Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Observational StudyFactors Related to the Severity of Early Postoperative Infection After Heart Transplantation in Patients Surviving Prolonged Mechanical Support Periods: Experience at a Single University.
The authors examined the effect of prolonged support with continuous-flow ventricular assist devices (CF-VADs) and other related factors on the severity of infections within 30 days of heart transplantation (HTx). ⋯ Active VAD-specific infection and poor graft function likely contribute to the severity of early postoperative infections after HTx.
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Anesthetic and Perioperative Considerations for Combined Heart-Kidney Transplantation.
To describe detailed perioperative features of combined heart and kidney transplant (HKT). ⋯ Anesthesiologists should be actively involved in perioperative strategies on how to manage these critical patients with severe cardiac and noncardiac comorbidities applying their expertise to HKT procedure.
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Randomized Controlled TrialMetamizole and Platelet Inhibition by Aspirin Following On-Pump Coronary Artery Bypass Grafting.
The purpose of the study was to evaluate the impact of intravenous metamizole on platelet inhibition by aspirin in patients with coronary artery disease early after on-pump coronary artery bypass grafting (CABG). ⋯ Intravenous metamizole preceded by a loading dose of aspirin did not modify platelet response to aspirin in the postoperative period after CABG.
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Heart Transplantation in Patients >60 Years: Importance of Relative Pulmonary Hypertension and Right Ventricular Failure on Midterm Survival.
To determine the impact of recipient age and perioperative risk factors on midterm survival after orthotopic heart transplantation (OHT). The authors hypothesized that perioperative variables are more important as predictors of mortality than is a recipient's age. ⋯ In patients undergoing heart transplantation, survival was related more to preoperative relative pulmonary hypertension, cardiopulmonary bypass duration, and postoperative right ventricular failure than to recipient age. Older patients should be selected for OHT carefully, taking into consideration preoperative factors other than age.