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Use of bivalirudin for anticoagulation in pediatric extracorporeal membrane oxygenation (ECMO)

Abstract This study describes the use of bivalirudin in children on extracorporeal membrane oxygenation (ECMO). Pediatric patients receiving bivalirudin were compared to patients receiving heparin as the anticoagulant on ECMO...

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Association Between Administration of IL-6 Antagonists and Mortality Among Patients Hospitalized for COVID-19

Abstract Importance  Clinical trials assessing the efficacy of IL-6 antagonists in patients hospitalized for COVID-19 have variously reported benefit, no effect, and harm. Objective  To estimate the association between administration of IL-6..

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Epidemiology of Acute Kidney Injury After Neonatal Cardiac Surgery

Abstract Objectives:  Cardiac surgery–associated acute kidney injury occurs commonly following congenital heart surgery and is associated with adverse outcomes. This study represents the first multicenter study of neonatal cardiac surgery–associated acute..

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Thrombin: A Pivotal Player in Hemostasis and Beyond

Abstract The serine protease thrombin, a naturally derived enzyme, plays a key role in hemostasis by converting fibrinogen to fibrin and activating coagulation factor XIII whereby the fibrin clot is..

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Procalcitonin and Early Postoperative Infection After Pediatric Cardiopulmonary Bypass Surgery

Abstract Objectives Systemic inflammation and bacterial infections are critical occurrences after pediatric cardiac surgery. Elevated white blood cell count and C-reactive protein cannot discriminate between these two conditions in the..

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Pro-Con Debate: Fibrinogen Concentrate or Cryoprecipitate for Treatment of Acquired Hypofibrinogenemia in Cardiac Surgical Patients

Abstract Cryoprecipitate has been the gold standard for treating acquired hypofibrinogenemia in cardiac surgery for nearly 50 years. More recently, fibrinogen concentrate has been used off-label in the United States..

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Biomarkers of Cerebral Injury for Prediction of Postoperative Cognitive Dysfunction in Patients Undergoing Cardiac Surgery

Abstract Objectives To assess the ability of the biomarkers neuron-specific enolase (NSE), tau, neurofilament light chain (NFL), and glial fibrillary acidic protein (GFAP) to predict postoperative cognitive dysfunction (POCD) at..

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Nationwide Utilization of Cardiopulmonary Bypass in Cardiothoracic Trauma

Abstract Background  The American College of Surgeons Committee on Trauma requires that all level I trauma centers have cardiopulmonary bypass (CPB) capabilities immediately available. Despite this mandate, there is limited..

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Measuring and Improving Emotional Intelligence in Surgery

Abstract Objective:  Evaluate how emotional intelligence (EI) has been measured among surgeons and to investigate interventions implemented for improving EI. Summary Background:  EI has relevant applications in surgery given its..

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Chronic Ascending Aorta dissection in the root ,dissection plane as will coronary ostia separation

Chronic Ascending Aorta dissection in the root within video you can see dissection plane as will coronary ostia separation. Step by Step Ascending Aorta and the Root Replacement with inclusion..

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Primary Neuro Ectodermal Tumor PNET of ribs invaded IVC

Primary Neuro Ectodermal Tumor PNET of ribs invaded IVC with circumferential involvement of IVC undergone resection as well as IVC reconstruction of excised part with Bovine pericardial patch. [gallery ids="17698,17701"]..

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Timely Use of Venous-Arterial ECMO to Treat Congenital Pediatric Junctional Ectopic Tachycardia: A Case Report

Abstract Supraventricular tachycardia is the most common tachyarrhythmia in pediatrics. Although postoperative junctional ectopic tachycardia (JET) is a known complication of congenital heart surgery that is typically transient, congenital JET..

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A Nomogram to Predict Acute Respiratory Distress Syndrome After Cardiac Surgery

Abstract Purpose: To establish a model to predict the risk of acute respiratory distress syndrome (ARDS) after cardiac surgery. Methods: Data were collected on 132 ARDS patients, who received valvular or coronary..

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Combined Use of Venoarterial Extracorporeal Membrane Oxygenation and Intra-Aortic Balloon Pump after Cardiac Arrest

Abstract Objectives We investigated whether intra-aortic balloon pump (IABP) combined with venoarterial extracorporeal membrane oxygenation (VA-ECMO) was associated with favourable neurological outcomes for patients after the return of spontaneous circulation..

