Perfusfind S.L.
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Perioperative management invited expert opinions in 2020 and 2021: Synopsis of 9 “must read” articles

Abstract In 2020, the attention of the medical community was stolen by the novel coronavirus pandemic. In the setting of the rapidly evolving and unpredictable deadly disease, there was little..

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C-reactive protein and procalcitonin after congenital heart surgery utilizing cardiopulmonary bypass: When should we be worried?

Abstract Introduction To assess the efficacy of C-reactive protein (CRP) and procalcitonin (PCT) at identifying infection in children after congenital heart surgery (CHS) with cardiopulmonary bypass (CPB). Materials and Methods..

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A Cardiac Protection of Germinated Brown Rice During Cardiopulmonary Bypass Surgery and Simulated Myocardial Ischemia

Abstract Purpose: The potential cardio-protective property of germinated brown rice (GBR) has been revealed by ameliorating risk factors related to cardiovascular diseases. This study hypothesized that the combination of GBR and..

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The lower threshold of hypothermic oxygen delivery to prevent neonatal acute kidney injury

Abstract Background Oxygen delivery during cardiopulmonary bypass (CPB) is closely related to postoperative acute kidney injury (AKI). The value of critical indexed oxygen delivery (DO2i) is a key indicator to..

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Surgical Risk Factors for Ischemic Stroke Following Coronary Artery Bypass Grafting. A Multi-Factor Multimodel Analysis

Abstract Background: Ischemic stroke after coronary artery bypass (CABG) has been often linked to aortic manipulation during surgery. Objectives: The objective of the study was to estimate the rate of postoperative ischemic..

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Allogeneic blood transfusion and AIS surgery: how the NSQIP database can improve patient safety

Abstract Purpose Describe the experience of one institution in modifying allogeneic blood transfusion protocols for AIS surgery in response to the results of ACS-NSQIP-PEDS comparative data in a retrospective cohort..

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Fibrinogen–Albumin-Ratio is an independent predictor of thromboembolic complications in patients undergoing VA-ECMO

Abstract Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) supports patients suffering from refractory cardiogenic shock. Thromboembolic complications (TeC) are common in VA-ECMO patients and are associated with increased morbidity and mortality. Valid..

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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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