1
|
Clavier A, Arnold M, Segiser A, Mendez-Carmona N, Wyss R, Uldry A, Heller M, Siepe M, Longnus S. Proteins Released During Ex-Vivo Perfusion are Promising Biomarkers for Cardiac Graft Quality: Studies in an Isolated Rat Heart Model of DCD. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
|
2
|
Schnegg B, Muster C, Wieser M, Pavlicek-Bahlo M, Wiedermann S, Dobner S, Bruno J, Capek L, Potratz P, Jenni H, Sidler D, Chanias I, Daskalakis M, Consiglio J, Schwitz F, Thomet C, Schwerzmann M, Immer F, Longnus S, Martinelli M, Hunziker L, Siepe M, Reineke D. From Vpra of 100% to Transplantation, Journey of the First Ocs-dbd Case in Switzerland. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
|
3
|
Egle M, Graf S, Segiser A, Sanz M, Clavier A, Arnold M, Kadner A, Carrel T, Siepe M, Longnus S. Functional Assessment During Unloaded, Ex-Vivo Perfusion Could Help Predict Recovery in Cardiac Dcd Grafts: Studies in a Porcine Model. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
|
4
|
Graf S, Egle M, Sanz M, Segiser A, Arnold M, Kadner A, Siepe M, Longnus S. Circulating Factors, Measured Both in the Donor and During Ex-Vivo Heart Perfusion, Correlate with Subsequent Heart Recovery in a Pig Model of Dcd. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
|
5
|
De Paulis R, Senage T, Borger MA, Siepe M, Stefano P, Laufer G, Langanay T, Meuris B. Bioprosthetic Surgical Aortic Valve Replacement in Patients under the Age of 60 Years. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | | | | | - M. Siepe
- Universitäts-Herzzentrum Bad Krozingen, Bad Krozingen, Deutschland
| | - P. Stefano
- Careggi University Hospital, Firenze, Italy
| | | | | | | |
Collapse
|
6
|
Berger T, Siepe M, Simon B, Beyersdorf F, Bamberg F, Schlett CL, Kondov S, Czerny M, Rylski B, Kreibich M. Pulmonary Artery Diameter: Means and Normal Limits: Assessment by Computed Tomography Angiography. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- T. Berger
- Hugstetter Straße 55, Freiburg, Deutschland
| | - M. Siepe
- Hugstetter Straße 55, Freiburg, Deutschland
| | - B. Simon
- Hugstetter Straße 55, Freiburg, Deutschland
| | | | - F. Bamberg
- Hugstetter Straße 55, Freiburg, Deutschland
| | | | - S. Kondov
- Hugstetter Straße 55, Freiburg, Deutschland
| | - M. Czerny
- Hugstetter Straße 55, Freiburg, Deutschland
| | | | | |
Collapse
|
7
|
Berger T, Siepe M, Uzdenov M, Dees D, Pingpoh C, Kondov S, Beyersdorf F, Fagu A, Rylski B, Czerny M, Schroefel H, Neumann FJ, Hochholzer W, Kreibich M. Subsequent open-cardiac surgery after transcatheter aortic valve implantation-indications and outcomes. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Transcatheter aortic valve implantation (TAVI) has been historically done in high-risk patients or patients who are deemed unfit for open-heart surgery. Despite high procedural success rates subsequent open surgery remains an issue, immediately after TAVI implantation or during follow-up as bailout strategy.
Purpose
Aim of this study was to report on indications and clinical outcomes of patients who underwent open-cardiac surgery following TAVI.
Methods
Between 01/2011 and 12/2020 our centre performed 3131 TAVI procedures. Twenty-seven patients (including patients in whom TAVI was performed in other centres) underwent subsequent open-heart surgery via cardiopulmonary bypass after previous TAVI. Demographic, intraprocedural data and indications for surgery were evaluated. The VARC-2 criteria were applied to report on clinical outcomes.
