cardiothoracic

Left Ventricular Pseudoaneurysm

A left ventricular (LV) pseudoaneurysm is an LV outpouching devoid of myocardium/endocardium contained by the pericardium and adhesions. As one can imagine, this pathology carries a high risk of rupture and mortality. LV pseudoaneurysms...

What Is Cell Saver?

As a cardiothoracic anesthesiologist, hemostasis, coagulopathy, and blood salvation are important considerations in the operations I'm involved with. Cell Saver is one technique our perfusion team routinely utilizes to facilitate blood conservation. Blood loss...

TEVAR For Aorto-Esophageal Fistula

Aorta-esophageal fistula is an abnormal communication between the aorta and esophagus leading to life-threatening exsanguination via the GI tract. This can be caused by procedures (e.g., weeks following cardiac arrhythmia ablation), malignancy, foreign body,...

TEE In The Cardiothoracic ICU

As a cardiothoracic (CT) intensive care unit (ICU) physician, knowing how to balance resuscitation with inotrope and vasopressor support is a large part of my job. For patients on post-operative days (POD) 0 or...

Left Atrial And Ventricular Pressure Throughout The Stages Of Diastole

The left ventricle’s (LV) variously arranged muscle fibers twist and contract during systole, storing potential energy as blood is ejected (imagine wringing water out of a towel). This stored energy is released in diastole:...

Retrograde Cerebral Perfusion (RCP)

Retrograde cerebral perfusion (RCP) is a neuroprotective technique originally described in the early 1990s to deliver cold, oxygenated blood via the cardiopulmonary bypass (CPB) circuit to the cerebral vasculature by way of the superior...

Type A Dissection

Acute ascending aortic dissection (type A) is a true surgical emergency. Arterial walls are comprised of the intima (innermost layer), media, and adventitia (outermost layer). In a dissection, an intimal tear creates a plane...

Lumbar Drain

Lumbar drains are a mainstay for spinal cord protection when patients undergo operations like thoracoabdominal aortic aneurysm (TAAA) repairs and thoracic endovascular aortic repairs (TEVAR) with subclavian artery debranching. Why? Because the anterior spinal...

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