Circulating particles during cardiac surgery.

Abstract:

:Shed blood is known to be a source of lipid micro-emboli in cardiac surgery. The aim of this study was to characterize the occurrence of these particles at different stages of the operation, and to study their occurrence in the circulation at multiple time-points after the retransfusion of shed blood. Forty-four patients undergoing routine surgery with cardiopulmonary bypass were included. Blood was sampled from the surgical field at different sampling locations during the operation. Shed blood was collected in a transfusion bag and retransfused. After which, blood was sampled from the arterial line of the heart-lung machine. A Coulter counter was used for particle determinion. The mean volume of shed blood collected was 340+/-215 ml. Particles in the size range 10-60 microm were found at varying concentrations, with the highest concentrations being found in blood collected after cannulation and from the pleura. After retransfusion of this blood, a biphasic response was seen in the blood drawn from the efferent line of the heart-lung machine. Particles are found in shed blood at all times during cardiac surgery, and when this blood was retransfused an increase was seen in particle concentration in the heart-lung machine.

authors

Jönsson H,Eyjolfsson A,Scicluna S,Paulsson P,Johnsson P

doi

10.1510/icvts.2008.187021

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

538-42

issue

5

eissn

1569-9293

issn

1569-9285

pii

icvts.2008.187021

journal_volume

8

pub_type

杂志文章
  • Advantages of the L-incision approach comprising a combination of left anterior thoracotomy and upper half-median sternotomy for aortic arch aneurysms.

    abstract::Although surgical outcomes of total arch replacement have improved, the strategy for extended arch aneurysms remains controversial. We have applied the L-incision approach (combination of left anterior thoracotomy and upper half-median sternotomy) for total arch replacement for single-stage repair of extensive arch an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.266791

    authors: Oishi Y,Sonoda H,Tanoue Y,Nishida T,Tokunaga S,Nakashima A,Shiokawa Y,Tominaga R

    更新日期:2011-09-01 00:00:00

  • Morphological analysis and preoperative simulation of a double-chambered right ventricle using 3-dimensional printing technology.

    abstract::We present a case of a double-chambered right ventricle in adulthood, in which we tried a detailed morphological assessment and preoperative simulation using 3-dimensional (3D) heart models for improved surgical planning. Polygonal object data for the heart were constructed from computed tomography images of this pati...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw009

    authors: Shirakawa T,Koyama Y,Mizoguchi H,Yoshitatsu M

    更新日期:2016-05-01 00:00:00

  • Concomitant arrhythmia surgery in patients with congenital heart disease.

    abstract:OBJECTIVES:Atrial tachyarrhythmia, including atrial fibrillation (AF), atrial flutter (AFL) and intra-atrial reentrant tachycardia (IART), occur frequently in patients with congenital heart disease (CHD), who may undergo multiple surgical procedures throughout life. However, data on the effectiveness of concomitant arr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy181

    authors: Ramdjan TTTK,Mouws EMJP,Kik C,Roos-Hesselink JW,Bogers AJJC,de Groot NMS

    更新日期:2018-12-01 00:00:00

  • Cone reconstruction is feasible in babies under 2 kg of weight.

    abstract::Symptomatic neonates with Ebstein anomaly present with intractable heart failure. We present the first successful cone reconstruction in an ex 30 + 4-week premature below 2 kg with a favourable outcome. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz134

    authors: Bautista-Rodriguez C,Fraisse A,Burmester M,Ghez O

    更新日期:2019-10-01 00:00:00

  • Restoring papillary muscle dimensions during restoration in dilated hearts.

    abstract::Left ventricular papillary muscle geometry is distorted in dilated non-ischemic hearts, and following anterior infarction caused by a wrap around left anterior descending artery occlusion. Loss of the apex creates a spherical left ventricular (LV) chamber, and subsequent dilation causes secondary mitral insufficiency ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.109868

    authors: Buckberg G,Menicanti L,De Oliveira S,Isomura T,RESTORE team.

