Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Nov 2009
Early calcification of the aortic Mitroflow pericardial bioprosthesis in the elderly.
We report our experience in the elderly with aortic valve replacement using the Mitroflow A12 pericardial bioprosthesis. ⋯ The Mitroflow A12 pericardial bioprosthesis provides less than optimal performance in elderly patients.
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Interact Cardiovasc Thorac Surg · Nov 2009
Comparative StudyMinimal extracorporeal circulation and off-pump compared to conventional cardiopulmonary bypass in coronary surgery.
Although minimal extracorporeal circulation (MECC) and off-pump surgery are equal or better alternatives to conventional cardiopulmonary bypass (CCPB) regarding perioperative morbidity, use of blood and blood products and completeness of revascularization, CCPB is still being used in the majority of coronary artery bypass grafting (CABG) operations. ⋯ Perioperative morbidity of MECC and OPCAB is comparable to or even less in comparison to CCPB. MECC allows CABG surgery in cardiac arrest so that completeness of revascularization is being warranted and longer patency rates can be guaranteed. Furthermore, the use of blood and blood products is significantly less in MECC surgery so that MECC should be considered first choice in CABG surgery over CCPB and OPCAB.