Results
Twenty-seven patients (aged 79 [IQR 76–84]; 59.3% male) were operated on for endocarditis (n=11; 40.7%), 3 patients for annular rupture, severe paravalvular leak and severe stenosis, respectively as well as 1 patient each for severe tricuspidal valve regurgitation, valve thrombosis, malpositioning, valve migration, ostial right coronary artery obstruction, left ventricular rupture and type A aortic dissection. The interval between the index TAVI procedure to open surgery was 3 months (IQR 0–26 months). Eight patients underwent emergency subsequent surgery on the same day immediately after TAVI. The surgical data including the procedures are shown in Figure 1. Four patients died intraoperatively due to uncontrolled bleeding. Immediate procedural and procedural mortality was 25.9% and 40.7%, respectively and all-cause mortality was 51.9% (11/12 died for cardiovascular reasons). Figure 2 shows the Kaplan-Meier estimator for survival. Intraoperative, immediate, procedural and all-cause mortality in patients operated on immediately after TAVI was 25.0%, 25.0%, 37.5%, and 50% respectively. No disabling stroke was observed while a non-disabling stroke occurred in 1 patient. New permanent pacemaker implantation was needed in 3 patients (11.1%). One patient required an additional, second operation to remove a left ventricular thrombus as bailout procedure. One patient suffered from a persisting endocarditis and was discharged on permanent antibiotic intake.
Conclusions
Subsequent open-heart surgery after TAVI is rare, but may urgently become necessary due to TAVI related complications or progressing other cardiac pathologies. Despite a substantial early attrition rate clinical outcome is acceptable and a relevant number of patients can be discharged after surgery for immediate life-threatening TAVI complications. The option of subsequent surgical conversion remains an indispensable tool in the setting of a modern heart team-based approach. These results substantiate recommendations regarding both, having a cardiac surgical service on site and performing TAVI as an interdisciplinary team.
Funding Acknowledgement
Type of funding sources: None. Surgical detailsKaplan-Meier estimator for survival
Collapse
Affiliation(s)
- T Berger
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M Siepe
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M Uzdenov
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - D Dees
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - C Pingpoh
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - S Kondov
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - F Beyersdorf
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - A Fagu
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - B Rylski
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M Czerny
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - H Schroefel
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - F.-J Neumann
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - W Hochholzer
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - M Kreibich
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| |
Collapse
|
8
|
Berger T, Siepe M, Dees D, Fagu A, Pingpoh C, Kondov S, Zeh W, Beyersdorf FJ, Rylski B, Schroefel H, Czerny M, Neumann FJ, Hochholzer W, Kreibich M. Coronary angiography in patients with native or prosthetic aortic-valve endocarditis: outcomes and implications for myocardial revascularisation. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Coronary angiography (CA) remains the cornerstone of the preoperative assessments before open-heart surgery to detect or rule out coronary artery disease (CAD). Preoperative CA is currently not recommended in patients with active infective aortic valve endocarditis, but may help to reduce the risk of perioperative myocardial infarction.
Purpose
This study aimed to evaluate the risks and benefits of preoperative CA in selected patients before aortic valve replacement to treat active infective endocarditis of the aortic valve and to assess the incidence and relevance of CAD.
Methods
Sixty-five patients with native or prosthetic aortic-valve endocarditis underwent preoperative diagnostic CA between 03/2008 and 09/2020. We collected their baseline characteristics, including the neurological status, previous cardiac surgical procedures, and reviewed the preoperative echocardiograms and the CA data. We evaluated the intraoperative data, and clinical outcomes after CA and after surgery. Patients were selected according to the site, size and mobility of vegetations of the underlying active infective process.
Results
CA revealed CAD in the majority of patients (n=34; 52%): one-vessel disease n=17 (26%), two-vessel disease n=6 (9%), and three-vessel disease n=11 (17%). Coronary sclerosis without hemodynamic significance were detected in 23 patients (35%). Sixteen patients had a previous history of CAD. We observed no adverse events following preoperative diagnostic CA, particularly no thromboembolic complications, including stroke, visceral, or lower body ischaemia. Surgery was performed 3 [IQR 1; 5] days after CA. During surgical aortic-valve replacement, concomitant coronary artery bypass grafting was performed in 19 patients (29%). Postoperative in-hospital mortality was 12% (n=8) and the new-onset disabling-stroke incidence was 2% (n=1). Neither stroke nor visceral or lower body ischemia due to embolism were observed in any patient after surgery.