    更新日期:2005-10-01 00:00:00

  • Anatomical variations of the aortic arch branches in a sample of Chinese cadavers: embryological basis and literature review.

    abstract:OBJECTIVES:The aim of this study is to determine the incidence and explore the types of aortic arch branch variations found in our cadavers. METHODS:The types and incidence of aortic branch variations in 120 cadavers were analysed after careful dissection. RESULTS:One hundred and six of 120 cadavers had normal aortic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivy296

    authors: Qiu Y,Wu X,Zhuang Z,Li X,Zhu L,Huang C,Zhuang H,Ma M,Ye F,Chen J,Wu Z,Yu X,An M,Chen R,Chen J,Guan L,Sang H,Ye Y,Han Y,Chen Z,Qin H,Zhu H,Zhou Y,Zilundu PLM,Xu D,Zhou L

    更新日期:2019-04-01 00:00:00

  • The expanded role of extracellular matrix patch in malignant and non-malignant chest wall reconstruction in thoracic surgery.

    abstract:OBJECTIVES:The extracellular matrix (XCM Biologic Tissue Matrix) is a non-cross-linked 3D patch derived from porcine dermis. Once implanted, it is infiltrated by recipient's cells and becomes incorporated in the repair. Here, we report the first series of using this device for chest wall reconstruction. METHODS:The XC...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt473

    authors: George RS,Kostopanagiotou K,Papagiannopoulos K

    更新日期:2014-03-01 00:00:00

  • Right paracardiac mass due to organized pericardial hematoma around retained epicardial pacing wires following aortic valve replacement.

    abstract::The use of temporary epicardial pacing wires during cardiac surgery is a routine procedure and has been associated with low morbidity. We describe a rare case of right paracardiac mass due to organized pericardial hematoma with right atrial compression around the epicardial pacing wires left in-situ, presenting three ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.264853

    authors: Kapoor A,Syal S,Gupta N,Gupta A

    更新日期:2011-07-01 00:00:00

  • Is routine postoperative enteral feeding after oesophagectomy worthwhile?

    abstract::A best evidence topic in surgery was written according to a structured protocol. The question addressed was whether, in patients undergoing an oesophagectomy for cancer, immediate postoperative enteral feeding (via percutaneous jejunostomy or nasojejunostomy) provides better patient outcomes as compared to waiting unt...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs221

    authors: Wheble GA,Benson RA,Khan OA

    更新日期:2012-10-01 00:00:00

  • Mitral valve replacement using a handmade construct in an infant.

    abstract::We recently reported the feasibility of a handmade left atrioventricular valve using decellularized extracellular matrix for 3 months in a failed repair of AV canal defect. We present the use of an extracellular matrix mitral valve for 9 months in an infant with an un-repairable congenitally malformed valve. The valve...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw406

    authors: Bibevski S,Levy A,Scholl FG

    更新日期:2017-04-01 00:00:00

  • Improvements in left ventricular twist mechanics following myectomy for hypertrophic cardiomyopathy with mid-ventricular obstruction.

    abstract::We aimed to evaluate left ventricle twist mechanics in mid-ventricular obstructive and apical type of hypertrophic cardiomyopathy and changes induced by myectomy. We studied 3 consecutive patients by cardiac magnetic resonance preoperatively and 6 weeks after myectomy. We calculated the apical and basal rotations at t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx054

    authors: Adhyapak SM,Menon PG,Rao Parachuri V

    更新日期:2017-07-01 00:00:00

  • Adverse events of pulmonary vascular stapling in thoracic surgery.

    abstract:OBJECTIVES:The use of staplers for thoracic surgery has been widely accepted and regarded as a safe procedure. However, adverse events (AEs) of stapling are occasionally experienced. The aim of this retrospective study was to analyse the AEs of stapling in pulmonary vascular surgery. METHODS:A retrospective multi-inst...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivt130

    authors: Yano M,Takao M,Fujinaga T,Arimura T,Fukai I,Ota S,Saito Y,Okuda K

    更新日期:2013-08-01 00:00:00

  • Repair of left ventricular pseudoaneurysm with the triple patch technique (Empanada Patch).

    abstract::Left ventricular pseudoaneurysm is a rare but serious complication of myocardial infarction that requires urgent intervention to avoid unpredictable fatal rupture. Surgical repair aims at excluding the aneurysmal area with a patch to preserve the left ventricular geometry. Here, we present a case of successful repair ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv288

    authors: Elgharably H,Halbreiner MS,Shoenhagen P,Navia JL

    更新日期:2016-01-01 00:00:00

  • Skeletonization with an ultrasonic scalpel is as safe as a non-skeletonized dissection in preserving the endothelial function of the human gastroepiploic artery.

