Methylene Blue to Treat Vasoplegia due to a Severe Protamine Reaction: A Case Report
This case report describes a 57-year-old woman who after cardiac bypass experienced a severe protamine reaction with profound hypotension, which was unresponsive to volume resuscitation and vasopressor therapy.
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.
The Science behind Percutaneous Hemodynamic Support: A Review and Comparison of Support Strategies
With these goals in mind, the scientific principles that govern hemodynamic effectiveness and myocardial protection as they pertain to acute support devices are reviewed.
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.
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.
Perioperative Management of Antithrombotic Therapy in Cardiovascular Patients
In this article, we review some of the general principles involved with perioperative anticoagulation and discuss the perioperative management of patients taking vitamin K antagonists (VKAs), bridging regimens for anticoagulants and antiplatelet agents, and strategies for managing patients on the newer oral anticoagulants.
Preliminary Evidence for Reduced Preoperative Cerebral Blood Flow Velocity as a Risk Factor for Cognitive Decline Three Months after Cardiac Surgery: An Extension Study
This extension study investigated the association between preoperative cerebral blood flow (CBF) velocity and postoperative cognitive decline (POCD) at a three-month follow-up in patients who underwent cardiac surgery.
Veno-Right Ventricular Cannulation Reduces Recirculation in Extracorporeal Membrane Oxygenation
We compared recirculation in veno-right ventricular support with that in conventional veno-venous support and its relationship with pump flow.
The Role of Procalcitonin and N-Terminal Pro-B-Type Natriuretic Peptide in Predicting Outcome after Cardiac Surgery
Determine the thresholds of procalcitonin (PCT) and N-terminal pro-B-type natriuretic peptide (Nt-pro-BNP) associated with poor prognosis after heart surgery with CPB.
Incompatible ABO-Plasma Exchange and its Impact on Patient Selection in Paediatric Cardiac Transplantation
We report the results of a decade of evolving plasma exchange experience and its impact upon patient selection.
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.
Cardiopulmonary Bypass Transiently Inhibits Intraventricular Vortex Ring Formation in Patients Undergoing Coronary Artery Bypass Graft Surgery
The authors tested the hypothesis that exposure to cardiopulmonary bypass (CPB) attenuates intraventricular vortex formation time (VFT) in patients with normal preoperative LV systolic and diastolic function undergoing coronary artery bypass graft (CABG) surgery.