Intraoperative Echo: When to go Back on Pump
|
|
- Dulcie Henry
- 6 years ago
- Views:
Transcription
1 Intraoperative Echo: When to go Back on Pump Madhav Swaminathan, MD, FASE Professor of Anesthesiology Division of Cardiothoracic Anesthesia & Critical Care Duke University School of Medicine Disclosures None
2 Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary What happens on pump? Surgeons do 3 things Put together Replace Remove
3 What happens on pump? Revascularized zones New prosthetic valves/devices Fixed shunts, leaks Unintended consequences Even the best designs can fail
4 What happens on pump? What happens on pump?
5 What happens on pump? What happens on pump?
6 What happens on pump? What happens on pump?
7 What happens on pump? What happens on pump?
8 What happens on pump? What happens on pump?
9 What happens on pump? What happens on pump?
10 What happens on pump? What happens on pump?
11 What happens on pump? What happens on pump?
12 What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment Stunning Inotropic choice Uncommon What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment Aortic dissection Vena cava injury Coronary sinus injury
13 What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment
14 What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment What happens on pump? Myocardial protection Physical injury to cannulation sites Air entrainment
15 Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary
16 Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary Stay or come off pump? Depends Some critical questions Will staying on help? Is the patient ready to come off? Can they handle the preload? Inotrope selection? Pacing choice? Trial separation
17 Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary When is it helpful to go back on? 1. When you should not have come off in the first place! 2. When there s something to do Surgeons do 3 things Put together Replace Remove
18 Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary Outline What happens on pump? Staying on versus coming off When is it helpful to go back on? Cases Summary
19 Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE
20 Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE
21 Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE Case 1 A 68-year old woman presented with NYHA class IV symptoms and had a long history of a murmur. Workup revealed moderate AS with moderate AI. Scheduled for elective AVR. Intra-operative TEE
22 Case 2 Case 2 A 73-year old woman with severe MR due to a flail P2 was scheduled for elective MVR with a mechanical valve Post st-cpb TEE revealed A 73-year old woman with severe MR due to a flail P2 was scheduled for elective MVR with a mechanical valve Post st-cpb TEE revealed
23 Case 2 Case 2 A 73-year old woman with severe MR due to a flail P2 was scheduled for elective MVR with a mechanical valve Post st-cpb TEE revealed A 73-year old woman with severe MR due to a flail P2 was scheduled for elective MVR with a mechanical valve Post st-cpb TEE revealed
24 Summary The decision to go back on pump is challenging Principal drivers of the decision should be: 1. How will it help? 2. What can the surgeon do? TEE plays a pivotal role in this decision
Coronary Artery Bypass Graft: Monitoring Patients and Detecting Complications
Coronary Artery Bypass Graft: Monitoring Patients and Detecting Complications Madhav Swaminathan, MD, FASE Professor of Anesthesiology Division of Cardiothoracic Anesthesia & Critical Care Duke University
More informationMinimally Invasive Aortic Surgery With Emphasis On Technical Aspects, Extracorporeal Circulation Management And Cardioplegic Techniques
Minimally Invasive Aortic Surgery With Emphasis On Technical Aspects, Extracorporeal Circulation Management And Cardioplegic Techniques Konstadinos A Plestis, MD System Chief of Cardiothoracic and Vascular
More informationIntra-operative Echocardiography: When to Go Back on Pump
Intra-operative Echocardiography: When to Go Back on Pump GREGORIO G. ROGELIO, MD., F.P.C.C. OUTLINE A. Indications for Intraoperative Echocardiography B. Role of Intraoperative Echocardiography C. Criteria
More informationEmergency Intraoperative Echocardiography
Emergency Intraoperative Echocardiography Justiaan Swanevelder Department of Anaesthesia, Glenfield Hospital University Hospitals of Leicester NHS Trust, UK Carl Gustav Jung (1875-1961) Your vision will
More informationMenachem M. Weiner Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai
Menachem M. Weiner Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Anesthetic care and considerations Intraoperative events TEE Perioperative complications Most common valvular
More information(Ann Thorac Surg 2008;85:845 53)
I Made Adi Parmana The utility of intraoperative TEE has become increasingly more evident as anesthesiologists, cardiologists, and surgeons continue to appreciate its potential application as an invaluable
More informationStavroula Ikonomakou-Nikolaidis, MD Reference List Book Chapter
Book Chapter 1. Nikolaidis, Stavroula I. Hypertrophic Cardiomyopathy Chapter 65, Fleisher & Roizen: Essence of Anesthesia Practice, 4th edition, Elsevier, Philadelphia, PA 2016, (submitted, in press) 2016
More informationCardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center
The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical
More informationDISCLOSURE. Mitral ViV: why? Mitral Valve- in- Valve: Procedural Image Guidance with TEE, a Must Have or Nice to Have? UW Medicine NONE.
