Yearly Archives: 2021

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Extrathoracic Superior Vena Cava Bypass With Venous Return Cannulas in Malignant Mediastinal Tumor Surgery

Abstract Combined resection of the superior vena cava is sometimes challenging during radical surgery for malignant mediastinal tumors. We report a case of a 21-year-old man with a malignant mediastinal germ cell tumor who underwent..

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Cell Salvage During Liver Transplantation for Hepatocellular Carcinoma: A Retrospective Analysis of Tumor Recurrence Following Irradiation of the Salvaged Blood

Abstract Background Orthotopic liver transplantation (OLT) is the treatment option for early-stage hepatocellular carcinoma (HCC). OLT is often associated with high blood loss, requiring blood transfusion. Retransfusion of autologous blood is a..

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Impact on Renal Function and Hospital Outcomes of an Individualized Management of Cardiopulmonary Bypass in Congenital Heart Surgery: A Pilot…

Abstract During cardiopulmonary bypass (CPB), high flows can allow an adequate perfusion to kidneys, but, on the other hand, they could cause emboli production, increased vascular pressure, and a more..

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Plasma and Lung Tissue Pharmacokinetics of Ceftaroline Fosamil in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass: An in-vivo Microdialysis Study

Abstract   Background: Ceftaroline fosamil, a 5th generation cephalosporin antibiotic with activity against MRSA, is currently approved for the treatment of pneumonia and complicated skin and soft tissue infections. However,..

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Aortic dissection type A

AORTIC DISSECTION TYPE A‼️ All the didactics are on this fantastic video case and one of my previous post showing another type A dissection clinical case. From  (twitter)   Alex :..

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Single ventricle

Patient around 30yo, outpatient evaluated for heart txp. This is a congenital condition where the IVS fails to form correctly , and thus the blood from the atria is mixed..

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Persistent Ductus Arteriosus

 this was a 28yo woman with this condition, where the aorta is still communicating with the pulmonary artery. From LopezOpitz (twitter)    Alex : is a last year medical student,..

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Intramyocardial dissection

Intramyocardial dissection is a rare complication of myocardial infarction, trauma, and percutaneous intervention. It is usually caused by hemorrhagic dissection among the spiral myocardial fibers. This is the case of..

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Cor Triatriatum

Cor Triatriatum occurs when either the right or left atrium has a flap or tissue or membrane that divides it into two chambers. The classical "Cor Triatrium sinister" is shown..

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Bioprosthetic valve (normal)

This is how a normal aortic bioprosthetic valve is showed on echo. This type of valve (which doesn’t need an INR between 2-3) is generally used in old people (with..

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Amyloid Cardiomyopathy

Amyloid cardiomyopathy is a restrictive infiltrative disease that results in severe LV diastolic dysfunction and moderate LV systolic dysfunction. Classically, one may see a significant biatrial enlargement along with leaky..

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Arrhythmogenic right ventricular dysplasia (ARVD)

ARVD, sometimes also called ARVC (C for Cardiomyopathy), is a rare condition where fibrofatty collagen tissue replaces the normal RV wall. Less commonly, this process involves the LV. Classically the..

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Left Ventricular non Compaction cardiomyopathy (LVNC)

In LVNC, the lower left chamber of the heart, called the left ventricle, contains bundles or pieces of muscle that extend into the chamber. These pieces of muscles are called..

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Tumoral encasement of LT pulmonary artery

Patient with tumoral encasement of LT pulmonary artery undergone resection of pulmonary artery and bypass with tubular graft with good post operative course. [gallery ids="18884,18887,18890,18893,18896,18899,18902,18905,18908"]   Dr.Sam Zeraatian Nejad Davani,..

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Papillary fibroelastoma

It can be asymptomatic (commonly diagnosed as an incidental finding on an echocardiogram) or cause symptoms and embolize (same as atrial myxoma, the most frequent benign tumor). Characteristically, it is..

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Double valve endocarditis

Here you can see an amazing case of double valve endocarditis, involving the tricuspid and mitral valves.   (apical 4 chambers) displays both affected valves     focuses on the..

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Topsy-Turvy Heart with Aortopulmonary Window and Severe Airway Malacia: Prenatal Diagnosis and Review of the Literature

Abstract The topsy-turvy heart is a very rare cardiac malformation that involves a global 90° clockwise rotation of the heart along its long axis. This rotation results in the displacement..

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Cor pulmonale

This is a condition where pulmonary etiology (such as pulmonary hypertension, PHT) causes progressive right heart failure (dilation and/or hypertrophy) only, with unaffected left heart. It can be derived from..

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Epicardial Fat - Case report

A 50-year-old patient presents following a motor vehicle accident. An echocardiogram is ordered to evaluate for shortness of breath. What is indicated by the arrow in the image?   The..

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Hypoplastic LV, LVOT & AORTA

Neonate with such HLHS Hypoplastic LV, LVOT & AORTA Ductus dependent systemic circulation. [gallery ids="18820,18823"] Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at..

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Huge and mediastinal mass with pathophysiology of constrictive pericarditis

Patient with Covid 19 and huge and mediastinal mass with pathophysiology of constrictive pericarditis undergone complete pericardiectomy and mass sent for pathology.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical..

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Establishment of a Disaster Management-like System for COVID-19 Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation in Japan

Abstract The coronavirus disease 2019 (COVID-19) pandemic has increased the number of patients who require extracorporeal membrane oxygenation (ECMO). To manage the demand for ECMO, Japan ECMOnet for COVID-19 was..

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Pulmonary embolism

Patient with pulmonary embolism and classic two incision technique one in RPA and one in MPA bicaval technique and total inflow occlusion and CP administration via root aortic without usage..

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Relacion Qp/Qs - Qp/Qs Ratio

Relacion pulmonar-sistemica, mejor conocida como la relacion Qp/Qs. - Video de como medir el TSVI aqui: - Video de como medir el volumen eyectado aqui:   Pulmonary-systemic flow ratio, better..

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RPA and RT lung injury happened undergone complete repair with off pump technique

Patient with ESRD and necessity of catheter for dialysis at the time of cath insertion SVC as well as RPA and RT lung injury happened undergone complete repair with off..

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Thoracoabdominal dissected aneurysm and clamp apply and spinal protection

Technique of left heart bypass from left pulmonary vein adjacent to left atrial auricle in to the femoral artery for patient with thoracoabdominal dissected aneurysm and clamp apply and spinal..

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Pulmonary Valve Replacement and bovine pericardial patch outlet reconstruction

Patient with Pulmonary stenosis and pulmonary insufficiency undergone PVR and bovine pericardial patch outlet reconstruction.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as..

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Ecocardiografía y asistencia ventricular mecánica. Un caso de obstrucción dinámica de la cánula de entrada

Abstract La ecocardiografía es una herramienta fundamental en el cuidado de los pacientes con dispositivos de asistencia ventricular. La obstrucción dinámica de la cánula de entrada por succión de la..

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Prone Positioning During ECMO for ARDS

Abstract There is sufficient evidence to show that prone positioning improves oxygenation and respiratory mechanics and is also associated with lower mortality in patients with moderate to severe ARDS. However,..

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Transporte y consumo de oxígeno y saturación de oxígeno en aurícula derecha en un modelo experimental de shock séptico neonatal

Abstract Resumen: La monitorización de la saturación de oxígeno en sangre venosa mixta, ayuda a conocer el estado de transporte y consumo de oxígeno en situaciones de shock, mejorando la..

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