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Masthead
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i
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Editorial Board
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ii-v
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Contents
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vi-ix
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Articles to Appear in Future Issues
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x
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Guide for Authors
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xi-xii
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| Editorial |
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Hands-on…Handoff
ALL CARDIAC ANESTHESIOLOGISTS have been confronted by suboptimal intensive care unit (ICU) patient handoffs. Simply put, handoffs are a risky business. The protocols involved in this area have been id...
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Ala Haddadin,
Hossam Tantawy,
Paul G. Barash
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1-2
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| Special Article |
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The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2011
There have been rapid advances in oral anticoagulation. The oral factor Xa inhibitors rivaroxaban and apixaban and the oral direct thrombin inhibitor dabigatran recently have been rigorously evaluated...
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Prakash A. Patel,
Harish Ramakrishna,
Michael Andritsos,
Tygh Wyckoff,
Hynek Riha,
John G.T. Augoustides
et al.
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3-10
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| Original Articles |
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Pilot Implementation of a Perioperative Protocol to Guide Operating Room–to–Intensive Care Unit Patient Handoffs
05 September 2011
Objectives: Perioperative handoffs are a particularly high-risk period given patients' postprocedural physiology, their physical transport through the hospital, and the triad transfer of personnel, in...
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Michelle A. Petrovic,
Hanan Aboumatar,
William A. Baumgartner,
John A. Ulatowski,
Jenny Moyer,
Tracy Y. Chang,
Melissa S. Camp,
Janet Kowalski,
Carolyn M. Senger,
Elizabeth A. Martinez
et al.
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11-16
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A Comparative Evaluation of Transesophageal and Transthoracic Echocardiography for Measurement of Left Ventricular Systolic Strain Using Speckle Tracking
12 August 2011
Objective: The authors hypothesized that the measurement of strain by speckle tracking with transesophageal echocardiography (TEE) is feasible and comparable to transthoracic echocardiography (TTE). D...
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Carlo E. Marcucci,
Zainab Samad,
Jose Rivera,
David B. Adams,
Barbara G. Philips-Bute,
Aman Mahajan,
Pamela S. Douglas,
Solomon Aronson,
G. Burkhard Mackensen,
Mihai V. Podgoreanu,
Joseph P. Mathew,
Madhav Swaminathan
et al.
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17-25
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Comparison of Transthoracic and Transesophageal 2-Dimensional Speckle Tracking Echocardiography
12 August 2011
Objectives: Two-dimensional (2D) strain imaging has been established as a reliable and reproducible technique for the assessment of left and right ventricular function using transthoracic echocardiogr...
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Mustafa Kurt,
Ibrahim Halil Tanboga,
Turgay Isik,
Ahmet Kaya,
Mehmet Ekinci,
Emine Bilen,
Mehmet Mustafa Can,
Mehmet Fatih Karakas,
Ednan Bayram,
Enbiya Aksakal,
Serdar Sevimli
et al.
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26-31
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Evaluation of Tricuspid and Pulmonary Valves Using Epicardial and Transesophageal Echocardiography—A Comparative Study
05 September 2011
Objective: To compare measurements obtained by transesophageal echocardiography (TEE) and epicardial echocardiography (EE) for evaluation of the tricuspid valve (TV) and pulmonary valve (PV). Design: ...
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Ravi B. Kumbharathi,
Ravi Taneja,
Rishi Mehra,
Mackenzie A. Quantz,
Lin R. Guo,
Daniel T. Bainbridge
et al.
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32-38
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Feasibility of Measuring Renal Blood Flow Using Transesophageal Echocardiography in Pediatric Patients Undergoing Cardiac Surgery
25 August 2011
Objective: To evaluate the feasibility of measuring renal blood flow (RBF) using transesophageal echocardiography (TEE) in pediatric patients undergoing cardiac surgery. Design: A prospective noninter...
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Da Zhu,
Hai Yu,
Yin Zhou,
Qian Li,
Long Zhao,
Li-Qing Peng,
Bin Liu
et al.
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39-45
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Increased Chest Tube Drainage Is Independently Associated With Adverse Outcome After Cardiac Surgery
21 November 2011
Objective: To investigate the clinical relevance of specific volume criteria for hemorrhage in a patient population undergoing cardiac surgery with cardiopulmonary bypass (CPB). Design: A retrospectiv...
