Back to the Future-Importance of Spectral Doppler.


:Spectral Doppler is a part of the comprehensive echocardiographic imaging of the blood flow characteristics. Both pulsed-wave (PWD) and continuous-wave Doppler (CWD) provide valuable information about the blood flow speed and direction pattern. Evaluation of blood flow characteristics is crucially important in patients who present with thoracic aortic false aneurysm (TAFA). In the case presented, spectral Doppler interrogation, using both PWD and CWD, helped with establishing accurate mechanism for TAFA and guided surgical management.


Alfirevic A




Has Abstract


2019-05-01 00:00:00














  • Cerebral near-infrared spectroscopy in adult patients after cardiac surgery is not useful for monitoring absolute values but may reflect trends in venous oxygenation under clinical conditions.

    abstract:OBJECTIVE:Cerebral near-infrared spectroscopy (NIRS) was evaluated for use in monitoring global oxygenation in adult patients after cardiac surgery. DESIGN:Prospective, randomized clinical monitoring study. SETTING:Intensive care unit for cardiac surgery; university hospital. PARTICIPANTS:The study included 35 patie...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验


    authors: Dullenkopf A,Baulig W,Weiss M,Schmid ER

    更新日期:2007-08-01 00:00:00

  • Femoral artery pressures are more reliable than radial artery pressures on initiation of cardiopulmonary bypass.

    abstract:OBJECTIVE:To compare radial and femoral artery perfusion pressure during initiation and various stages of cardiopulmonary bypass (CPB). DESIGN:Prospective study. SETTING:The cardiac center of a tertiary referral teaching institute. PARTICIPANTS:Sixty consecutive patients of all ages undergoing a variety of cardiac o...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Chauhan S,Saxena N,Mehrotra S,Rao BH,Sahu M

    更新日期:2000-06-01 00:00:00

  • Pro: early extubation after cardiac surgery decreases intensive care unit stay and cost.

    abstract::The recurrent or new trends of early extubation after cardiac surgery are here to stay in the 1990s. The preoperative status does not necessarily predict the postoperative course and prolonged mechanical ventilation following cardiac surgery should not be uncritically considered as routine. All patients should be asse...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审


    authors: Cheng DC

    更新日期:1995-08-01 00:00:00

  • Effect of gender on fast-track recovery after coronary artery bypass graft surgery.

    abstract:OBJECTIVE:To examine the effects of gender on time to extubation after coronary artery bypass graft (CABG) surgery and intensive care unit and hospital length of stay. DESIGN:Retrospective study comparing outcomes as related to gender. SETTING:Tertiary care university teaching hospital. PARTICIPANTS:Consecutive pati...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Capdeville M,Lee JH,Taylor AL

    更新日期:2001-04-01 00:00:00

  • Near Total Occlusion of Right Ventricle by Cardiac Mass.

    abstract::The incidence of primary cardiac tumors is very rare (0.02%) with the majority being benign. Angiosarcoma is the most common malignant cardiac tumor. However, regardless of the histological nature of cardiac tumors, they can cause life-threatening mechanical obstruction. We present a case of urgent surgical removal of...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Mondal S,Jubar J,Kostibas MP

    更新日期:2019-07-01 00:00:00

  • Smoking Cessation Can Reduce the Incidence of Postoperative Hypoxemia After On-Pump Coronary Artery Bypass Grafting Surgery.

    abstract:OBJECTIVES:To determine whether smoking cessation can reduce the incidence of postoperative hypoxemia (POH) after on-pump coronary artery bypass grafting (CABG) surgery. DESIGN:Prospective, single-center, observational study. SETTING:Single-center university teaching hospital. PARTICIPANTS:The study comprised 300 pa...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Guan Z,Lv Y,Liu J,Liu L,Yuan H,Shen X

    更新日期:2016-12-01 00:00:00

  • A Rare Cause of a Left Atrial Mass.

    abstract::Intramyocardial hematomas are a rare complication of myocardial infarctions. Normally restricted to the left ventricle, in certain scenarios, such as after a percutaneous coronary intervention, intramyocardial hematomas also can occur in the left atrium. Herein, the case of a 74-year-old man who presented to the autho...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Patoli D,Alghanem H,Tung A

    更新日期:2020-10-01 00:00:00

  • Nitric Oxide in Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials.

