Simplified model for end-stage liver disease score predicts mortality for tricuspid valve surgery.

Abstract:

OBJECTIVES:The model for end-stage liver disease score (MELD = 3.8*LN[total bilirubin] + 9.6*LN[creatinine] + 11.2*[PT-INR] + 6.4) predicts mortality for tricuspid valve surgery. However, the MELD is problematic in patients undergoing warfarin therapy, as warfarin affects the international normalized ratio (INR). This study aimed to determine whether a simplified MELD score that does not require the INR for calculation could predict mortality for patients undergoing tricuspid valve surgery. Simplified MELD score = 3.8*LN[total bilirubin] + 9.6*LN[creatinine] + 6.4. METHODS:A total of 172 patients (male: 66, female: 106; mean age, 63.8 ± 10.3 years) who underwent tricuspid replacement (n = 18) or repair (n = 154) from January 1991 to July 2011 at a single centre were included. Of them, 168 patients in whom the simplified MELD score could be calculated were retrospectively analysed. The relationship between in-hospital mortality and perioperative variables was assessed by univariate and multivariate analysis. RESULTS:The rate of in-hospital mortality was 6.4%. The mean admission simplified MELD score for the patients who died was significantly higher than for those surviving beyond discharge (11.3 ± 4.1 vs 5.8 ± 4.0; P = 0.001). By multivariate analysis, independent risk factors for in-hospital mortality included higher simplified MELD score (P = 0.001) and tricuspid valve replacement (P = 0.023). In-hospital mortality and morbidity increased along with increasing simplified MELD score. Scores <0, 0-6.9, 7-13.9 and >14 were associated with mortalities of 0, 2.0, 8.3 and 66.7%, respectively. The incidence of serious complications (multiple organ failure, P = 0.005; prolonged ventilation, P = 0.01; need for haemodialysis; P = 0.002) was also significantly higher in patients with simplified MELD score ≥ 7. CONCLUSIONS:The simplified MELD score predicts mortality in patients undergoing tricuspid valve surgery. This model requires only total bilirubin and creatinine and is therefore applicable in patients undergoing warfarin therapy.

authors

Tsuda K,Koide M,Kunii Y,Watanabe K,Miyairi S,Ohashi Y,Harada T

doi

10.1093/icvts/ivt014

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

630-5

issue

5

eissn

1569-9293

issn

1569-9285

pii

ivt014

journal_volume

16

pub_type

杂志文章
  • Aortic valve-sparing root replacement from inside the aorta using three Dacron skirts preserving the native Valsalva sinuses geometry and stabilizing the annulus.

    abstract::We present an alternative idea for valve-sparing technique combining the advantages of the reimplantation and the benefits of the remodeling techniques. We replace the sinuses of Valsalva using three Dacron skirts from inside of the aorta. The physiological anatomy of the Valsalva sinuses and their dynamic properties ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.184200

    authors: Ruvolo G,Fattouch K

    更新日期:2009-02-01 00:00:00

  • Right coronary translocation for anomalous origin of right coronary artery from the left coronary sinus.

    abstract::We describe right coronary translocation as a simplified surgical procedure for right coronary artery arising from the left sinus with an intramural course. At surgery, the right coronary artery was transected, distal to the intramural segment and subsequently anastomosed to the ascending aorta above the right coronar...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268888

    authors: Goda M,Meuris B,Meyns B

    更新日期:2011-08-01 00:00:00

  • Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest (DHCA)? Altogether, more than 62 papers were found using the reported search, of which 7 represent...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt184

    authors: Al-Hashimi S,Zaman M,Waterworth P,Bilal H

    更新日期:2013-08-01 00:00:00

  • Is aortic valve-sparing operation or replacement with a composite graft the best option for aortic root and ascending aortic aneurysm?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether it is better to preserve the aortic valve in patients with aortic root or ascending aortic aneurysms. Altogether 380 papers were found using the reported search, of which 23 represented the best ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1510/icvts.2008.186544

    authors: Tourmousoglou C,Rokkas C

    更新日期:2009-01-01 00:00:00

  • Anomalous left coronary artery from the pulmonary artery: intermediate results of coronary elongation.

    abstract::A two coronary system is preferred for correcting anomalous left coronary artery from the pulmonary artery (ALCAPA); however, translocation is not always possible. In countries where neonatal arterial switch operations have not been perfected coronary transfer can be difficult. The purpose of this report is to describ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1510/icvts.2009.208215

    authors: Novick WM,Li XF,Anic D,Baskevitch A,Sandoval N,Gilbert CL,Di Sessa TG

    更新日期:2009-11-01 00:00:00

  • Cone reconstruction is feasible in babies under 2 kg of weight.