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Michael C. Christensen,
Frank Dziewior,
Angela Kempel,
Christian von Heymann
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46-51
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Combined Central Venous Oxygen Saturation and Lactate as Markers of Occult Hypoperfusion and Outcome Following Cardiac Surgery
16 September 2011
Objective: To assess the association between postoperative central venous oxygen saturation (ScvO2) and arterial lactate with outcome after cardiac surgery. Design: Prospective observational study. Se...
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BeeBee Y. Hu,
Greg A. Laine,
Suwei Wang,
R. Thomas Solis
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52-57
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β-Blockers to Optimize Peripheral Oxygenation During Extracorporeal Membrane Oxygenation: A Case Series
18 July 2011
Objectives: Veno-venous extracorporeal membrane oxygenation (ECMO) is a well-established therapy in patients affected by respiratory failure and unresponsive to conventional therapy. Despite technical...
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Fabio Guarracino,
Alberto Zangrillo,
Laura Ruggeri,
Marina Pieri,
Maria Grazia Calabrò,
Giovanni Landoni,
Maurizio Stefani,
Luca Doroni,
Federico Pappalardo
et al.
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58-63
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Association Between Postoperative Acute Kidney Injury and Duration of Cardiopulmonary Bypass: A Meta-Analysis
16 September 2011
Objective: This meta-analysis examined the association between cardiopulmonary bypass (CPB) time and acute kidney injury (AKI). Design: Meta-analysis of previously published studies. Setting: Each sin...
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Avinash B. Kumar,
Manish Suneja,
Emine O. Bayman,
Garry D. Weide,
Michele Tarasi
et al.
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64-69
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Milrinone and Mortality in Adult Cardiac Surgery: A Meta-analysis
26 September 2011
Objective: The authors conducted a review of randomized studies to show whether there are any increases or decreases in survival when using milrinone in patients undergoing cardiac surgery. Design: A ...
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Alberto Zangrillo,
Giuseppe Biondi-Zoccai,
Martin Ponschab,
Massimiliano Greco,
Laura Corno,
Remo Daniel Covello,
Luca Cabrini,
Elena Bignami,
Giulio Melisurgo,
Giovanni Landoni
et al.
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70-77
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Thoracic Epidural or Paravertebral Catheter for Analgesia After Lung Resection: Is the Outcome Different?
17 November 2011
Objective: The aim of this study was to determine whether thoracic epidural analgesia (TEA) or a paravertebral catheter block (PVB) with morphine patient-controlled analgesia influenced outcome in pat...
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Hany Elsayed,
James McKevith,
James McShane,
Nigel Scawn
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78-82
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A Randomized, Double-Blind Trial Comparing Continuous Thoracic Epidural Bupivacaine With and Without Opioid in Contrast to a Continuous Paravertebral Infusion of Bupivacaine for Post-thoracotomy Pain
18 November 2011
Objective: To compare the results of continuous epidural bupivacaine analgesia with and without hydromorphone to continuous paravertebral analgesia with bupivcaine in patients with post-thoracotomy pa...
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Jay S. Grider,
Timothy W. Mullet,
Sibu P. Saha,
Michael E. Harned,
Paul A. Sloan
et al.
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83-89
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Thoracic Paravertebral Block for Video-Assisted Thoracoscopic Surgery: Single Injection Versus Multiple Injections
07 November 2011
Objective: Thoracic paravertebral blocks (PVBs) have been shown to be effective for analgesia after video-assisted thoracoscopic surgery (VATS) with single- and multiple-injection techniques. The effi...
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Fatma Nur Kaya,
Gurkan Turker,
Elif Basagan Mogol,
Selcan Bayraktar
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90-94
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| Case Reports |
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Use of a Miniaturized Transesophageal Echocardiographic Probe in the Intensive Care Unit for Diagnosis and Treatment of a Hemodynamically Unstable Patient After Aortic Valve Replacement
28 March 2011
TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) has shown the ability to identify treatable causes of shock in patients after cardiac surgery. Unfortunately, the use of TEE in unstable patients after cardiac s...