Mitral Valve- in- Valve: Procedural Image Guidance with TEE, a Must Have or Nice to Have? G. Burkhard Mackensen, MD, PhD, FASE Professor & Chief, Division of Cardiothoracic Anesthesia, Department of Anesthesiology
More informationUpdate on Percutaneous Therapies for Structural Heart Disease. William Thomas MD Director of Structural Heart Program Tucson Medical Center
Update on Percutaneous Therapies for Structural Heart Disease William Thomas MD Director of Structural Heart Program Tucson Medical Center NCVH 2014- Tucson Disclosure of Financial Interest Research: Stock
More informationNavigating the Dichotomies Between Literature and Your Clinical Practice
Navigating the Dichotomies Between Literature and Your Clinical Practice Robert Groom, CCP, FPP Cardiovascular Institute at Maine Medical Center Disclosures No relevant conflicts related to this presentation
More informationBioprosthetic Mitral Valve Dysfunction: Innovation and Evolution of a New Therapeutic Technique
Bioprosthetic Mitral Valve Dysfunction: Innovation and Evolution of a New Therapeutic Technique Charanjit S. Rihal MD MBA Professor and Chair Division of Cardiovascular Diseases Mayo Clinic DISCLOSURES
More informationInteresting Cases - A Case Report: Renal Cell Carcinoma With Tumor Mass In IVC And Heart. O Wenker, L Chaloupka, R Joswiak, D Thakar, C Wood, G Walsh
ISPUB.COM The Internet Journal of Thoracic and Cardiovascular Surgery Volume 3 Number 2 Interesting Cases - A Case Report: Renal Cell Carcinoma With Tumor Mass In IVC And Heart O Wenker, L Chaloupka, R
More informationEcho Week - Learning Objectives
Echo Week - Learning Objectives Sunday, February 25 5-7 pm Physics Review Moderator: Mark Taylor, MD 1. Understand the ultrasound physics and apply it to image creation and optimization 2. Infer the interaction
More informationTEE Zebras. Case Cardiac Anesthesia Group
TEE Zebras Edwin G. Avery, IV, M.D., C.P.I. Chief, Division of Cardiac Anesthesia University Hospitals Case Medical Center Associate Professor of Anesthesiology Case Western Reserve University School of
More informationLate secondary TR after left sided heart disease correction: is it predictibale and preventable
Late secondary TR after left sided heart disease correction: is it predictibale and preventable Gilles D. Dreyfus Professor of Cardiothoracic surgery Nath J, et al. JACC 2004 PREDICT Incidence of secondary
More informationReally Less-Invasive Trans-apical Beating Heart Mitral Valve Repair: Which Patients?
Really Less-Invasive Trans-apical Beating Heart Mitral Valve Repair: Which Patients? David H. Adams, MD Cardiac Surgeon-in-Chief Mount Sinai Health System Marie Josée and Henry R. Kravis Professor and
More informationProcedural Guidance of TAVR: How to Assure it Goes Right and What to Do If It Doesn t
Procedural Guidance of TAVR: How to Assure it Goes Right and What to Do If It Doesn t James D. Thomas, M.D., F.A.C.C. Department of Cardiovascular Medicine Heart and Vascular Institute Cleveland Clinic
More informationAORTIC DISSECTIONS Current Management. TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida
AORTIC DISSECTIONS Current Management TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida DISCLOSURES Terumo Medtronic Cook Edwards Cryolife AORTIC
More informationAdult Congenital Heart Disease: The New Reality. Disclosures
Adult Congenital Heart Disease: The New Reality Kathryn Rouine-Rapp, MD Professor of Anesthesia Disclosures I have nothing to disclose 1 Outline Historic perspective Our reality Common lesions Guidelines