Conclusions
By weighing risks and benefits of CA together as a team, no adverse clinical outcomes but significant clinical implications could be identified in patients with active infective aortic valve endocarditis. Concomitant surgical myocardial revascularization was frequent and may well have contributed to favorable clinical outcome. Therefore, active infective endocarditis of the aortic valve per se should not be regarded as an absolute contraindication for CA.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- T Berger
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M Siepe
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - D Dees
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - A Fagu
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - C Pingpoh
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - S Kondov
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - W Zeh
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - F.-J Beyersdorf
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - B Rylski
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - H Schroefel
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M Czerny
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - F.-J Neumann
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - W Hochholzer
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology II, Freiburg, Germany
| | - M Kreibich
- University Heart Center Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| |
Collapse
|
9
|
Kondov S, Frankenberger L, Rylski B, Keyl C, Staier K, Humburger F, Berger T, Siepe M, Kreibich M, Beyersdorf F, Czerny M. Results of Open Thoracoabdominal Aortic Replacement in Patients Unsuitable for and after Failed Endovascular Aortic Repair. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
10
|
Kreibich M, Siepe M, Berger T, Morlock J, Kondov S, Pingpoh C, Schröfel H, Beyersdorf F, Rylski B, Czerny M. Thoracic Endovascular Aortic Repair for the Treatment of Acute Aortic Rupture. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - M. Siepe
- Freiburg im Breisgau, Deutschland
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Ius F, Schibilsky D, Sponga S, Rojas S, Benk C, Guzzi G, Tursi V, Beyersdorf F, Haverich A, Warnecke G, Siepe M, Livi U. Heart Preservation with the Organ Care System in Extended Criteria Donor Hearts: A Three-Center Experience. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
12
|
Kruckenberg J, Kubicki R, Höhn R, Siepe M, Stiller B, Grohmann J. Recanalization and Stenting of the Occluded Vertical Vein as Rescue and Bridging Strategy in a Critically Ill Neonate with Supracardiac Total Anomalous Pulmonary Venous Connection. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
| | | | - R. Höhn
- Freiburg Bad Krozingen, Germany
| | - M. Siepe
- Freiburg / Bad Krozingen, Germany
| | | | | |
Collapse
|
13
|
Schwendt M, Fleck T, Kubicki R, Höhn R, Kroll J, Siepe M, Maier S, Grohmann J, Reineker K, Stiller B. A Rare Case of Alström Syndrome, Berlin Heart EXCOR, Heart Transplantation and 1-Year Follow-up. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
14
|
Berger T, Andreas V, Kreibich M, Rylski B, Beyersdorf F, Siepe M, Czerny M, Winkler A, Seitelberger R, Gottardi R. Aortic Diameter Changes in Patients with Acute Traumatic Aortic Injury: Possible Implications for Stent-Graft Sizing. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
15
|
Kreibich M, Berger T, Beyersdorf F, Rylski B, Siepe M, Czerny M. The Frozen Elephant Trunk Technique for the Treatment of Acute and Chronic Type B Aortic Dissection. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
16
|
Schibilsky D, de By T, Gummert J, Ramjankhan F, Wolfinger J, Potapov E, Netuka I, Beyersdorf F, Siepe M. Impact of Temporary Mechanical Circulatory Support Prior to Implantation of a Ventricular Assist Device with a Follow-Up of 1 Year- A EUROMACS Analysis. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
17
|
Rojas S, Ius F, Schibilsky D, Kaufeld T, Sommer W, Benk C, Goecke T, Siemeni T, Poyanmehr R, Rümke S, Mogaldea A, Bobylev D, Salman J, Avsar M, Tudorache I, Bara C, Beyersdorf F, Haverich A, Siepe M, Warnecke G. Cardiac Transplantation in Higher Risk Patients: Is Ex Vivo Heart Perfusion a Safe Preservation Technique? A Two Center Experience. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.091] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
18
|
Kreibich M, Berger T, Chen Z, Kondov S, Rylski B, Beyersdorf F, Siepe M, Czerny M. Aortic Reinterventions after the Frozen Elephant Trunk Procedure for Aortic Dissection. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- M. Kreibich
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - T. Berger
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - Z. Chen
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - S. Kondov
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - B. Rylski
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - F. Beyersdorf
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - M. Siepe
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - M. Czerny
- Universitäres Herzzentrum Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| |
Collapse
|
19
|
