The heart surgery forum
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The heart surgery forum · Oct 2011
Case ReportsHigh-volume hemofiltration as adjuvant therapy for refractory shock after pericardiocentesis.
Pericardiocentesis for the treatment of chronic cardiac tamponade can occasionally result in acute pulmonary edema or biventricular failure. A sudden increase in heart filling pressures and right-to-left ventricular-output mismatch have been proposed underlying mechanisms. ⋯ We conclude that high-volume hemofiltration can be helpful as an adjuvant treatment for refractory shock after pericardiocentesis for chronic cardiac tamponade. The mechanism of the observed hemodynamic improvement remains to be investigated.
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The heart surgery forum · Oct 2011
Left anterior descending artery revascularization in low-risk patients: early outcomes after off-pump versus on-pump surgery.
This study aimed to compare the early outcomes of off-pump and on-pump myocardial revascularization in patients with stenosis in the left anterior descending artery (alone or with diagonal artery disease). ⋯ Among low-risk patients (defined according to EuroSCORE criteria) who underwent left anterior descending coronary artery bypass, the results obtained with the on-pump and off-pump methods showed no significant differences with respect to morbidity or mortality.