Yearly Archives: 2022

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Individualised or liberal red blood cell transfusion after cardiac surgery: a randomised controlled trial

Abstract Background Current practice guidelines for red blood cell (RBC) transfusion in ICUs are based on haemoglobin threshold, without consideration of oxygen delivery or consumption. We aimed to evaluate an..

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Post operative bleeding in patient with CABG

Post operative bleeding in patient with CABG and AVR and IABPC due to pulsating impact of IABPC in the suture line of aortotomy.   Dr.Sam Zeraatian Nejad Davani, CEO of..

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Tronco arterial comum ou Truncus

Cardiopatia congênita que se caracteriza como o próprio nome diz pela formação de um tronco único saindo do coração.  O normal do coração é termos 2 grandes vasos saindo dele,..

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Doença de Kawasaki

Na doença de Kawasaki temos uma espécie de inflamação nos pequenos e médios vasos do corpo da criança. Foi descrita pela primeira vez no Japão, em 1962, pelo Dr. Tomisaku..

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Thoracoabdominal huge aneurysm and sacular multiple aneurysm

Thoracoabdominal huge aneurysm and sacular multiple aneurysm out pouch undergone novel reduction aortoplasty plus Florida operation. [gallery ids="29929"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center..

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Anticoagulation on Extracorporeal Support: An Alternative Strategy

Abstract This approach is based on subcutaneous administration of low-molecular-weight heparin (LMWH) 3 times a day, paired with antifactor Xa (anti-Xa) assay monitoring, 3 times a day, each sample equidistant..

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Mechanical circulatory support in the treatment of cardiogenic shock

Abstract Purpose of review  Cardiogenic shock is a condition that is characterized by end-organ hypoperfusion secondary to reduced cardiac output, and is associated with substantial mortality. The mainstay of therapy..

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III ENCUENTRO EN ESPAÑOL de la Congenital Heart Academy

III ENCUENTRO EN ESPAÑOL de la Congenital Heart Academy    Congenital Heart Academy    

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GUIDELINE NA CEC - WEBINAR 29

Guideline na CEC 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 da Unicamp..

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Use of CytoSorb® hemoadsorption column during prolonged cardiopulmonary bypass in complex cardiac surgery patient. Case report

Abstract Background Complex cardiac surgery and prolonged cardiopulmonary bypass are associated with significant activation of the systemic inflammatory response system. Pro-inflammatory cytokines, oxygen free radicals and complement activation products contribute..

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Effect of Nitric Oxide via Cardiopulmonary Bypass on Ventilator-Free Days in Young Children Undergoing Congenital Heart Disease Surgery

Abstract Importance  In children undergoing heart surgery, nitric oxide administered into the gas flow of the cardiopulmonary bypass oxygenator may reduce postoperative low cardiac output syndrome, leading to improved recovery and..

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Intraoperative Diagnosis of Bronchovenous Fistula During Lung Transplantation Using Transesophageal Echocardiography

Abstract Bronchovenous  (BVF) is a rare complication and can cause arterial gas embolism in vital organs, including the heart and the brain, resulting in a high mortality rate. A 51-year-old man..

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Response to PEEP in COVID-19 ARDS patients with and without extracorporeal membrane oxygenation. A multicenter case–control computed tomography study

Abstract Background PEEP selection in severe COVID-19 patients under extracorporeal membrane oxygenation (ECMO) is challenging as no study has assessed the alveolar recruitability in this setting. The aim of the..

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Kyphoscoliosis repair

Kyphoscoliosis repair and descending thoracic aorta concomitant repair via post lat thoracotomy incision and plate fixation [gallery ids="29889,29893"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Severe Mitral Regurgitation

Patient with severe MR confirmed by TTE and TEE undergone MV repair with good post op course.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well..

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Use of CytoSorb hemoadsorption for the management of acute liver failure

This case reports on a 28-year-old female patient who was referred intubated and ventilated from an intensive care unit (ICU) of another tertiary care hospital to Sir Gangaram Hospital, Delhi,..

