Journal of cardiac surgery
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Review Meta Analysis
Early extubation after pediatric cardiac surgery: systematic review, meta-analysis, and evidence-based recommendations.
To derive evidence-based recommendations regarding early extubation strategy after congenital cardiac surgery. ⋯ Early extubation appears safe and is associated with reduction in length of ICU and hospital stay without adverse effects on mortality or morbidity. However, studies to date are poor, heterogeneous, and not suitable to determine a causal effect. Therefore, there is need for a well-designed randomized clinical trial to demonstrate the potential significant benefits of early extubation.
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Review Case Reports
Cardiac arrest with "pseudo-Brugada" ECG pattern in the setting of a coronary artery anomaly.
A 36-year-old Hispanic man with no prior cardiac history presented with chest pain and then ventricular fibrillation requiring defibrillation after a physical altercation. His ECG on presentation to the emergency room was suggestive of Brugada syndrome, which later normalized. Cardiac catheterization revealed anomalous origin of right coronary artery from the left coronary cusp (coursing between the pulmonary artery and the aorta) for which he underwent surgical reimplantation, and subsequent pharmacological challenge test did not provoke reappearance of a Brugada ECG pattern. A review of literature on Brugada syndrome and anomalous origin of the coronary arteries is presented.