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Biventricular Dysfunction Due to Chronic Mitral Valve Regurgitation Caused by Aberrant Mitral Arcade.
Ann Thorac Surg Short Rep
December 2024
Division of Cardiac Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
A 53-year-old male individual with chronic severe mitral regurgitation presented with biventricular dysfunction, pulmonary hypertension, and atrial fibrillation. Echocardiography demonstrated a posterior leaflet prolapse with malcoaptation. Mitral valve repair and Maze procedure were performed, revealing absent chordae and direct connection from the anterolateral papillary muscle to the posterior leaflet, consistent with partial mitral arcade.
View Article and Find Full Text PDFAcute Kidney Injury and Renal Replacement Therapy After Fontan Operation.
Am J Cardiol
December 2021
Division of Pediatric Cardiology; Department of Cardiovascular Medicine; Wanek Family Program for Hypoplastic Left Heart Syndrome, Mayo Clinic, Rochester, Minnesota. Electronic address:
Fontan circulation leads to chronic elevation of central venous pressure. We sought to identify the incidence, risk factors, and survival among patients who developed acute kidney injury (AKI) after the Fontan operation. We retrospectively reviewed 1,166 patients who had Fontan operation/revision at Mayo Clinic Rochester from 1973 to 2017 and identified patients who had AKI (defined by AKI Network criteria) within 7 days of surgery.
View Article and Find Full Text PDFImplementation of a Prescriptive Extracorporeal Circuit and Its Effect on Hemodilution and Blood Product Usage during Cardiac Surgery.
J Extra Corpor Technol
December 2020
McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Memorial Hermann Hospital, Texas Medical Center, Houston, Texas; and University of Nebraska Medical Center, Omaha, Nebraska.
The use of cardiopulmonary bypass (CPB) contributes significantly to intraoperative anemia. The use of a prescriptive circuit that is tailored to the patient size could significantly reduce priming volumes, resulting in less hemodilution. The purpose of this study was to determine whether a prescriptive circuit resulted in decreased hemodilution, reduced blood product usage, and improved outcomes.
View Article and Find Full Text PDFHypertension in Post-Bypass Acute Kidney Injury: Not Just About Systolic and Diastolic Blood Pressures?
J Cardiothorac Vasc Anesth
June 2019
Department of Anaesthesiology, 1 Hospital Drive, Singapore, 169608, Singapore; Department of Cardiothoracic Anaesthesia, 5 Hospital Drive, Singapore, 169609, Singapore.
A retrospective comparison of inhaled milrinone and iloprost in post-bypass pulmonary hypertension.
Heart Vessels
December 2017
Department of Anesthesiology, Onassis Cardiac Surgery Center, Athens, Greece.
During cardiac operations, weaning from cardiopulmonary bypass (CPB) may prove challenging as a result of superimposed acute right ventricular dysfunction in the setting of elevated pulmonary vascular resistance (PVR). The aim of this study was to retrospectively evaluate the effect of inhaled milrinone versus inhaled iloprost in patients with persistent pulmonary hypertension following discontinuation of CPB. Eighteen patients with elevated PVR post-bypass were administered inhaled milrinone at a cumulative dose of 50 μg kg.
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