cardiac surgery for adults

Congenital Hypofibrinogenemia Detected during Preoperative Workup for Major Cardiac Surgery

Afibrinogenemia or hypofibrinogenemia is a quantitative defect in fibrinogen. It is a rare disease with estimated frequency of 1 in 1,000,000 population. Routine preoperative screening tests of coagulation disorders are insufficient to detect subtle disorders of fibrinogen. Herein, we report a child who was supposed to undergo open cardiac surgery for a large atrial septal defect. Preoperative ...

Anesthesia Issues in Cardiac Surgery

The principle of anaesthesia for open-heart surgery is based on simplicity, safty and light­plane of anaesthesia. As a result of the special pathophysiology, grave general status, compli­cations threatening these patients during and after the operation and the abundance of medicines available nowadays, it is very important for the anaesthetist to be acquainted with the pathophysiological and ph...

Anesthesia in Cardiac Surgery (Open-Closed Heart)

In this paper the duties of an anesthesiologist and his right of i=;electing patient is discussed. La,ter, we di:=:cuss the <::mergencies cf heart surgery, pre up visit and alsc few dcails of pre up medication cf thei,e pati<mts. We also touch on the stages of anesthPsia and point to our preference for the use cf artery and vein for arterial and venous cannulation. In this paper we discuss in b...

CAUSES OF MORTALITY IN CARDIAC SURGERY REOPERATIONS

From March 1990 to May 1993,309 patients underwent redo cardiac surgery operation at the Shahid Rajai Heart Hospital in Tehran. Early mortality rates in these patients showed a significant increase in comparison to patients undergoing open heart surgery for the first time. Late mortality (at least one month after surgery) in the patients was slightly increased also but less than early morta...

How transoesophageal echocardiography can assist cardiac surgery in adults.

Waiting for Cardiac Surgery

Background—The Queen Elizabeth II Health Sciences Centre uses a weekly peer-review conference of cardiovascular experts to prioritize each surgical case to 1 of 4 queues with the use of standardized criteria of coronary anatomy, stress test result, and symptoms. We examined the hazard of waiting as well as the impact of waiting on surgical outcomes. Methods and Results—Analysis was performed fo...