Full Text Journal Articles about
Circulatory Arrest and Cardiopulmonary Bypass Hypothermia

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MHCA with SACP versus DHCA in Pediatric Aortic Arch Surgery: A Comparative Study.

Ling Xie, Yan Xu, Guijin Huang, Mao Ye, Xiao Hu, Shiyu Shu, Harness Lynn,

The safety and efficacy of selective antegrade cerebral perfusion (SACP) in children undergoing aortic arch surgery are unclear. In this retrospective analysis, we compared moderate hypothermic circulatory arrest (MHCA; n = 61) plus SACP vs deep hypothermic circulatory arrest (DHCA; n = 53) in children undergoing aortic arch surgery during a period from January ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4439]

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The application of the single branch-first combined with the mid-arch clamping technique and the embedded anastomosis technique for DeBakey type II aortic dissection.

Quan Li, Hong Qu, Tianqi Liu, Min Li, Shanliang Chen, Peijie Li, Li Xu, Hengbao Wang,

BACKGROUND:Patients with DeBakey type II aortic dissection or ascending aortic aneurysms involving the right innominate artery require hemiarch replacement and placement of a right innominate artery graft. Traditional aortic hemiarch replacement surgery must be performed under right axillary artery cannulation perfusion and moderate or deep hypothermia circulatory arrest. However, the ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):38]

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Atypical Hemolytic Uremic Syndrome following Acute Type A Aortic Dissection.

Eigo Ikushima, Manabu Hisahara, Takuya Nishijima, Hikaru Uchiyama, Tatsushi Onzuka, Yoshie Ochiai, Tsuyoshi Muta, Shigehiko Tokunaga,

Atypical hemolytic uremic syndrome (aHUS) is a thrombotic microangiopathy (TMA)-related disease that manifests as a triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury (AKI) and is caused by uncontrolled activation of the complement system. We report the case of a 61-year-old woman with acute type A aortic dissection ... Read more >>

Case Rep Hematol (Case reports in hematology)
[2020, 2020:2467953]

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The elevated admission white blood cell count relates to adverse surgical outcome of acute Stanford type a aortic dissection.

Mingjia Ma, Juan Shi, Xin Feng, Jing Wang, Ligang Liu, Xiang Wei,

BACKGROUND:The purpose of the study was to examine the association between white blood cell count (WBCc) on admission and early outcome in patients with the acute Stanford type A aortic dissection (TAAD). METHODS:From January 2012 to December 2018, we retrospectively evaluated a series of 331 consecutive patients underwent surgery for ... Read more >>

J Cardiothorac Surg (Journal of Cardiothoracic Surgery)
[2020, 15(1):48]

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Inhaled nitric oxide reduces injury and microglia activation in porcine hippocampus after deep hypothermic circulatory arrest.

Masaki Kajimoto, Muhammad Nuri, Justin R Sleasman, Kevin A Charette, Branden R Nelson, Michael A Portman,

OBJECTIVE:Dysregulation of local nitric oxide (NO) synthetases occurs during ischemia and reperfusion associated with cardiopulmonary bypass, deep hypothermic circulatory arrest (DHCA), and reperfusion. Rapid fluctuations in local NO occurring in neonates and infants probably contribute to inflammation-induced microglial activation and neuronal degeneration after these procedures, eventually impairing neurodevelopment. We evaluated ... Read more >>

J. Thorac. Cardiovasc. Surg. (The Journal of thoracic and cardiovascular surgery)
[2020, :]

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The Experience of Early Extubation After Paediatric Congenital Heart Surgery in a Chinese Hospital.

Keye Wu, Fang Chen, Yuanxiang Wang, Yunxing Ti, Huaipu Liu, Pengcheng Wang, Yiqun Ding,

BACKGROUND:Early extubation has become widely adopted in cardiac surgery practices. This study aimed to present experience of early extubation after congenital heart surgery and to explore the factors that affect successful immediate postoperative extubation and early extubation. METHODS:A retrospective analysis was performed of all patients who underwent congenital heart surgery ... Read more >>

Heart Lung Circ (Heart, lung & circulation)
[2020, :]

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Early outcome of aortic balloon occlusion during total aortic arch replacement with the frozen elephant trunk technique for aortic dissection.

