Yearly Archives: 2021

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The risk of performing cardiopulmonary bypass in malaria patients: a small case series

Abstract The effects of cardiopulmonary bypass on patients who have active or dormant malaria are unknown. What is known is that malaria-induced hemolysis can be exacerbated by cardiopulmonary bypass. We..

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How I look at the regurgitant mitral valve—a stepwise echocardiographic assessment

Mitral regurgitation (MR) is the second most common valve disease needing intervention in the Western world, after degenerative aortic stenosis.1 Echocardiography is the key examination in the assessment of MR patients.2 Echocardiography..

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What are the echocardiographic findings of acute right ventricular strain that suggest pulmonary embolism?

Introduction: Pulmonary embolism (PE) is a potentially fatal disease encountered in the hospital setting. Prompt diagnosis and management can improve outcomes and survival. Unfortunately, a PE may be difficult to diagnose..

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Extracorporeal membrane oxygenation in non‑intubated immunocompromised patients

Abstract Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) has become an integral part in the rescue therapy of severe acute respiratory distress syndrome (ARDS) and may be lifesaving in patients with..

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Propofol pharmacokinetics and pharmacodynamics—a perspective in minimally invasive extracorporeal circulation

Abstract There is limited evidence as to the pharmacokinetic changes expected in adults with extracorporeal technologies. Drugs may be taken up by various components of the cardiopulmonary bypass circuit itself...

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Does Targeted Temperature Management Improve Neurological Outcome in Extracorporeal Cardiopulmonary Resuscitation (ECPR)?

Abstract Purpose: Targeted temperature management (TTM) is a standard of care in patients after cardiac arrest for neuroprotection. Currently, the effectiveness and efficacy of TTM after extracorporeal cardiopulmonary resuscitation (ECPR)..

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Restrictive fluid management versus usual care in acute kidney injury (REVERSE-AKI): a pilot randomized controlled feasibility trial

Abstract Purpose We compared a restrictive fluid management strategy to usual care among critically ill patients with acute kidney injury (AKI) who had received initial fluid resuscitation. Methods This multicenter..

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Effect of cardiopulmonary bypass reoxygenation on myocardial dysfunction following pediatric tetralogy of Fallot repair

Abstract Background Little is known regarding the effect of cardiopulmonary bypass (CPB) reoxygenation on cardiac function following tetralogy of Fallot repair. We hypothesized that hyperoxic reoxygenation would be more strongly..

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The relationship between cardiac surgeon experience and average patient risk profile: CA and NY statewide analysis

Abstract Background It is unknown how high and low‐risk cases are distributed among cardiac surgeons of different experience levels. The purpose of this study was to determine if high and..

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Patients' exposure to PVC plasticizers from ECMO circuits

Abstract Background: ECMO is a therapeutic act with a high risk of exposure to diethylhexylphthalate (DEHP), plasticizer from PVC tubings. The replacement of this plasticizer with alternative compounds is recommended but..

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DROGAS ANESTESICAS NA CEC - WEBINAR 10

Aula com Dra. Camila Heink. Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC. É perfusionista do Hospital de Clínicas da Unicamp e Coordenador do Curso..

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Guidelines for Conduct of Cardiopulmonary Bypass

Abstract THE USE of cardiopulmonary bypass has enabled the delivery of complex cardiovascular surgical procedures. Cardiopulmonary bypass (CPB), at its best, involves a highly technical process that is executed carefully..

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Use of CytoSorb hemadsorption in a patient with COVID-19 pneumonia and severe ARDS

Abstract This case reports on a 55-year-old male patient who was admitted to the hospital with complaints of fever, cough, vomiting, and loss of taste from 7-8 days before admission...

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Treatment of a patient with pronounced cytokine storm in severe COVID-19 pneumonia using hemoadsorption in combination with the administration of…

Abstract This case reports on a 58-year-old male patient with a medical history of ulcerative colitis, who was admitted to the Emergency Department with a body temperature up to 40°C,..

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PATENT DUCTUS ARTERIOSUS (PDA)

From week 6 of fetal life until birth, the ductus is responsible for most of the right ventricular outflow. Normally, functional closure of the ductus arteriosus occurs by about 15..

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A rare case of concomitant aortic regurgitation and coronary ostial stenosis due to cardiovascular syphilis

A 62-year-old man was admitted to our hospital with worsening heart failure. Three months prior to this hospitalization, he had been admitted to another local hospital with de novo heart failure. Transthoracic..

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Management considerations in the adult with surgically modified d-transposition of the great arteries

Dextro-transposition of the great arteries (D-TGA) has undergone a significant evolution in surgical repair, leading to survivors with vastly different postsurgical anatomy which in turn guides their long-term cardiovascular morbidity..

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Markers of Elevated Left Ventricular Filling Pressure Are Associated with Increased Mortality in Nonsevere Aortic Stenosis

Abstract Background Echocardiographic measures of elevated left ventricular filling pressures are associated with an adverse prognosis. The aim of this study was to determine the relationship between acute (ratio of..

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Pulmonary Atresia

Mono cusp Pulmonary valve technique in Pulmonary Atresia   [gallery ids="12916,12919"]   Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at Aswan heart center..

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PAPVD

Scimitar sign ,,, Female in the fifth decade with : PAPVD of the right PVs to the IVC then RA. The left PVs drain normally to LA.   [gallery ids="12909,12912"]..

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RVOT stenosis, post TOF

26 Y male post TOF repair with "Double Barrel RVOT technique" Native RVOT stenosis,,, RV to PA conduit which shows diffuse degenerative changes , calcifications and filling defects ,,,, Exclude..

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Single Ventricle Physiology. Alternative Technique of Long Acting Cardioplegia. Ammonia Blood Levels - PerfWeb67

    The Vanderbilt Faculty team will discuss Single ventricle physiology and how this affects perfusion technique during surgical correction. Our Journal Club explores alternative techniques to long acting cardioplegia..

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Myocardial Protection in Adult Cardiac Surgery With del Nido Versus Blood Cardioplegia: A Systematic Review and Meta-Analysis

Abstract Background  in adult cardiac surgery is commonly achieved with either multidose blood  or single-dose del Nido crystalloid cardioplegia. Aim The aim of this systematic review and meta-analysis was to compare..

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