15 results match your criteria: "HEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE[Affiliation]"

Factors associated with acute kidney injury after on-pump coronary artery bypass grafting.

J Cardiothorac Surg

October 2024

Department of Extracorporeal Methods of Treatment, Heart Institute Ministry of Health of Ukraine, Bratyslavska str. 5A, Kyiv, 02166, Ukraine.

Background: Acute kidney injury (AKI) frequently occurs as a complication of cardiac surgery and cardiopulmonary bypass (CPB). Its prevalence and severity are determined by various preoperative and intraoperative factors. The aim of this study was to examine the risk factors for AKI following on-pump coronary artery bypass grafting (CABG).

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Objective: Aim: To assess, analyze and present early postoperative results of transcatheter aortic valve implantation in patients with aortic stenosis.

Patients And Methods: Materials and Methods: During the period from 2017 to 2023, we examined in total 77 patients with severe aortic stenosis and high risk of surgery who were eligible for the TAVI procedure at the "Heart Institute Ministry of Health of Ukraine".

Results: Results: Before implantation, the mean and maximum aortic valve gradients were 53.

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Stroke in critically ill patients with respiratory failure due to COVID-19: Disparities between low-middle and high-income countries.

Heart Lung

October 2024

Division of Neuroscience Critical Care, Departments of Neurology, Neurosurgery, and Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Article Synopsis
  • A study was conducted to compare stroke incidences and mortality rates in critically ill COVID-19 patients from low-and middle-income countries (LMICs) and high-income countries (HICs).
  • The results showed that stroke incidence was significantly higher in LMICs (35.7 per 1000 admitted-days) compared to HICs (17.6 per 1000 admitted-days), with patients from LMICs also facing higher mortality rates (43.6% vs. 29.2%).
  • The findings highlight the need for better stroke diagnosis and healthcare resource allocation in LMICs, as both higher income status and the presence of stroke are associated with increased risk of death
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Iatrogenic aortic regurgitation secondary to leaflet injury is a rare complication of mitral valve surgery. For the first time, we report a patient who had progressive aortic regurgitation due to non-coronary leaflet perforation after robotic mitral valve repair and required aortic valve repair 18 months after this initial surgery. As in our case, aortic regurgitation after mitral valve surgery may remain undiagnosed on intraoperative transesophageal echocardiography or undetected until the patient's discharge due to gradual enlargement of very small perforations over the postoperative course.

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Objective: . Aim: The choice of aortic valve stenosis correction method is determined by a number of clinical and technical parameters. The task was to compare early postoperative outcomes in patients after correction of aortic valve stenosis using TAVI and surgical aortic valve replacement with a biological prosthesis.

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In the absence of uniform European regulations, there have been many differences in the training of perfusionists across Europe. Furthermore, there has been no uniform or single European accreditation of the profession. One of the objectives of The European Board of Cardiovascular Perfusion (EBCP) is to standardise and monitor training of perfusionists across Europe whilst offering support in accordance with national regulations.

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Article Synopsis
  • - The study compared a multimodal low-opioid anesthesia protocol (MLOP) to a routine-opioid protocol (ROP) during on-pump coronary artery bypass grafting (CABG) in 120 patients, focusing on postoperative complications and recovery metrics.
  • - Results showed that the MLOP group had significantly lower IL-6 levels, shorter mechanical ventilation duration, and reduced incidences of low cardiac output syndrome and postoperative atrial fibrillation compared to the ROP group.
  • - The findings suggest that MLOP may lead to better early postoperative outcomes after CABG, indicating its potential as a more favorable anesthesia protocol for these patients.
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Background: Aortic arch aneurysm is a very rare condition in children. Surgery is the life saving procedure but it performing might be challenging due to the complex anatomy.

Case Presentation: We describe a 13-year-old girl who was diagnosed to have an isolated giant aortic arch aneurysm.

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Unlabelled: The course of COVID-19 with an incidence of 15-42% can be complicated by the development of acute respiratory distress syndrome (ARDS). The mortality rate with severe forms exceeds 60%, which sometimes requires extracorporeal methods of life support.

Aim: The aim of this study was to analyse the therapeutic efficacy of V-V ECMO in patients with ARDS caused by SARS-CoV-2.

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Article Synopsis
  • * The prevalence of AS increases significantly with age, from 0.2% in those aged 50-59 to nearly 10% in those aged 80-89.
  • * The case of a 78-year-old man with severe AS illustrates how ultrasonic aortic valve decalcification can effectively lower pressure gradients across the valve, serving as a valuable alternative for patients with small aortic annuli when traditional surgery is not feasible.
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Article Synopsis
  • The study focused on the effects of two different anesthesia schemes during coronary artery bypass grafting (CABG) on postoperative outcomes in 60 patients.
  • Patients were divided into a low-opioid anesthesia group (30) and a standard anesthesia group (30), with blood interleukin-6 (IL-6) levels measured before and after surgery.
  • Results showed that the low-opioid group had significantly lower IL-6 levels, shorter mechanical ventilation time, reduced occurrence of low cardiac output syndrome, and shorter ICU stays compared to the standard group.
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The Case of Myocardial Infarction in a Fifteen-Year-Old Adolescent Caused by Toxic Substances.

Cardiovasc Toxicol

October 2020

Anesthesiology and Intensive Care Department, P. L. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.

The article reveals about the clinical accident of myocardial infarction in an adolescent after visiting a night club, where he had been drinking tequila. A "sniper" test was performed at home and showed synthetic marihuana in urine. The uniqueness of this case is the adolescent's difficult premorbid condition (severe diabetes mellitus type 1 and sub-compensated hypothyreosis) and the clinical course of the disease had caused difficulty in diagnosis which led to a belated hospitalization on the third day.

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The paper is devoted to the study of the effectiveness of multimodal low-opioid anesthesia during coronary bypass grafting (CABG) surgery under artificial blood circulation. The study included 36 patients aged 69,5±6.2 years, who were performed CABG.

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