conclusions rotem can be used to detect postoperative hemostatic changes following cardiac surgery appropriately and can be useful to choose suitable blood products that may reduce the need for blood transfusion, contributing to better patient blood management. background coagulopathy after cardiopulmonary bypass (cpb) may lead to increased morbidity and mortality. routine conventional coagulat...

Extensive literature has been published evaluating the use of cell salvage in cardiac surgery. However, the most recently published blood management guidelines do not give unequivocal direction on the use of cell salvage in cardiac surgical procedures and neither do recent meta-analyses and randomized controlled trials. In part, this reflects variation in the details of how cell salvage is used...

PREAMBLE Our mission was to develop evidence-based guidelines for the prevention and treatment of perioperative/postoperative atrial fibrillation and flutter (POAF) for thoracic surgical procedures. Sixteen experts were invited by the American Association for Thoracic Surgery (AATS) leadership: 7 cardiologists and electrophysiology specialists, 3 intensivists/ anesthesiologists, 1 clinical phar...

Pulmonary artery catheter is an invasive monitor usually placed in high-risk cardiac surgical patients to optimize the cardiac functions. We present this case of blood oozing from the oximetry connection port of the pulmonary artery catheter that resulted in the inability to monitor continuous cardiac output requiring replacement of the catheter. The cause of this abnormal bleeding was later co...

INTRODUCTION AND OBJECTIVES As cardiac septal defects are frequently associated with pulmonary arterial hypertension, hemodynamic assessment is essential before deciding on surgery. The aim of this study was to evaluate the use of cardiovascular magnetic resonance imaging for assessing cardiac shunts and for quantifying pulmonary artery systolic pressure in patients with cardiac septal defects....

Reintervention of a mitral degenerated bioprosthesis has high surgical risk, especially in elderly patients with multiple comorbidities. We report 74 years old female two previous cardiac procedures and new structural deterioration severe regurgitation. Considering her high-surgical fully percutaneous treatment was performed balloon-expandable aortic valve position (valve-in-valve) through tran...

OBJECTIVES We sought to assess the effects of cardiopulmonary bypass and profound hypothermic circulatory arrest on plasma cefazolin levels administered for antimicrobial prophylaxis in cardiovascular surgery. METHODS Four groups (10 patients per group) were prospectively studied: vascular surgery without cardiopulmonary bypass (group A), cardiac surgery with a cardiopulmonary bypass time of ...

In their recent paper evaluating arterial waveform analysis as a tool to measure cardiac output (CO), Michael Sander and colleagues do not provide data on the heart rhythms of their cardiac surgery patients [1]. As the FloTrac (Flowtrac/Vigileo, Edwards Lifescience, Munich, Germany) device calculates CO from an arterial pressure-based algorithm, integrating vessel compliance and peripheral resi...

Primary cardiac tumors are a rare entity whose incidence is 0.3% to 0.7% of all cardiac tumors. The aim of this study was review of modern data of heart tumors epidemiology, etiology, pathogenesis and diagnostic procedures. Symptom presentation for cardiac tumors is quite varied, but it is dependent upon their location and size, rather than upon histological characteristics. The diagnosis of ca...

OBJECTIVES In the present study, cardiac output in mechanically ventilated patients were determined using three methods including modified CO2-Fick (mCO2F), pulmonary artery catheter (PAC), and pulse induced contour cardiac output (PiCCO) methods and the results were compared to assess the effectiveness of mCO2F method in measuring the cardiac output. METHOD Mechanically ventilated and hemody...