Archivos mensuales: abril2021

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Zeraatian's LA technique for PFO closure

Patient with previous history of CVA and mitral valve fibroelastoma and LAA patency and clot undergone repair and excision tumor and valve repair. Technique repair of PFO from left side..

Lee mas
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Superior Approach (Tucker's Repair) for Repair of Supracardiac Total Anomalous Pulmonary Venous Connection (TAPVC)

As this article and video demonstrate, the superior approach for repair of supracardiac TAPVC carries several advantages, including minimal-to-no heart manipulation, ease of accessibility through the transverse pericardial sinus, and all parts of the..

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Delirium in Children After Cardiac Bypass Surgery

Abstract Background Delirium is acute brain dysfunction associated with serious illness. Emerging data indicate that delirium occurs in greater than 20% of children in pediatric intensive care units. Cardiac bypass..

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A Simple Approach for Minimally Invasive Combined Aortic and Mitral Valve Surgery

Abstract Background  There is now extension of minimally invasive techniques to involve concomitantly aortic and mitral valves through a single small incision. We share our experience in such surgeries through..

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Changes in left ventricular and atrial mechanics and function after dialysis in patients with end-stage renal disease

Abstract Background: Hemodialysis (HD) can influence end-stage renal disease (ESRD) patients’ circulatory system. The present study aimed to evaluate the effect of volume depletion on left ventricular (LV) and left atrial..

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Impact of aortic valve disease on outcomes of aortic root replacement

Abstract Background and Aim of the Study Aortic stenosis (AS) has been associated with higher mortality in patients undergoing aortic root replacement (ARR). In this analysis, we compare the outcomes..

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PHYSIOLOGIC EFFECTS OF CONTINUOUS-FLOW LEFT VENTRICULAR ASSIST DEVICES

Abstract Background Within the past ten years, continuous-flow Left Ventricular Assist Devices (LVADS) have replaced pulsatile-flow LVADs as the standard of care for both destination therapy and bridging patients to..

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Concept and Design of a Novel Pulsatile Left Heart Assist Device—The PERKAT Left Ventricle System

Abstract Cardiogenic shock is associated with high mortality. Patients often require temporary mechanical circulatory support. We aimed to develop a percutaneously implantable, assist device that unloads the left ventricle (LV)..

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Efficacy and safety of ECG-synchronized pulsatile extracorporeal membrane oxygenation in the clinical setting: The SynCor Trial

Abstract Introduction Mechanical circulatory support (MCS) devices are increasingly used as a treatment option in resuscitation or in patients with cardiogenic shock (CS). Prophylactic implantation in high-risk percutaneous coronary interventions..

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Early implementation of renal replacement therapy after lung transplantation does not impair long-term kidney function in patients with idiopathic pulmonary…

Abstract Objectives In patients with idiopathic pulmonary arterial hypertension, cardiac function can be impaired in the early  after  because the chronically untrained  is prone to fail. Thus, restrictive fluid management is pivotal to..

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AV channel septal defect and bivalvular defects

Patient with AV channel septal defect and bivalvular defects undergone bicaval cannulation as well mitral valve repair and tricuspid valve repair and AVCSD repair with good postoperative course. [playlist ids="22181"]..

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Complete Vascular ring , DAA (Double Aortic Arches)

1 year child with stridor CT shows complete vascular ring , DAA ; Double Aortic Arches   Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging..

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Central, peripheral ECMO or CPB? Comparsion between circulatory support methods used during lung transplantation

Abstract Background Chronic obstructive pulmonary disease, cystic fibrosis and usual interstitial pneumonia are three most common indications for lung transplantation (LuTx) in Poland. As a result of irreversible destruction of..

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Venoarterial extracorporeal membrane oxygenation is a viable option as a bridge to heart transplant

Abstract Objective Venoarterial  is a rescue therapy for patients in . We hypothesize that patients bridged to  with extracorporeal membrane oxygenation have decreased survival. Methods The United Network of Organ Sharing database was..

