Adult congenital cardiac surgery in Indonesia.

Background: Successful paediatric cardiac surgery and cardiology treatment has resulted in an increase in the use of surgery as a method of treatment of congenital cardiac disease in adult population. However, late detection and lower socio-economic condition in developing countries might change patients' characteristics by the time they come for treatment. This study aimed to elaborate the long-term surgical results of adult congenital cardiac disease in Indonesia as a developing country.

Half-molar sodium-lactate solution has a beneficial effect in patients after coronary artery bypass grafting.

Objective: To compare two solutions for fluid resuscitation in post-coronary artery bypass grafting (CABG) surgery patients: Ringer's lactate (RL) versus a new solution containing half-molar sodium-lactate (HL).

Design: Prospective randomized open label study.

Setting: The first 12 h post-CABG surgery in an intensive care unit (ICU).

Effect of cardiopulmonary bypass on lactate metabolism.

Objective: We have investigated the role of cardiopulmonary bypass on lactate metabolism in patients undergoing uncomplicated surgery for elective coronary artery bypass grafting (CABG).

Design: Prospective non-randomized observational study.

Settings: National Cardiovascular Center.