    abstract::Symptomatic neonates with Ebstein anomaly present with intractable heart failure. We present the first successful cone reconstruction in an ex 30 + 4-week premature below 2 kg with a favourable outcome. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz134

    authors: Bautista-Rodriguez C,Fraisse A,Burmester M,Ghez O

    更新日期:2019-10-01 00:00:00

  • Phrenic nerve reconstruction in complete video-assisted thoracic surgery.

    abstract:OBJECTIVES:Primary or metastatic lung cancer or mediastinal tumours may at times involve the phrenic nerve and pericardium. To remove the pathology en bloc, the phrenic nerve must be resected. This results in phrenic nerve paralysis, which in turn reduces pulmonary function and quality of life. As a curative measure of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu290

    authors: Kawashima S,Kohno T,Fujimori S,Yokomakura N,Ikeda T,Harano T,Suzuki S,Iida T,Sakai E

    更新日期:2015-01-01 00:00:00

  • Late haemodynamic performance and survival after aortic valve replacement with the Mosaic bioprosthesis.

    abstract:OBJECTIVES:The objective was to evaluate the long-term haemodynamic performance of the Mosaic aortic bioprosthesis. Secondary objectives were to investigate the long-term survival, the rate of aortic valve reoperations, and the rate of prosthesis-patient mismatch and its effect on long-term survival. METHODS:We includ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu238

    authors: Glaser N,Franco-Cereceda A,Sartipy U

    更新日期:2014-11-01 00:00:00

  • Thimble type knot pusher: bioprosthesis stents no longer interfere with tying.

    abstract::When a stented bioprosthetic valve is used for aortic valve replacement, the valve stents protruding to the aortic side can interfere with suture tying. To resolve this problem, we developed a novel knot pusher for use on the index finger. This device has a short push rod appropriate for replacing bioprosthetic aortic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.238188

    authors: Shibata T,Hattori K,Kato Y,Bito Y

    更新日期:2010-08-01 00:00:00

  • Infection after endoscopic ultrasound-guided aspiration of mediastinal cysts.

    abstract::Foregut duplication cysts are rare congenital anomalies of enteric origin that arise during early embryonic development. They are usually incidentally found on routine imaging studies. The diagnosis can usually be made by computed tomography (CT) and endoscopic ultrasound (EUS) appearance. On CT, cyst attenuation valu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.217067

    authors: Diehl DL,Cheruvattath R,Facktor MA,Go BD

    更新日期:2010-02-01 00:00:00

  • Strangulation of aberrant artery in extralobar pulmonary sequestration on video imaging.

    abstract::We report a case of an 18-year old female patient with symptomatic extralobar pulmonary sequestration. The initial symptom was sudden-onset right lateral abdominal pain. Enhanced computed tomography showed a 5 cm in diameter, spindle-shaped mass located in the costophrenic sinus with no aberrant artery. Exploratory th...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu103

    authors: Nakano T,Tetsuka K,Yamamoto S,Endo S

    更新日期:2014-08-01 00:00:00

  • Treating the patients in the 'grey-zone' with aortic valve disease: a comparison among conventional surgery, sutureless valves and transcatheter aortic valve replacement.

    abstract:OBJECTIVES:Although the use of transcatheter aortic valve replacement (TAVR) has recently become an attractive strategy in extremely high-risk patients undergoing aortic valve replacement (AVR), the most appropriate treatment option in patients with an intermediate- to high-risk profile with conventional surgery (sAVR)...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu340

    authors: Muneretto C,Bisleri G,Moggi A,Di Bacco L,Tespili M,Repossini A,Rambaldini M

    更新日期:2015-01-01 00:00:00

  • A tip for controlling the main pulmonary artery during video-assisted thoracic major pulmonary resection: the outside-field vascular clamping technique.

    abstract::Cross-clamping the main pulmonary artery (PA) is a risky, stressful procedure for the general thoracic surgeon performing video-assisted thoracic major pulmonary resection (VATS). However, converting VATS to thoracotomy each time PA clamping is planned is a poor tactic. We present a simpler technique for VATS than the...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.246132

    authors: Kamiyoshihara M,Nagashima T,Ibe T,Takeyoshi I

    更新日期:2010-11-01 00:00:00

  • Manifestation of congenital pulmonary airway malformation in a 26-year-old adult, requiring surgery.

