Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2005
Clinical Trial[Interest of the Mini Mental State Examination to detect cognitive defects after cardiac surgery].
Cognitive defects are frequently described after cardiac surgery. They occur in 30 to 79% cases. They might be related to the use of a cardiopulmonary bypass (CPB). They are poorly evaluated in clinical practice. ⋯ These results entourage to carry out a more strict follow-up for the oldest patients in cardiac surgery. The MMSE could be systematically integrated to the pre and postoperative screening. The detection of cognitive dysfunction should lead to address the patient to a geriatrician for a prolonged follow-up.
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Ann Fr Anesth Reanim · Oct 2005
Case Reports[Refractory oedema: think about systemic capillary leak syndrome].
Systemic Capillary Leak Syndrome (SCLS) is a rare and recently discovered disease. The diagnosis must be evoked in front of an hypovolaemic shock associated with a refractory anasarca. ⋯ SCLS is diagnosed when a patient meet a compatible clinical situation with an hypoalbuminemia in spite of relative hemoconcentration. Evidence of a monoclonal gammapathy constitute an additional clue.
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Ann Fr Anesth Reanim · Oct 2005
Case Reports[Late thrombosis of a drug-eluting coronary stent after antiplatelet therapy discontinuation].
We reported the late thrombosis of a drug-eluting coronary stent related to discontinuation of antiplatelet therapy for venous surgery of the right leg more than half and a year after its implantation. After this acute myocardial infarction, a cardiac assistance device has to be used as a bridge to transplantation because of end stage ischaemic cardiopathy. Antiplatelet therapy management must be revisited for eluting stents, which can clot lately after its implantation.