Kubicki R, Stiller B, Kroll J, Siepe M, Beyersdorf F, Benk C, Höhn R, Grohmann J, Fleck T, Zieger B. Acquired von Willebrand Syndrome in Pediatric Patients during Mechanical Circulatory Support. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- R. Kubicki
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Congenital Heart Disease and Pediatric Cardiology, Freiburg, Germany
| | - B. Stiller
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Congenital Heart Disease and Pediatric Cardiology, Freiburg, Germany
| | - J. Kroll
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - M. Siepe
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - F. Beyersdorf
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - C. Benk
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Cardiovascular Surgery, Freiburg, Germany
| | - R. Höhn
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Congenital Heart Disease and Pediatric Cardiology, Freiburg, Germany
| | - J. Grohmann
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Congenital Heart Disease and Pediatric Cardiology, Freiburg, Germany
| | - T. Fleck
- University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Congenital Heart Disease and Pediatric Cardiology, Freiburg, Germany
| | - B. Zieger
- Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Freiburg, Germany
| |
Collapse
|
20
|
Berger T, Kreibich M, Kondov S, Rylski B, Morlock J, Scheumann J, Kari A, Staier K, Maier S, Beyersdorf F, Czerny M, Siepe M. Evaluation of Myocardial Injury, the Need of Vasopressors and Inotropic Support in Beating-Heart Aortic Arch Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- T. Berger
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - M. Kreibich
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - S. Kondov
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - B. Rylski
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - J. Morlock
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - J. Scheumann
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - A. Kari
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
- New York Presbyterian/Columbia University, Medical Center Morgan Stanley Children's Hospital, Pediatric Cardiac Surgery, New York, United States
| | - K. Staier
- Department of Anesthesiology, Heart Center Freiburg University, Bad Krozingen, Germany
| | - S. Maier
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - F. Beyersdorf
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - M. Czerny
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - M. Siepe
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| |
Collapse
|
21
|
Juraszek A, Rylski B, Kondov S, Scheumann J, Kreibich M, Morlock J, Schröfel H, Berger T, Kari F, Siepe M, Beyersdorf F, Czerny M. Late Surgical Conversions after EVAR: Underlying Mechanisms, Clinical Results, and Strategies for Prevention. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- A. Juraszek
- Cardiology Institute, Warsaw, Poland
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - B. Rylski
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - S. Kondov
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - J. Scheumann
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - M. Kreibich
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - J. Morlock
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - H. Schröfel
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - T. Berger
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - F. Kari
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - M. Siepe
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - F. Beyersdorf
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| | - M. Czerny
- Department of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, Freiburg, Germany
| |
Collapse
|
22
|
Sievers HH, Baier A, Beyersdorf F, Czerny M, Kreibich M, Siepe M, Rylski B. Aortic Dissection Rethought: A New Classification System Adding Clarity and Allowing Prediction of In-Hospital Mortality. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- H.-H. Sievers
- Klinik für Herz- und Thorakale Gefäßchirurgie, Lübeck, Germany
| | - A. Baier
- University Heart Center Freiburg, Freiburg, Germany
| | | | - M. Czerny
- University Heart Center Freiburg, Freiburg, Germany
| | - M. Kreibich
- University Heart Center Freiburg, Freiburg, Germany
| | - M. Siepe
- University Heart Center Freiburg, Freiburg, Germany
| | - B. Rylski
- University Heart Center Freiburg, Freiburg, Germany
| |
Collapse
|
23
|
Rojas S, Ius F, Schibilsky D, Kaufeld T, Benk C, Goecke T, Avsar M, Poyanmehr R, Rümke S, Mogaldea A, Bobylev D, Salman J, Siemeni T, Bara C, Beyersdorf F, Haverich A, Siepe M, Warnecke G. Ex Vivo Heart Perfusion for Higher Risk Cardiac Transplantations: A Retrospective Analysis from Two German Centers. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- S. Rojas
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - F. Ius
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - D. Schibilsky
- Universitäts Herzzentrum Freiburg Bad Krozingen, Freiburg, Germany
| | - T. Kaufeld
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - C. Benk
- Universitäts Herzzentrum Freiburg Bad Krozingen, Freiburg, Germany
| | - T. Goecke
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - M. Avsar
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - R. Poyanmehr