    abstract::This is a case of type 1 congenital pulmonary airway malformation in the left lower lobe of a 26-year-old male. At the age of 1 year, he developed a pulmonary cystic lesion, which was considered to be bronchopulmonary sequestration. He grew up healthy and showed no impairment during exercise; however, giant bullous le...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz032

    authors: Isowa M,Ueda S,Sonobe M,Date H

    更新日期:2019-07-01 00:00:00

  • A personalized approach to interventional treatment of tricuspid regurgitation: experiences from an acute animal study.

    abstract:OBJECTIVES:Interventional treatment of tricuspid valve disease has so far received little attention due to the anatomical challenges in a thrombogenic surrounding. In the present study, we present an imaging-based, personalized interventional approach to the therapy of tricuspid regurgitation. METHODS:In our porcine m...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu143

    authors: Amerini A,Hatam N,Malasa M,Pott D,Tewarie L,Isfort P,Goetzenich A,Hildinger M,Autschbach R,Spillner J

    更新日期:2014-09-01 00:00:00

  • A structured blood conservation programme reduces transfusions and costs in cardiac surgery.

    abstract:OBJECTIVES:Transfusions of blood products can be lifesaving, but they are also associated with considerable risks and adverse effects, including immune response and infections. In cardiac surgery, transfusions have also been associated with increased mortality. We prospectively studied the effects of a structured progr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu266

    authors: Ternström L,Hyllner M,Backlund E,Schersten H,Jeppsson A

    更新日期:2014-11-01 00:00:00

  • Echocardiographic assessment of mitral valve morphology and performance after triangular resection of the prolapsing posterior leaflet for degenerative myxomatous disease.

    abstract::The gold standard for the surgical treatment of prolapse of the posterior leaflet of the mitral valve (MV) for degenerative myxomatous disease has been represented by the quadrangular resection of the leaflet, according to the Carpentier technique. Since 2006 we performed a triangular resection of the prolapsing leafl...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.204776

    authors: Chiappini B,Gregorini R,De Remigis F,Petrella L,Villani C,Di Pietrantonio F,Pavicevic S,Mazzola A

    更新日期:2009-08-01 00:00:00

  • Rapid resolution of Ortner's syndrome with giant left atrium after double-valve replacement surgery.

    abstract::Hoarseness of voice due to recurrent laryngeal nerve palsy is an uncommon manifestation of cardiothoracic disease. Ortner's syndrome is hoarseness attributed to mechanical compression of the left recurrent laryngeal nerve in association with several cardiopulmonary disease states. We here describe a rare case of Ortne...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivx166

    authors: Acharya MN,Bahrami T,Popov AF,Kishore Bhudia S

    更新日期:2017-10-01 00:00:00

  • Potassium-induced conversion of ventricular fibrillation after aortic declamping.

    abstract:OBJECTIVES:The anti-fibrillatory effect of potassium is well recognized from experimental models. There have, however, been very few clinical reports on the use of potassium to convert ventricular fibrillation (VF) after cardioplegic arrest. METHODS:In total, 8465 adult patients undergoing cardiac operations on cardio...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs455

    authors: Almdahl SM,Damstuen J,Eide M,Mølstad P,Halvorsen P,Veel T

    更新日期:2013-02-01 00:00:00

  • Natural courses and long-term results of type A acute aortic intramural haematoma and retrograde thrombosed type A acute aortic dissection: a single-centre experience.

    abstract:OBJECTIVES:Few reports on the outcomes of patients treated for Stanford type A acute aortic intramural haematoma (TAAIMH) and retrograde thrombosed type A acute aortic dissection exist. This study aimed to evaluate their long-term results and predictors of adverse outcomes. METHODS:We retrospectively analysed 40 patie...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz222

    authors: Chen YY,Yen HT,Lo CM,Wu CC,Huang DK,Sheu JJ

    更新日期:2020-01-01 00:00:00

  • Endovascular correction of a distal re-entry in an abdominal aorta dissection.

    abstract::The re-entries are still a problem for the endovascular treatment of aortic dissections. A 60-year-old man was treated for an abdominal aortic dissection using aortic monoiliac endograft until the left iliac external artery and a femoro-femoral bypass with occlusion of the right common iliac artery and the left hypoga...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.195164

    authors: Da Rocha M,Miranda S,Burrell M,Riambau VA

    更新日期:2009-03-01 00:00:00

  • Type II endoleak after endoluminal repair of thoracic aortic aneurysm associated with native coarctation.