More informationEdward P. Chen MD. Director Thoracic Aortic Surgery Division of Cardiothoracic Surgery Emory University School of Medicine Atlanta, Georgia
David Procedure in Acute Type A Dissection Edward P. Chen MD Director Thoracic Aortic Surgery Division of Cardiothoracic Surgery Emory University School of Medicine Atlanta, Georgia The Houston Aortic
More informationAcute Valve Regurgitation Catherine M. Otto, MD J. Ward Kennedy-Hamilton Endowed Chair in Cardiology University of Washington, Seattle
Acute Valve Regurgitation Catherine M. Otto, MD J. Ward Kennedy-Hamilton Endowed Chair in Cardiology University of Washington, Seattle No conflicts of interest Acute Aortic Regurgitation Causes aortic
More informationMINIMALLY INVASIVE MITRAL VALVE SURGERY. Rohinton J. Morris, MD Chief, Cardiothoracic Surgery Jefferson University and Health Systems
MINIMALLY INVASIVE MITRAL VALVE SURGERY Rohinton J. Morris, MD Chief, Cardiothoracic Surgery Jefferson University and Health Systems OVERVIEW History Anatomy Indications Techniques Variants Outcomes &
More informationSteph ani eph ani Mi M ck i MD Cleveland Clinic
Stephanie Mick MD Stephanie Mick MD Cleveland Clinic Upper hemisternotomy AVR Ascending Aorta MVr Thoracotomy Based Anterior AVR Lateral Thoracotomy Mitral/Tricuspid surgery Robotically assisted surgery
More informationProsthesis-Patient Mismatch or Prosthetic Valve Stenosis?
EuroValves 2015, Nice Prosthesis-Patient Mismatch or Prosthetic Valve Stenosis? Philippe Pibarot, DVM, PhD, FACC, FAHA, FASE FESC Canada Research Chair in Valvular Heart Diseases Université LAVAL Disclosure
More informationGoals and Objectives. Assessment Methods/Tools
CA-2 CARDIOTHORACIC ANESTHESIA ROTATION Medical Center Fairview (UMMC) Rotation Site Director: Drs. Ioanna Apostolidou & Douglas Koehntop Rotation Duration: 6 weeks Introduction: The overall goal of the
More informationImpact of TOE on delivery of antegrade cardioplegia
Impact of TOE on delivery of antegrade cardioplegia David Canty Senior Lecturer + Director of Simulation Department of Surgery, University of Melbourne Cardiac Anaesthetist Royal Melbourne Hospital + Monash
More informationTAVR today: High Risk, Intermediate Risk Population, and Valve in Valve Therapy
TAVR today: High Risk, Intermediate Risk Population, and Valve in Valve Therapy Alan Zajarias, MD FACC Structural Interventional Fellowship Director Associate Professor Medicine Cardiovascular Division
More informationExperience with 500 Stentless Aortic Valve Replacements
Experience with 500 Stentless Aortic Valve Replacements Dimitrios C. Iliopoulos, MD Cardiac Surgeon Ass. Professor of Surgery University of Athens, School of Medicine I declare no conflict of interest
More informationSevere left ventricular dysfunction and valvular heart disease: should we operate?
Severe left ventricular dysfunction and valvular heart disease: should we operate? Laurie SOULAT DUFOUR Hôpital Saint Antoine Service de cardiologie Pr A. COHEN JESFC 16 janvier 2016 Disclosure : No conflict
More informationValvular Heart Disease
Valvular Heart Disease Roman M. Sniecinski, MD, FASE Associate Professor of Anesthesiology Emory University School of Medicine Learning Objectives Review the major pathophysiology of the most common heart
More informationConventional CABG Or On Pump Beating Heart: A Difference In Myocardial Injury?