Yunfeng Li, Hongwei Guo, Yi Shi, Yanxiang Liu, Xiaogang Sun,

OBJECTIVES:The aim of this study was to propose and evaluate the new operative technique of aortic balloon occlusion in total aortic arch replacement (TAR) with the frozen elephant trunk that can significantly decrease the time of circulatory arrest and increase the hypothermic cardiopulmonary bypass (CPB) temperature. METHODS:Between 2010 and 2018, ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2020, 30(1):91-98]

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Intraoperative inadvertent piercing of the aortic arch: case report.

Hye Seon Kim, Dong Hwan Kim, Kyung Hwan Kim, Youn Joung Cho, Chun Kee Chung,

Aortic injury is a rarely encountered complication of spinal surgery. The authors report a case of a 32-year-old woman with a T3 tumor who experienced an intraoperative aortic arch injury during T3 spondylectomy. The patient was successfully treated with no postoperative neurological deficits. ... Read more >>

J Neurosurg Spine (Journal of neurosurgery. Spine)
[2020, :1-5]

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Cangrelor and Heparin for Pulmonary Thromboendarterectomy in Heparin-Induced Thrombocytopenia.

Jackie Ta, Suraj Mishra, Anjali Vaidya, Paul R Forfia, Yoshiya Toyoda, William R Auger, Y Yuliana Salamanca-Padilla, Gordon H Morewood,

Perioperative anticoagulation management for patients with heparin-induced thrombocytopenia requiring cardiopulmonary bypass and deep hypothermic circulatory arrest presents a clinical challenge. Alternative anticoagulants have been used but can cause significant postoperative bleeding. We report the successful use of cangrelor and heparin in a 30-year-old patient with severe heparin-induced thrombocytopenia undergoing urgent ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Risk factors for low cardiac output syndrome in children with congenital heart disease undergoing cardiac surgery: a retrospective cohort study.

Xinwei Du, Hao Chen, Xiaoqi Song, Shunmin Wang, Zedong Hao, Lifeng Yin, Zhaohui Lu,

BACKGROUND:Low cardiac output syndrome (LCOS) is an important complication of cardiac surgery. It is associated with increased morbidity and mortality. The incidence of LCOS after surgery is high in patients with congenital heart disease (CHD). Therefore, determining the risk factors of LCOS has clinical significance for the management of CHD. ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):87]

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Right Atrium Tumor Extension Through the Inferior Vena Cava. Considerations About Nine Cases Operated Under Cardiopulmonary Bypass.

Fernando Chaud, Silvio Tucci, Solange Bassetto, Rodolfo Borges Dos Reis, Alfredo José Rodrigues, Walter Vilella de Andrade Vicente, Paulo Roberto Barbosa Evora,

INTRODUCTION:Adrenocortical and renal cell carcinomas rarely invade the right atrium (RA). These neoplasms need surgical treatment, are very aggressive and have poor prognostic and surgical outcomes. CASE SERIES:We present a retrospective cohort of nine cases of RA invasion through the inferior vena cava (four adrenocortical carcinomas and five renal cell ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, 34(6):723-728]

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Post-Pump Chorea and Progressive Supranuclear Palsy-Like Syndrome Following Major Cardiac Surgery.

Kye Won Park, Nari Choi, Ho-Sung Ryu, Ho Jin Kim, Chong S Lee, Sun Ju Chung,

Background:Post-pump chorea and progressive-supranuclear palsy (PSP)-like syndrome after aortic surgery are 2 distinct movement disorders following major cardiac surgeries. Cases:We herein report 3 patients with movement disorders that developed after major cardiac surgeries. Two patients developed post-pump chorea after pulmonary endarterectomy, and 1 further case developed PSP-like syndrome after aortic ... Read more >>

Mov Disord Clin Pract (Movement disorders clinical practice)
[2020, 7(1):78-82]

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COMMENCE trial (Comparing hypOtherMic teMperaturEs duriNg hemiarCh surgEry): a randomized controlled trial of mild vs moderate hypothermia on patient outcomes in aortic hemiarch surgery with anterograde cerebral perfusion.

Habib Jabagi, George Wells, Munir Boodhwani,

BACKGROUND:Aortic arch surgery remains the only viable life-saving treatment for aortic arch disease. However, the necessity for cessation of systemic blood flow with hypothermic cardiac arrest carries substantial risk of morbidity and mortality, including poor neurological outcomes and kidney failure. While uncontrolled studies have suggested the safety of operating at ... Read more >>

Trials (Trials)
[2019, 20(1):691]

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Surgical rescues for critical hemopericardium complicated by acute type A aortic dissection: Emergent subxiphoid pericardiotomy or cardiopulmonary bypass first?

Chun-Yu Lin, Meng-Yu Wu, Chi-Nan Tseng, Yu-Sheng Chang, Yuan-Chang Liu, Cheng-Hui Lu, Feng-Chun Tsai,

BACKGROUND:Hemopericardium is a common and hazardous complication of acute type A aortic dissection (ATAAD). This retrospective study aimed to clarify the short-term and mid-term outcomes in patients who underwent surgical rescues for hemopericardium complicated by ATAAD. METHODS:Between January 2007 and March 2019, 586 consecutive patients underwent ATAAD repair at our ... Read more >>

PLoS ONE (PloS one)
[2020, 15(3):e0229648]

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Meta-analysis of targeted temperature management in animal models of cardiac arrest.

Hilmer Olai, Gustav Thornéus, Hannah Watson, Malcolm Macleod, Jonathan Rhodes, Hans Friberg, Niklas Nielsen, Tobias Cronberg, Tomas Deierborg,

BACKGROUND:Targeted temperature management (TTM) of 32 to 34 °C has been the standard treatment for out-of-hospital cardiac arrest since clinical trials in 2002 indicated benefit on survival and neurological outcome. In 2013, a clinical trial showed no difference in outcome between TTM of 33 °C and TTM of 36 °C. In this meta-analysis, ... Read more >>

Intensive Care Med Exp (Intensive care medicine experimental)
[2020, 8(1):3]

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Effects of inhaled nitric oxide for postoperative hypoxemia in acute type A aortic dissection: a retrospective observational study.

Hang Zhang, Yaoyang Liu, Xiangdong Meng, Dicheng Yang, Sheng Shi, Jian Liu, Zhongxiang Yuan, Tongtong Gu, Lin Han, Fanglin Lu, Zhiyun Xu, Yang Liu, Min Yu,

BACKGROUND:Postoperative hypoxemia in acute type A aortic dissection (AADA) is a common complication and is associated with negative outcomes. This study aimed to analyze the efficacy of low-dose (5-10 ppm) inhaled nitric oxide (iNO) in the management of hypoxemia after AADA surgery. METHODS:In this retrospective observational study, Medical records of patients ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):25]

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Preoperative platelet count, preoperative hemoglobin concentration and deep hypothermic circulatory arrest duration are risk factors for acute kidney injury after pulmonary endarterectomy: a retrospective cohort study.

Congya Zhang, Guyan Wang, Hui Zhou, Guiyu Lei, Lijing Yang, Zhongrong Fang, Sheng Shi, Jun Li, Zhiyan Han, Yunhu Song, Sheng Liu,

BACKGROUND:Acute kidney injury (AKI) is a major postoperative morbidity of patients undergoing cardiac surgery and has a negative effect on prognosis. The kidney outcomes after pulmonary endarterectomy (PEA) have not yet been reported; However, several perioperative characteristics of PEA may induce postoperative AKI. The objective of our study was to ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):220]

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Predictors of In-Hospital Mortality after Recovered Out-of-Hospital Cardiac Arrest in Patients with Proven Significant Coronary Artery Disease: A Retrospective Study.

Maria Trepa, Samuel Bastos, Marta Fontes-Oliveira, Ricardo Costa, André Dias-Frias, André Luz, Vasco Dias, Mário Santos, Severo Torres,

Introduction:Recovered Out-of-Hospital Cardiac Arrest (rOHCA) population is heterogenous. Few studies focused on outcomes in the rOHCA subgroup with proven significant coronary artery disease (SigCAD). We aimed to characterize this subgroup and study the determinants of in-hospital mortality. Methods:Retrospective study of consecutive rOHCA patients submitted to coronary angiography. Only patients with ... Read more >>

J Crit Care Med (Targu Mures) (Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures))
[2020, 6(1):41-51]

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Severe systemic inflammatory response syndrome in patients following Total aortic arch replacement with deep hypothermic circulatory arrest.

Jun Li, Lijing Yang, Guyan Wang, Yuefu Wang, Chunrong Wang, Sheng Shi,

BACKGROUND:This cohort study aims to retrospectively investigate the incidence of severe systemic inflammatory response syndrome (sSIRS) in patients following total aortic arch replacement (TAR) under deep hypothermic circulatory arrest (DHCA) with selective cerebral perfusion and its effect on clinical outcomes. METHODS:All patients who underwent TAR with DHCA were consecutively enrolled ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):217]

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Targeting of cell-free DNA by DNase I diminishes endothelial dysfunction and inflammation in a rat model of cardiopulmonary bypass.

Carolyn Weber, Alexander Jenke, Vasilena Chobanova, Mariam Yazdanyar, Agunda Chekhoeva, Kaveh Eghbalzadeh, Artur Lichtenberg, Thorsten Wahlers, Payam Akhyari, Adnana Paunel-Görgülü,

The use of cardiopulmonary bypass (CPB) results in the activation of leukocytes, release of neutrophil extracellular traps (NETs) and severe inflammation. We hypothesize that targeting of circulating cell-free DNA (cfDNA) by DNases might represent a feasible therapeutic strategy to limit CPB-associated side effects. Male Wistar rats (n = 24) underwent CPB with ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):19249]

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Survival, Neurocognitive, and Functional Outcomes After Completion of Staged Surgical Palliation in a Cohort of Patients With Hypoplastic Left Heart Syndrome.

Joseph Atallah, Gonzalo Garcia Guerra, Ari R Joffe, Gwen Y Bond, Sunjidatul Islam, M Florencia Ricci, Mohammed AlAklabi, Ivan M Rebeyka, Charlene M T Robertson, ,

Background Management of patients with hypoplastic left heart syndrome has benefited from advancements in medical and surgical care. Outcomes have improved, although survival and long-term functional and cognitive deficits remain a concern. Methods and Results This is a cohort study of all consecutive patients with hypoplastic left heart syndrome undergoing ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2020, 9(4):e013632]

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Low-frequency variability in photoplethysmographic waveform and heart rate during on-pump cardiac surgery with or without cardioplegia.

Anton R Kiselev, Ekaterina I Borovkova, Vladimir A Shvartz, Viktoriia V Skazkina, Anatoly S Karavaev, Mikhail D Prokhorov, Artak Y Ispiryan, Sergey A Mironov, Olga L Bockeria,

We studied the properties of low-frequency (LF) heart rate variability (HRV) and photoplethysmographic waveform variability (PPGV) and their interaction under conditions where the hemodynamic connection between them is obviously absent, as well as the LF regulation of PPGV in the absence of heart function. The parameters of HRV and finger ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):2118]

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MicroRNA expression in the hippocampal CA1 region under deep hypothermic circulatory arrest.

Xiao-Hua Wang, Dong-Xu Yao, Xiu-Shu Luan, Yu Wang, Hai-Xia Liu, Bei Liu, Yang Liu, Lei Zhao, Xun-Ming Ji, Tian-Long Wang,

Using deep hypothermic circulatory arrest, thoracic aorta diseases and complex heart diseases can be subjected to corrective procedures. However, mechanisms underlying brain protection during deep hypothermic circulatory arrest are unclear. After piglet models underwent 60 minutes of deep hypothermic circulatory arrest at 14°C, expression of microRNAs (miRNAs) was analyzed in ... Read more >>

Neural Regen Res (Neural regeneration research)
[2019, 14(11):2003-2010]

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Clostridium septicum-infected Stanford type A acute aortic dissection: a case report.

Kiyotoshi Akita, Yoshiyuki Takami, Kazuki Matsuhashi, Yusuke Sakurai, Kentaro Amano, Hiroshi Ishikawa, Tadahito Eda, Yasushi Takagi,

BACKGROUND:Thoracic aortitis caused by Clostridium septicum is a rare infection with a strong association with malignancy and high mortality rate when left untreated. We report a case of surgical treatment for Stanford type A acute aortic dissection in a patient with C. septicum sepsis and thoracic aortitis. CASE PRESENTATION:A 63-year-old ... Read more >>

Surg Case Rep (Surgical case reports)
[2020, 6(1):23]

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Catastrophic Intracardiac Thrombosis During Emergency Repair of an Expanding Aortic Pseudoaneurysm: A Case Report.

Ratna Vadlamudi, Jay Chan, Roman M Sniecinski,

Catastrophic thrombosis is a rare but frequently fatal event following complex cardiac surgery. It is most often encountered following separation from cardiopulmonary bypass (CPB) and reversal of heparin anticoagulation, and somewhat paradoxically, at the time when bleeding from post-CPB coagulopathy is being treated. We report the case of a 41-year-old ... Read more >>

A A Pract (A&A practice)
[2019, 13(9):342-345]

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