C, Sodian R, Reichart B, Netz H. Interventional closure of two fistulas after aortic valve surgery. Clin Res Cardiol 2009; 98:451-4. [PMID: 19357803 DOI: 10.1007/s00392-009-0019-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2009] [Accepted: 03/25/2009] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Paravalvular fistulas may complicate the clinical course after heart valve surgery. Medical treatment may be ineffective, repeated surgical revisions may be associated with increased morbidity and mortality. CASE REPORT After valve sparing surgery in bicuspid aortic valve, a significant aorto-left atrial fistula was diagnosed in a 72-year-old patient causing heart failure and catecholamine-dependency. Due to the critical hemodynamic state, percutaneous closure was performed with an AGA Amplatzer duct occluder. Secondary to this closure, a second fistula between the aortic root and the right atrium appeared which was closed during the same procedure implanting a second duct occluder beneath the first device. CONCLUSION Percutaneous closure of paravalvular fistulas is feasible and a safe method for the treatment of significant shunts after valve surgery. Even in multiple fistulas, the implantation of small devices allows for a focussed interventional closure of such leaks. This procedure should be considered for such defects as it represents a safe method for the causative treatment in paravalvular lesions after valve surgery especially in patients with critical hemodynamic conditions.
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Jungmann E, Bolle J, Schmitz C, Snelting U. Ungenügende Wahrnehmung kardiovaskulärer Risiken bei Patienten mit Typ-2-Diabetes mellitus in der täglichen Praxis. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1221899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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125
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Berg C, Kaiser C, Bender F, Geipel A, Kohl T, Axt-Fliedner R, Krapp M, Knöpfle G, Herberg U, Breuer J, Schmitz C, Gembruch U. Atrioventricular septal defect in the fetus--associated conditions and outcome in 246 cases. ULTRASCHALL IN DER MEDIZIN (STUTTGART, GERMANY : 1980) 2009; 30:25-32. [PMID: 18491259 DOI: 10.1055/s-2008-1027438] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
PURPOSE To evaluate the associated conditions and the outcome of atrioventricular septal defects (AVSD) detected in fetal life. MATERIALS AND METHODS Retrospective review of all cases of AVSD detected prenatally between 1998 and 2006 in two tertiary referral centers in Germany. RESULTS 246 cases of AVSD were detected in the study period: 129 (52.4 %) chromosomal anomalies; 72 (29.3 %) heterotaxy syndromes; 17 (6.9 %) non-chromosomal malformation syndromes; 16 (6.5 %) isolated complex cardiac malformations; 5 (2.0 %) singular extracardiac malformations; 7 (2.8 %) isolated AVSD. Chromosomal anomalies were detected significantly earlier in pregnancy (p < 0.01). Associated intracardiac malformations were present in 109/246 (44.3 %) cases. Fetuses with trisomy 21 were significantly associated with balanced ventricular morphology and isolated AVSD (p < 0.01). Among the 246 cases, 144 (58.5 %) underwent termination of pregnancy, 18 (7.3 %) died in utero, 17 (6.9 %) in the neonatal period and 19 (7.7 %) in infancy. Forty-eight children (19.5 %) survived with a mean follow-up of 34.94 +/- 18.6 months. After exclusion of lethal malformations, the survival rate among live births was 64.9 % (48 / 74). Fetuses with trisomy 21 had significantly better survival rates among continued pregnancies (p < 0.01) and significantly higher rates of successful biventricular repair among survivors who received their final corrective procedure (p < 0.01) than fetuses with normal karyotypes. CONCLUSION Among fetuses with AVSD, those with trisomy 21 are detected earlier in pregnancy, have less distorted cardiac anatomy, higher rates of biventricular repair and better survival rates. Due to the limited sample size in euploid fetuses, it remains unclear whether this apparent protection afforded to Down syndrome accounts also for cohorts with isolated and balanced AVSD.
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