Croatian medical journal
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Croatian medical journal · Dec 2002
Corrective surgery of congenital heart defects in neonates: the Prague experience.
To assess the outcome and mortality trend in newborns undergoing corrective surgery for congenital heart defect. ⋯ Most newborns with critical congenital heart defects can undergo corrective operation under acceptable risk. Due to complex improvements in perioperative, anaesthetic, surgical, and postoperative care, contemporary hospital mortality can be reduced to 1-3%. Palliative procedures still play an important role in the staged treatment of severe complex heart defects in neonates.
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Croatian medical journal · Dec 2002
Surgical treatment of left ventricular free wall rupture after myocardial infarction: case series.
To analyze the results of surgical treatment of left ventricular free wall rupture after acute myocardial infarct in a case series. ⋯ The left ventricle free wall rupture, as a complication of acute myocardial infarction, can be diagnosed early and treated on time. Rapid diagnosis and emergency surgery are crucial for successful treatment of patients with impending heart rupture. Off-pump surgery and patch with glue technique seem to yield best results.
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Croatian medical journal · Dec 2002
Comparative StudyMeasuring cardiac output during dobutamine infusion after off-pump coronary artery bypass: comparison of transesophageal echo-Doppler and thermodilution.
To compare transesophageal echo-Doppler with thermodilution method for measuring cardiac output during dobutamine infusion after off-pump coronary artery bypass. ⋯ Transesophageal echo-Doppler and thermodilution can be interchangeable as methods for measuring cardiac output after off-pump coronary artery bypass.
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To establish a framework for the Intensive Care Units (ICU) Register in Croatia, and examine the relation between their present organization and medical practices and their outcome performances. ⋯ Establishing a database on intensive care medicine and assessing the performance of ICUs in Croatia could serve as a model for improvement of ICU service in other transition countries.
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Croatian medical journal · Dec 2002
Continuous systemic perfusion via collaterals at moderate hypothermia in aortic arch repairs in neonates.
To present our experience with modified cannulation with continuous, moderately hypothermic systemic perfusion in extensive aortic arch repair. The technique has fewer complications and preserves cerebral blood flow autoregulation. ⋯ Continuous, moderately hypothermic systemic perfusion via collaterals seems to be a method of choice in aortic arch repair in neonates. As there is no need for deep hypothermic total circulatory arrest, its numerous sequelae, such as increased postoperative bleeding and permanent neurologic deficit, can be avoided.