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Multisite Veno-Venous Cannulation for Neonates and Nonambulatory Children

Abstract OBJECTIVES:  Neonates with respiratory failure are ideally supported with veno-venous rather than veno-arterial extracorporeal membrane oxygenation due to the reduced rate of neurologic complications. However, the proportion of neonates..

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Novel Brain Protection Method for Zone 0 Endovascular Aortic Repair with Selective Cerebral Perfusion

Abstract Objective: Zone 0 thoracic endovascular aortic repair (TEVAR) is associated with a high incidence of cerebral infarction mostly due to the embolic shower of a plaque from the aortic arch..

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Extracorporeal Membrane Oxygenation (ECMO) – Time is of the Essence!

Abstract Extra-corporeal membrane oxygenation (ECMO) is growing in adoption and popularity, as demonstrated by the international registry maintained by the Extracorporeal Life Support Organization (ELSO). While initially an adaptation of..

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Heparin beyond anti-coagulation

Abstract Heparin has served as a mainstream  for over eight decades. Clinically heparin-derived compounds significantly contribute to prevention and treatment of thrombotic events complicated in numerous medical conditions such as ,  and  processes. Moreover..

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RotaFlow and CentriMag Extracorporeal Membrane Oxygenation Support Systems as Treatment Strategies for Refractory Cardiogenic Shock

Abstract Background RotaFlow and Levitronix CentriMag veno-arterial extracorporeal membrane oxygenation (ECMO) support systems have been investigated as treatment for refractory cardiogenic shock (CS). Methods Between 2004 and 2012, 119 consecutive..

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Volatile Versus Intravenous Anesthetics in Cardiac Anesthesia: a Narrative Review

Abstract Purpose of the Review The present review addresses clinicians and gives an overview about the experimental rationale for pharmacological conditioning associated with volatile anesthetics, opioids, and propofol; the current..

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Pulsatility protects the endothelial glycocalyx during extracorporeal membrane oxygenation

Abstract Background Pulsatile flow protects vital organ function and improves microcirculatory perfusion during extracorporeal membrane oxygenation (ECMO). Studies revealed that pulsatile shear stress plays a vital role in microcirculatory function..

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Improving Formative Feedback in the Operating Room Setting

Abstract Problem:  Formative feedback, which is given in an ongoing fashion during the learning process, is fundamental to clinical education. However, dissatisfaction with formative feedback among residents is common. Difficulties..

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European registry of type A aortic dissection (ERTAAD) - rationale, design and definition criteria

Abstract Background Acute Stanford type A aortic dissection (TAAD) is a life-threatening condition. Surgery is usually performed as a salvage procedure and is associated with significant postoperative early mortality and..

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Morphologic variants of the Cerebral Arterial Circle on computed tomographic angiography (CTA): a large retrospective study

Abstract Purpose To confirm and illustrate the great variability of morphology of the Cerebral Arterial Circle (CAC)—also commonly called “Circle of Willis”—in current clinical Computed Tomography Angiography (CTA) practice. Methods..

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An overview of human pericardial space and pericardial fluid

Abstract The pericardium is a double-layered fibro-serous sac that envelops the majority of the surface of the heart as well as the great vessels. Pericardial fluid is also contained within..

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Can Heparin-Coated ECMO Cannulas Induce Thrombocytopenia in COVID-19 Patients?

Abstract Extracorporeal membrane oxygenation (ECMO) is often used in the management of COVID-19-related severe respiratory failure. We report the first case of a patient with COVID-19-related ARDS on ECMO support..

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The role of hydrocortisone pre-treatment in decreasing side effects of protamine sulfate administration during cardiac surgery: a randomised controlled trial

Abstract Background One of the challenges during cardiac surgery is to keep patients fully anticoagulated during the  time and reversing  at the end of surgery. For that purpose, heparin and its approved..