Conventional CABG Or On Pump Beating Heart: A Difference In Myocardial Injury? Kornelis J. Koopmans Medical Center Leeuwarden Leeuwarden, The Netherlands I have no disclosures Disclosures Different techniques
More informationAssessment and Preparation of Patients with TAVI. Rob Tanzola Associate Professor, Queen s University
Assessment and Preparation of Patients with TAVI Rob Tanzola Associate Professor, Queen s University My patient has aortic stenosis and needs non-cardiac surgery Should (s)he get a TAVI? Rob Tanzola Associate
More informationCardiac surgery and acute kidney injury: retrospective study
Cardiac surgery and acute kidney injury: retrospective study Department of Cardiovascular and Thoracic Surgery University of Liege Hospital (ULg CHU), Belgium MG LAGNY 1, F BLAFFART 1, JO DEFRAIGNE 2,
More informationCARDIOLOGY AND CARDIOVASCULAR ANESTHESIA
CARDIOLOGY AND CARDIOVASCULAR ANESTHESIA STANFORD UNIVERSITY HOSPITAL Perioperative Echocardiography Educational Program and Clinical Services Program Goals I. Provide Cardiovascular Anesthesia fellows
More informationStrategies for the High Risk Redo in CHD
Strategies for the High Risk Redo in CHD Joseph A. Dearani, MD AATS, Minneapolis 2013 Strategies for the High Risk Redo in CHD Joseph A. Dearani, MD AATS, Minneapolis 2013 No Disclosures 2011 MFMER slide-3
More informationStandard AVR. Full Sternotomy CPB
16.03.2013 by Dr. M. D. Dixit MS (Gen. Surg.), DNB (CVTS), PhD Professor & HOD, CVTS Director, KLES Heart Foundation, KLES Dr. Prabhakar Kore Hospital & MRC, Belgaum Standard AVR Full Sternotomy CPB
More informationDivision of Cardiothoracic Surgery, University of Miami, Miller School of Medicine, and Jackson Memorial Hospital, Miami, Florida
Multiple Valve Surgery with Beating Heart Technique Marco Ricci, MD, Francisco Igor B. Macedo, MD, Maria R. Suarez, MD, Michael Brown, CCP, Julia Alba, MD, and Tomas A. Salerno, MD Division of Cardiothoracic
More informationOPCAB IS NOT BETTER THAN CONVENTIONAL CABG
OPCAB IS NOT BETTER THAN CONVENTIONAL CABG Harold L. Lazar, M.D. Harold L. Lazar, M.D. Professor of Cardiothoracic Surgery Boston Medical Center and the Boston University School of Medicine Boston, MA
More informationRegional Teaching Programme. Cardiothoracic Surgery
Regional Teaching Programme Cardiothoracic Surgery Mahmoud Loubani 2015 1 Introduction The Yorkshire and the Humber Training Programme in Cardiothoracic Surgery is delivered by training centres in St James
More informationUniversity of Florida Department of Surgery. CardioThoracic Surgery VA Learning Objectives
University of Florida Department of Surgery CardioThoracic Surgery VA Learning Objectives This service performs coronary revascularization, valve replacement and lung cancer resections. There are 2 faculty
More informationNothing to Disclose. Severe Pulmonary Hypertension
Severe Ronald Pearl, MD, PhD Professor and Chair Department of Anesthesiology Stanford University Rpearl@stanford.edu Nothing to Disclose 65 year old female Elective knee surgery NYHA Class 3 Aortic stenosis
More information2017 Cardiovascular Symposium CARDIAC SURGERY UPDATE: SMALLER INCISIONS AND LESS COUMADIN DAVID L. SAINT, MD
2017 Cardiovascular Symposium CARDIAC SURGERY UPDATE: SMALLER INCISIONS AND LESS COUMADIN DAVID L. SAINT, MD David L Saint M.D. Tallahassee Memorial Hospital Southern Medical Group Division of Cardiothoracic
More information(2) (1) (3) (4) BLOOD PATHWAY ASSESSMENT RUBRIC
BLOODPATHWAYASSESSMENT(4) BLOOD%PATHWAY%ASSESSMENT%(3)% BLOODPATHWAYASSESSMENT(3) (4) (3) (2) (1) Using a completely blank diagram of the heart, all valves, chambers, great vessels, and direction of blood
More informationAORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE
AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE WHAT IS AORTIC STENOSIS? THE AORTIC VALVE The aorta is the major vessel that carries oxygenated blood out of the left side of the
More informationPrimary Mitral Valve Disease: Natural History & Triggers for Intervention ACC Latin American Conference 2017
Disclosures: GE stock, Primary Mitral Valve Disease: Natural History & Triggers for Intervention ACC Latin American Conference 2017 Athena Poppas, MD FACC Past ACC Scientific Sessions Chair, ACC Board
More informationPROSTHETIC VALVE ENDOCARDITIS Dr Bernard Prendergast DM FRCP EUROVALVE CONGRESS MADRID NOVEMBER 2013
