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Farhat N, Heying R, Rüffer A, Vazquez-Jimenez J, Beghetti M, Seghaye M. Influence of hemodynamic overload with or without pressure overload on myocardial remodeling in children with congenital cardiac defect: Implication of exosomes and intracellular fibrosis activation pathways. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2022.07.023] [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: 10/14/2022]
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2
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Hüners I, Kehl T, Apostolidou S, Sachweh J, Bernhardt A, Reinshagen K, Kozlik-Feldmann R, Rüffer A, Hübler M, Biermann D. COVID-19 Related Myocarditis in a Pediatric Patient: Venoarterial Extracorporeal Membrane Oxygenation and Concomitant Impeller Pump Implantation for Left Ventricular Unloading. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742968] [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: 10/18/2022]
Affiliation(s)
- I. Hüners
- Department of Congenital and Pediatric Heart Surgery, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - T. Kehl
- Department of Pediatric Cardiology, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - S. Apostolidou
- Center for Obstetrics and Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Deutschland
| | - J. Sachweh
- Department of Congenital and Pediatric Heart Surgery, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - A. Bernhardt
- Department of Cardiovascular Surgery, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - K. Reinshagen
- Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Deutschland
| | - R. Kozlik-Feldmann
- Department of Pediatric Cardiology, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - A. Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital RWTH Aachen, Aachen, Deutschland
| | - M. Hübler
- Department of Congenital and Pediatric Heart Surgery, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
| | - D. Biermann
- Department of Congenital and Pediatric Heart Surgery, University Heart & Vascular Center Hamburg, Hamburg, Deutschland
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Rüffer A. Kinderherzchirurgische Aortenbogenoperation. Z Herz- Thorax- Gefäßchir 2019. [DOI: 10.1007/s00398-018-0267-1] [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: 10/28/2022]
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Bott H, Blumauer R, Purbojo A, Moosmann J, Alkassar M, Cesnjevar R, Rüffer A. Long-Term Outcome after Pulmonary Artery Debanding. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678760] [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. Bott
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - R. Blumauer
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - A. Purbojo
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - J. Moosmann
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - M. Alkassar
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - R. Cesnjevar
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - A. Rüffer
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
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Rüffer A, Krämer J, Purbojo A, Blumauer R, Alkassar M, Moosmann J, Cesnjevar R. “Goal-Directed Perfusion” during Biventricular Repair of Congenital Aortic Arch Anomalies—Technical Challenge or Easy to Achieve? Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678861] [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. Rüffer
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - J. Krämer
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - A. Purbojo
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - R. Blumauer
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
| | - M. Alkassar
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - J. Moosmann
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - R. Cesnjevar
- Universitätsklinikum Erlangen, Kinderherzchirurgie, Erlangen, Germany
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Wagner D, Gall C, Rüffer A, Purbojo A, Dittrich S, Glöckler M, Cesnjevar R. Double Outlet Right Ventricle—Follow-up and Outcome after Surgical Repair. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0038-1676843] [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)
- D. Wagner
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - C. Gall
- Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - A. Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - A. Purbojo
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - S. Dittrich
- Department of Pediatric Cardiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - M. Glöckler
- Department of Pediatric Cardiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
| | - R. Cesnjevar
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany
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Cesnjevar R, Purbojo A, Glöckler M, Dittrich S, Blumauer R, Rüffer A. Anatomical Correction for Left Superior Vena Cava Related Obstruction—A “Novel” Surgical Technique Using Just Native Tissue. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678841] [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. Cesnjevar
- Kinderherzchirurgische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
| | - A. Purbojo
- Kinderherzchirurgische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
| | - M. Glöckler
- Kinderkardiologische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
| | - S. Dittrich
- Kinderkardiologische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
| | - R. Blumauer
- Kinderherzchirurgische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
| | - A. Rüffer
- Kinderherzchirurgische Abteilung Universitätsklinik Erlangen, Erlangen, Germany
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Purbojo A, Kläver N, Münch F, Blumauer R, Cesnjevar R, Rüffer A. Modified Pediatric Full Blood Cardioplegia Is Not Inferior to Classic Cold Crystalloid Cardioplegia in the Surgical Repair of Septal Defects. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627959] [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)