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - S. Rümke
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - A. Mogaldea
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - D. Bobylev
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - J. Salman
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - T. Siemeni
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - C. Bara
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - F. Beyersdorf
- Universitäts Herzzentrum Freiburg Bad Krozingen, Freiburg, Germany
| | - A. Haverich
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| | - M. Siepe
- Universitäts Herzzentrum Freiburg Bad Krozingen, Freiburg, Germany
| | - G. Warnecke
- Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany
| |
Collapse
|
24
|
Abstract
The guidelines on myocardial revascularization published in 2018 are a joint initiative of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery. To establish indications for myocardial revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), evidence of the functional relevance of coronary artery stenoses is needed either by non-invasive imaging function tests or intravascular hemodynamic measurements. The prognostic and symptomatic benefits of myocardial revascularization depend on whether complete revascularization can be achieved. This needs to be considered when choosing the most appropriate revascularization strategy. In addition, the individual operative risk, the technical feasibility, the presence of diabetes mellitus and the anatomical complexity of coronary artery disease, as assessed by the SYNTAX score, are key criteria when choosing the optimal method of revascularization. For PCI radial artery access and the general use of drug-eluting stents are recommended. For CABG multiple arterial grafts should be strived for including the radial artery for treatment of high-grade coronary stenosis.
Collapse
Affiliation(s)
- F-J Neumann
- Klinik für Kardiologie und Angiologie II, Universitäts-Herzzentrum Freiburg ∙ Bad Krozingen, Südring 15, 79189, Bad Krozingen, Deutschland.
| | - W Hochholzer
- Klinik für Kardiologie und Angiologie II, Universitäts-Herzzentrum Freiburg ∙ Bad Krozingen, Südring 15, 79189, Bad Krozingen, Deutschland
| | - M Siepe
- Klinik für Herz- und Gefäßchirurgie, Universitäts-Herzzentrum Freiburg ∙ Bad Krozingen, Bad Krozingen, Deutschland
| |
Collapse
|
25
|
Kreibich M, Siepe M, Morlock J, Beyersdorf F, Kondov S, Scheumann J. Surgical Treatment of Native and Prosthetic Aortic Infection With Xenopericardial Tube Grafts. J Vasc Surg 2018. [DOI: 10.1016/j.jvs.2018.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
26
|
Ius F, Berchtold-Herz M, Rojas S, Kaufeld T, Scheumann J, Avsar M, Salman J, Bara C, Beyersdorf F, Haverich A, Siepe M, Warnecke G. Heart Preservation With the Organ Care System in Germany - Revival in High Risk Recipients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
|
27
|
Berezowski M, Kondov S, Beyersdorf F, Jasinski M, Plonek T, Siepe M, Czerny M, Rylski B. Early Aortic Growth in Acute Type B Aortic Dissection. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M. Berezowski
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| | - S. Kondov
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| | - F. Beyersdorf
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| | - M. Jasinski
- Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland
| | - T. Plonek
- Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland
| | - M. Siepe
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| | - M. Czerny
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| | - B. Rylski
- Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
| |
Collapse
|
28
|
Kueri S, Beyersdorf F, Czerny M, Diab N, Pingpoh C, Kari F, Kondov S, Siepe M. Perceval Sutureless Valve in Failing Freestyle Bioprosthesis: A Series of Four Surgical Valves in Valve Implantations. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S. Kueri
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - F. Beyersdorf
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - M. Czerny
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - N. Diab
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - C. Pingpoh
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - F. Kari
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - S. Kondov
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| | - M. Siepe
- Klinik für Herz- und Gefäßchirurgie, Universitäts Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Germany
| |
Collapse
|
29
|
Ius F, Berchtold-Herz M, Rojas S, Kaufeld T, Scheunemann J, Avsar M, Salman J, Bara C, Beyersdorf F, Haverich A, Warnecke G, Siepe M. Heart Preservation with the Organ Care System in Germany: Revival in High-Risk Recipients. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- F. Ius
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - M. Berchtold-Herz
- Department of Thoracic and Cardiovascular Surgery, University of Freiburg, Freiburg im Breisgau, Germany
| | - S. Rojas
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - T. Kaufeld
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - J. Scheunemann
- Department of Thoracic and Cardiovascular Surgery, University of Freiburg, Freiburg im Breisgau, Germany