PROSTHETIC VALVE ENDOCARDITIS Dr Bernard Prendergast DM FRCP EUROVALVE CONGRESS MADRID NOVEMBER 2013 Prosthetic Valve Endocarditis A Dangerous Disease Affects 1-6% of prosthetic valves Mechanical and biological
More informationAMERICAN SOCIETY OF ANESTHESIOLOGISTS ANESTHESIA PRE OPERATIVE SCREENING ASA PHYSICAL STATUS CLASSIFICATION ANESTHESIOLOGISTS
ANESTHESIA PRE OPERATIVE SCREENING CAPA S 37 TH ANNUAL CONFERENCE PALM SPRINGS OCTOBER 5, 2013 ROBERT F. KOPEL, MD, FACP, FCCP HOAG HOSPITAL ASSISTANT CLINICAL PROFESSOR UCLA SCHOOL OF MEDICINE AMERICAN
More informationImpact of Intraoperative Transesophageal Echocardiography on Surgical Decisions in 12,566 Patients Undergoing Cardiac Surgery
CARDIOTHORACIC ANESTHESIOLOGY: The Annals of Thoracic Surgery CME Program is located online at http://cme.ctsnetjournals.org. To take the CME activity related to this article, you must have either an STS
More informationThe Ins and Outs of Cardiac Surgery. Stephanie Wold RN MN NP
The Ins and Outs of Cardiac Surgery Stephanie Wold RN MN NP 1 The Ins and Outs of Cardiac Surgery Cardiac Surgery in a Nutshell 2 Outline Wait Times and Referral Process for Cardiac Surgery Getting Ready
More informationEuropean CMR Certification: LIST OF PROCEDURES FORM
European CMR Certification: LIST OF PROCEDURES FORM Application for: Level 2 Level 3 Candidate is requested to submit a list of 150 (Level 2) or 300 (Level 3) studies reported by her/him as detailed in
More informationQuantitation of Aortic Regurgitation ASCeXAM / ReASCE Review Course
Quantitation of Aortic Regurgitation 2017 ASCeXAM / ReASCE Review Course David Adams, ACS, RCS, RDCS, FASE Duke University Medical Center May 1, 2017 Disclosures None 1 Exam based on: Zoghbi et al. JASE
More informationLess Invasive Reoperations for Aortic and Mitral Valve Disease. Peter Bent Brigham Hospital 1913
Shapiro CV Center 2008 Peter Bent Brigham Hospital 1913 Lawrence H. Cohn, MD, Professor of Cardiac Surgery, HMS Division of Cardiac Surgery, BWH, Boston, MA 70% of US valve patients select bioprosthetic
More informationMitral Valve Surgery: Lessons from New York State
Mitral Valve Surgery: Lessons from New York State Joanna Chikwe, MD Professor of Cardiovascular Surgery Icahn School of Medicine at Mount Sinai Chairman & Program Director Department of Cardiovascular
More informationCulprit vs Multivalve Transcatheter Intervention
Culprit vs Multivalve Transcatheter Intervention Howard C. Herrmann, MD, FACC, MSCAI John Bryfogle Professor of Cardiovascular Medicine and Surgery Health System Director for Interventional Cardiology
More informationBlank DISCLOSURES 1/17/2017 COMPLEX VALVE CASES CHALLENGES IN EVALUATING AND MANAGING MULTIVALVULAR HEART DISEASE ECHO HAWAII 1/23/17 NONE
Blank COMPLEX VALVE CASES ECHO HAWAII 1/23/17 1 David A. Orsinelli, MD, FACC, FASE Professor, Internal Medicine Director, Structural Heart Imaging The Ohio State University Division of Cardiovascular Medicine
More informationIMPROVE PATIENT OUTCOMES AND SAFETY IN ADULT CARDIAC SURGERY.
Clinical Evidence Guide IMPROVE PATIENT OUTCOMES AND SAFETY IN ADULT CARDIAC SURGERY. With the INVOS cerebral/somatic oximeter An examination of controlled studies reveals that responding to cerebral desaturation
More informationState of the art in reconstruction of the ascending aorta with or without valve reconstruction
State of the art in reconstruction of the ascending aorta with or without valve reconstruction PD Dr Diana Aicher Universitätskliniken des Saarlandes Homburg/Germany ESBV Straßbourg, May 10 2013 Background
More informationThe Ohio State University Columbus, Ohio, USA
8 th National ACHA Conference, June 3 rd, 2017, Orlando, FL Transcatheter Heart Valves A Hybrid Approach Let s Work Together John P. Cheatham, MD, MSCAI George H. Dunlap Endowed Chair in Interventional
More informationRetrospective Study Of Redo Cardiac Surgery In A Single Centre. R Karthekeyan, K Selvaraju, L Ramanathan, M Rakesh, S Rao, M Vakamudi, K Balakrishnan
ISPUB.COM The Internet Journal of Anesthesiology Volume 12 Number 2 Retrospective Study Of Redo Cardiac Surgery In A Single Centre R Karthekeyan, K Selvaraju, L Ramanathan, M Rakesh, S Rao, M Vakamudi,
More informationHOW IMPORTANT ARE THESE ECHO MEASUREMENTS ANYWAY?