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A comparative analysis of factors influencing haemoglobin content in RBC units

Abstract Background and objectives The increment in a patient’s haemoglobin level is based upon the haemoglobin content of the transfused RBC units. The total haemoglobin present in the blood bags..

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Gelatin and the risk of acute kidney injury after cardiac surgery

Abstract Background Gelatin has been used as a plasma volume expander because of its ability to preserve intravascular volume more effectively than crystalloids. However, gelatin may have detrimental effects on..

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Prolonged Blood Storage and Risk of Posttransfusion Acute Kidney Injury

Abstract Background Erythrocyte transfusions are independently associated with acute kidney injury. Kidney injury may be consequent to the progressive hematologic changes that develop during storage. This study therefore tested the..

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The evolution of temperature management for open heart surgery: an historical perspective

Abstract Intraoperative temperature regimen is usually planned preoperatively ‘in team’. Selecting and understanding the impact of the temperature regimen (normothermia, or mild, moderate or severe hypothermia) is usually related to..

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Minimally invasive extracorporeal circulation in end-stage coronary artery disease patients undergoing myocardial revascularization

Abstract Background Patients with coronary artery disease and concomitant heart failure (left ventricular ejection fraction < 35%) requiring myocardial revascularization are at risk of poor long-term prognosis and higher mortality. The benefits..

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Association between intraoperative hyperglycemia and postoperative end-organ dysfunctions after cardiac surgery: a retrospective observational study

Abstract Purpose Hyperglycemia has been associated with postoperative morbidity in patients who undergo cardiac surgery. However, it remains unclear whether the duration of hyperglycemia is as important as its magnitude..

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Cytokine Adsorption Therapy during Extracorporeal Membrane Oxygenation in Adult Patients with COVID-19

Abstract Respiratory failure and systemic inflammation are paramount features of severe SARS-CoV-2 disease (COVID-19). Extracorporeal membrane oxygenation (ECMO) therapy has a potential role in patients with refractory disease. An inflammatory..

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Pulmonary Endarterectomy for Chronic Thromboembolic Pulmonary Hypertension: A STS Database Analysis

Abstract Background Chronic thromboembolic pulmonary hypertension (CTEPH) is optimally treated by pulmonary thromboendarterectomy (PEA). Treatment effectiveness has been evaluated principally using single-center series. Data from the Society of Thoracic Surgeons..

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The Role of Race on Acute Kidney Injury Following Cardiac Surgery

Abstract Background Acute kidney injury (AKI) frequently complicates cardiac surgery and is more common among Black patients. We evaluated determinants of race-based differences in AKI rates. Methods Serum creatinine-based criteria..

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Pauses and Their Connection to the P-P Intervals Part 2

Overdrive Suppression We have here in Figure 1 what is most likely an AV nodal reentrant tachycardia (AVNRT). Could it possibly be an AV reentrant tachycardia with orthodromic conduction through..

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Does severe hyperlactatemia during cardiopulmonary bypass predict a worse outcome?

Abstract Introduction The aim of the current study was to evaluate the impact of increased blood lactate levels during cardiopulmonary bypass (CPB) on immediate results in patients who underwent open..

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Extracorporeal Membrane Oxygenation Blood Flow and Blood Recirculation Compromise Thermodilution-Based Measurements of Cardiac Output

Abstract The contribution of veno-venous (VV) extracorporeal membrane oxygenation (ECMO) to systemic oxygen delivery is determined by the ratio of total extracorporeal blood flow (Q˙EC) to cardiac output (Q˙). Thermodilution-based..

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Operation of carotid body tumor

In this video we are going to present step by step dissection and operation of carotid body tumor from incision up to complete excision. Dr.Sam Zeraatian Nejad Davani, CEO of..

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PAPVD

 PEDIATRIC ECHO:     

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UHL's anomaly

  PEDIATRIC ECHO:     

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