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Native Aortic Root Thrombosis After Norwood Palliation for Hypoplastic Left Heart Syndrome

Abstract Background Norwood palliation for hypoplastic left heart syndrome typically results in retrograde perfusion of the native aortic root. This may predispose to native aortic root thrombosis (NART). Methods Patients..

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Innovative technique for sizing ascending aorta tubular graft during bentall operation

Innovative technique for sizing ascending aorta tubular graft during bentall operation. [gallery ids="17641,17644,17647,17650,17653,17656,17659,17662,17665,17668,17671,17674,17677,17680,17683"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS..

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Laryngeal malignancy invaded aortic arch and branches completely

Patient with previous cardiac surgery and laryngeal malignancy invaded aortic arch and branches completely made them free and rotational flap applied for coverage of defect.   [gallery ids="17637"]   Dr.Sam..

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Chest wall reconstruction with titanium plate and screws

Chest wall reconstruction with titanium plate and screws for patient with cardiac herniate via intercostal space due to previous trauma.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA..

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Zeraatain's - RMRC technique in TOF with PS and double channel or tunnel reconstruction

Patient with TF and severe RVOT obstruction undergone double channel technique of RV to pulmonary trunc bypass with hood with Zeraatian - RMRC technique which theoretically can cause growth of..

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Left ventricular and Cx artery rupture

Left ventricular and Cx artery rupture due to pressure stent for STEMI approaching with left antrolateral thoracotomy as well preparing femoral access for cannulation. [playlist ids="17568"]   Dr.Sam Zeraatian Nejad..

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Post COVID 19 infection and pancarditis and very mobile LV clot

Pediatric Patient with Post COVID 19 infection and pancarditis and very very mobile LV clot undergone operation as well as post operative ECMO weaned uneventfully from ECMO and MV left..

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Percutaneous venopulmonary artery extracorporeal membrane oxygenation for right heart failure after left ventricular assist device insertion

Abstract OBJECTIVES Right ventricular failure after left ventricular assist device (LVAD) insertion is associated with significant mortality and morbidity. Mechanical support options include right ventricular assist devices, venoarterial extracorporeal membrane..

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The use of thromboelastography (TEG) and rotational thromboelastometry (ROTEM) in neonates: a systematic review

Abstract “Developmental hemostasis” refers to the dynamic process of gradual hemostatic maturation. Conventional coagulation tests seem to fail to accurately depict the in vivo hemostasis, while viscoelastic tests, thromboelastography (TEG),..

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Open repair of extent-III thoracoabdominal aortic aneurysm using a modified branch-first technique

Abstract Thoracoabdominal aortic aneurysm (TAAA) surgery is an extensive surgical undertaking, and adjuncts to decrease complications have varying results and individual pitfalls. We describe a modified “branch-first” TAAA open repair..

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Neonatal Cardiopulmonary Bypass Circuit Blood Prime Quality Analysis

Abstract Blood-primed cardiopulmonary bypass circuits are frequently necessary to achieve safe support during pediatric open-heart surgery. Literature is lacking regarding suitable prime constituents or methods for achieving a physiologically appropriate..

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Comparison of postoperative delirium within 24 hours between ketamine and propofol infusion during cardiopulmonary bypass machine: A randomized controlled trial

Abstract Background:  Postoperative delirium (POD) is a common complication in cardiac surgery especially in elderly population which can lead to a delay of weaning from ventilator and extubation. Cardiopulmonary bypass..

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DOPAMINE REVERSES LUNG FUNCTION DETERIORATION AFTER CARDIOPULMONARY BYPASS WITHOUT AFFECTING GAS EXCHANGE

Abstract Objective To investigate the effects of dopamine on the adverse pulmonary changes following cardiopulmonary bypass Design Prospective, nonrandomized clinical investigation Setting University hospital Participants One hundred and fifty-seven patients..

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Cor triatriatum sinister & dexter

  Cor Triatriatum Sinister     Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at Aswan heart center -Magdi Yacoub Foundation , Egypt    ..

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Minimally invasive beating SVC as well as Cavoatrial junction endocarditis repair

Minimally invasive beating SVC as well as Cavoatrial junction endocarditis repair and dialysis catheter removal. Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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Heart Harvest in Patient with Bizzare annamalous arch

Bizarre Heart Harvest with retrograde RMRC technique with arch isolation in this patient you can see annamalous origin of vertebral artery from origin of left  subclavian artery seperately which is..

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