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Human albumin and 6% hydroxyethyl starches (130/0.4) in cardiac surgery: a meta-analysis revisited

Abstract Background A meta-analysis of randomized controlled trials was recently published in BMC Surgery that compared the use of human albumin with 6% hydroxyethyl starches 130/0.4 for cardiopulmonary bypass prime..

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Outcome of adult cardiac surgery following COVID-19 infection in unvaccinated population in a national tertiary centre

Abstract Background Ever since COVID-19 was declared a pandemic, the world medical landscape has changed dramatically. As cardiac surgeons we not only have the duty to protect our patients and..

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Arterial Carbon Dioxide and Acute Brain Injury in Venoarterial Extracorporeal Membrane Oxygenation

Abstract Acute brain injury (ABI) occurs frequently in patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO). We examined the association between peri-cannulation arterial carbon dioxide tension (PaCO2) and ABI with granular..

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Epilepsy in patients undergoing cardiac surgery with ExtraCorporeal Circulation: case series and description of a peculiar clinical phenotype

Abstract Background Extracorporeal circulation (ECC) is now being increasingly used in critical care settings. Epileptic seizures are a recognized but under reported complication in patients receiving this care. Acute symptomatic post-operative..

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The use of veno-arterial extracorporeal membrane oxygenation in the octogenarian population: A single-center experience

Abstract Introduction Advanced age is a known risk factor for poor outcomes after veno-arterial extracorporeal membrane oxygenation (V-A ECMO) for cardiac support. The use of ECMO support in patients over..

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An unanticipated prolonged baseline ACT during cardiac surgery due to factor XII deficiency

Abstract Factor XII (FXII) deficiency is a congenital disorder inherited as an autosomal recessive condition. In his heterozygous form, it is relatively common in the general population. However, a total..

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Non-heparin-induced thrombocytopenia in patients after open-heart surgery

Abstract Background Thrombocytopenia (platelet count below 150 x 103/μL) is a common finding after open-heart surgery and can lead to various complications, including patient death. This study aimed to determine..

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Neuromonitoring, neuroimaging, and neurodevelopmental follow-up practices in neonatal congenital heart disease: a European survey

Abstract Background Brain injury and neurodevelopmental impairment remain a concern in children with complex congenital heart disease (CHD). A practice guideline on neuromonitoring, neuroimaging, and neurodevelopmental follow-up in CHD patients..

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Cell saver blood transfusions may be associated with a decrease in inflammation and improved outcome measures in pediatric cardiac surgery…

Abstract Objective Cardiopulmonary bypass (CPB) is a requisite for correction of congenital heart disease by open-heart surgery and induces a systemic inflammatory response that can lead to complications such as..

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Five-minute test to prevent postcardiotomy reexploration

Abstract Objective To evaluate the effectiveness of the 5-minute test (FMT), developed to record the amount of pericardial bleeding in patients undergoing general cardiac surgery, and determine the relationship between..

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Consensus Statement: Hemostasis Trial Outcomes in Cardiac Surgery and Mechanical Support

Abstract Background Research evaluating hemostatic agents for the treatment of clinically significant bleeding has been hampered by inconsistency and lack of standardized primary clinical trial outcomes. Clinical trials of hemostatic..

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Effects of postoperative cognitive training on neurocognitive decline after heart surgery: a randomized clinical trial Get access Arrow

Abstract     OBJECTIVES Following cardiac surgery, postoperative cognitive decline (POCD) is a common complication that can impair the quality of life and increase mortality. The aim of this study..

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Redo PVR with bovine pericardial patch and biological valve

Redo PVR with bovine pericardial patch and biological valve and usage of gluebran during final phase of anastomoses.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Heart harvest using UW solutions

Classic routine heart harvest using UW solutions but not deploying cross clamp to waste circulating UW solution in the heart up to final steps. >  Dr.Sam Zeraatian Nejad Davani, CEO..

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