- A. Purbojo
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
| | - N. Kläver
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
| | - F. Münch
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
| | - R. Blumauer
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
| | - R. Cesnjevar
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
| | - A. Rüffer
- Kinderherzchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Germany
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Rüffer A, Blumauer R, Purbojo A, Glöckler M, Toka O, Cesnjevar R. Innominization of Left Brachiocephalic Vein for Left Superior Vena Cava–Related Obstruction of Cardiac Structures. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598696] [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)
- A. Rüffer
- Kinderherzchirurgische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - R. Blumauer
- Kinderherzchirurgische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A. Purbojo
- Kinderherzchirurgische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - M. Glöckler
- Kinderkardiologische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - O. Toka
- Kinderkardiologische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - R. Cesnjevar
- Kinderherzchirurgische Abteilung, Universität Erlangen-Nürnberg, Erlangen, Germany
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Fischer V, Gall C, Purbojo A, Rüffer A, Dittrich S, Cesnjevar R. Staged Palliation for Single Ventricle Physiology: The Influence of Specialization and Shunt Type. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598660] [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)
- V. Fischer
- Department of Pediatric Cardiac Surgery, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - C. Gall
- Department of Medical Informatics, Biometry and Epidemiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A. Purbojo
- Department of Pediatric Cardiac Surgery, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A. Rüffer
- Department of Pediatric Cardiac Surgery, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - S. Dittrich
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - R. Cesnjevar
- Department of Pediatric Cardiac Surgery, Universität Erlangen-Nürnberg, Erlangen, Germany
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Moosmann J, Kerling A, Glöckler M, Rüffer A, Toka O, Dittrich S. Tolvaptan as an Additive Diuretic in Infants with Capillary Leak after Cardiac Surgery. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599011] [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)
- J. Moosmann
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A. Kerling
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - M. Glöckler
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A. Rüffer
- Department of Pediatric Cardiac Surgery, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - O. Toka
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
| | - S. Dittrich
- Department of Pediatric Cardiology, Universität Erlangen-Nürnberg, Erlangen, Germany
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Steif A, Moosmann J, Cesnjevar R, Rüffer A, Rompel O, Schmid A, Glöckler M, Dittrich S. Feasibility of Dynamic Contrast-Enhanced Magnetic Resonance Lymphangiography (DCMRL) in Fontan Patients. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598989] [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)
- A. Steif
- Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
| | - J. Moosmann
- Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
| | - R. Cesnjevar
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
| | - A. Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
| | - O. Rompel
- Department of Radiology, University Hospital Erlangen, Erlangen, Germany
| | - A. Schmid
- Department of Radiology, University Hospital Erlangen, Erlangen, Germany
| | - M. Glöckler
- Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
| | - S. Dittrich
- Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
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Stec D, Glöckler M, Schirrmeister J, Rüffer A, Purbojo A, Cesnjevar R, Dittrich S. Bedeutung von Dobutamintestung und Ballonsizings zur Indikationsstellung für die Behandlung gering- und mittelgradiger (Re-) Aortenisthmusstenosen. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571930] [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]
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Hausmann P, Stenger A, Dittrich S, Cesnjevar R, Rüffer A, Hammon M, Uder M, Rompel O, Glöckler M. Application of Dual-Source-Computed Tomography in Pediatric Cardiology in Children Within the First Year of Life. ROFO-FORTSCHR RONTG 2016; 188:179-87. [PMID: 26815121 DOI: 10.1055/s-0041-108912] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE To assess fields of application and value of dual source computed tomography (DSCT) for diagnostics and therapy in patients with congenital heart disease during their first year of life. Evaluation of image quality, surgical use and radiation exposure of 2nd and 3 rd generation DSCT. MATERIALS AND METHODS DSCT was applied in 118 cases between January 2012 and October 2014 for diagnostics of congenital heart defects. 2nd generation was used in 91 cases until April 2014 and 3 rd generation in 27 cases during the period thereafter. 