    abstract:OBJECTIVES:To investigate the efficacy and safety of perioperative administration of nitric oxide in cardiac surgery. DESIGN:Meta-analysis of randomized controlled trials (RCTs). PARTICIPANTS:Cardiac surgery patients. INTERVENTIONS:A search of Cochrane Central Register of Controlled Trials (CENTRAL), Embase, and MED...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,meta分析,评审


    authors: Sardo S,Osawa EA,Finco G,Gomes Galas FRB,de Almeida JP,Cutuli SL,Frassanito C,Landoni G,Hajjar LA

    更新日期:2018-12-01 00:00:00

  • Delirium Following Transcatheter Aortic Valve Replacement: National Inpatient Sample Analysis.

    abstract:OBJECTIVE:To investigate the risk factors for postoperative delirium and the impact of delirium on mortality and morbidity following transcatheter aortic valve implantation (TAVI). DESIGN:Patients who underwent TAVI were identified using the International Classification of Diseases, 9th revision clinical modification ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,多中心研究


    authors: Soundhar A,Udesh R,Mehta A,Schindler J,Jeevanantham V,Gleason T,Thirumala PD

    更新日期:2017-12-01 00:00:00

  • Combined central venous oxygen saturation and lactate as markers of occult hypoperfusion and outcome following cardiac surgery.

    abstract:OBJECTIVE:To assess the association between postoperative central venous oxygen saturation (ScvO(2)) and arterial lactate with outcome after cardiac surgery. DESIGN:Prospective observational study. SETTING:University-affiliated tertiary care hospital. PARTICIPANTS:Patients after coronary artery bypass and/or valve s...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Hu BY,Laine GA,Wang S,Solis RT

    更新日期:2012-02-01 00:00:00

  • Propofol inhibits desflurane-induced preconditioning in rabbits.

    abstract:OBJECTIVES:The authors tested the hypothesis that ischemic and desflurane-induced preconditioning are blocked by propofol. DESIGN:A prospective, randomized, vehicle-controlled study. SETTING:A university research laboratory. SUBJECTS:New Zealand white rabbits (n = 52). METHODS:Pentobarbital-anesthetized rabbits wer...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Smul TM,Stumpner J,Blomeyer C,Lotz C,Redel A,Lange M,Roewer N,Kehl F

    更新日期:2011-04-01 00:00:00

  • Perioperative evaluation of a new mixed venous oxygen saturation catheter in cardiac surgical patients.

    abstract::Fiberoptic pulmonary artery flotation catheters have gained clinical acceptance for continuous monitoring of mixed venous oxygen saturation (SvO2), especially in the management of hemodynamically unstable patients. Therefore, the performance of the oximetry system used is extremely important. The accuracy and stabilit...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Pond CG,Blessios G,Bowlin J,McCawley C,Lappas DG

    更新日期:1992-06-01 00:00:00

  • Critical Review and Meta-Analysis of Postoperative Sedation after Adult Cardiac Surgery: Dexmedetomidine Versus Propofol.

    abstract:OBJECTIVE:To evaluate reports from the published literature of all randomized clinical trials (RCT) comparing postoperative sedation with dexmedetomidine versus propofol in adult patients, after open cardiac surgery. DESIGN:A computerized search on Medline, EMBASE, Web of Science, and Agency for Healthcare Research an...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Abowali HA,Paganini M,Enten G,Elbadawi A,Camporesi EM

    更新日期:2020-10-17 00:00:00

  • New directions in perioperative management for pediatric solid organ transplantation.

    abstract::Advances in pediatric solid organ transplantation have furthered the understanding of end-organ failures and refined the strategies for perioperative management of these otherwise lethal diseases. As the donor pool expands, the number of transplantations increases and long-term survival continues to improve, more comp...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审


    authors: Montenegro LM,Ward A,McGowan FX,Davis PJ

    更新日期:1998-08-01 00:00:00

  • Feasibility of Anesthesia Maintenance With Sevoflurane During Cardiopulmonary Bypass: A Pilot Pharmacokinetics Study.

    abstract:OBJECTIVE:Adequate maintenance of hypnosis during anesthesia throughout surgery using sevoflurane alone was investigated. In addition, sevoflurane pharmacokinetics during cardiopulmonary bypass were analyzed. DESIGN:This was a pilot pharmacokinetic study. SETTING:Tertiary care university hospital. PARTICIPANTS:The s...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Meroni R,Gianni S,Guarnieri M,Saglietti F,Gemma M,Zangrillo A,Bignami E

