Selective Antegrade Cerebral Perfusion and Mild (28°C-30°C) Systemic Hypothermic Circulatory Arrest for Aortic Arch Replacement: Results from 1002 Patients
Current data suggest that ACP and mild systemic hypothermic circulatory arrest can be safely applied to complex aortic arch surgery even in a subgroup of patients with up to 90 minutes of ACP. Unilateral ACP offers at least equal brain and visceral organ protection as bilateral ACP and might be advantageous in that it reduces the incidence of embolism arising from surgical manipulation on the arch vessels.
Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump
Flow monitoring showed that selective perfusion using a single pump adequately distributed flow among all supraaortic vessels. This monitoring system might help to improve brain protection and outcomes during total aortic arch replacement.
A Survey on the use of Intra-Aortic Balloon Pump in Cardiac Surgery
Intra-aortic balloon pump (IABP) is an established tool in the management of cardiac dysfunction in cardiac surgery. The best timing for IABP weaning is unknown and varies greatly among cardiac centers.
Duration of Deep Hypothermia During Aortic Surgery and the Risk of Perioperative Blood Transfusion
The objective of the current study was to examine the relationship between the duration of deep hypothermia and perioperative bleeding.
β-Blockers Improve Survival of Patients With Chronic Obstructive Pulmonary Disease After Coronary Artery Bypass Grafting
This study showed that in patients with COPD undergoing coronary artery bypass grafting the administration of β-blockers is safe and significantly improves survival at mid-term follow-up.
Safe Management of Cesarean Section in a Patient of Eisenmenger Syndrome
We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome.