51 research outputs found
Venous pseudo-aneurysm as a late complication of short-term central venous catheterisation
No full textAbstract Complications following central venous catheterisation abound in the medical literature. This reflects the under-estimated potential hazards associated with this procedure as well as an increase in the number of such procedures performed in high-risk patients. We report on a case where a venous pseudo-aneurysm developed four months after the removal of a short-term central venous catheter in a moderately high-risk patient.</p
Cardiac surgery in a patient with severe thrombocytopenia: How low is too low?
No full textPlatelets play a very important role in hemostasis, especially after cardiac surgery. Excessive bleeding after such surgery may lead to increased need for transfusion and its incumbent increase in post-operative morbidity and mortality. Although most cardiac surgeons will offer a surgical option to a patient with moderate thrombocytopenia (platelet count around 70 × 10 9 /L), successful cardiac surgery has not been reported in patients with significantly lower platelets counts (less than 40 × 10 9 /L). We report a case of severe thrombocytopenia (19 × 10 9 /L) where coronary artery bypass grafting was performed with minimal blood loss post-operatively, discuss the patient′s management and provide insights while dealing with such patients
Delayed presentation of diaphragmatic injury secondary to rib fracture
No full textSummaryWe present a case of delayed presentation of significant diaphragmatic injury following blunt trauma. The potential fatal risk is discussed and management principles reviewed
Reverse saphenous interposition vein graft repair of a giant atherosclerotic aneurysm of the left anterior descending coronary artery
No full textAbstractJ Thorac Cardiovasc Surg 2002;123:817-2
And hemolysis goes on: ventricular assist device in combination with veno-venous hemofiltration
No full textA review diaphragmatic injury
No full textAbstractDiaphragmatic injury presents a diagnostic challenge to any physician. We examine the current literature on diaphragmatic injury, its incidence, clinical presentation, diagnostic tools, treatment options and complications. We also examine the development and anatomy of the diaphragm and review the theories related to how injuries occur
Association between anemia and blood transfusion with long-term mortality after cardiac surgery
No full textBACKGROUND:Preoperative anemia and red blood cell (RBC) transfusion are both associated with in-hospital mortality after cardiac surgery. The aim of this study was to investigate the interactions between preoperative anemia and RBC transfusion and their effect on the long-term survival of patients undergoing cardiac surgery. METHODS:Between 2005 and 2012, 1170 patients with anemia who underwent elective or urgent cardiac surgery were included. A matched group of 1170 nonanemic patients was used as a control group. A binary logistic regression model was used. RESULTS:The median follow-up period was 64 months (range, 0-127). Anemic patients had higher mortality (45%, n = 526) than nonanemic patients (32%, n = 374; P < .001). Preoperative anemia was independently associated with long-term mortality (odds ratio [OR], 1.70; 95% confidence interval [CI], 1.46-2.1; P < .001), with both moderate (OR, 2.27; 95% CI, 1.72-2.99; P < .001) and mild anemia (OR, 1.39; 95% CI, 1.13-1.71; P = .002) contributing significantly. RBC transfusion was not associated with long-term mortality (OR, 1.07; 95% CI, 0.88-1.31; P = .49). There was no interaction between preoperative anemia and RBC transfusion (P = .947). CONCLUSIONS:Long-term mortality is significantly high in patients who are anemic, regardless of their transfusion status. Preoperative anemia is a strong, independent predictor of mortality and therefore should be managed before cardiac surgery.Published versio
Myocardial Ischemia Caused by an Abnormal Origin and Course of the Left Coronary Artery in an Adult
No full textAortic Aneurysms: OSR, EVAR, Stent-Grafts, Migration and Endoleak—Current State of the Art and Analysis
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