Cardiovascular Surgery 2011

Emergencies in cardiovascular surgery

Methods In emergency situation, preoperative patient work-up for cardio-vascular surgery is quite different from the elective setting. Since 03/2000 till 01/2012 we have analyzed a consecutive series of 12 172 cases out of which 2214 underwent emergency procedures (18.19%). The most frequent problems requiring urgent intervention were thoracic aortic aneurysms (448 cases; 20.24%); coronary arte...

Pediatric Cardiovascular Surgery

Hybrid stage I palliation combines cardiothoracic surgery and interventional transcatheter procedures for treatment of hypoplastic left heart syndrome. The approach is an alternative to the Norwood procedure, the traditional first stage of surgical palliation. Hybrid stage I palliation involves placing bilateral branch pulmonary artery bands and a patent ductus arteriosus stent through a median...

Cardiovascular Surgery Supplement.

719 Cardiac Surgery is a tremendously important therapeutic modality in advanced cardiac care. To this day, the long-term vital and functional outcomes of common cardiac surgical operations—whether congenital, coronary, valvular, heart failure, or aortic procedures—remain largely unmatched by nonsurgical approaches. Furthermore, cardiac surgical translational investigators repeatedly contribute...

Glucose metabolism in cardiovascular surgery

During the past few years, it has become evident that metabolic control is a major determinant of postoperative outcomes, not only for diabetic patients but for all patients undergoing surgery.In cardiac and vascular surgery, myocardial ischemia is a common challenge and the management of hyperglycemia should be part of the strategy aimed at optimizing cardiac protection during these types of s...

Narcotic anesthesia for cardiovascular surgery.