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Application of Veno-Arterial-Venous Extracorporeal Membrane Oxygenation in Differential Hypoxia
Veno-arterial extracorporeal membrane oxygenation (ECMO) through the femoral vein and artery may cause differential hypoxia, i.e., lower PaO2 in the upper body than in the lower body, because of normal cardiac output with severe impairment of pulmonary function.
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Current Concepts on Coronary Revascularization in Diabetic Patients
Coronary artery bypass surgery outcomes may also further improve by wide implementation of arterial revascularization, reduction in perioperative stroke by avoiding clamping of the aorta, reduction in wound infection by minimally invasive techniques, and optimization of post-operative medical management.
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Bivalirudin Anticoagulation for Cardiopulmonary Bypass
We present the case of a patient with heparin hypersensitivity who was anticoagulated with bivalirudin during cardiopulmonary bypass for coronary artery bypass grafting.
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