Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
ReviewAnesthetic Considerations for Transcatheter Pulmonary Valve Replacement.
The introduction of transcatheter therapy for valvular heart disease has revolutionized the care of patients with valvular disorders. Pathologic regurgitation or stenosis of the pulmonary valve, right ventricular outflow tract, or a right ventricle-to-pulmonary artery conduit represent emerging indications for transcatheter therapy. ⋯ In this review, the pathophysiology and indications for transcatheter pulmonary valve replacement and possible complications unique to this procedure are reviewed. Anesthetic management, including preoperative assessment, intraoperative considerations, and early postoperative monitoring, are discussed.
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Letter Case ReportsAtypical Venous Valve of the Internal Jugular Vein.
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J. Cardiothorac. Vasc. Anesth. · Feb 2018
Randomized Controlled Trial Multicenter StudyTransfusion Requirements in Cardiac Surgery III (TRICS III): Study Design of a Randomized Controlled Trial.
To determine if a restrictive transfusion threshold is noninferior to a higher threshold as measured by a composite outcome of mortality and serious morbidity. ⋯ By randomizing prior to surgery, the TRICS III trial captured the most acute reduction in hemoglobin during cardiopulmonary bypass.