| | - M. Avsar
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - J. Salman
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - C. Bara
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - F. Beyersdorf
- Department of Thoracic and Cardiovascular Surgery, University of Freiburg, Freiburg im Breisgau, Germany
| | - A. Haverich
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - G. Warnecke
- Department of Cardio-thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - M. Siepe
- Department of Thoracic and Cardiovascular Surgery, University of Freiburg, Freiburg im Breisgau, Germany
| |
Collapse
|
30
|
Hummel J, Stiller B, Kroll J, Siepe M, Grohmann J. Right Ventricular Coiling to Limit Right Ventricle to Coronary Artery Connections in Pulmonary Atresia with Intact Ventricular Septum following Stage 2 Palliation. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- J. Hummel
- Universitäts Herzzentrum Freiburg Bad Krozingen, Klinik für Angeborene Herzfehler und Pädiatrische Kardiologie, Freiburg, Germany
| | - B. Stiller
- Universitäts Herzzentrum Freiburg Bad Krozingen, Klinik für Angeborene Herzfehler und Pädiatrische Kardiologie, Freiburg, Germany
| | - J. Kroll
- Universitäts Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - M. Siepe
- Universitäts Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - J. Grohmann
- Universitäts Herzzentrum Freiburg Bad Krozingen, Klinik für Angeborene Herzfehler und Pädiatrische Kardiologie, Freiburg, Germany
| |
Collapse
|
31
|
Kubicki R, Siepe M, Kroll J, Kari F, Stiller B, Grohmann J. Tagging the Arterial Duct to Facilitate Stenting in Low-birthweight Infants. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- R. Kubicki
- Department of Congenital Heart Disease and Pediatric Cardiology, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| | - M. Siepe
- Department of Cardiovascular Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| | - J. Kroll
- Department of Cardiovascular Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| | - F. Kari
- Department of Cardiovascular Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| | - B. Stiller
- Department of Congenital Heart Disease and Pediatric Cardiology, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| | - J. Grohmann
- Department of Congenital Heart Disease and Pediatric Cardiology, Medical Center - University of Freiburg, Faculty of Medicine, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany
| |
Collapse
|
32
|
Pingpoh C, Siepe M, Burger K, Zietak T, Valina C, Ferenc M, Beyersdorf F, Neumann F, Hochholzer W. P3280Impact of proximal radiopaque coronary bypass-graft marking on post bypass surgery angiography and clinical outcome. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
33
|
Rylski B, Czerny M, Siepe M, Schröfel H, Süßlin C, Beyersdorf F. Operieren mithilfe einer App. Z Herz- Thorax- Gefäßchir 2017. [DOI: 10.1007/s00398-016-0114-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
34
|
Shahinian J, Mayer B, Tholen S, Schlimpert M, Kammerer B, Biniossek M, Heizmann U, Rueter F, Grapow M, Reuthebuch O, Eckstein F, Beyersdorf F, Siepe M, Schilling O. Concomitant Proteomic and Metabolomic Changes upon LVAD Therapy of Ischemic Cardiomyopathy. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
35
|
Rylski B, Pérez M, Beyersdorf F, Reser D, Kari F, Siepe M, Czerny M. Acute Non-A Non-B Aortic Dissection: Definition, Treatment and Outcome. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- B. Rylski
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| | - M. Pérez
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| | - F. Beyersdorf
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| | - D. Reser
- University Hospital Zurich, Zürich, Switzerland
| | - F. Kari
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| | - M. Siepe
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| | - M. Czerny
- Universitäres Herz-Zentrum Freiburg - Bad Krozingen, Freiburg, Germany
| |
Collapse
|
36
|
Maier S, Morlock J, Benk C, Kari F, Rylski B, Siepe M, Beyersdorf F, Czerny M. A New Mechanism of Unilateral Motor Evoked and Somatosensory Evoked Potential Decrease or Loss during Thoracic Endovascular Aortic Repair. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Maier
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - J. Morlock
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - C. Benk
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - F. Kari
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - B. Rylski
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - M. Siepe
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - F. Beyersdorf
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| | - M. Czerny
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für Herz- und Gefäßchirurgie, Freiburg, Germany
| |
Collapse
|
37
|
Kari F, Elger T, Beyersdorf F, Rylski B, Morlock J, Kreibich M, Kondov S, Czerny M, Siepe M. Conversion to Prosthetic Replacement after Scheduled Valve-Sparing Aortic Root Replacement: What Is the Role of Complex Mechanisms of Aortic Regurgitation? Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F.A. Kari
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - T. Elger
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - F. Beyersdorf
