HSR proceedings in intensive care & cardiovascular anesthesia最新文献_第4页

Fallacious fracture of clavicle after cardiac surgery. 心脏手术后锁骨假性骨折。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

A Bansal, D Arora, Y Mehta

引用次数: 0

Is flow really continuous in last generation continuous flow Ventricular Assist Devices? A comparison between HeartMate II and HeartWare HVAD. 在上一代连续流心室辅助装置中，血流真的是连续的吗?HeartMate II与HeartWare HVAD的比较。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

G Melisurgo, M De Bonis, M Pieri, T Nisi, S Silvetti, A Zangrillo, F Pappalardo

引用次数: 0

Tricuspid valve surgery. 三尖瓣手术。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

C A Mestres, G Fita, V M Parra, J L Pomar, J M Bernal

{"title":"Tricuspid valve surgery.","authors":"C A Mestres, G Fita, V M Parra, J L Pomar, J M Bernal","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The tricuspid valve has been taken as a non-critical valve in terms of acute or late mortality in a number of conditions. Tricuspid functional regurgitation is a cause of late operations with an increased morbidity. A number of techniques have been described and used in clinical practice in the past forty years and include simple suture techniques and the use of support for annuloplasty with the use of different types of prosthetic rings. The experience accumulated over the years indicates that tricuspid annuloplasty is mandatory to improve late results, which are superior, in general, to replacement of the valve.Methods: The role of echocardiography in defining surgical planning, intraoperative results and follow-up is reviewed as echocardiography is a fundamental tool in cardiac surgery. Surgery for isolated lesions of the tricuspid valve has not received much attention and herein we report the results of the follow-up of a limited series of patients undergoing isolated tricuspid surgery.Results: The correlation between echocardiographic measurements and surgical measurements was confirmed and was helpful at the time of the confirmation of repair (r=0.53). Forty-seven patients (18 repair, 29 replacement) underwent isolated surgery. Results of isolated tricuspid repair seemed to be superior when compared to those of tricuspid replacement. Survival was 20.7% for tricuspid valve replacement (N=18) and 50% for tricuspid valve repair (N=29) (p=0.04). Freedom from reoperation was 94.4±5.4% for repair and 67.3±12.1% for replacement (p= 0.0011).Conclusions: The tricuspid valve continues to be a surgical challenge.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 4","pages":"261-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/11/hsrp-04-261.PMC3563560.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31356367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coarctation of the aorta. 主动脉缩窄

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

R Prêtre

引用次数: 0

An unusual cause of cardiogenic shock: tricuspid regurgitation and right ventricular perforation due to vena cava filter migration. 心源性休克的不寻常原因：腔静脉过滤器移位导致三尖瓣反流和右心室穿孔。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

P E Mocavero, A Staglianò, M Coppola, S Langella, A Conte, F Pappalardo, A R Martiniello, M Pieri, A Mattei

{"title":"An unusual cause of cardiogenic shock: tricuspid regurgitation and right ventricular perforation due to vena cava filter migration.","authors":"P E Mocavero, A Staglianò, M Coppola, S Langella, A Conte, F Pappalardo, A R Martiniello, M Pieri, A Mattei","doi":"","DOIUrl":"","url":null,"abstract":"Dislocation and migration of the inferior vena cava filter to the right heart is an uncommon but serious complication, requiring prompt diagnosis and appropriate therapy. We report the case of a seventy-year old man, who had previously undergone vena cava filter implantation and who was admitted to the Intensive Care Unit due to acute respiratory distress with the suspect of pneumonia-related sepsis. Due to the worsening of hemodynamics and the development of cardiogenic shock, the patient underwent bedside echocardiography, which on the contrary revealed dislocation of the filter and the entrapment of the device within the tricuspid valve and chordae tendineae. This evidence was confirmed also by the chest-abdominal X-ray. The patient underwent tricuspid valve surgical replacement and successfully recovered. The transthoracic and transesophageal echocardiographies performed in the intensive care unit were able to first orient the diagnostic efforts toward the correct cause.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/94/hsrp-04-047.PMC3484924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31264970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Major themes for 2011 in cardiovascular anesthesia and intensive care. 2011年心血管麻醉和重症监护的主要主题。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

