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Zierer A, Rouhollapour A, Zangos S, Thalhammer A, Vogl T, Moritz A, Doss M. Urgent stent graft treatment of the thoracic aorta. Do midterm clinical outcomes fulfil what early outcomes promised? Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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177
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Monsefi N, Bakhtiary F, Trendafilow M, Wittlinger T, Aybek T, Moritz A. Long-term results of aortic valve-sparing operations in patients with aortic valve insufficiency and aortic root aneurysm, a single centre experience. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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178
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Abdel-Rahman U, Risteski P, Tizi K, Kerscher S, Bejati S, Zwicker K, Scholz M, Brandt U, Moritz A. The effect of gradual reoxygenation on oxidative stress and myocardial gene expression after prolonged myocardial ischemia in a porcine model. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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179
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Doss M, Zierer A, Risteski P, Jaenicke S, Wimmer-Greinecker G, Martens S, Moritz A. Clinical evaluation of the biophysio aortic bioprosthesis. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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180
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Charitos EI, Hemmer W, Rein JG, Takkenberg J, Bogers AJJC, Hanke T, Boehm JO, Botha CA, Bechtel JFM, Erasmi A, Misfeld M, Robinson DR, Lange R, Hörer J, Moritz A, Özaslan F, Wahlers T, Franke UF, Hetzer R, Hübler M, Ziemer G, Graf B, Ross DN, Stierle U, Sievers HH. Reoperations on the autograft and homograft after the Ross procedure: A report from the German-Dutch Ross registry. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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181
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Zierer A, Rouhollapour A, Doss M, Sanchez LA, Moritz A, Moon MR. Combined open proximal and stent-graft distal repair of complex aortic arch aneurysms: eight years clinical experience. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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182
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Bauer N, Rettig S, Moritz A. Evaluation the Clinitek status™ automated dipstick analysis device for semiquantitative testing of canine urine. Res Vet Sci 2008; 85:467-72. [DOI: 10.1016/j.rvsc.2008.02.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2007] [Revised: 12/10/2007] [Accepted: 02/05/2008] [Indexed: 12/15/2022]
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183
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Dzemali O, Bakhtiary F, Steinseiffer U, Schmitz C, Glasmacher B, Moritz A, Kleine P. Impact of valve calcification on systolic and diastolic valvular function--an in vitro model. THE JOURNAL OF CARDIOVASCULAR SURGERY 2008; 49:817-824. [PMID: 19043396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
AIM Despite continuous development of anticalcification treatment for bioprosthetic valves, calcification remains one major cause of structural failure. The aim of this study is to investigate changes in hemodynamic performance and leaflet kinematics in progressively calcified pericardial and porcine aortic valve prostheses. METHODS Five pericardial (Edwards Perimount Magna) and 5 porcine (Medtronic Mosaic Ultra) aortic valve prostheses (Ø23 mm) were exposed to a high concentration Calcium-phosphate fluid in an in vitro pulse duplicator (300 cycles/minute) for 6 weeks. The prostheses were removed weekly and tested in an artificial circulation system (70 beats/min, Cardiac Output 5 l/min). All prostheses underwent X-ray, computed tomography (CT)-Scan and photographic examination for evaluation of progressive calcification. Leaflet kinematics were visualized with a high-speed camera. RESULTS Pericardial valves demonstrated faster degeneration with significantly larger radiographic areas of leaflet calcification (16.5+/-4.3% versus 5.6%+/-2.0%) and also significantly higher Ca-uptake (170+/-71 microg/mg versus 103+/-49 microg/mg) after 6 weeks. Despite degeneration systolic function remained superior for pericardial valves (mean effective orifice area [EOA] 1.52+/-0.05 versus 1.28+/-0.11 cm2, P<0.01), but leaflet kinematics showed longer closing times (135+/-11 msec versus 85+/-9 msec after 6 weeks) accompanied by higher regurgitant flow (7.8+/-1.12 mL versus 1.2+/-0.28 mL, P<0.001). CONCLUSION In vitro pericardial valves calcified faster and more severe than porcine valves leading to impaired diastolic function with prolongation of closing times and higher closing volume. Systolic function remained almost undisturbed by the calcification process. As a consequence in clinical settings, follow-up examinations for structural valve deterioration in porcine valves should focus on systolic performance, in pericardial valves on diastolic function.
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184
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Bakhtiary F, Moritz A, Kleine P, Dzemali O, Simon A, Ackermann H, Martens S. Leukocyte depletion during cardiac surgery with extracorporeal circulation in high risk patients. Inflamm Res 2008; 57:577-85. [DOI: 10.1007/s00011-008-8031-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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185
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Dzemali O, Bakhtiary F, Israel C, Ackermann H, Moritz A, Kleine P. Impact of Different Pacing Modes on Left Ventricular Function Following Cardiopulmonary Bypass. Thorac Cardiovasc Surg 2008; 56:87-92. [DOI: 10.1055/s-2007-989395] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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186
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Jámbor C, Bremerich D, Moritz A, Seifried E, Zwissler B. Gerinnungsmanagement bei Eingriffen mit extrakorporaler Zirkulation. Anaesthesist 2008; 57:374-81. [DOI: 10.1007/s00101-008-1336-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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187
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Zierer A, Melby S, Bakhtiary F, Dzemali O, Kleine P, Dogan S, Martens S, Moritz A, Moon M. Interatrial shunt for chronic pulmonary hypertension: Differential impact of low-flow versus high-flow shunting in an experimental surgical model. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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188
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Hanke T, Takkenberg JJM, Rein J, Hemmer W, Botha CA, Stierle U, Lange R, Moritz A, Ziemer G, Hetzer R, Bogers A, Sievers HH. First report of the Dutch-German Ross Registry – the pulmonary homograft in 1162 patients. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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189
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Zierer A, Bakhtiary F, Therapidis P, Dzemali O, Dogan S, Kleine P, Martens S, Moritz A, Aybek T. Non-invasive assessment of load independent indices of left ventricular performance during cardiac surgery: Validation of a novel approach in an acute porcine model. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1038013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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190
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Doss M, Martens S, Fichtelscherer S, Trepels T, Wimmer-Greinecker G, Moritz A, Schächinger V. The trans-apical approach for aortic valve implantation. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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191
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Dzemali O, Bakhtiary F, Wittlinger T, Pitschner HF, Ackermann H, Moritz A, Kleine P. Hemodynamic effects of left ventricular pacing site in an animal model with left ventricular Hypertrophy. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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192
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Dzemali O, Risteski P, Bakhtiary F, Doss M, Kleine P, Moritz A. Surgical left ventricular remodelling leads to better survival and functional class in patients with ischemic cardiomyopathy. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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193
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Hanke T, Misfeld M, Stierle U, Rein J, Hemmer W, Botha CA, Moritz A, Lange R, Hetzer R, Ziemer G, Sievers HH. The fate of the bicuspid aortic valve in Ross partients. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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194
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Wittlinger T, Oezaslan F, Doss M, Martens S, Bakhtiary F, Kleine P, Dzemali O, Moritz A. Assessment of coronary flow reserve after – ross procedere by transthoracic doppler echocardiography. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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195
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Dzemali O, Bakhtiary F, Wittlinger T, Dogan S, Ackermann H, Pitschner HF, Moritz A, Kleine P. Hemodynamic Effects of Left Ventricular Pacing Site in an Animal Model of Heart Failure. Thorac Cardiovasc Surg 2007; 55:481-4. [DOI: 10.1055/s-2007-965713] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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196
