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Double inlet right ventricle (DIRV) with double outlet right ventricle (DORV)

Double outlet right ventricle (DORV) is a . There is a malformation of the fetus heart in the womb leading to the right ventricle that has the two major arteries, namely..

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Double inlet left ventricle (DILV) with transposed great arteries (TGA), pulmonary stenosis and VSD

Double inlet left ventricle (DILV) is a heart defect that is present from birth (congenital). It affects the valves and chambers of the heart. Babies born with this condition have..

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Double inlet left ventricle (DILV) with double outlet right ventricle (DORV) and ventricular septal defect (VSD)

Double inlet left ventricle (DILV) is a form of functionally univentricular heart where both the left and the right atrium are connected to the morphologically left ventricle. Usually, the morphologically..

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Doubled chambered right ventricle

Double-chambered right ventricle (DCRV) was first described in 1858 by TB Peacock, but it is now understood to be a form of congenital heart disease wherein there is a mid-cavitary..

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Double aortic arch

Introduction Double aortic arch is the most common type of vascular ring malformation. It involves the complete encirclement and compression of the trachea and/or esophagus by the aortic arch, its..

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Discordant criss cross AV connection

A heart with a criss-cross atrioventricular (AV) connection is a cardiopathy in which the ventricles are positioned contralaterally to the atria to which they are connected; the ventricular inflow tracts..

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Discordant criss cross AV connection, VSD and double outlet right ventricle (DORV)

A heart with a criss-cross atrioventricular (AV) connection is a cardiopathy in which the ventricles are positioned contralaterally to the atria to which they are connected; the ventricular inflow tracts..

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Discordant criss cross AV connection with ventricular septal defect (VSD)

A heart with a criss-cross atrioventricular (AV) connection is a cardiopathy in which the ventricles are positioned contralaterally to the atria to which they are connected; the ventricular inflow tracts..

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Discordant criss cross AV connection with concordant ventriculo-arterial (VA) connection

A heart with a criss-cross atrioventricular (AV) connection is a cardiopathy in which the ventricles are positioned contralaterally to the atria to which they are connected; the ventricular inflow tracts..

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Thoracic outlet syndrome

Thoracic outlet syndrome (TOS) is a term used to describe a group of disorders that occur when there is compression, injury, or irritation of the nerves and/or blood vessels (arteries..

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THE STANDARD POINT-OF-CARE HEMOCHRON® JR. ACT+ TEST IN MONITORING HEPARIN ADMINISTRATION FOR CARDIOPULMONARY BYPASS IN SEVERE FACTOR XII DEFICIENCY

Abstract Coagulation factor XII (fXII) is a plasma serine protease which belongs to the contact activation complex responsible for initiating the intrinsic coagulation pathway. fXII deficiency is a rare congenital..

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Use of CytoSorb® as a therapeutic option in a critically ill patient with acute respiratory distress syndrome caused by influenza…

This case reports on a 29-year-old previously healthy male patient, who was transferred from a small hospital to the Medical Intensive Care Unit (MICU) of the University Clinical Centre of..

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MMCTS - Cardiac Surgery Simulation - Part II: Cannulation

We demonstrate our cannulation simulator, which is designed to hone skills in aortic, right atrial, left ventricular vent, and bicaval cannulation.   The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is..

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MMCTS - Cardiac surgery simulation - Part 1: Basic Surgical Skills

We demonstrate how to build a modular cardiac surgery simulator and describe practice drills for use outside the operating room to hone skills in basic linear suturing, needle angles, and..

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Multi-institutional Analysis of 100 Consecutive Patients with COVID-19 and Severe Pulmonary Compromise Treated with Extracorporeal Membrane Oxygenation: Outcomes and Trends…

Abstract The role of extracorporeal membrane oxygenation (ECMO) in the management of severely ill patients with coronavirus disease 2019 (COVID-19) continues to evolve. The purpose of this study is to..

