Seminars in Cardiothoracic and Vascular Anesthesia Seminars in Cardiothoracic and Vascular Anesthesia RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Successful Treatment of Myocardial Infarction in an Infant With Kawasaki Disease
This report describes successful treatment of myocardial infarction from coronary thrombosis in an infant with Kawasaki disease using intravenous tissue plasminogen activator and abciximab. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Jone, P.-N., Tapia, D., Davidson, J., Fagan, T. E., Browne, L., Ing, R. J., Kay, J. Tags: Clinical Challenge Source Type: research

Pediatric Anterior Mediastinal Mass: A Review Article
One of the more challenging cases facing a pediatric anesthesiologist is the management of patients presenting with an anterior mediastinal mass (AMM). Patients with an AMM may have severe cardiopulmonary compromise that can be exacerbated when undergoing general anesthesia. Several case reports have documented cardiopulmonary collapse during induction or maintenance of general anesthesia and even for procedures done without anesthesia. Despite increased understanding and management of these patients, perioperative complications, defined as anything from transient decreases in blood pressure correcting with fluids or mild ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Pearson, J. K., Tan, G. M. Tags: Review Source Type: research

HeartWare Ventricular Assist Device Placement in a Patient With Corrected Dextro-Transposition of Great Arteries: A Case Report and Its Clinical Challenges
Given the improved survival in patients with corrected dextro-transposition of great arteries (D-TGA), it has evolved into an adult congenital heart defect. It is important to understand the management and complications observed in this population that eventually progresses to systemic ventricular failure requiring cardiac transplantation. Our case focuses on the rapid right ventricle (RV) deterioration of a patient with corrected D-TGA following a surgical procedure requiring systemic support. With such patients awaiting heart transplantation, there are limited assist devices available for RV support and no right ventricu...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Sehgal, S., Ramachandran, S., Leff, J. D. Tags: Clinical Challenge Source Type: research

Anesthetic Considerations and Management of Transposition of the Great Arteries
Transposition of the great arteries was once an almost uniformly fatal disease in infancy. Six decades of advances in surgical techniques, intraoperative care, and perioperative management have led to at least 90% of patients reaching adulthood, most with a good quality of life. This review summarizes medical and surgical decision making during the neonatal perioperative period, with a special emphasis on factors pertinent to the anesthetic evaluation and care during primary surgical repair of transposition of the great arteries. A review is also provided of anesthetic considerations for noncardiac surgery later in childho...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Latham, G. J., Joffe, D. C., Eisses, M. J., Richards, M. J., Geiduschek, J. M. Tags: Reviews Source Type: research

Surgical Considerations in d-Transposition of the Great Arteries
The surgical treatment for d-transposition has evolved dramatically since the inception of cardiac surgery in the 1950s. Today, the arterial switch operation is employed almost exclusively in the management of this disease unless significant left ventricular outflow obstruction is present. Surgical options for these patents are reviewed and an in-depth technical discussion of arterial switch for d-transposition of the great arteries/intact ventricular septum follows. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Hermsen, J. L., Chen, J. M. Tags: Reviews Source Type: research

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries
Transposition of the great arteries (TGA) refers to hearts with concordant atrioventricular connections but discordant ventriculoarterial connections. In this lesion, the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. As such, the pulmonary and aortic circulations run in parallel as opposed to in series, and this lesion is not compatible with survival without adequate mixing of these circulations. The management and outcomes of TGA parallels the field of pediatric cardiac surgery itself. Uniformly fatal in childhood, palliative procedures from the 1950s to 1970s offered survi...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Files, M. D., Arya, B. Tags: Reviews Source Type: research

Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports
Parturients with Fontan physiology provide unique and complex challenges to anesthesiologists. Such challenges include the maintenance of a perfect balance between preload, pulmonary vascular resistance, afterload, and cardiac output in a setting of a single ventricle physiology. The physiological changes of pregnancy add additional burden to an already "fragile" physiology, making the anesthetic management for labor and/or cesarean delivery even more complex. Understanding the impact of these changes on the Fontan physiology and the effect of anesthetic choices on this dyad (pregnancy–Fontan) is an imperative prior ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Tiouririne, M., de Souza, D. G., Beers, K. T., Yemen, T. A. Tags: Clinical Challenge Source Type: research