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Chad E. Wagner,
Julian S. Bick,
Benjamin H. Webster,
John H. Selby,
John G. Byrne
et al.
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95-97
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Iatrogenic Thoracoscopic Right Ventricular Laceration Resulting in Cardiovascular Collapse Treated With Extracorporeal Membrane Oxygenation
07 February 2011
IATROGENIC CARDIAC LESION is an uncommon yet dangerous complication of thoracoscopic surgery. Its management is complicated by several factors including rapid blood loss with ensuing instant hemodynam...
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Kuen-Bao Chen,
Albert Wai-Cheung Lau,
Menfil Andres Orellana-Barrios,
Weiwu Pang
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98-100
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Arterial Injury Complicating Subclavian Central Venous Catheter Insertion
11 February 2011
INADEQUATE PLACEMENT of a subclavian venous catheter in the subclavian artery is a well-known complication. Three cases of accidental arterial puncture occurred with the implantation of subclavian ven...
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Adrian Kastler,
Russell Chabanne,
Kasra Azarnoush,
Bernard Cosserant,
Lionel Camilleri,
Louis Boyer,
Pascal Chabrot
et al.
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101-103
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Tension Pneumothorax and Pneumomediastinum Caused by a Malpositioned Mediastinal Drain in a Patient Following Closure of an Atrial Septal Defect
13 January 2011
MEDIASTINAL AND pleural drains are inserted after cardiac surgery to evacuate the postoperative bleeding, fluids, and air from the mediastinum or pleural cavity. These drains usually are removed as so...
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Shanmukh Hiremath,
Harihar V. Hegde,
P.R. Sreedhara Swamy,
Rohini Bhat Pai
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104-105
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Lest We Forget: Heparin-Induced Hyperkalemia
20 January 2011
HEPARIN IS used widely in intensive care, yet the awareness of its adverse effects, other than bleeding and thrombocytopenia, remains generally poor. An example of heparin-induced hyperkalemia (HIH) a...
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Balu Bhaskar,
John F. Fraser,
Dan Mullaney
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106-109
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| Review Articles |
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Remifentanil in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials
08 August 2011
Objective: The authors conducted a review of randomized controlled trials to identify advantages in clinically relevant outcomes in patients undergoing cardiac surgery with remifentanil. Design: Meta-...
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Massimiliano Greco,
Giovanni Landoni,
Giuseppe Biondi-Zoccai,
Luca Cabrini,
Laura Ruggeri,
Nicola Pasculli,
Veronica Giacchi,
Jan Sayeg,
Teresa Greco,
Alberto Zangrillo
et al.
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110-116
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Update on Blood Conservation for Cardiac Surgery
17 October 2011
PATIENTS UNDERGOING CARDIAC SURGERY are at risk of excessive bleeding, leading to increased usage of allogeneic blood and hemostatic blood products. Although this patient population represents a relat...
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Bhanu P. Nalla,
John Freedman,
Gregory M.T. Hare,
C. David Mazer
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117-133
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Anesthesia for Interventional Cardiology
07 November 2011
THE DEMAND FOR anesthetic support for interventional cardiology procedures is increasing as the number and complexity of these procedures rapidly expand. Providing safe anesthesia care to patients und...
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Mark Hayman,
Paul Forrest,
Peter Kam
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134-147
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| Emerging Technology Review |
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Anesthetic Management of Patients Undergoing Aortic Valve Bypass (Apicoaortic Conduit) Surgery
04 July 2011
AORTIC VALVE BYPASS (AVB) surgery is the creation of a valved conduit from the apex of the left ventricle (LV) to the descending aorta in patients with left ventricular outflow tract obstruction (). I...
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Patrick Odonkor,
Lynn G. Stansbury,
James S. Gammie,
Peter Rock,
Molly Fitzpatrick,
Alina M. Grigore
et al.
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148-160
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| Case Conference |
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Case 1—2012 A Perfect Storm: Fatality Resulting From Metoclopramide Unmasking A Pheochromocytoma and Its Management
A PHEOCHROMOCYTOMA IS AN UNCOMMON catecholamine-secreting neuroendocrine tumor with typical symptoms of paroxysmal headache, palpitations, and severe hypertension. Pheochromocytomas can be associated ...