H Riha, P Patel, E Valentine, B Lane, J G T Augoustides

{"title":"Major themes for 2011 in cardiovascular anesthesia and intensive care.","authors":"H Riha, P Patel, E Valentine, B Lane, J G T Augoustides","doi":"","DOIUrl":"","url":null,"abstract":"The past year has witnessed major advances in of cardiovascular anesthesia and intensive care. Perioperative interventions such as anesthetic design, inotrope choice, glycemic therapy, blood management, and noninvasive ventilation have significant potential to enhance perioperative outcomes even further.The major theme for 2011 is the international consensus conference that focused on ancillary interventions likely to reduce mortality in cardiac anesthesia and intensive care. This landmark conference prioritized volatile anesthetics, levosimendan, and insulin therapy for their promising life-saving perioperative potential. Although extensive evidence has demonstrated the cardioprotective effects of volatile anesthetics, levosimendan as well as glucose, insulin and potassium therapy, the clinical relevance of these beneficial effects remains to be fully elucidated. Furthermore, controversy still persists about how tight perioperative glucose control should be in adult cardiac surgery because of the risk of hypoglycemia.A second major theme in 2011 has been perioperative hemostasis with the release of multispecialty guidelines. Furthermore, hemostatic agents such as recombinant factor VIIa and tranexamic acid have been studied intensively, even in the setting of major non-cardiac surgery. This review then highlights the remaining two major themes for 2011, namely the expanding role of noninvasive ventilation in our specialty and the formation of the Roland Hetzer International Cardiothoracic and Vascular Surgery Society.In conclusion, it is time for large adequately powered multicenter trials to test whether prioritized perioperative interventions truly reduce mortality and morbidity in cardiac surgical patients. This essential paradigm shift represents a major clinical opportunity for the global cardiovascular anesthesia and critical care community.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 1","pages":"31-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/7d/hsrp-04-031.PMC3484920.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31263448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dilatation of the ascending aorta in patients with congenitally bicuspid aortic valves. 先天性二尖瓣主动脉瓣患者的升主动脉扩张。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

F Robicsek, R F Padera, M J Thubrikar

{"title":"Dilatation of the ascending aorta in patients with congenitally bicuspid aortic valves.","authors":"F Robicsek, R F Padera, M J Thubrikar","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The cause of ascending aortic dilatation occurring in patients with congenitally bicuspid aortic valves was investigated.Methods: Flow patterns through human aortic roots with congenitally bicuspid aortic valves as well as through porcine constricted aortas were studied in a left heart simulator. Vibration was recorded as a measure of turbulence in the post-stenotic segment. Histological changes in fetal aortas with isolated congenitally bicuspid aortic valves were compared to fetal aortas with congenitally bicuspid aortic valves and hypoplastic left hearts, as well as to normal fetal aortas with tricuspid aortic valves.Results: Congenitally bicuspid aortic valves were anatomically stenotic even in the absence of pressure gradients and without history of relevant symptoms. Histology of the aortic wall in isolated fetal congenitally bicuspid aortic valves was similar to that of fetal aortas with normal tri-leaflet aortic valves, but was abnormal if congenitally bicuspid aortic valves was associated with other cardiovascular anomalies. Flow studies revealed that turbulence and vibration in the post-stenotic aortic segments generated by the stenosis were proportional to the degree of the narrowing.Conclusions: Congenitally bicuspid aortic valves are inherently stenotic, asymmetrical, generate turbulence and vibration. This not only leads to early failure but also to injury of the ascending aortic wall and ascending aortic dilatation. The more progressive form of ascending aortic dilatation occurs in patients where congenitally bicuspid aortic valves is combined with other inborn anomalies and may require a radical procedure (replacement).","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 2","pages":"109-18"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/e9/hsrp-04-109.PMC3484928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31264026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes research. 结果的研究。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

A Kurz, D Sessler

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One lump or two? 一块还是两块?

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

M John

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Surgical correction of a saccular descending aortic aneurysm. 囊状降主动脉瘤的手术矫正。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

A Blasio, G Negri, A Guidotti, O Alfieri

引用次数: 0