Perioperative Considerations for Children With Right Ventricular Dysfunction and Failing Fontan
This article focuses on the perioperative assessment of patients with CHD and CHF, with an emphasis on pathophysiologic, diagnostic, and therapeutic alternatives in patients with right ventricular failure and failing Fontan circulation. We also provide descriptions of the effects of sedatives and anesthetics commonly used in this population in diagnostic or invasive procedures. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Riveros, R., Riveros-Perez, E. Tags: Reviews Source Type: research

Advances in the Care of Adults With Congenital Heart Disease
The significant decline in mortality among children and adolescents with congenital heart disease (CHD) is associated with an increasing prevalence of CHD in adults, particularly those with moderate to severe defects. As a significant percentage of adolescents and young adults are lost to follow-up in the transition from pediatric to adult care, they may present for elective procedures with substantial CHD-associated morbidity. In addition to the specific cardiac defect, the procedures performed, and the current pathophysiological status, several factors should be considered when managing the adult with CHD. These include ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Nasr, V. G., Kussman, B. D. Tags: Reviews Source Type: research

Editorial
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Twite, M. D. Tags: Editorial Source Type: research

Early Extubation and Fast-Track Management of Off-Pump Cardiac Patients in the Intensive Care Unit
This article will discuss the care of OPCAB patients following surgery and include approaches to managing patients who return both intubated and extubated. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 14, 2015 Category: Anesthesiology Authors: Bainbridge, D., Cheng, D. C. Tags: Articles Source Type: research

Postoperative Care of the Adult With Congenital Heart Disease
An increasing number of children with congenital heart disease survive to adulthood, but many adults require surgical intervention and can present complex management challenges in the perioperative period. This review will address common considerations that surgeons, anesthesiologists, and intensivists are likely to face in caring for this growing population. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 14, 2015 Category: Anesthesiology Authors: Maxwell, B., Steppan, J. Tags: Articles Source Type: research

Evaluation of Fever and Infections in Cardiac Surgery Patients
Fever following cardiac surgery is common and may be infectious or noninfectious in etiology. In this article, we review the major causes of postoperative fever while highlighting special considerations in cardiac surgery patients. We also outline a structured approach to evaluation and present an overview of diagnostic and management considerations for mediastinitis, postpericardiotomy syndrome, prosthetic valve endocarditis, aortic vascular graft infections, and ventricular assist device infections. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 14, 2015 Category: Anesthesiology Authors: Rhee, C., Sax, P. E. Tags: Articles Source Type: research

Valvular Heart Disease and Postoperative Considerations
Despite increasing trends in catheter-based cardiac surgical procedures, more than 278 000 Americans had traditional cardiac surgery in 2013. Of those surgical procedures, approximately 133 000 involved valvular repair or replacement. Aortic valve replacement was by far the most common valvular operation, followed by mitral valve repair or replacement. This review article will discuss characteristics of valvular pathologies and postoperative concerns for each the 4 cardiac valves. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 14, 2015 Category: Anesthesiology Authors: Miller, S., Flynn, B. C. Tags: Articles Source Type: research

Management of Postoperative Atrial Fibrillation in Cardiac Surgery Patients
Postoperative atrial fibrillation (AF) is a common arrhythmia following cardiac surgery and contributes to patient morbidity, prolonged hospital stay, and increased financial costs. The risk of postoperative AF may increase based on patient characteristics or events that occur intraoperatively or postoperatively. An understanding of these risks may be helpful in identifying which patients would benefit from prevention strategies. Acute AF presentation may range from completely indolent to rapidly progressing hemodynamic instability. Patients without hemodynamic compromise can be managed conservatively with rate control or ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 14, 2015 Category: Anesthesiology Authors: Raiten, J., Patel, P. A., Gutsche, J. Tags: Articles Source Type: research