    abstract::Aneurysm formation and recurrent coarctation are common complications of coarctation repair, and various types of treatment have been described. Native aortic coarctation during adult life is rarer and can be responsible for severe complications. We report an original case of thoracic aortic aneurysm associated with n...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw340

    authors: Maitrias P,Mage A,Belhomme D,Reix T

    更新日期:2017-02-01 00:00:00

  • Implementation of a user-friendly protocol for interpretation of air-leaks and management of intercostal chest drains after thoracic surgery.

    abstract::We prospectively audited the implementation of a protocol for management of air-leaks and intercostal drains after thoracic surgical procedures. Out of the 99 patients who underwent thoracic surgical procedures during a 3-month period, 41 presented a postoperative air-leak on day 1. The protocol was strictly followed ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00054-9

    authors: Martin-Ucar AE,Passera E,Vaughan R,Rocco G

    更新日期:2003-09-01 00:00:00

  • A modified suturing technique for the implantation of the apical cannula of the HeartMate II left ventricular assist device.

    abstract::The secure and haemostatic implantation of the left ventricular assist device (LVAD) apex inflow cannula can sometimes be challenging, especially in the setting of an acute myocardial infarction or significant ventricular wall thinning, when the myocardial tissue may be friable and tissue strength may be compromised. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.244509

    authors: Charitos EI,Sievers HH

    更新日期:2010-10-01 00:00:00

  • Simple and non-invasive techniques to evaluate the function of CircuLite Synergy.

    abstract:OBJECTIVES:The Synergy CircuLite micropump is a novel partial-support miniature left ventricular assist device that propels 2-3 l/min blood from the left atrium into the right subclavian artery. The ability of currently available investigative modalities to confirm Synergy pump malfunction is limited. The Synergy speed...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu236

    authors: Mohite PN,Bowles CT,Sabashnikov A,Popov AF,Patil NP,Sáez DG,Banner NR,Simon AR

    更新日期:2014-11-01 00:00:00

  • Pre-existing cerebral infarcts as a risk factor for delirium after coronary artery bypass graft surgery.

    abstract:OBJECTIVES:Delirium is a common and critical clinical syndrome in older patients. We examined whether abnormalities in the brain that could be assessed by magnetic resonance imaging predisposed patients to develop delirium after coronary artery bypass graft surgery. We also analysed the association between delirium and...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt304

    authors: Otomo S,Maekawa K,Goto T,Baba T,Yoshitake A

    更新日期:2013-11-01 00:00:00

  • Cardiac allograft systolic function. Is the aetiology (ischaemic or idiopathic) a determinant of ventricular function in the heart transplant patient?

    abstract::The natural history of the LV systolic function (LV-SF) and functional capacity of survivors of heart transplantation (Htx) has not been defined. Some investigators suggest that SF may be different in recipients with different pre-transplant aetiologies: ischaemic or dilated, idiopathic disease. Routine transthoracic ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.167924

    authors: Antunes MJ,Biernat M,Sola E,Oliveira L,Prieto D,Franco F,Providência LA

    更新日期:2008-08-01 00:00:00

  • Preoperative TNM evaluation of peripheral clinical stage I small cell lung cancer treated by initial lobectomy with adjuvant chemotherapy.

    abstract::Surgery with chemotherapy has been the accepted procedure for treating pathological stage I small cell lung cancer. However, there is a question of whether all clinical stage I patients should undergo surgery or not because of discrepancies between clinical and pathological staging. We conducted a retrospective analys...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2004.101428

    authors: Sakai M,Ishikawa S,Yamamoto T,Onizuka M,Sakakibara Y,Iijima T,Noguchi M

    更新日期:2005-04-01 00:00:00

  • What is the impact of preoperative aspirin administration on patients undergoing coronary artery bypass grafting?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether continuation of administration of preoperative aspirin until the day of coronary artery bypass grafting (CABG) could minimize postoperative mortality, prevalence of postoperative myocardial infar...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivw317

    authors: Aboul-Hassan SS,Stankowski T,Marczak J,Cichon R

    更新日期:2017-02-01 00:00:00

  • Short-term outcome following cardiac surgery--a comparison between consultant and trainees' performance.

    abstract::Comparison of the outcome of cardiac operations performed by surgical trainees with those performed by consultant surgeons has been an interesting topic in recent years. We set out to examine the outcome of a high volume-training firm. Cardiac operations performed by surgical trainees and a consultant between January ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.228171

    authors: Hosseini MT,Saeed I,Mandal K,Kourliouros A,Valencia O,Jahangiri M

    更新日期:2010-06-01 00:00:00