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Monitoring of perfusion quality and prediction of donor heart function during ex-vivo machine perfusion by myocardial microcirculation versus surrogate parameters

Abstract Currently, lactate (Lac) is used to evaluate  (MP) of hearts, donated after circulatory death (DCD). We hypothesize that monitoring of myocardial  (mLDP) by Laser-Doppler-Perfusion is superior to Lac to evaluate perfusion..

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The Effects of Nitric Oxide in Oxygenator Sweep Gas During Extracorporeal Circulation in a Neonatal Ovine Model

Abstract Extracorporeal membrane oxygenation is a life-saving intervention, but bleeding complications are frequent. Given that the combination of platelet loss and dysfunction is a major contributor to this acquired bleeding..

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Microcirculatory effects of landiolol: a double-blind, randomised, controlled study after cardiac surgery

Abstract Microcirculatory disturbances are commonplace after cardiopulmonary bypass.  Postoperative atrial fibrillation (POAF) occurs in nearly 30% of patients undergoing conventional cardiac surgery.  Landiolol, a short-acting i.v. beta blocker, could reduce..

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SARS-CoV-2 Leakage From the Gas Outlet Port During Extracorporeal Membrane Oxygenation for COVID-19

Abstract Patients with the coronavirus disease 2019 (COVID-19) sometimes develop refractory respiratory failure and may require venovenous extracorporeal membrane oxygenation (VV-ECMO). It is known that the severe acute respiratory syndrome..

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I-PASS handover system: a decade of evidence demands action

Abstract In this issue of BMJ Quality and Safety, Jorro-Barón and colleagues report the findings of a stepped-wedge cluster randomised trial (SW-CRT) to evaluate the implementation of the I-PASS handover system among..

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Frequency domain analysis and clinical outcomes of pulsatile and non-pulsatile blood flow energy during cardiopulmonary bypass

Abstract Introduction: The superiority of pulsatile perfusion during cardiopulmonary bypass remains controversial. We analyzed the frequency-domain characteristics and organ protection of pulsatile and nonpulsatile flow in adult patients with valvular..

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Influence of administration of mesenchymal stromal cell on pediatric oxygenator performance and inflammatory response

Abstract Objective: Mesenchymal stromal cells have important immunomodulatory and neuroprotective properties. The aim of this study was to evaluate the feasibility of mesenchymal stromal cell administration into a cardiopulmonary bypass..

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Diabetic Pathophysiology Enhances Inflammation during Extracorporeal Membrane Oxygenation in a Rat Model

Abstract Systemic inflammatory responses in patients undergoing extracorporeal membrane oxygenation (ECMO) contribute significantly to ECMO-associated morbidity and mortality. In recent years, the number of type 2 diabetes mellitus patients has..

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The Effects of the Combined Argatroban/Nitric Oxide-Releasing Polymer on Platelet Microparticle-Induced Thrombogenicity in Coated Extracorporeal Circuits

Abstract Clotting, anticoagulation, platelet consumption, and poor platelet function are major factors in clinical extracorporeal circulation (ECC). We have shown that nitric oxide-releasing (NOReL) coatings prevent thrombosis in a rabbit..

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Prone Positioning May Improve Outcomes for Patients on ECMO for Severe ARDS

Prone positioning (PP) has shown benefits in patients with refractory hypoxemia from acute respiratory distress syndrome (ARDS).1 The EOLIA trial demonstrated extracorporeal membrane oxygenation (ECMO) can be used for patients with..

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20-year experience with pediatric heart transplant in a developing country

Abstract Background Cardiomyopathies in advanced stages and highly complex congenital heart disease may not be amenable to therapy or surgical correction thus being indicated pediatric heart transplant. In this study,..

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Optimal utilization of mechanical circulatory support and transplant resources in the comprehensive treatment of terminal heart failure

Abstract Treatment of end-stage heart failure has markedly evolved. With only a limited number of available heart transplants (24 in 2012) in our institution, mechanical circulatory support (MCS) has become..

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Albumin in adult cardiac surgery: a narrative review

Abstract Purpose Intravascular fluids are a necessary and universal component of cardiac surgical patient care. Both crystalloids and colloids are used to maintain or restore circulating plasma volume and ensure..

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