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Mitral stenosis & regurgitation due vegetative endocarditis

Patient with MS and secondary MR due to vegetative endocarditis.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and..

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Postoperative but not preoperative depression is associated with cognitive impairment after cardiac surgery: exploratory analysis of data from a randomized…

Abstract Background In this study we hypothesize that depression is associated with perioperative neurocognitive dysfunction and altered quality of life one month after surgery. Methods Data were obtained as part..

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Characteristics and Outcomes of Candidemia in Patients with Durable Left Ventricular Assist Device Support

Abstract There are limited data on the characteristics and clinical course of fungal infections in patients on durable left ventricular assist device (LVAD) support. We sought to further characterize the..

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Augmented reality in medical education: students’ experiences and learning outcomes

Abstract Augmented reality (AR) is a relatively new technology that allows for digitally generated three-dimensional representations to be integrated with real environmental stimuli. AR can make use of smart phones,..

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Debates in cardiac CT: Coronary CT angiography is the best test in asymptomatic patients

Abstract Cardiovascular disease remains a major cause of mortality, accounting for a third of all global deaths annually. Although there have been major improvements in our ability to detect and..

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Paraprotein associated heparin resistance during cardiopulmonary bypass

Abstract Introduction Heparin resistance during cardiopulmonary bypass poses a significant intraoperative dilemma. Antithrombin deficiency related heparin resistance is well described, but less common causes are still poorly understood and inadequately..

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Thrombus formation during ECMO: Insights from a detailed histological analysis of thrombus composition

Abstract Objectives Intra-device thrombosis remains one of the most common complications during extracorporeal membrane oxygenation (ECMO). Despite anticoagulation, approximately 35% of patients develop thrombi in the membrane oxygenator, pump heads,..

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Venoarterial Extracorporeal Membrane Oxygenation in Severe Drug Intoxication: A Retrospective Comparison of Survivors and Nonsurvivors

Abstract Selecting patients most likely to benefit from venoarterial extracorporeal membrane oxygenation (V-A ECMO) to treat refractory drug-induced cardiovascular shock remains a difficult challenge for physicians. This study reported short-term..

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Epidemiology of persistent postoperative opioid use after cardiac surgery: a systematic review and meta-analysis

Abstract Background The epidemiology of persistent postoperative opioid use at least 3 months after cardiac surgery is poorly characterised despite its potential public health importance. Methods We searched MEDLINE, Embase,..

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Titrated versus conventional anticoagulation management for thrombin generation in cardiac surgery: a randomized controlled trial

Abstract Purpose Optimal heparin titration during cardiopulmonary bypass (CPB) may reduce coagulation system activation and preserve hemostatic function post-CPB. Our objective was to assess if the Heparin Management System (HMS)..

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Implementing Root Cause Analysis and Action: Integrating Human Factors to Create Strong Interventions and Reduce Risk of Patient Harm

Abstract Objectives  The goal of this study was to develop a systems approach for root cause analysis and action to achieve strong, sustainable interventions. The team integrated human factors principles into the..

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Mitral regurgitation and multiple scallops prolapse

Patient with severe MR and multiple scallops prolapse undergone repair and replace with post annulus preservation and Cardiamed valve implantation.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research..

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Intermediate-fidelity simulator for self-training in mitral valve surgery

Current training in mitral valve (MV) surgery is affected by many factors, among which are the complexity of surgical procedures and complex three-dimensional anatomy of the MV. An MV repair..

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Suturing map for endoscopic mitral valve repair developed on high-fidelity endoscopic simulator

Minimally invasive mitral valve surgery demands a different mind-set from surgeons due to its high complexity and steep learning curve, especially in a fully endoscopic approach. Smaller incisions, working with..

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Endoscopic port-access approach for excision of left atrial myxoma - Tutorial

Primary cardiac tumors are a relatively rare disease entity, with myxomas being the most frequently found benign cardiac tumor. After confirmation of this diagnosis, patients are referred for the surgical..

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Mitral valve repair after failed MitraClip therapy - Tutorial

Although the long-term durability of transcatheter procedures has yet to be established, their emergence as an option for mitral valve repair seems to have provided the surgical community with another..

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Suture map for endoscopic tricuspid valve repair - Tutorial

Minimally invasive tricuspid surgery using a complete endoscopic approach has a steep learning curve. The purpose of creating the suture map is to allow placement of sutures with minimal tissue..

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Suture map for endoscopic mitral valve replacement - Tutorial

Mitral valve replacement using an endoscopic approach is an advanced skilled procedure. The purpose of creating the suture map for mitral valve replacement is to allow placement of sutures with..

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Venting during venoarterial extracorporeal membrane oxygenation

Abstract Cardiogenic shock and cardiac arrest contribute pre-dominantly to mortality in acute cardiovascular care. Here, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has emerged as an established therapeutic option for patients suffering..

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Effect of High- vs Low-Dose Tranexamic Acid Infusion on Need for Red Blood Cell Transfusion and Adverse Events in Patients…

Abstract Importance  Tranexamic acid is recommended for reducing blood loss and transfusion in cardiac surgery. However, it remains unknown whether a high dose of tranexamic acid provides better blood-sparing effect than..

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Hemoperfusion in the intensive care unit

Abstract Multiple organ failure following a septic event derives from immune dysregulation. Many of the mediators of this process are humoral factors (cytokines), which could theoretically be cleared by direct..

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Mass excision and autologous tissue reconstruction of RA

Patient with large vegetation within RA and protrusion to RV and RA and RV destruction undergone mass excision and autologous tissue reconstruction of RA with patient self RAA.   [gallery..

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