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Rosanne Sheinberg,
Wei Dong Gao,
Gary Wand,
Sherley Abraham,
Richard Schulick,
Rashmi Roy,
Nanhi Mitter
et al.
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161-165
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| Expert Review |
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Advances in the Management of Carotid Artery Disease: Focus on Recent Evidence and Guidelines
Recent landmark randomized trials and society guidelines have significantly revised the management of carotid artery disease. Duplex ultrasonography is the recommended initial diagnostic test for the ...
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John G.T. Augoustides
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166-171
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| Diagnostic Dilemmas |
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Dizziness in a Patient With a Right Atrial Mass
20 September 2010
A 63-YEAR-OLD, 93-kg, 170-cm man with an extensive history of cardiovascular disease presented to the cardiology clinic in the authors' institution complaining of “feeling lightheaded and dizzy.” The ...
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Zafar Iqbal,
Steven Sivils,
Paul S. Pagel
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172-174
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A Large Mass on a Newly Implanted Pulmonary Artery Catheter: Thrombus, Vegetation, or an Anatomic Explanation?
24 September 2010
A 62-YEAR-OLD, 92-kg, 168-cm woman was admitted to the authors' medical center for elective coronary artery bypass graft surgery. The patient described a 3-week history of progressive exertional chest...
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Robert K. Loveday,
Brendan T. Wanta,
Alfred C. Nicolosi,
Paul S. Pagel
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175-177
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Noncardiogenic Pulmonary Edema in a Cardiac Surgery Patient: Never a Welcome Sight for the Anesthesiologist
25 November 2010
A 78-YEAR-OLD woman presented for redo aortic and mitral valve replacement and primary tricuspid valve repair. Aside from New York Heart Association Class IV congestive heart failure on the basis of a...
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Michael G. Wong,
James A. Helliwell
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178-179
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| Cardiac Calendar |
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Cardiac Calendar—2012 to 2013
Fifty-Eighth Annual Meeting of Indian Association of Cardiovascular and Thoracic Surgeons. Kolkata, India. February 10-12, 2012. Contact: http://www.iacts2012.com.
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George Silvay
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e1-e2
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| Letters to the Editor |
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A Word of Caution Regarding Transesophageal Echocardiography and Penetrating Chest Trauma
29 September 2011
In their recent Case Conferenence, Stein et al described the use of transesophageal echocardiography (TEE) to assist in the diagnosis and management of a stab wound to the left chest. I would like to ...
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Neal Stuart Gerstein
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e3
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Iatrogenic Acute Aortic Dissection During Cardioplegic Cannula Insertion Detected by Transesophageal Echocardiography
17 October 2011
Iatrogenic acute aortic dissection (IAAD) is a rare but potentially lethal complication. Fortunately, the reported incidence of IAAD is low (approximately 0.16% to 0.35%), perhaps because of underrepo...
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Parag Gharde,
Vikram Aggarwal,
Sandeep Chauhan,
Usha Kiran,
V. Devagourou
et al.
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e3-e5
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Sudden Intraoperative Hypertension During Endovascular Abdominal Aortic Repair as a First Sign of Massive Fatal Atheroembolism
10 October 2011
Endovascular aortic repair (EVAR) is considered a relatively safe treatment of abdominal aortic aneurysms, with an advantage in early mortality with respect to the open procedure. EVAR is offered to p...
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Paolo Grassi,
Filomena Capone
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e5-e6
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Reasons Elevated B-Type Natriuretic Peptide Levels Are Associated With Adverse Outcome in Patients Undergoing Cardiac Surgery
17 October 2011
We read with interest the recent article by Nozohoor et al who studied a total of 407 consecutive patients undergoing cardiac surgery and found that elevated B-type natriuretic peptide (BNP) levels we...
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Yongxin Liang,
Miaoning Gu,
Shiduan Wang
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e6
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Noncardiac Surgery in the Prone Position in Patients With Ventricular Assist Devices
18 November 2011
After a literature review and PubMed search using the key words “prone,” “ventricular assist device,” “noncardiac surgery,” and “position,” we report the first case of surgery in the prone position in...
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Christopher W. Connors,
Justin M. Poltak,
Angus A. Christie
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e6-e7
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