abstract background: aprotinin has been used increasingly to reduce postoperative blood loss in open-heart operations due to the potentialities for complications and high cost, it would seem reasonable to use aprotinin more selectively in small doses in the prime solution of the pump. methods: we prospectively studied the effect of preoperative low dose aprotinin [2 million units (230mg)] on bl...

BackgroundIatrogenic type A aortic dissection is a rare complication of surgical and nonsurgical cardiac procedures associated with high morbidity. The purpose this study was to describe the intraoperative incidence, management, outcomes iatrogenic dissections at our institution.MethodsRetrospective review institution’s adult surgery database performed between 2002 2018 identify all repairs. Op...

materials and methods in a double blind randomized trial study, 100 patients undergoing elective cardiac surgery were randomized to using heparinized (n = 50) or non-heparinized (normal) saline flush (n = 50) to maintain patency of arterial catheter after operation. indwelling arterial catheters were checked daily for acceptable arterial waveform for three days as primary outcome measures. resu...

Essential Thrombocythcythaemia (ET) is an uncommon type of myeloproliferative disorder, characterised by both thrombotic and haemorrhagic diathesis. No clear guidelines exist for the pre- and post-operative management of patients undergoing cardiac surgery in the haematological and surgical literature. This condition has profound implications in patients undergoing cardiac surgery with the use ...

BACKGROUND Morbidity and mortality are higher for cardiac reoperations than first operation due to the presence of post-operative adhesions. We retrospectively evaluated the efficacy of the bioresorbable membrane Seprafilm to prevent pericardial adhesions after cardiac surgery in a paediatric congenital heart disease population. METHODS Seventy-one children undergoing reoperations with sterno...

Portoenterostomy (PE) is the standard therapy for biliary atresia (BA). PE offers the chance of survival to children with BA. PE was the ultimate therapeutic modality for BA before liver transplantation (LT) was available. Failure of biliary drainage with PE was almost invariably fatal in children with BA. In such cases, redo-PE was performed to salvage patients following PE failure. PE remains...

Secondary coronary revascularizations can be required due to the progression of artery lesions and degeneration bypass grafts in long term after initial graft (CABG) surgery. It is therefore necessary clarify clinical characteristics these patients how improve their prognosis. Optimal medical treatments, including medications, smoking cessation, cardiac rehabilitation, are essential baseline ma...