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.
Real-Time PCR, The Best Approaches for Rapid Testing for Mycobacterium Chimaera Detection in Heater Cooler Units and Extracorporeal Membrane Oxygenation.
In conclusion, this study introduces novel PMA-PCR designed to specifically detect M. chimaera in HCUs and ECMO devices; this method can replace the culture method for continuous microbiological surveillance.
The Effect of Levosimendan On Postoperative Bleeding and Blood Transfusion in Cardiac Surgical Patients: A PRISMA-Compliant Systematic Review and Meta-Analysis
This meta-analysis suggested that, peri-operative administration of LEVO was not associated with increased risks of post-operative bleeding and blood transfusion requirement in cardiac surgical patients.
Myocardial Protection in Cardiac Surgery: Del Nido Versus Blood Cardioplegia
DNC provides equivalent myocardial protection, efficacy, and surgical workflow and had comparable clinical outcomes to that of BC. This study shows that DNC is a safe alternate to BC in CABG and valve surgeries.
Cardiothoracic Surgery During COVID-19: Our Experience with Different Strategies
All asymptomatic patients should be tested for COVID-19 using RT-PCR prior to cardio-thoracic surgeries not only to contain the disease but to avoid potential implications of COVID-19 on the perioperative course, without added financial implications.
Daytime-Dependent Cardioprotection in Cardiac Surgery: A Large Propensity-matched Cohort Study
In this large cohort study of Danish patients, who underwent either aortic valve replacement and/or coronary artery bypass grafting, the study identified no clinically relevant biorhythm for myocardial ischemia-reperfusion tolerance.