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Aortic Valve Replacement in the Setting of Heparin Induced Thrombocytopenia (HIT) with End Stage Renal Disease (Video)
This Case Report presentation by Scott Noeseges discusses an Aortic Valve Replacement in the Setting of Heparin Induced Thrombocytopenia (HIT) with End Stage Renal Disease.
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Antegrade and RetroGrade Perfusion in Minimally Invasive Mitral Valve Surgery with Transthoracic Aortic Clamping: A Single-Institution Experience with 1632 Patients over 12 Years
The aim of the present study was to evaluate the impact of a retrograde arterial perfusion (RAP) strategy versus an antegrade arterial perfusion (AAP) strategy in a consecutive, large cohort of patients who underwent minimally invasive mitral valve surgery with transthoracic aortic clamping through a right minithoracotomy.
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Low Mean Arterial Pressure During Cardiopulmonary Bypass and the Risk of Acute Kidney Injury: A Propensity Score Matched Observational Study
Low MAP periods during CPB are associated with an increased occurrence of post-operative AKI, leading to 1) higher creatinine levels; 2) decreased GFR and 3) longer ICU and ward lengths of stay. Both consecutive and cumulative periods of low MAP are associated with an increased risk of AKI. MAP appears to be an important contributor to post-operative AKI and should be carefully managed during CPB. Further studies must address if MAP variations lead to definitive and long-term consequences.
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