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - B. Rylski
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - J. Morlock
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - M. Kreibich
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - S. Kondov
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - M. Czerny
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| | - M. Siepe
- Heart Center Freiburg University, Cardiovascular Surgery, Freiburg, Germany
| |
Collapse
|
38
|
Schibilsky D, Benk C, Berchtold-Herz M, Krüger T, Nemeth A, Walker T, Häberle H, Rosenberger P, Wendel H, Trummer G, Siepe M, Beyersdorf F, Schlensak C. Left-Ventricular-Assist-Device Weaning Protocol Including Exercise and Invasive Hemodynamics - Multi-Institutional Experience. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- D. Schibilsky
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| | - C. Benk
- University Medical Center Freiburg, Cardiovascular Surgery, Freiburg, Germany
| | - M. Berchtold-Herz
- University Medical Center Freiburg, Cardiovascular Surgery, Freiburg, Germany
| | - T. Krüger
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| | - A. Nemeth
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| | - T. Walker
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| | - H. Häberle
- University Medical Center Tuebingen, Anesthesiology and Intensive Care Medicine, Tuebingen, Germany
| | - P. Rosenberger
- University Medical Center Tuebingen, Anesthesiology and Intensive Care Medicine, Tuebingen, Germany
| | - H.P. Wendel
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| | - G. Trummer
- University Medical Center Freiburg, Cardiovascular Surgery, Freiburg, Germany
| | - M. Siepe
- University Medical Center Freiburg, Cardiovascular Surgery, Freiburg, Germany
| | - F. Beyersdorf
- University Medical Center Freiburg, Cardiovascular Surgery, Freiburg, Germany
| | - C. Schlensak
- University Medical Center Tuebingen, Thoracic and Cardiovascular Surgery, Tuebingen, Germany
| |
Collapse
|
39
|
Kari F, Wittmann K, Krause S, Saravi B, Puttfarcken L, Förster K, Rylski B, Maier S, Göbel U, Siepe M, Czerny M, Beyersdorf F. New Insights into Spinal Cord Ischemia after Thoracic Aortic Procedures: The Importance of Anterior Radiculo-Medullary Artery Anatomy for Surgical Outcome. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F.A. Kari
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - K. Wittmann
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - S. Krause
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - B.E. Saravi
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - L. Puttfarcken
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - K. Förster
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - B. Rylski
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - S. Maier
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - U. Göbel
- Anesthesiology and Intensive Care, University Medical Center Freiburg, Freiburg, Germany
| | - M. Siepe
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - M. Czerny
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - F. Beyersdorf
- Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| |
Collapse
|
40
|
Berezowski M, Morlock J, Beyersdorf F, Plonek T, Siepe M, Czerny M, Rylski B. Semi-Controlled Aortic Stent Graft Deployment in the Distal Landing Zone: Incidence, Reasons and Consequences. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M. Berezowski
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - J. Morlock
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - F. Beyersdorf
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - T. Plonek
- Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland
| | - M. Siepe
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - M. Czerny
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| | - B. Rylski
- Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
| |
Collapse
|
41
|
Czerny M, Rylski B, Kari F, Kreibich M, Morlock J, Scheumann J, Kondov S, Südkamp M, Siepe M, Beyersdorf F. Transposition der Kopf- und Halsgefäße. Z Herz- Thorax- Gefäßchir 2016. [DOI: 10.1007/s00398-016-0081-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
42
|
Albinski M, Hufnagel M, Schelling J, Fleck T, Siepe M, Zieger B, Stiller B. Cardiac thrombus with risk of fulminant pulmonary embolism in paediatric antiphospholipid syndrome. Klin Padiatr 2016; 228:219-22. [PMID: 27138626 DOI: 10.1055/s-0042-104121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Antiphospholipid Syndrome (APS) describes a systemic disease caused by autoantibodies to membrane components. Involving coagulation pathways, complement factors and immune cells, it results in thrombosis in any blood vessel. Its clinical presentation varies considerably depending upon the organ affected. Paediatric data on APS remain sparse. Most case reports focus on catastrophic APS with multiple small-vessel occlusions and a life-threatening course. Here, we report on a 15-year-old patient with deep vein thrombosis and a right ventricular tumour posing the risk of a fulminant pulmonary embolism. The tumour was surgically removed. Histology revealed it to be a thrombus. The patient fully recovered and is currently treated with long term anticoagulation.