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Off pump beating Zeraatian's technique of RA mass evacuation with just SVC and IVC choking

Off pump beating Zeraatian's technique of RA mass evacuation with just SVC and IVC choking. [playlist ids="18068"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Chronic Thromboembolic Pulmonary HTN

Patient with Chronic Thromboembolic Pulmonary HTN undergone pulmonary endarterectomy all steps from A to Z. [gallery ids="18057,18054,18051,18048"] [playlist ids="18060"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center..

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Descending thoracic aorta invasion by bone tumor

Descending thoracic aorta invasion by bone tumor.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.  ..

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Invasive tumor to innominate artery and trachea

Patient with innominate artery and thoracic out let invasion of tumor undergone complete resection and tracheal reconstruction. In this patient you can also see fistula between esophagus as well as..

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Fontan off pump

Complete extra cardiac Fontan Operation in patient with previous superior cavopulmonary anastomoses. [playlist ids="18041"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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Coronary sinus abcess formation

Patient with coronary sinus abcess formation and bloct indergone bicaval total inflow cannulation abcess aggressive debridment and drainage and RA and Coronary Sinus as will valve annulus reconstruction with autologous..

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Adverse Outcomes Prediction for Congenital Heart Surgery: A Machine Learning Approach

Abstract Objective: Risk assessment tools typically used in congenital heart surgery (CHS) assume that various possible risk factors interact in a linear and additive fashion, an assumption that may not..

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Risk-adjusted analysis of long-term outcomes after on- versus off-pump coronary artery bypass grafting

Abstract     OBJECTIVES Recent data suggested that off-pump coronary artery bypass (OPCAB) may carry a higher risk for mortality in the long term when compared to on-pump coronary artery..

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Results of a prospective follow-up study after type A aortic dissection repair: a high rate of distal aneurysmal evolution and…

Abstract     OBJECTIVES We investigated the anatomical evolution of residual aortic dissection after type A repair and factors associated with poor prognosis at a high-volume aortic centre. METHODS Between..

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Tumor in huge LT pulmonary artery epicardial trunc space

Patient with huge LT pulmonary artery epicardial trunc Space occupying tumor undergone complete resection off pump pathology was compatible with epicardial cyst which is very very rare phenomenon. [gallery ids="18019,18016,18013,18010"]..

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Spontaneous RT coronary artery free rupture and hematoma

Spontaneous RT coronary artery free rupture and hematoma within epicardium as well ad pericardial effusion undergone primary emergency repair with pericardial patch. [gallery ids="18006"]   Dr.Sam Zeraatian Nejad Davani, CEO..

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Relatively Benign yet a Reversible Cause of Dilated Cardiomyopathy

Abstract Arrhythmia-induced cardiomyopathy secondary to frequent ventricular premature contractions is a well-studied phenomenon; however, there is a paucity of data showing a similar association with frequent atrial premature contractions (APCs)...

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The role of temporary mechanical circulatory support in an effective surgical treatment of a left ventricular aneurysm and a ventricular…

Referring to the discussion on effective methods of treatment for patients with a post-infarction left ventricular aneurysm and a ventricular septal defect (VSD) [1], we present the case of a..

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Cardiac hydatid cysts

Learning points: Hydatidosis or cystic echinococcosis is caused by infection with the metacestode stage of the tapeworm Echinococcus (family Taeniidae). The adult tapeworm is usually found in dogs or other..

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PRINCÍPIOS DA ECMO - Webinar 13

Aula sobre ECMO. 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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Extracorporeal Life Support Organization (ELSO) Guidelines for Follow-up After Neonatal and Pediatric Extracorporeal Membrane Oxygenation

Abstract Neonates and children who have survived critical illness severe enough to require extracorporeal membrane oxygenation (ECMO) are at risk for neurologic insults, neurodevelopmental delays, worsening of underlying medical conditions,..

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Association of perfusate oxygenation with cardiovascular disorder in tetralogy of fallot children: A nested case–control study

Abstract Background Little is known regarding whether hyperoxic reoxygenation was associated with higher risk of cardiovascular disorder following tetralogy of Fallot repair. Methods We performed a nested case–control study among..

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