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http://dx.doi.org/10.1213/ANE.0000000000002414 | DOI Listing |
Can J Cardiol
September 2025
Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, Calgary, Alberta, Canada.
There is evidence supporting the importance of local immune microenvironment with respect to physiological and pathological states. Cardiac fibrosis, post-operative atrial fibrillation, and post-surgical pericardial adhesions are the culmination of complex cascade of processes, many of which have immune-mediated etiologies. While extensive research has focused on describing the systemic markers, to date, little attention has been given to local pericardial factors that can impact fibrotic activity and/or lead to POAF and PSPA.
View Article and Find Full Text PDFAm J Case Rep
September 2025
Department of General Surgery, Security Forces Hospital, Riyadh, Saudi Arabia.
BACKGROUND Atrial septal defect (ASD) occluder devices present a novel approach for managing persistent gastric leaks following sleeve gastrectomy. While sleeve gastrectomy is effective, postoperative leak rates reach up to 3% in primary surgeries and exceed 10% in revisions, with management remaining complex and non-standardized. CASE REPORT This case report describes a 20-year-old Saudi woman who developed a gastric leak after laparoscopic sleeve gastrectomy.
View Article and Find Full Text PDFDrug Des Devel Ther
September 2025
Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
Background: Postoperative atrial fibrillation (POAF) is a common complication after esophagectomy and is associated with adverse outcomes. This study investigated whether preoperative stellate ganglion block (SGB) could reduce the incidence of POAF and improve postoperative recovery.
Methods: In this single-center, randomized, double-blind, placebo-controlled trial, 100 patients undergoing esophagectomy were randomly assigned to receive ultrasound-guided right-sided SGB with 7 mL of either 0.
Front Cardiovasc Med
August 2025
Department of Cardiothoracic Surgery, Dazhou Dachuan District People's Hospital (Dazhou Third People's Hospital), Dazhou, Sichuan, China.
Background: The main types of surgery for rheumatic mitral valve disease are traditional percutaneous mitral balloon valvuloplasty (PMBV), mitral valve replacement (MVR) with removal of the original valve, and valve repair with preservation of the original valve. Some studies have shown that mitral valve repair (MVr) has certain advantages compared with replacement.
Methods: The clinical data of 166 patients with rheumatic mitral valve lesions admitted to the Department of Cardiac Macrovascular Surgery of the and the were retrospectively analyzed to compare the hemodynamic changes after mitral valve repair and replacement.
Struct Heart
August 2025
Section on Cardiology, Atrium Health Wake Forest Baptist Medical Center, Winston Salem, North Carolina, USA.
Background: Mounting evidence suggests surgical left atrial appendage (LAA) exclusion reduces stroke risk in patients with atrial fibrillation. Prior older research suggests that LAA exclusion is often incomplete, but few transesophageal echocardiogram (TEE) data exist evaluating LAA remnants.
Methods: We analyzed 121 patients with an available postoperative TEE who underwent LAA exclusion by surgical excision (SE), AtriClip occlusion (AO), or Tiger Paw occlusion (TO).