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Extracorporeal circulation

January 13, 2021
A large series of closure of atrial septal defects ( mostly secundum) in adult and some adolescent patients. There are token cases of other (moderate to severe) congenital cases included in this narrative. The Onans offer details on the evolution of their Da Vinci program in Istanbul.
November 24, 2020
This is a comprehensive review of current strategies for monitoring and protection of the brain during aortic arch surgery under hypothermic circulatory arrest. 
October 9, 2020
This is an a comprehensive consensus document on post-cardiotomy extracorporeal life support (PC-ECLS) jointly released by the European Association for Cardio-Thoracic Surgery (EACTS), the Extracorporeal Life Support Organization (ELSO), the Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS).
September 18, 2020
Chou et al. analyzed a nationwide ECMO register regarding patients with liver cirrhosis. They identified 233 patients, which represents 3.3% of all 7003 patients. These patients had a very high one-year mortality of more than 95%. Therefore, the authors conclude that ECMO should be used very carefully in patients with known liver cirrhosis.
August 11, 2020
This is a video illustrating a case of minimally invasive mitral valve replacement in the setting of profound shock with VA-ECMO and impella CP support for ruptured papillary muscle after acute myocardial infarction.
July 30, 2020
Complex reoperative arch and root surgery can be safely performed using moderate hypothermic circulatory arrest with selective antegrade cerebral perfusion along with intermittent upper and lower body retrograde perfusion.
April 10, 2020
In this small series of propensity score matched patients, two methods of administering cardioplegia, each using a different agent, were assessed for outcomes of isolated CABG. A repeated infusion with Basel Microplegia was superior to a single shot of Cardioplexol® for troponin release, creatinine kinase, and ICU stay.
April 1, 2020
Useful series from the Pacific North West, main questions: -Why four patients who had a do-not-resuscitate order on admission were included in the dead and, ultimately, why been admitted in an ITU/ICU setting? -How come no sputum samples from nine fatalities were ever sent for bacterial culture in an ITU/ICU setting?
March 24, 2020
A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.
March 18, 2020
The authors describe a thoughtful process for resource utilization in the setting of competing needs that optimizes survival for a popultion. Examples of existing guidelines are provided.

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