    更新日期:2017-08-01 00:00:00

  • Changes in Erythrocyte Morphology at Initiation of Cardiopulmonary Bypass Without Blood Transfusion Were Not Associated With Less Deformability During Cardiac Surgery.

    abstract:OBJECTIVES:During cardiac surgery, circulating red blood cells (RBCs) are at risk of exposure to environmental factors during extracorporeal circulation and transfusion of stored RBCs. For this study, the authors observed morphological differences, deformability, density distribution, and erythrocyte indices of RBCs du...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Ichikawa J,Koshino I,Arashiki N,Nakamura F,Komori M

    更新日期:2019-11-01 00:00:00

  • Goal-directed transesophageal echocardiography performed by intensivists to assess left ventricular function: comparison with pulmonary artery catheterization.

    abstract:OBJECTIVES:Transesophageal echocardiography (TEE) is a valuable procedure for assessing left ventricular (LV) function, but it has not been widely applied in critical care because of the limited number of intensivists who are trained in echocardiography. This prospective study was designed to evaluate the feasibility o...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Benjamin E,Griffin K,Leibowitz AB,Manasia A,Oropello JM,Geffroy V,DelGiudice R,Hufanda J,Rosen S,Goldman M

    更新日期:1998-02-01 00:00:00

  • A Retrospective Analysis of the Variability in Case Duration for Aortic Valve Replacement and Association With Hospital Facility Types.

    abstract:OBJECTIVE:Currently, there are no large-scale studies that compare differences in case duration of aortic valve replacements (AVRs). The primary objective of this study was to determine associations of hospital facility type, geographic location, case volume per year, and time of day with duration of valve replacement ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Gabriel RA,Fergerson BD,Brovman EY,Dutton RP,Urman RD

    更新日期:2018-04-01 00:00:00

  • Liver transplantation without venovenous bypass: morbidity and mortality in patients with greater than 50% reduction in cardiac output after vena cava clamping.

    abstract:OBJECTIVE:To investigate whether a decrease in cardiac output of >or=50% after vena cava clamping is associated with an increase in perioperative morbidity or mortality in patients undergoing orthotopic liver transplantation without venovenous bypass. DESIGN:Retrospective, clinical study. PARTICIPANTS:Patients underg...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Schwarz B,Pomaroli A,Hoermann C,Margreiter R,Mair P

    更新日期:2001-08-01 00:00:00

  • Case Start Time Affects Intraoperative Transfusion Rates in Adult Cardiac Surgery: A Single-Center Retrospective Analysis.

    abstract:OBJECTIVE:The goal of the study was to investigate the role time of day plays in perioperative outcomes. The authors examined intraoperative transfusion rates throughout the day in adult cardiac surgery patients. They hypothesized that the rate of transfusion changes with later case start times in scheduled cardiac sur...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Addis DR,Moore BA,Garner CR,Fernando RJ,Kim SM,Russell GB

    更新日期:2020-03-01 00:00:00

  • Topical EMLA cream versus prilocaine infiltration for pediatric cardiac catheterization.

    abstract:OBJECTIVE:The aim of this study was to compare the anesthetic efficacy of prilocaine infiltration and a eutectic mixture of local anesthetics (EMLA) in cream for femoral vessel catheterization during pediatric cardiac catheterization and to evaluate whether EMLA cream application improves cannulation success. DESIGN:P...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验


    authors: Pirat A,Karaaslan P,Candan S,Zeyneloglu P,Varan B,Tokel K,Torgay A,Arslan G

    更新日期:2005-10-01 00:00:00

  • Sonoclot coagulation analysis: a study of test variability.

    abstract:OBJECTIVE:To test the reproducibility of Sonoclot coagulation analysis (SCA; Sienco Inc, Morrison, CO). The authors wished to determine if the mix/release of the preloaded celite activator in standard Sono-cuvettes could be responsible for the high variation coefficients for SCA parameters with citrated whole blood and...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Ekbäck G,Carlsson O,Schött U

    更新日期:1999-08-01 00:00:00

  • Factor VIII inhibitor bypass activity and recombinant activated factor VII in cardiac surgery.

    abstract:OBJECTIVE:Postcardiopulmonary bypass hemorrhage remains a serious complication of cardiac surgery. Given concerns regarding adverse effects of blood product transfusion and limited efficacy of current antifibrinolytics, procoagulant medications, including recombinant factor VIIa (rFVIIa) and factor eight inhibitor bypa...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Rao VK,Lobato RL,Bartlett B,Klanjac M,Mora-Mangano CT,Soran PD,Oakes DA,Hill CC,van der Starre PJ