3 D reconstructions of the image data were created for clinical diagnostics and planning of interventions. Image quality was assessed using a 4-point-scale. The visibility of the mammary arteries was analyzed, and signal-to-noise-ratio (SNR) and contrast-to-noise-ratio (CNR) were calculated. The usefulness of 3D-reconstructions for surgical planning was rated using a 5-point-scale. Radiation exposure and contrast dye consumption were determined. All cases were analyzed retrospectively. RESULTS DSCT was successfully used in 118 cases. All image data obtained were interpretable. More than 60 percent of cases did not show any artifacts. The mammary arteries were visible down to the diaphragmatic arch in more than 80 percent of cases. Diagnostic value and surgical benefit were evaluated as "useful" or as "essential" in all cases. Median radiation dose was 0.4 mSv and 0.27 mSv for the 2nd and 3 rd generation DSCT, respectively. Consumption of contrast dye was 2 ml/kg in all cases. CONCLUSION DSCT is a modern and extremely helpful technique for diagnostics and planning of interventions in patients with complex congenital heart defects. Extracardiac vascular structures in particular can be depicted three-dimensionally at high resolution. The use of iterative reconstruction with 3 rd generation DSCT yielded image quality similar to that of 2nd generation DSCT at considerably reduced radiation exposure level compared to 2nd generation DSCT. 3 rd generation DSCT is a low risk, accurate and extremely fast technique for diagnosing unstable patients with CHD. KEY POINTS Expanded scope of indications for DSCT in diagnosing critically ill infants. Effective radiation dose is considerably lower than 0.5 mSv. Extremely rapid image acquisitions with high image quality. Possibility of optimized 3D-based surgical planning
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Affiliation(s)
- P Hausmann
- Pediatric Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - A Stenger
- Pediatric Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - S Dittrich
- Pediatric Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - R Cesnjevar
- Congenital Heart Surgery, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - A Rüffer
- Congenital Heart Surgery, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - M Hammon
- Radiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - M Uder
- Radiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - O Rompel
- Radiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
| | - M Glöckler
- Pediatric Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Germany
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Moosmann J, Werner R, Cesnjevar R, Toka O, Roppenecker G, Rüffer A. Simulation of an Atrial Assist Device in Fontan Circulation. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571524] [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]
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Münch F, Kellermann S, Purbojo A, Janssen C, Cesnjevar R, Rüffer A. Neue Wege zur Optimierung der Kinderperfusion: Modifizierte Blutkardioplegie nach Calafiore. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1556032] [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: 10/23/2022]
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Rüffer A, Tischer P, Toka O, Glöckler M, Dittrich S, Cesnjevar R, Jüngert J. Cerebral Blood-Flow Velocities during Regional Cerebral Perfusion in Infant Aortic Arch Surgery. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1556033] [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: 10/23/2022]
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Sandrio S, Purbojo A, Rüffer A, Dittrich S, Cesnjevar R. Creation of a Venous Reservoir for RVAD Implantation in Failing Fontan - Prêtre Modification. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544383] [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]
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Sandrio S, Rüffer A, Purbojo A, Dittrich S, Cesnjevar R. Staged Surgical Repair of Truncus Arteriosus Communis in Critically Ill Neonates with Complex Congenital Malformations. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544381] [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]
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Münch F, Purbojo A, Kellermann S, Janssen C, Cesnjevar R, Rüffer A. Improved Contractility with Modified Tepid Full Blood Cardioplegia Compared to Cold Crystalloid Cardioplegia in a Piglet Model. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544413] [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]
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Prießmann H, Glöckler M, Rüffer A, Cesnjevar R, Dittrich S. Frühpostoperativen Katheterinterventionen - Risikobewertung. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394077] [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]
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Münch F, Sandrio S, Purbojo A, Rüffer A, Cesnjevar R. “UNIVAD”- vereinfachter Kreislaufsupport bei Single Ventrikel Anatomie mit aortopulmonalem Shunt und Low Output Syndrom. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394060] [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]
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Rüffer A, Münch F, Purbojo A, Glöckler M, Toka O, Dittrich S, Cesnjevar R. Improving outcomes of pediatric postcardiotomy extracorporeal membrane oxygenation. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1393990] [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]
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Rüffer A, Janssen C, Kellermann S, Münch F, Cesnjevar R. Aortic arch repair in a piglet model: improved contractility with the beating-heart technique. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367136] [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: 10/25/2022]
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Horke A, Hemmer W, Sandica E, Rüffer A, Cesnjevar R, Ciubotaru A, Boethig D. The RVOT conduit registry: Freedom from explantation of various conduit types. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367132] [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: 10/25/2022]
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Cesnjevar R, Purbojo A, Glöckler M, Dittrich S, Koch A, Rüffer A. Early results of implanted heparin-coated shunts - single center experience. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367349] [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: 10/25/2022]