    abstract::The right gastroepiploic artery (GEA) is frequently used as another in situ artery, other than the internal thoracic artery (ITA) in coronary artery bypass grafting (CABG). Skeletonizing the graft with an ultrasonic scalpel is now regarded as a useful technique; however, this technique may damage the endothelial funct...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.186262

    authors: Shi J,Iesaki T,Kubota N,Sumiyoshi K,Kajimoto K,Kikuchi K,Daida H,Amano A

    更新日期:2009-02-01 00:00:00

  • The importance of mass diameter in decision-making for preoperative coronary angiography in myxoma patients.

    abstract:OBJECTIVES:Although coronary angiography (CAG) is generally performed to rule out coexisting coronary artery disease in patients with cardiac myxoma, its necessity to evaluate vascular supply of the myxoma is debatable. The aim of this article is to evaluate clinical experience and CAG findings in our patient group. M...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy217

    authors: Balci AY,Sargin M,Akansel S,Ünal Dayi S,Kuplay H,Mete ME,Orhan G,Aykut Aka S

    更新日期:2019-01-01 00:00:00

  • Fast-track approach in abdominal aortic surgery: left subcostal incision with blended anesthesia.

    abstract:OBJECTIVES:The introduction of fast-tracking multidisciplinary programs allows good results in postoperative outcome in many surgical specialties. We evaluated a multimodal clinical program (based on mininvasive surgery, epidural anesthesia and early mobilization and feeding) in abdominal aortic surgery. METHODS:Betwe...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.137562

    authors: Brustia P,Renghi A,Fassiola A,Gramaglia L,Della Corte F,Cassatella R,Cumino A

    更新日期:2007-02-01 00:00:00

  • What is the optimal target for the second arterial graft in patients undergoing coronary bypass surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the anterolateral or the inferior wall served as a better location for the 2nd arterial graft in a 3-system coronary artery bypass grafting procedure. In total, more than 1800 papers were found, ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivy112

    authors: Karangelis D,Mazine A,Roubelakis A,Stavridis G

    更新日期:2018-10-01 00:00:00

  • Prediction of postoperative atrial fibrillation in a large coronary artery bypass grafting cohort.

    abstract::The objective of this study was to identify and evaluate predictors of postoperative atrial fibrillation (POAF) in a large coronary artery bypass grafting (CABG) cohort. This was a single centre study of 7115 consecutive patients with preoperative sinus rhythm who underwent isolated CABG between January 1996 and Decem...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivr162

    authors: Thorén E,Hellgren L,Jidéus L,Ståhle E

    更新日期:2012-05-01 00:00:00

  • Effectiveness of prophylactic levosimendan in patients with impaired left ventricular function undergoing coronary artery bypass grafting: a randomized pilot study.

    abstract:OBJECTIVES:Perioperative low cardiac output syndrome occurs in 3-14% of patients undergoing isolated coronary artery bypass grafting (CABG), leading to significant increase in major morbidity and mortality. Considering the unique pharmacological and pharmacokinetic properties of levosimendan, we conducted a prospective...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/icvts/ivw213

    authors: Anastasiadis K,Antonitsis P,Vranis K,Kleontas A,Asteriou C,Grosomanidis V,Tossios P,Argiriadou H

    更新日期:2016-11-01 00:00:00

  • Potassium-induced conversion of ventricular fibrillation after aortic declamping.

    abstract:OBJECTIVES:The anti-fibrillatory effect of potassium is well recognized from experimental models. There have, however, been very few clinical reports on the use of potassium to convert ventricular fibrillation (VF) after cardioplegic arrest. METHODS:In total, 8465 adult patients undergoing cardiac operations on cardio...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs455

    authors: Almdahl SM,Damstuen J,Eide M,Mølstad P,Halvorsen P,Veel T

    更新日期:2013-02-01 00:00:00

  • Cardiac tumors in adults: surgical management and follow-up of 19 patients in an Australian tertiary hospital.

    abstract::The objective of this report is to share our experience with the different types of cardiac tumors, surgical management, postoperative complications and mid-term outcome of patients in an Australian tertiary hospital. Nineteen patients underwent cardiac surgery for tumors between 2001 and 2008. Their data was prospect...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.230029

    authors: Matebele MP,Peters P,Mundy J,Shah P

    更新日期:2010-06-01 00:00:00

  • Emergency fast Bentall operation.

    abstract::We herein report an emergency technique of composite Bentall operation using a fast release valve. The technique was successfully performed in 2 emergency cases after failed supracoronary ascending aortic replacement in acute Type A aortic dissection. The speed and ease of execution are the main advantages of the proc...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx435

    authors: Neri E,Tucci E,Tommasino G,Muzzi L

    更新日期:2018-06-01 00:00:00

  • Venous cannulation for extracorporeal circulation after total cavopulmonary connection with extracardiac conduit.

