Hypothermic Cardiopulmonary Bypass Without Exchange Transfusion in Sickle-Cell Patients: A Matched-Pair Analysis
Sickle-cell patients undergo cardiopulmonary bypass (CPB) surgery in our institution without perioperative exchange transfusion. We sought to determine whether this protocol increased mortality or important sickle-cell-related complications.
Challenging Transfemoral Valve-in-Valve Implantation in a Degenerated Stentless Bioprosthetic Aortic Valve
Valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) seems to be an effective and promising procedure in patients with degenerated bioprosthetic aortic valves avoiding the risks associated with the use of cardioplegia and redo cardiac surgery.
Is There Evidence that Fresh Frozen Plasma is Superior to Antithrombin Administration to Treat Heparin Resistance in Cardiac Surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, 'in [patients with heparinresistance] is [treatment with FFP] superior [to antithrombin administration] in [achieving adequate anticoagulation to facilitate safe cardiopulmonary bypass]?'
New Aspects of Anesthetic Management in Congenital Heart Disease “Common Arterial Trunk”
Management of "common arterial trunk" (CAT) after surgical repair depends on the adequacy of treatment, cardiac function, level of pulmonary arterial hypertension (PAH), and degree of bleeding.
Feasibility and Safety of Biventricular Repair in Neonates with Hypoplastic Left Heart Complex
The objective of this study was to assess the outcome of the biventricular approach in hypoplastic left heart complex (HLHC). We evaluated retrospectively 30 neonates diagnosed with HLHC from the "12 de Octubre" University Hospital, following established criteria.
The Influence of Heparin Resistance on Postoperative Complications in Patients Undergoing Coronary Surgery
Heparin resistance is relatively frequent in patients undergoing coronary surgery. We aimed to assess the impact of heparinresistance on the outcome of patients undergoing coronary surgery with cardiopulmonary bypass (CABG). Three definitions of heparin resistance were adopted.
Preoperative Anemia Increases Mortality and Postoperative Morbidity after Cardiac Surgery
This study evaluates the effect of preoperative anemia on early clinical outcomes in patients undergoing cardiac surgery.