Conduits for Coronary Bypass: Internal Thoracic Artery
Thus widespread adaption of the ITA as the conduit of choice for the anterior descending required another decade and bilateral use is only now expanding to more than 5% of patients in the US and somewhat faster in other countries.
Marfan Syndrome: Correct Diagnosis Can Save Lives
Marfan syndrome is a heritable disorder of the connective tissue that affects many systems of the body. However, the most serious complication in patients with Marfan syndrome is progressive enlargement of the aortic root, which may lead to aortic dissection, rupture, or aortic regurgitation.
Alternative Access in Transcatheter Aortic Valve Implantation: Brachiocephalic Artery Access
The direct brachiocephalic access can be obtained with or without partial upper sternotomy, depending on the anatomy, which should be evaluated by preprocedural angiographic computed tomography scan.
Methylene Blue and Vasoplegia: Who, When, and How
Vasoplegia has been observed in all age groups and in various clinical settings, such as anaphylaxis (including protamine reaction), sepsis, hemorrhagic shock, hemodialysis, and cardiac surgery.
The End Organ Protection in Cardiac Surgery
Mortality and morbidity post cardiac surgery with cardiopulmonary bypass (CPB) remain relative stable over the last decades, while the number of patients with increased co-morbidity and more complex cardiac disease increases.
Successful Intraoperative Reversal of Heparin With Factor VII in a Patient With Protamine Reaction
We report the case of a patient who developed intractable bleeding after a severe protamine reaction following emergency repair of type A aortic dissection and was successfully treated with factor VII.
From Extracorporeal Membrane Oxygenation to Ventricular Assist Device Oxygenation without Sternotomy
We report a method of minimally invasive LV drainage while the patient is receiving peripheral ECMO support and subsequent staged switch to paracorporeal LVAD without the need for a median sternotomy.
Drug Shortages in the Perioperative Setting: Causes, Impact, and Strategies
Concern about drug shortages is growing, particularly because they can cause significant patient harm.
Auxiliary Device for Calibration of Roller Pumps: Development and Experimental Results
Roller pumps are commonly used in surgeries involving extracorporeal circulation and its regulation may influence the hemolysis rate.
Clinical and Biochemical Outcomes for Additive Mesenteric and Lower Body Perfusion during Hypothermic Circulatory Arrest for Complex Total Aortic Arch Replacement Surgery
We report our experience with additive warm mesenteric and lower body perfusion (1-3 L/min, 30°C) in addition to continuous cerebral and myocardial perfusion in 5 patients who underwent total aortic arch replacement with trifurcated head vessel re-implantation and distal elephant trunk reconstruction.
Emergency Cardiac Surgery in Patients with Acute Coronary Syndromes: A Review of the Evidence and Perioperative Implications of Medical and Mechanical Therapeutics
Patients with acute coronary syndromes who require emergency cardiac surgery present complex management challenges.
Cardiac Power Index: Staging Heart Failure for Mechanical Circulatory Support
We compared cardiac power index to other commonly used hemodynamic parameters to validate its usefulness to stage heart failure patients and determine the optimal time for implantation of mechanical circulatory support.