Collapse
Affiliation(s)
- M Albinski
- Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Freiburg, Freiburg
| | - M Hufnagel
- Department of Pediatrics and Adolescent Medicine, University Hospital Freiburg, Freiburg
| | - J Schelling
- Department of Pediatrics and Adolescent Medicine, University Hospital Freiburg, Freiburg
| | - T Fleck
- Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Freiburg, Freiburg
| | - M Siepe
- Department of Cardiovascular Surgery, University Hospital Freiburg, Freiburg
| | - B Zieger
- Department of Pediatrics and Adolescent Medicine, University Hospital Freiburg, Freiburg
| | - B Stiller
- Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Freiburg, Freiburg
| |
Collapse
|
43
|
Wussler D, Kiefer S, Haberstroh J, Kesseler N, Kubicki R, Ruh D, Heilmann C, Seifert A, Siepe M, Stiller B, Lang N. Evaluation of a Light Activated and Elastomeric Tissue Sealant for Vascular Surgery. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
44
|
Grohmann J, Stiller B, Neumann E, Jakob A, Reineker K, Fleck T, Pache G, Siepe M, Kroll J, Höhn R. Bronchial Compression by Mass Effect following Pulmonary Artery Stenting: Its Prevention and Decompression. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
45
|
Kreibich M, Siepe M, Rylski B, Kari F, Beyersdorf F, Czerny M. Short-term Results of Orthotopic Neoaortic Xenopericardial Tube Graft Replacement of Infected Aortic Grafts after Surgical or Endovascular Treatment. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
46
|
Siepe M, Höhn R, Fleck T, Stiller B, Neumann E, Sigler M, Kroll J, Beyersdorf F, Grohmann J. No-React® Injectable BioPulmonic™ Valves Re-evaluated: Discouraging Follow-up Results. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
47
|
Hahn N, Siepe M, Czerny M, Kari F, Blanke P, Beyersdorf F, Rylski B. Fate of Dissected Aortic Arch after Surgical Repair of Acute Type A Aortic Dissection. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
48
|
Muñoz C, Beyersdorf F, Carrel T, Schönhoff F, Schlensak C, Krüger T, Eckstein HH, Reutersberg B, Erbel R, Janosi A, Siepe M, Rylski B. How Does the Aortic Geometry Change When the Descending Aorta Dissects? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
49
|
Kocher N, Russe M, Beyersdorf F, Siepe M, Meffert P, Kari F. Quantifiable Hemodynamic Differences between Isolated Ascending Aortic Aneurysms and Aortic Root Aneurysms Combined with Ascending Aortic Aneurysms in a Preoperative Setting, Using 4D Flow MRI Technology. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
50
|
Meffert P, Tscheuschler A, Kocher NM, Uffelmann X, Russe M, Siepe M, Beyersdorf F, Kari F. Characterizing Possible Biomarkers in Ascending Aortic Aneurysms - MMP-2/9 Serum Levels in Patients and Healthy Controls. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|