Yearly Archives: 2022

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Stone heart syndrome after prolonged cardioplegia induced cardiac arrest in open-heart surgery – a pilot study on pigs

Abstract OBJECTIVES : To investigate Stone Heart Syndrome (SHS) as consequence of prolonged ischemic arrest in an experimental study on pigs in regards to onset of SHS and pathological changes...

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Waitlist Outcomes for Children With Congenital Heart Disease: Lessons Learned From Over 5000 Heart Transplant Listings in the United States

Abstract Background We evaluated the impact of pediatric heart-allocation policy changes over time and the approval of the Berlin ventricular assist device (VAD) on waitlist (WL) outcomes for children with..

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DESAFIO DA GASO

Hoje iniciamos o Desafio da Gaso!! Três dias para falarmos deste exame tão importante no hospital e no laboratório!!! Hoje iremos falar sobre: - Importância da Gasometria. - Qual o..

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On pump beating CABG, LVEF 10 percent and severe PASP HTN

On pump beating CABG in patient with LVEF 10 percent and severe PASP HTN with sequencing distal then first proximal anastomoses technique and despite severe MR no future for MR..

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Ascending aorta dissection and arch replacement

How to apply Edwards Mitral biologic valve in Tricuspid position in the beating heart with bicaval cannulation and total inflow technique without damaging any conduction system. [playlist ids="28875"] Dr.Sam Zeraatian..

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Duplo arco aortico - Double aortic arch

Essa é mais uma sequência de postagem de malformação do coração relacionada com o trajeto do arco aórtico, alterações que chamamos de anel vascular. - Esse vídeo foi elaborado para..

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Ascending aorta dissection

Patient with bicuspid aortic valve and ascending aorta dissection with extension to the arch undergone innominate artery cannulation as well partially circulatory arrest with antegrade cerebral perfusion and hemi arch..

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Mitral valve replacement and LAA closure

Simultaneous mitral valve replacement and LAA closure just with one big sewing cuff instead of LAA closure with separate incision Sam Zeraatiannejaddavani attending professor of IUMS and CEO of RMRC..

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Training Academy Cardiac Surgery

The Cardiac Surgery department of Hospital Universitario Puerta de Hierro Majadahonda and Dr. Alberto Forteza Gil (Head of Cardiovascular department) are welcoming: - Cardiac Surgery residents in the last two..

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Redo mitral valve (echo images)

Patient with previous mitral valve prolapse who undergone previously mitral valve repair in this session came with severe MR as you can see within video TEE this time redo sternotomy..

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Management of Circuit Air in Extracorporeal Membrane Oxygenation: A Single Center Experience

Abstract Air in circuit in patients receiving extracorporeal membrane oxygenation (ECMO) is an emergency. Different protocols have been suggested to deal with this rare but fatal complication, but their efficacies..

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Veno-Venous Extracorporeal Rewarming Using Dual-Lumen Cannula in Accidental Hypothermia

Abstract Accidental hypothermia with a core temperature below 28°C is associated with an increased risk of hemodynamic instability. It is difficult to predict which patients will survive with a favorable..

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Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation*

Abstract OBJECTIVES:  This project aims to describe brain injuries on routine neuroimaging in a large single-center neonatal and pediatric cohort supported by extracorporeal membrane oxygenation. The study also aims to..

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Discrete responses of erythrocytes, platelets, and von Willebrand factor to shear

Abstract Despite decades of technological advancements in blood-contacting medical devices, complications related to shear flow-induced blood trauma are still frequently observed in clinic. Blood trauma includes , , and degradation of High..

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A Theoretical Model of Flow Disruptions for the Anesthesia Team During Cardiovascular Surgery

Abstract Objectives  This investigation explores flow disruptions observed during cardiothoracic surgery and how they serve to disconnect anesthesia providers from their primary task. We can improve our understanding of this..

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Extracorporeal Membrane Oxygenation Cannulae-related Infection: Diagnostic Difficulties and Potential Prevention

Abstract We read with interest the recently-published article by Winiszewski et al. detailing the prevalence and risk factors associated with extracorporeal membrane oxygenation (ECMO) cannulae-related infections (CRIs). Winiszewski highlights a number of..

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Is bivalirudin an alternative anticoagulant for extracorporeal membrane oxygenation (ECMO) patients? A systematic review and meta-analysis

Abstract Background Anticoagulation is important for extracorporeal membrane oxygenation (ECMO). Heparin is widely used; however, in some cases, it is not suitable for patients. Bivalirudin has been recently proposed for..

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Using machine learning to predict perfusionists’ critical decision-making during cardiac surgery

Abstract The cardiac surgery operating room is a high-risk and complex environment in which multiple experts work as a team to provide safe and excellent care to patients. During the..

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Combined Application of CytoSorb and Sustained Low Efficiency Dialysis (SLED) in Critical Patients

A 41- year-old male patient with no pathological history presented to the hospital with colic-type abdominal pain in the right hypochondrium associated with a history of fever over a few..

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Efficacy of Del Nido Cardioplegia in Adult Cardiac Procedures with Prolonged Aortic Cross Clamp Time

Abstract Purpose Equivalent myocardial protection and clinical outcomes have been demonstrated with the use of del Nido (DC) when compared to blood cardioplegia (BC) in adult isolated CABG and valve..

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Pediatric heart harvest

Surgical technique of pediatric heart harvest in patient with previous antrolateral thoracotomy and unfortunately brain death heart was used for transplantation because of absence of other associated anomalies and neither..

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PATHOBIOLOGY OF MYOCARDIAL ISCHEMIA AND REPERFUSION INJURY

Abstract This review presents an integrated approach to the analysis of myocardial ischemia and reperfusion injury and the modulating influence of myocardial conditioning during the evolution of acute myocardial infarction..

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Cerebral Oximetry-Monitored Nitroglycerin Infusion and Tissue Perfusion during Rewarming of Cardiopulmonary Bypass in Cardiac Surgery: A Prospective Randomized Trial

Abstract Background: Nitroglycerin facilitates microcirculation and oxygen delivery through vasodilation. The purpose of this study was to clarify the effects of nitroglycerin-induced vasodilation and potential hypotension on tissue perfusion under..

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Case Report of a Successful Pediatric Central Venovenous Extracorporeal life Support via Right Atrium-Pulmonary Artery Cannulation for Severe Chest Trauma…

Abstract Hypoxemic arrests due to severe traumatic pulmonary injury may not respond to usual medical support. Extracorporeal life support (ECLS) can be life-saving; adequate flows are needed in this setting..

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Measuring the Resting Energy Expenditure in Children on Extracorporeal Membrane Oxygenation: A Prospective Pilot Study

Abstract Both overfeeding and underfeeding critically ill children are problematic. This prospective pilot study evaluated the resting energy expenditure in infants and children requiring extracorporeal membrane oxygenation (ECMO) support. An..

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Pump-controlled retrograde trial off for weaning from adult veno-arterial extracorporeal membrane oxygenation – a retrospective observation cohort

Abstract Background The optimal strategy of weaning veno-arterial (V-A) extracorporeal membrane oxygenation (ECMO) remains poorly described. Pump-controlled retrograde trial off (PCRTO) involves serial decremental pump revolutions until a retrograde flow..

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How to avoid rapid carbon dioxide changes at the start of veno-venous extracorporeal membrane oxygenation: Role of end-tidal CO2 monitoring

Abstract Background: Venovenous ECMO is a lifesaving technique for patients with severe respiratory failure. Management of carbon dioxide (CO2) levels at ECMO start is crucial, as recent studies found an association..

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