background: liver dysfunction during on-pump coronary artery bypass graft surgery (cabg) is a rare complication but is associated with significant morbidity and mortality. the ability to identify high-risk patients may be helpful in planning appropriate management strategies. we aimed to evaluate the factors influencing liver function tests during on-pump cabg. methods: in 146 patients schedule...

To the Editor: Since its first clinical use in the late 1960s, intra-aortic balloon pump counterpulsation has been a significant means of supporting an inadequate myocardium.' The use of an intra-aortic balloon pump has increased greatly preceding open heart surgery for cardiogenic shock and left ventricular failure. Additional indications include other conditions such as unstable angina refrac...

Left ventricular rupture is an infrequent but potentially fatal complication of mitral valve replacement. In spite of the fact that several methods of repair have previously been described, the mortality rate remains nearly 85%. The use of the intra-aortic balloon pump counterpulsation may increase the possibilities of success in the repair of this dreaded complication. We present here three ca...

In the previous issue of Critical Care, Yu and colleagues report increased morbidity and mortality in patients after myocardial infarction undergoing prophylactic intra-aortic balloon pump support before coronary artery bypass graft surgery. The impact of prophylactic intra-aortic balloon pump implantation before coronary artery bypass graft therapy still is controversially debated. However, Yu...

OBJECTIVE The intra-aortic balloon pump is the most widely used form of temporary cardiac assist and often utilised in patients before and after cardiac surgery. Several effects of balloon counter-pulsation have been reported previously, but its effect on left ventricular diastolic function has not been thoroughly investigated. The aim of this study is to examine the effect of the intra-aortic ...

The following paper presents a patient with severe aortic stenosis and severely reduced left ventricular ejection fraction with intra-aortic balloon pump counterpulsation support, who underwent transfemoral aortic valve implantation of a CoreValve prosthesis.

the present study was undertaken to compare the in hospital results of coronary artery bypass graft (cabg) with (on pump) or without (off pump) cardiopulmonary bypass (cpb). data were collected on all first-time isolated cabgs with saphenous vein and/or artery grafts at shahid madani hospital in tabriz-iran, between 2006 and 2009. age and clinical profile were marched between on pump and off pu...