HOW IMPORTANT ARE THESE ECHO MEASUREMENTS ANYWAY? John D. Carroll, MD Professor, Director of Interventional Cardiology and Co-Medical Director of the Cardiac and Vascular Center, University of Colorado
More informationCardiac Interventions in Pregnancy
Cardiac Interventions in Pregnancy Introduction 0.2% 4% of all pregnancies are complicated by cardiovascular diseases: At present congenital heart disease in developed countries and rheumatic valvular
More informationEmergency surgery in acute coronary syndrome
Emergency surgery in acute coronary syndrome Teerawoot Jantarawan Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
More informationCardiovascular Health and Heart Medical Issues
125 Cardiovascular Health and Heart Medical Issues We ve learned a lot about how our cardiovascular systems function, and will now explore some common medical equipment and medical conditions connected
More informationCurriculum Vitae. Assistant Professor Department of Anesthesiology Cardiothoracic Anesthesia The University of Arizona College of Medicine Tucson, AZ
Paul Matthew Ford, MD Assistant Professor Cardiothoracic Anesthesia The Revised 1/2016 EDUCATION 09/98 05/02 BS Biology Minor Chemistry Dallas Baptist University Dallas, TX 09/03 06/07 MD 07/07 06/11 Residency
More informationIntraoperative application of Cytosorb in cardiac surgery
Intraoperative application of Cytosorb in cardiac surgery Dr. Carolyn Weber Heart Center of the University of Cologne Dept. of Cardiothoracic Surgery Cologne, Germany SIRS & Cardiopulmonary Bypass (CPB)
More informationTissue vs Mechanical What s the Data??
Biological (Tissue) Valve in a 60 year old patient: Debate Tissue vs Mechanical What s the Data?? Joseph E. Bavaria, MD Immediate-Past President - Society of Thoracic Surgeons (STS) Brooke Roberts-William
More informationGiant Right Atrial Myxoma: The Importance of Transesophageal Echocardiography during Diagnosis, Evaluation, and Resection
Elizabeth Ungerman, Wendy Haft CASE REPORT 10.5005/jp-journals-10034-1059 Giant Right Atrial Myxoma: The Importance of Transesophageal Echocardiography during Diagnosis, Evaluation, and Resection 1 Elizabeth
More informationCatheter Based Valve Interventions. Matthew Caldwell, MD February 5, 2019 Puerto Vallarta, Mexico
Catheter Based Valve Interventions Matthew Caldwell, MD February 5, 2019 Puerto Vallarta, Mexico Relevance to Non-Cardiac Anesthesiologist Approx 12% of adults >75 years have mod-severe valve disease
More informationUpdate on the CoreValve Experience
TCT Asia Pacific April 22-24, 2009 Update on the CoreValve Experience Eberhard Grube HELIOS Klinikum, Germany Instituto Dante Pazzanese de Cardiología, São Paulo, Brazil Stanford University, Palo Alto,
More informationValve Disease in Patients With Heart Failure TAVI or Surgery? Miguel Sousa Uva Hospital Cruz Vermelha Lisbon, Portugal
Valve Disease in Patients With Heart Failure TAVI or Surgery? Miguel Sousa Uva Hospital Cruz Vermelha Lisbon, Portugal I have nothing to disclose. Wide Spectrum Stable vs Decompensated NYHA II IV? Ejection
More informationThe strategy of sequential use of antegrade and. Can Retrograde Cardioplegia Alone Provide Adequate Protection for Cardiac Valve Surgery?
