New Horizons in Cardiac Surgery: Current Concepts and Innovative Thoughts

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 25 October 2024 | Viewed by 1168

Special Issue Editors


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Guest Editor
Department of Cardiothoracic Surgery, Hammersmith Hospital, National Heart and Lung Institute, Imperial College Healthcare NHS Trust, London, UK
Interests: thoracic surgery; cardiac surgery; extracorporeal circulation; heart failure; valve disease

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Guest Editor
Department of Cardiac Surgery, St Thomas' Hospital, London, UK
Interests: heart valve repair surgery; minimal invasive cardiac surgery; trans-catheter aortic valve implantation (TAVI); hybrid cardiac surgery; complex aortic surgery; aortopathy; Ross operation; grown-up congenital heart disease (GUCH)

Special Issue Information

Dear Colleagues,

The field of cardiac surgery has witnessed remarkable advancements in recent years, with innovative concepts and cutting-edge technologies reshaping the landscape of cardiovascular care. In this Special Issue, we explore the latest developments that are revolutionizing the practice of cardiac surgery and paving the way for a future of enhanced patient outcomes.

Cardiovascular diseases remain a leading cause of morbidity and mortality worldwide, necessitating the continuous exploration and adoption of novel approaches to address the growing burden. This Special Issue brings together a collection of ground-breaking research articles, insightful reviews, and expert commentaries, all centred around the current concepts and innovative ideas that are reshaping the field.

One of the key focuses of the Issue is the introduction of advanced surgical techniques that are minimally invasive, enabling a faster recovery and reduced postoperative complications. Robot-assisted surgeries, transcatheter interventions, and hybrid procedures are explored in depth, highlighting their efficacy and potential to transform traditional surgical practices.

Moreover, the integration of regenerative medicine and tissue engineering in cardiac surgery represents an exciting development. Researchers are investigating the use of stem cells, biomaterials, and bioengineering techniques to regenerate damaged heart tissue and improve cardiac function, which present novel therapeutic opportunities for patients with heart disease.

This Special Issue also emphasizes the importance of multidisciplinary collaboration, bringing together experts from various fields including cardiac surgery, cardiology, and radiology. The integration of expertise and perspectives from diverse disciplines fosters innovative thinking and facilitates the development of comprehensive treatment strategies tailored to individual patients.

As we embark on this exploration of new horizons in cardiac surgery, we aim to inspire further research, collaboration, and innovation in the field. By embracing the current concepts and innovative thoughts presented in this Special Issue, we can collectively strive toward improving patient outcomes and redefining the future of cardiac surgery.

Prof. Prakash P. Punjabi
Dr. Gianluca Lucchese
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive
  • hybrid cardiac surgery
  • stem cells
  • mechanical assist device
  • valve repair

Published Papers (1 paper)

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Research

16 pages, 5195 KiB  
Article
Airway and Anaesthetic Management of Adult Patients with Mucopolysaccharidoses Undergoing Cardiac Surgery
by David Mayhew, Kenneth Palmer, Ian Wilson, Stuart Watson, Karolina M. Stepien, Petra Jenkins and Chaitanya Gadepalli
J. Clin. Med. 2024, 13(5), 1366; https://doi.org/10.3390/jcm13051366 - 28 Feb 2024
Viewed by 922
Abstract
Background: Mucopolysaccharidoses (MPSs) are rare congenital lysosomal storage disorders due to a deficiency of enzymes metabolising glycosaminoglycans, leading to their accumulation in tissues. This multisystem disease often requires surgical intervention, including valvular cardiac surgery. Adult MPSs have complex airways making anaesthesia risky. Methods: [...] Read more.
Background: Mucopolysaccharidoses (MPSs) are rare congenital lysosomal storage disorders due to a deficiency of enzymes metabolising glycosaminoglycans, leading to their accumulation in tissues. This multisystem disease often requires surgical intervention, including valvular cardiac surgery. Adult MPSs have complex airways making anaesthesia risky. Methods: We report novel three-dimensional (3D) modelling airway assessments and multidisciplinary peri-operative airway management. Results: Five MPS adults underwent cardiac surgery at the national MPS cardiac centre (type I = 4, type II = 1; ages 20, 24, 33, 35, 37 years; two males, three females). All had complex airway abnormalities. Assessments involved examination, nasendoscopy, imaging, functional studies, 3D reconstruction, virtual endoscopy, virtual reality and simulation using computerised, physical modelling. Awake oral fibre-optic intubation was achieved via airway conduit. Staged extubation was performed on the first post-operative day under laryngo-tracheoscopic guidance. The post-operative period involved chest physiotherapy and occupational therapy. All patients had safe intubation, ventilation and extubation. Four had good cardiac surgical outcomes, one (MPS type I; age 35 years) was inoperable due to endocarditis. None had post-operative airway complications. Conclusions: Expertise from cardiovascular-heart team, multidisciplinary airway management, use of novel techniques is vital. Traditional airway assessments are insufficient, so ENT input, radiology and computerised methods to assess and simulate the airway in 3D by collaboration with clinical engineering is essential. Full article
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