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Schoop U, Barylyak A, Goharkhay K, Beer F, Wernisch J, Georgopoulos A, Sperr W, Moritz A. The impact of an erbium, chromium:yttrium-scandium-gallium-garnet laser with radial-firing tips on endodontic treatment. Lasers Med Sci 2007; 24:59-65. [DOI: 10.1007/s10103-007-0520-4] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2007] [Accepted: 10/22/2007] [Indexed: 11/25/2022]
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197
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Geyer J, Klintzsch S, Meerkamp K, Wöhlke A, Distl O, Moritz A, Petzinger E. Detection of the nt230(del4) MDR1 mutation in White Swiss Shepherd dogs: case reports of doramectin toxicosis, breed predisposition, and microsatellite analysis. J Vet Pharmacol Ther 2007; 30:482-5. [PMID: 17803743 DOI: 10.1111/j.1365-2885.2007.00885.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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198
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Moritz A, Dolg M. Quasirelativistic 5f-in-core pseudopotential study of the actinocenes An(C8H8)2, An=Th–Pu. Chem Phys 2007. [DOI: 10.1016/j.chemphys.2007.06.035] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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199
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Risteski PS, Aybek T, Dzemali O, Doss M, Scherer M, Dogan S, Moritz A. Artificial chordae for mitral valve repair: mid-term clinical and echocardiographic results. Thorac Cardiovasc Surg 2007; 55:239-44. [PMID: 17546554 DOI: 10.1055/s-2006-955947] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND This paper reports on the mid-term clinical and echocardiographic results of mitral valve repair with chordal replacement. METHODS Sixty-nine patients (mean age 61 +/- 14 years) underwent mitral valve repair with chordal replacement. The etiology was degenerative in 53 (77 %), rheumatic in 7 (10 %), ischemic in 6 (9 %) and infective in 3 (4 %). Mean ejection fraction was 58 +/- 14. In 35 patients (51 %), a minimally invasive approach was used. Mean follow-up time was 45 +/- 27 months. RESULTS Anterior leaflet chordae were replaced in 58 (84 %) patients. There were 3 operative deaths. Freedom from non-trivial recurrent mitral regurgitation (MR) was 81.3 +/- 8.7 % at 97 months. Follow-up echocardiographic controls showed mild recurrent MR in 5 (8 %) patients and moderate in 2 (3.2 %). These two patients required reoperation due to mitral annulus redilation after suture annuloplasty. Competent neochordae were found at reoperation. Freedom from reoperation at 97 months was 96.6 +/- 2.4 %. Four patients died during follow-up resulting in an actuarial survival of 87 +/- 6.2 %. CONCLUSION The replacement of chordae tendineae with ePTFE sutures during mitral valve repair has shown good mid-term results. The implantation of the neochordae can be also performed safely using minimally invasive procedures.
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Neumayer C, Moritz A, Asari R, Weinhäusel A, Hölzenbein T, Kretschmer G, Niederle B, Haas OA. Novel SDHD germ-line mutations in pheochromocytoma patients. Eur J Clin Invest 2007; 37:544-51. [PMID: 17576205 DOI: 10.1111/j.1365-2362.2007.01822.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND SDHD germ-line mutations predispose to pheochromocytoma (PCC) and paraganglioma (PGL). MATERIAL AND METHODS The incidence and types of SDHD germ-line mutations are determined in 70 patients with apparently sporadic adrenal and extra-adrenal PCC. RESULTS SDHD sequence variants were identified in the germ line of five patients. Two of three novel mutations were in exon 1 and one in exon 3. One patient had a codon 1 missense mutation (M1K) and a concurrent 3-bp deletion in intron 1. Three of 10 family members had only the exon 1 mutation, whereas one had only the intron 1 mutation. The other exon 1 mutation resulted from a deletion of nucleotides 28-33 with a 12-bp in-frame insertion (c.28_33 del ins TAGGAGGCCCTA). This mutation generated a premature stop codon after codon 9 and was also present in the brother who had a bilateral PCC. The third patient with a carotid body tumour, with an abdominal and a thoracic PGL had a 12-bp deletion in exon 3 (codons 91-94, c.271_282 del). Her father carried the same mutation and had bilateral carotid body tumours. Two further patients, one with six PGL, carried a previously described H50R polymorphism, whose disease-specific relevance is currently unclear. The three patients with bona fide SDHD mutations were younger than those without germ-line mutations. CONCLUSION SDHD germ-line mutations are rare in patients with PCC, but their identification is an important prerequisite for the clinical care and appropriate management of affected individuals and their families.
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