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http://dx.doi.org/10.1111/echo.12069DOI Listing

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Article Synopsis
  • VA-ECMO techniques have advanced and are particularly beneficial for patients with reversible low cardiac output, such as the case of a 21-year-old male with congenital heart disease who experienced severe shock following an upper gastrointestinal bleed.
  • Initial treatments included intubation, fluid resuscitation, and emergency endoscopy to control active bleeding, but the patient's condition worsened, leading to the need for VA-ECMO support due to severe ventricular dysfunction and high lactate levels.
  • After optimizing care in the ICU and adjusting ventilation strategies, the patient's condition stabilized, allowing for extubation and the discontinuation of certain medications, reflecting a positive recovery trajectory.
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Coronary artery fistulas (CAFs) represent rare congenital anomalies that exhibit a wide range of clinical implications and a heightened risk of complications. It is imperative to accurately identify and delineate these fistulas to avoid missed diagnoses and to recommend suitable therapeutic measures. We present the case of a 46-year-old obese woman who was hospitalized for chest pain associated with palpitations.

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Background: Non-Bacterial Thrombotic Endocarditis (NBTE) is a common form of aseptic thrombotic endocarditis that primarily affects mitral valves and less frequently aortic valves. NBTE is caused by systemic inflammatory reactions. This condition induces valve thickening or attached sterile mobile vegetation.

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Objective: Trimethylamine-N-oxide (TMAO) is a metabolite derived from the microbial processing of dietary phosphatidylcholine and carnitine and the subsequent hepatic oxidation. Due to its prothrombotic and inflammatory mechanisms, we aimed to assess its role in the prediction of adverse events in a susceptible population, namely patients with atrial fibrillation.

Methods: Baseline TMAO plasma levels were measured by liquid chromatography-tandem mass spectrometry in 2379 subjects from the ongoing Swiss Atrial Fibrillation cohort.

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Background: Unenhanced chest CT can identify incidental findings (IFs) leading to management strategy change. We report our institutional experience with routine chest-CT as preoperative screening tool during the COVID-19 pandemic, focusing on the impact of IFs.

Methods: All patients scheduled for cardiac surgery from May 1st to December 31 2020, underwent preoperative unenhanced chest-CT according to COVID-19 pandemic institutional protocol.

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