Moderate Versus Deep Hypothermia for the Arterial Switch Operation–Experience with 100 Consecutive Patients
Evaluated the impact of moderate versus deep perioperative hypothermia on postoperative morbidity in patients receiving the arterial switch operation (ASO).
Anaestheia for Valve Replacement in the Second Trimester of Pregnancy
The case is presented of a 19 weeks pregnant woman, who required a mitral valve replacement, which was achieved with success, and enabled her to complete her pregnancy without complications. Details are provided on the published references on which our management was based.
CPB-Assisted Aortic Valve Replacement in a Pregnant 27-year-old with Endocarditis
A 27-year-old, G(3)P( 2)A(0) female with acute Staph aureus (SA) endocarditis successfully underwent CPB-assisted aortic valve replacement with a bioprosthetic aortic valve at 22 weeks' gestation.
Pregnancy in Marfan Syndrome After Aortic Root Replacement: A Case Report and Review of the Literature
Successful pregnancy and delivery can be achieved in Marfan's patients after aortic root replacement.
Pregnancy Outcomes in Women with Aortic Valve Substitutes
Mechanical valve recipients had the greatest incidence of both cardiac and obstetric complications. In conclusion, pregnancy-associated complications after aortic valve replacement were common, and human tissue valves should be considered in the discussion for the optimal aortic valve substitute in a young woman. However, careful obstetric monitoring is mandatory.
Mechanical Prosthetic Mitral Valve Thrombosis in a First Trimester Pregnant Woman
We briefly review the different anticoagulation options during pregnancy and perfusion strategies on CPB to improve fetal outcomes.
Emergency Tricuspid Valve Replacement During Pregnancy
High-flow (> 3.0 L/min(2)), high-pressure (> 70 mmHg), normothermic CPB using pulsatile flow and blood cardioplegia is thought to offer the best outcome to the fetus, although data to support these claims are not compelling.
Medical Management of Thoracic Aortic Aneurysm Disease
Lifestyle modification is also important for patients with thoracic aortic aneurysm, including restrictions on physical activity, weight lifting, and recommendations about the management of pregnancy. Long-term surveillance of the aorta, even after successful surgery, is necessary for timing of prophylactic surgery and to evaluate for late complications.
Open Cardiac Surgery in the First Hours of Life Using Autologous Umbilical Cord Blood
The use of autologous umbilical cord blood is feasible in neonatal open heart surgery. Complete surgical repair of complex critical CHD can be applied successfully to neonates within the first hours of life.
Diabetes Clinical Trials: Helped or Hindered by the Current Shift in Regulatory Requirements
The potential for some agents to increase the risk of cardiovascular events has led to substantial changes in regulatory requirements for new anti-diabetic therapies. These requirements, while key to ensuring the cardiovascular safety of new agents, fail to emphasize the need to show clinical benefits, such as less visual impairment, less need for dialysis, or fewer cardiovascular events and deaths.
Is Menopause a Risk Factor for Ischemic Heart Disease in Women?
Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality in men and women worldwide. The apparent cardioprotective effects of endogenous estrogens seem to prevent CVD in premenopausal women.
Right Atrial Myxoma and Severe Left Ventricular Dysfunction: Which Explanations? Which Management?
A 57 year-old woman with a large right atrial myxoma underwent emergency surgical resection in our institute. It is known that surgical management of such tumours is difficult regarding venous cannulation and embolic risk, but in our patient, the surgery was more challenging because of the severe left ventricular dysfunction.