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Suc J, Purbojo A, Rüffer A, Koch A, Eberle K, Münch F, Cesnjevar R. Neonatal myocardium is more sensitive to perioperative ischemic damage than myocardium of elder children. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367186] [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: 10/25/2022]
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Moosmann J, Doll U, Rüffer A, Cesnjevar R, Dittrich S, Toka O. Erste Erfahrungen mit dem Vasopressin-Rezeptor Antagonisten (Tolvaptan) als Rescue Diuretikum im Postoperativen Management bei Säuglingen mit HLHS. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354443] [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: 10/26/2022]
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Rüffer A, Münch F, Purbojo A, Glöckler M, Toka O, Koch AM, Dittrich S, Cesnjevar R. Ventricular Assist Device for Myocarditis or Cardiomyopathy in Pediatric Patients: A Single-Center Series with no Mortality and the Longest Reported Duration of Support, So Far. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354473] [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: 10/26/2022]
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Münch F, Ihlenburg S, Rüffer A, Göen T, Müller J, Cesnjevar R. Verhindern Alternative „Weichmacher“ im medizinischen PVC Toxische Nebenwirkungen? Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354477] [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: 10/26/2022]
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Glöckler M, Dittrich S, Cesnjevar R, Rüffer A, Rompel O. Preoperative Assessment of the Aortic Arch by High-Pitch Dual-Source Computed Tomography in Neonates and Babies with Congenital Heart Disease: A Single-Center, Retrospective Analysis of 37 Cases. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354536] [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: 10/26/2022]
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Rüffer A, Münch F, Purbojo A, Toka O, Glöckler M, Koch AM, Dittrich S, Cesnjevar R. Single-Center Outcome of Pediatric Extracorporeal Membrane Oxygenation. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354475] [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: 10/26/2022]
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Moosmann J, Wiebensohn T, Cesnjevar R, Rüffer A, Glöckler M, Toka O, Dittrich S. Analysen zur Prädisposition und Manifestation der Failing Fontan Zirkulation. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354451] [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: 10/26/2022]
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Rüffer A, Kellermann S, Janssen C, Münch F, Demuth M, Toka O, Cesnjevar RA. Evaluation of myocardial ischemia during beating-heart aortic arch repair in a piglet model. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332270] [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: 10/27/2022]
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Ihlenburg S, Purbojo A, Rüffer A, Koch A, Dittrich S, Cesnjevar RA. Réparation à l'Etage Ventriculaire (REV-procedure) – Our choice of treatment for patients with TGA, VSD and LVOTO. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297645] [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: 10/14/2022]
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Glöckler M, Dittrich S, Cesnjevar R, Rüffer A. 3-Dimensional imaging in the congenital catheterization laboratory: improved diagnostic accuracy by C-arm-based rotational angiography (3D-RA). Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297561] [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: 10/14/2022]
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Purbojo A, Ihlenburg S, Rüffer A, Dittrich S, Zimmermann T, Cesnjevar R. Lateral slide tracheoplasty for complete tracheal rings with bronchus suis and pulmonary artery sling: a case report. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297642] [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: 10/14/2022]
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Münch F, Oehrlein S, Cesnjevar RA, Rüffer A. Improved flexibility of babies with a mobile VAD Ikus unit. An in hospital solution. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297831] [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: 10/14/2022]
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Rüffer A, Bechtold C, Potapov S, Purbojo A, Ihlenburg S, Glöckler M, Koch A, Cesnjevar RA. Aortic arch reconstruction in neonates: factors influencing survival and arch re-intervention. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297418] [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: 10/14/2022]
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Rüffer A, Webinger J, Glöckler M, Purbojo A, Dittrich S, Cesnjevar RA, Carbon R. Pericardial cyst or teratoma? Change of strategy during mediastinal tumor surgery. Thorac Cardiovasc Surg 2011; 60:488-90. [PMID: 21766280 DOI: 10.1055/s-0031-1280065] [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] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This report describes the management of an 8 × 8-cm cystic mass that arose from the anterior mediastinum and prolapsed into the right pleural cavity adherent to the pericardium in an asymptomatic 16-year-old girl. The patient was scheduled for a video-assisted thoracoscopic operation with exposure, puncture and suction of a suspected pericardial cyst. However, during the procedure the strategy was changed due to the solid consistency of the mass, and the lesion was extirpated in toto by a short anterolateral thoracotomy. The complete histopathological investigation showed a highly fibrous, cystic, mature teratoma.
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Affiliation(s)
- A Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany.
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Rüffer A, Klopsch C, Münch F, Gottschalk U, Mir T, Weil J, Reichenspurner H, Cesnjevar R. Aortic Arch Repair: Let It Beat! Thorac Cardiovasc Surg 2011; 60:189-94. [DOI: 10.1055/s-0030-1271042] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- A. Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
| | - C. Klopsch
- Department of Cardiac Surgery, Medical Faculty, University of Rostock, Rostock, Germany
| | - F. Münch
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
| | - U. Gottschalk
- Department of Pediatric Cardiology, University-Heart-Center-Hamburg, Hamburg, Germany
| | - T. Mir
- Department of Pediatric Cardiology, University-Heart-Center-Hamburg, Hamburg, Germany
| | - J. Weil
- Department of Pediatric Cardiology, University-Heart-Center-Hamburg, Hamburg, Germany
| | - H. Reichenspurner
- Department of Cardiovascular Surgery, University-Heart-Center-Hamburg, Hamburg, Germany
| | - R. Cesnjevar
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
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Ihlenburg S, Rüffer A, Radkow T, Purbojo A, Glöckler M, Dittrich S, Cesnjevar R. Fast low-radiation Flash-CT-scan - An alternative imaging method in patients with congenital heart disease? Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269147] [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: 10/18/2022]
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Rüffer A, Münch F, Potapov S, Ihlenburg S, Purbojo A, Glöckler M, Dittrich S, Cesnjevar R. Troponin-I is a predictor of mortality in patients with postoperative Extra-Corporeal-Membrane-Oxygenation (ECMO) following congenital cardiac surgery. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269241] [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: 10/18/2022]
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Rüffer A, Wittmann J, Potapov S, Ihlenburg S, Purbojo A, Zink S, Dittrich S, Cesnjevar R. Mid-term experience with Hancock porcine-valved Dacron conduit for right ventricular outflow tract reconstruction. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269154] [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: 10/18/2022]
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Purbojo A, Rüffer A, Ihlenburg S, Zink S, Dittrich S, Cesnjevar R. Atrial switch (Senning procedure) in the era of the arterial switch operation: A case report. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269302] [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: 10/18/2022]
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Rüffer A, Arndt F, Ihlenburg S, Purbojo A, Toka O, Weil J, Dittrich S, Cesnjevar R. Intra-pulmonary artery banding - our procedure of choice for rare indications. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269159] [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: 10/18/2022]
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Purbojo A, Rüffer A, Koch A, Dittrich S, Cesnjevar RA. Tricuspid Valve Reconstruction for Ebsteins Disease. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246941] [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]
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Rüffer A, Purbojo A, Münch F, Mahmoud N, Schmid J, Koch A, Cesnjevar RA. Continuous hypothermic low-flow-perfusion during aortic arch operations is neuroprotective and cardioprotective. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246853] [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]
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Rüffer A, Danch A, Gottschalk U, Mir T, Lacour-Gayet F, Haun C, Hraska V, Reichenspurner HC, Cesnjevar RA. The Norwood procedure - does the type of shunt determine outcome? Thorac Cardiovasc Surg 2009; 57:270-5. [PMID: 19629888 DOI: 10.1055/s-0029-1185459] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Stage I palliation of hypoplastic left heart syndrome (HLHS) and its variants is usually performed by a Norwood operation. The management of pulmonary blood flow during this procedure remains controversial. The RV-to-PA conduit (RVPAC) has been proposed as the better alternative compared to a systemic-to-pulmonary shunt (SPS). METHODS A retrospective single center chart review of consecutive patients who underwent a Norwood I procedure between 01/1997 and 09/2006 was performed. All patients were operated in deep hypothermia, with or without circulatory arrest, using different shunt modifications according to surgeon's preference. Patients were divided into two groups depending on surgical management for pulmonary blood flow (modified BT shunt [BT] and non-valved RVPAC [Sano]). RESULTS Fifty-four patients were included in the study (BT: 31 patients vs. Sano: 23 patients). Diastolic blood pressure during the first 24 hours postoperatively was significantly lower in the BT group (BT: 38.6 +/- 6.9 mmHg vs. Sano: 42.4 +/- 7.2 mmHg; P < 0.01) with a trend towards a higher systolic blood pressure (BT: 74.1 +/- 13.5 mmHg vs. Sano: 69.8 +/- 12.1 mmHg; P = 0.08). Mean circulatory arrest time in the BT group was significantly longer compared to the Sano patients (BT: 41 +/- 21 min vs. Sano: 25 +/- 23 min; P < 0.01). The mean hospital stay was 18.5 days for BT patients and 20 days for Sano patients ( P = 0.45). Early mortality for the total cohort was 14.8 % (n = 8) (BT 19.4 % [n = 6] vs. Sano 8.7 % [n = 2]; P = 0.12). There was no significant difference in inter-stage mortality between the two groups (BT: 18.2 % vs. Sano: 21.1 %; P = 0.47). CONCLUSION The results for both established surgical methods (BT and Sano) for the palliation of HLHS and its variants have improved over time and are reaching acceptable early mortality rates. There was a trend towards a favorable early outcome for Sano patients, which did not reach statistical significance in this study due to the low patient numbers.
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Affiliation(s)
- A Rüffer
- Department of Pediatric Cardiac Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
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Rüffer A, Meyer R, Knörig J. Surgical treatment of coronary heart disease in octogenarians: An outcome analysis with special emphasis on gender differences. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191380] [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]
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