Can Retrograde Cardioplegia Alone Provide Adequate Protection for Cardiac Valve Surgery?* Nirupama G. Talwalkar, MD, FCCP; Gerald M. Lawrie, MD, FCCP; Nan Earle, BS; and Michael E. DeBakey, MD, FCCP Background:
More informationASCeXAM / ReASCE. Practice Board Exam Questions. Monday Afternoon
ASCeXAM / ReASCE Practice Board Exam Questions Monday Afternoon Aortic Valve Prostheses Aortic Regurgitation Stress Echocardiography Ischemic Heart Disease and Myocardial Infarction 3D Echocardiography
More informationSredišnja medicinska knjižnica
Središnja medicinska knjižnica Vincelj, J., Sokol, I., Pevec, D., Sutlić, Ž. (2007) Infective endocarditis of aortic valve during pregnancy: A case report. International Journal of Cardiology, [Epub ahead
More informationHani K. Najm MD, Msc, FRCSC FACC, FESC President Saudi Society for Cardiac Surgeons Associate Professor of Cardiothoracic Surgery King Abdulaziz
Hani K. Najm MD, Msc, FRCSC FACC, FESC President Saudi Society for Cardiac Surgeons Associate Professor of Cardiothoracic Surgery King Abdulaziz Cardiac Centre Riyadh, Saudi Arabia Decision process for
More informationASE Guidelines on Aortic Regurgitation What Do I Measure? Case Studies
ASE Guidelines on Aortic Regurgitation What Do I Measure? Case Studies Mitral Regurgitation The New ASE Guidelines: Role of 2D/3D and CMR William A. Zoghbi MD, FASE, MACC Professor and Chairman, Department
More informationSURGICAL TREATMENT OF MODERATE ISCHEMIC MITRAL REGURGITATION: THE CARDIOTHORACIC SURGICAL TRIALS NETWORK
SURGICAL TREATMENT OF MODERATE ISCHEMIC MITRAL REGURGITATION: THE CARDIOTHORACIC SURGICAL TRIALS NETWORK Robert E. Michler, M.D. For the CTSN Investigators AHA Late Breaking Clinical Trials November 18,
More informationEmergency TAVI: Does It Exist? Is the Risk Higher?
Emergency TAVI: Does It Exist? Is the Risk Higher? Gerald Yong MBBS (Hons) FRACP FSCAI Interventional Cardiologist Royal Perth Hospital Western Australia APCASH 12 October 2014 Disclosure Statement of
More informationOff-Pump Cardiac Surgery is not Dead
Off-Pump Cardiac Surgery is not Dead Gonzalo J. Carrizo, M.D. Fellow Cardiothoracic Surgery Division Cardiothoracic Surgery Department of Surgery University of Colorado Hopeman Lectureship September 10,2007
More informationINTRA HOSPITAL CARDIAC ARREST IN THE ELDERLY: INSTITUTION OF A REGISTRY AT THE INRCA HOSPITAL
INTRA HOSPITAL CARDIAC ARREST IN THE ELDERLY: INSTITUTION OF A REGISTRY AT THE INRCA HOSPITAL M. Giampieri,, E. Cantarini, G. Bettelli, F. Lattanzio 1 Dept of Anaesthesia & IC, Scientific Director 1, INRCA
More informationTSDA ACGME Milestones
TSDA ACGME Milestones Short MW and Edwards JA. Assessing resident milestones using a CASPE March 2012 Short MW and Edwards JA. Assessing resident milestones using a CASPE March 2012 Short
More informationIntroduction to Transesophageal Echocardiography for Noncardiac Surgery Workshop
Introduction to Transesophageal Echocardiography for Noncardiac Surgery Workshop September 10-11, 2011 InterContinental Buckhead Hotel Atlanta, Georgia Register by July 25, 2011 to take advantage of early-bird
More informationAsymptomatic Valvular Disease:
Asymptomatic Valvular Disease: Can Echocardiography Help You Decide When to Intervene? Neil J. Weissman, MD MedStar Health Research Inst at MedStar Washington Hospital Center & Professor of Medicine Georgetown
More informationTranscatheter closure of right coronary artery fistula to the right ventricle
Case Report Transcatheter closure of right coronary artery fistula to the right ventricle Abstract Coronary artery fistula (CAF) is an uncommon anomaly usually congenital but can be acquired. Although,
More informationWhat to do with a Patient with Recurrent MR after Intervention
What to do with a Patient with Recurrent MR after Intervention James D. Thomas, MD, FACC, FASE Director, Center for Heart Valve Disease Bluhm Cardiovascular Institute Professor of Medicine, Feinberg School
More informationAdult Echocardiography Examination Content Outline
Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,
More informationDecreasing Mortality for Aortic and Mitral Valve Surgery In Northern New England
ORIGINAL ARTICLES: CARDIOVASCULAR Decreasing Mortality for Aortic and Mitral Valve Surgery In Northern New England Nancy J. O. Birkmeyer, PhD, Charles A. S. Marrin, MBBS, Jeremy R. Morton, MD, Bruce J.