    更新日期:2014-10-01 00:00:00

  • The influence of nitrous oxide to supplement fentanyl/low-dose propofol anesthesia on transcranial myogenic motor-evoked potentials during thoracic aortic surgery.

    abstract:OBJECTIVE:Intraoperative monitoring of myogenic motor evoked potentials to transcranial electrical stimulation (tc MEPs) is a new method to assess the integrity of the motor pathways. The authors studied the effects of 50% nitrous oxide (N2O) and a low-dose propofol infusion on tc MEPs paired electrical stimulation dur...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: van Dongen EP,ter Beek HT,Schepens MA,Morshuis WJ,Langemeijer HJ,Kalkman CJ,Boezeman EH

    更新日期:1999-02-01 00:00:00

  • Dexmedetomidine Attenuates Myocardial Injury in Off-Pump Coronary Artery Bypass Graft Surgery.

    abstract:OBJECTIVE:To investigate the cardioprotective effect of the continuous administration of dexmedetomidine using serum cardiac troponin I (cTnI) and creatine kinase MB (CK-MB) concentrations as biomarkers during off-pump coronary artery bypass grafting (OPCAB) surgery. DESIGN:A prospective, randomized, parallel-group co...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验


    authors: Chi X,Liao M,Chen X,Zhao Y,Yang L,Luo A,Yang H

    更新日期:2016-01-01 00:00:00

  • Pharmacokinetics of amrinone in neonates and infants.

    abstract:OBJECTIVE:To evaluate the pharmacokinetics of amrinone and its metabolites in neonates and infants after reconstructive surgery for congenital heart disease. DESIGN:Prospective study. SETTING:Pediatric intensive care unit in a university hospital. PARTICIPANTS:Fifteen neonates aged less than 1 month with transpositi...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Laitinen P,Ahonen J,Olkkola KT,Peltola K,Rautiainen P,Räsänen J

    更新日期:2000-08-01 00:00:00

  • Urinary Albumin Levels Predict Development of Acute Kidney Injury After Pediatric Cardiac Surgery: A Prospective Observational Study.

    abstract:OBJECTIVE:Mortality and morbidity of acute kidney injury (AKI) after cardiac surgery still remain high. The authors undertook the present study to evaluate the utility of early postoperative urinary albumin (uAlb) as a diagnostic marker for predicting occurrence of AKI and its severity in pediatric patients undergoing ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Sugimoto K,Toda Y,Iwasaki T,Shimizu K,Kanazawa T,Muto N,Kawase H,Morimatsu H,Morita K,Maeshima Y,Mori K,Sano S

    更新日期:2016-01-01 00:00:00

  • Long-term outcome of patients with perioperative myocardial infarction as diagnosed by troponin I after routine surgical coronary artery revascularization.

    abstract:OBJECTIVE:Diagnosis of perioperative myocardial infarction (P-MI) after coronary artery bypass graft (CABG) surgery traditionally relied on a combination of electrocardiographic and enzyme assay changes. Patients with Q-wave P-MIs who survive to hospital discharge have a poorer long-term prognosis. Troponin assays are ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Riedel BJ,Grattan A,Martin CB,Gal J,Shaw AD,Royston D

    更新日期:2006-12-01 00:00:00

  • Nitric oxide synthesis inhibition and right ventricular systolic function in swine.

    abstract:OBJECTIVES:The present study was designed to evaluate the effects of the nitric oxide synthesis inhibitor NG-nitro-L-arginine methyl ester (L-NAME) on right ventricular (RV) contractility, both pulsatile and nonpulsatile contributions to afterload, and relate any changes to alterations in performance of the RV as a pum...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Heerdt PM,Pleimann BE

    更新日期:1996-12-01 00:00:00

  • Central Venous-Arterial pCO2 Difference Identifies Microcirculatory Hypoperfusion in Cardiac Surgical Patients With Normal Central Venous Oxygen Saturation: A Retrospective Analysis.

    abstract:OBJECTIVE:Parameters such as central venous oxygen saturation (ScvO2) are used increasingly to monitor adequate hemodynamic treatment. However, it still remains challenging to identify patients with assumed adequate circulatory status quantified by ScvO2 who suffer from macro- and microcirculatory hypoperfusion. The au...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章


    authors: Habicher M,von Heymann C,Spies CD,Wernecke KD,Sander M

    更新日期:2015-01-01 00:00:00