    abstract::We report two cases of venous cannulation after a total cavopulmonary connection (TCPC) with extracardiac conduit. Venous cannulation was performed via side graft sutured to the extracardiac conduit in an end-to-side fashion. The first case was a 3-year-old girl, who suffered from an atypical inferior vena cava obstru...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.116855

    authors: Tanoue Y,Masuda M,Eto M,Tominaga R

    更新日期:2006-02-01 00:00:00

  • An endoscopic repair of residual post-myocardial infarction ventricular septal defect.

    abstract::Post-myocardial infarction (MI) ventricular septal defect (VSD) is a serious condition that is, fortunately, less diagnosed nowadays due to the advances in early diagnosis and treatment of ischaemic heart disease (incidence 1-2%). Despite the lower mortality of both surgical and interventional closure of the defect (2...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa127

    authors: Laskawski G,Abdelbar A,Zacharias J

    更新日期:2020-10-01 00:00:00

  • Spinal cord protection with selective spinal perfusion during descending thoracic and thoracoabdominal aortic surgery.

    abstract::Open repair of aortic aneurysm causes spinal cord perfusion pressure to decrease due to the steal phenomenon from the bleeding of intercostal arteries and cross-clamping of the aorta. We attempted to perfuse the intercostal arteries for preoperative detection of the artery of Adamkiewicz using newly developed catheter...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.219790

    authors: Kawaharada N,Ito T,Koyanagi T,Harada R,Hyodoh H,Kurimoto Y,Watanabe A,Higami T

    更新日期:2010-06-01 00:00:00

  • Minimally invasive mitral valve surgery in high-risk patients: operating outside the boxplot.

    abstract:OBJECTIVES:(i) To establish who is at high risk for mitral surgery. (ii) To assess the performance of minimally invasive mitral valve surgery in high-risk patients by presenting early and late outcomes and compare these with those of the non-high-risk population. METHODS:We reviewed our database of prospective data of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw038

    authors: Moscarelli M,Cerillo A,Athanasiou T,Farneti P,Bianchi G,Margaryan R,Solinas M

    更新日期:2016-06-01 00:00:00

  • Simple and non-invasive techniques to evaluate the function of CircuLite Synergy.

    abstract:OBJECTIVES:The Synergy CircuLite micropump is a novel partial-support miniature left ventricular assist device that propels 2-3 l/min blood from the left atrium into the right subclavian artery. The ability of currently available investigative modalities to confirm Synergy pump malfunction is limited. The Synergy speed...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu236

    authors: Mohite PN,Bowles CT,Sabashnikov A,Popov AF,Patil NP,Sáez DG,Banner NR,Simon AR

    更新日期:2014-11-01 00:00:00

  • Can epiaortic ultrasound reduce the incidence of intraoperative stroke during cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether changing operative technique based on epiaortic ultrasound reduces the incidence of intra-operative stroke during cardiac surgery? Altogether 179 papers were found using the reported search, of w...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00220-2

    authors: Das S,Dunning J

    更新日期:2004-03-01 00:00:00

  • Aorto-gastroduodenal bypass grafting for an inferior pancreaticoduodenal aneurysm and celiac trunk thrombosis.

    abstract::We present a case of a male patient diagnosed with a large inferior pancreaticoduodenal artery (IPDA) aneurysm, associated with a fresh thrombotic occlusion of the celiac trunk. Given the risk of splanchnic ischaemia, radiologic embolisation of the aneurysm combined with celiac axis stenting was deemed unsafe. Managem...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.219949

    authors: Ritter JC,Johnston M,Caruana MF,Laws PE

    更新日期:2010-01-01 00:00:00

  • Ruptured aortic arch aneurysm: transposition of aortic arch branches after insertion of thoracic endovascular stent with extra-anatomic brain perfusion.

    abstract::Conventional surgical treatment of a ruptured aortic arch aneurysm is a challenging approach with a high rate of adverse outcomes. The midsternotomy can be complicated by total aortic disruption with often fatal massive hemorrhage. A preliminary cardiopulmonary bypass with peripheral cannulation and cooling is often p...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.149260

    authors: Coppola R,Bonifazi R,Gucciardo M,Pantaleo P

    更新日期:2007-06-01 00:00:00