More informationMitral Gradients and Frequency of Recurrence of Mitral Regurgitation After Ring Annuloplasty for Ischemic Mitral Regurgitation
Mitral Gradients and Frequency of Recurrence of Mitral Regurgitation After Ring Annuloplasty for Ischemic Mitral Regurgitation Matthew L. Williams, MD, Mani A. Daneshmand, MD, James G. Jollis, MD, John
More informationTAVR: Echo Measurements Pre, Post And Intra Procedure
2017 ASE Florida, Orlando, FL October 10, 2017 8:00 8:25 AM 25 min TAVR: Echo Measurements Pre, Post And Intra Procedure Muhamed Sarić MD, PhD, MPA Director of Noninvasive Cardiology Echo Lab Associate
More informationSurgical AF Ablation : Lesion Sets and Energy Sources. What are the data? Steven F Bolling, MD Cardiac Surgery University of Michigan
Surgical AF Ablation : Lesion Sets and Energy Sources What are the data? Steven F Bolling, MD Cardiac Surgery University of Michigan Disclosures Consultant/Advisory Board: Abbott, Edwards Lifesciences
More informationEarly and One-year Outcomes of Aortic Root Surgery in Marfan Syndrome Patients
Early and One-year Outcomes of Aortic Root Surgery in Marfan Syndrome Patients A Prospective, Multi-Center, Comparative Study Joseph S. Coselli, Irina V. Volguina, Scott A. LeMaire, Thoralf M. Sundt, Elizabeth
More informationTEE Essential in Paravalvular Leak Closure and Pseudoaneurysm Repair. Gerard T Wilkins
TEE Essential in Paravalvular Leak Closure and Pseudoaneurysm Repair. Gerard T Wilkins Assoc Prof Medicine Consultant Cardiologist Dunedin Hospital Structural Heart Disease: short history Rubio-Alvares
More informationTrans-catheter aortic valve implantation (TAVI) work up
Trans-catheter aortic valve implantation (TAVI) work up You have been referred for an assessment known as a TAVI work up because you have been diagnosed with aortic stenosis. This factsheet explains the
More informationKinsing Ko, Thom de Kroon, Najim Kaoui, Bart van Putte, Nabil Saouti. St. Antonius Hospital, Nieuwegein, The Netherlands
Minimal Invasive Mitral Valve Surgery After Previous Sternotomy Without Aortic Clamping: Short- and Long Term Results of a Single Surgeon Single Institution Kinsing Ko, Thom de Kroon, Najim Kaoui, Bart
More informationResults of Aortic Valve Preservation and Repair
Results of Aortic Valve Preservation and Repair Department of Cardiothoracic and Vascular Surgery Cliniques Universitaires St. Luc Brussels, Belgium Gebrine Elkhoury Institutional experience in AV preservation
More informationImaging of the Heart Todd Tessendorf MD FACC
Imaging of the Heart Todd Tessendorf MD FACC Outline Imaging Modalities for Structural Heart Disease ECHO, MRI Imaging Modalities for Ischemic Heart Disease SPECT, PET, CCTA Show lots of pretty pictures
More informationRhythm Disorders 2017 TazKai LLC and NRSNG.com
Rhythm Disorders 1. Outline the conduction system of the heart. 2. What do the different portions of the EKG represent? 3. Define the following terms: a. Automaticity b. Conductivity c. Excitability d.
More informationTEVAR for the Ascending Aorta
TEVAR for the Ascending Aorta Himanshu J. Patel MD Joe D. Morris Collegiate Professor Section Head, Adult Cardiac Surgery University of Michigan Frankel Cardiovascular Center Disclosures Himanshu J. Patel
More informationPersistent left superior vena cava with absent right superior vena cava detected during emergent coronary artery bypass grafting surgery
Kusaka et al. JA Clinical Reports (2015) 1:2 DOI 10.1186/s40981-015-0004-7 CASE REPORT Persistent left superior vena cava with absent right superior vena cava detected during emergent coronary artery bypass
More informationRandomized comparison of single versus double mammary coronary artery bypass grafting: 5 year outcomes of the Arterial Revascularization Trial
Randomized comparison of single versus double mammary coronary artery bypass grafting: 5 year outcomes of the Arterial Revascularization Trial Embargoed until 10:45 a.m. CT, Monday, Nov. 14, 2016 David
More information