Iatrogenic Extracorporeal Membrane Oxygenator Rupture: Successful Management of a Unique Crisis
This article reports a rare complication related to the mechanical circulatory support and its successful management.
Toward an Artificial Endothelium: Development of Blood-Compatible Surfaces for Extracorporeal Life Support
Here, we describe clinically approved and new investigational biomaterial solutions for thrombosis, such as immobilized heparin, nitric oxide-functionalized polymers, “slippery” nonadhesive coatings, and surface endothelialization.
Arch Surgery for Type Ia Endoleak: How to Remain Normothermic and Avoid Circulatory Arrest
Here, we present a technique for total arch replacement that, with the use of stent graft balloon endoclamping, avoids both hypothermia and circulatory arrest.
Effects of Tubing Degradation and Pump Position on Extracorporeal Circulation Performance
A shift of the pump position within the ECC setup can be recommended to prevent blood damaging negative pressures.
Comparison of Mechanical Cardiopulmonary Support Strategies During Lung Transplantation
The optimal strategy for intraoperative cardiopulmonary support during lung transplantation remains an area of debate. Current data suggest that off pump is associated with better outcomes and could be considered whenever feasible.
Acute Pulmonary Embolism in SARS-CoV-2 Infection Treated With Surgical Embolectomy
We report a case of SARS-CoV-2 complicated by a massive pulmonary embolism in a patient who underwent successful surgical embolectomy.
Hemophilia: A Review of Perioperative Management for Cardiac Surgery
This article provides a narrative review and framework for the perioperative management of patients with hemophilia A and B undergoing cardiac surgery.
The Effect of Melatonin on the Serum Level of Interleukin 6 and Interleukin 9 in Coronary Artery Bypass Grafting Surgery
The results of this study showed that pre-operative melatonin administration could modify inflammatory cytokines secretion such as IL-6 while it has no significant effect on the serum levels of IL-9. Neither of the changes was clinically significant.
Neurological Dysfunction After Cardiac Surgery and Cardiac Intensive Care Admission: A Narrative Review Part 1: The Problem; Nomenclature; Delirium and Postoperative Neurocognitive Disorder; And the Role of Cardiac Surgery and Anesthesia.
The association with cardiac surgery with cognitive decline was first reported in the 1960s after the introduction of coronary artery surgery. The incidence in cognitive decline was thought to be more after cardiac surgery, especially with the use of the cardiopulmonary bypass.
Neurological Dysfunction After Cardiac Surgery and Cardiac Intensive Care Admission: A Narrative Review Part 2: Cognitive Dysfunction After Critical Illness; Potential Contributors in Surgery and Intensive Care; Pathogenesis; And Therapies to Prevent/Treat Perioperative Neurological Dysfunction
Severe cognitive decline and cognitive dysfunction has been attributed to patient's stay in the cardiovascular intensive care unit.
Surgical Revascularization With Cardiopulmonary Bypass on a Patient With Severe COVID-19
In this article, we describe the case of a diabetic patient with COVID-19 and a concomitant 3-vessel disease with a formal indication for surgical revascularization, who unexpectedly presented with a high heparin resistance during cardiopulmonary bypass.
Platelet Factor-4 Concentration in Adult Veno-Arterial ECMO Patients
Our data suggest that PF4 concentration is mildly elevated during VA ECMO compared to control plasma. Estimated PF4-heparin ratios were not optimal for HIT antibody formation. These data support epidemiologic studies where HIT incidence is low during VA ECMO.