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  • The aortic valve treatment revolution continues with the maturation of aortic valve repair and the dissemination of transcatheter aortic valve implantation. The recent publication of comprehensive multidisciplinary guidelines for diseases of the thoracic aorta has assigned important roles for the cardiovascular anesthesiologist and perioperative echocardiographer. Although intense angiotensin blockade improves outcomes in heart failure, it might further complicate the maintenance of perioperative systemic vascular tone. Ultrafiltration as well as intensive medical management guided by the biomarker brain natriuretic peptide improves outcomes in heart failure. Continuous-flow left ventricular assist devices have further improved outcomes in the surgical management of heart failure. Major risk factors for bleeding in the setting of these devices include advanced liver disease and acquired von Willebrand syndrome. The metabolic modulator perhexiline improves myocardial diastolic energetics to achieve significant symptomatic improvement in hypertrophic cardiomyopathy. A landmark report was also published recently that outlines the major areas for future research and clinical innovation in this disease. Landmark trials have documented the outcome importance of perioperative cerebral oxygen saturation monitoring as well as the outcome advantages of the Sano shunt over the modified Blalock-Taussig shunt in the Norwood procedure. Furthermore, the development and evaluation of pediatric-specific ventricular assist devices likely will revolutionize the mechanical management of pediatric heart failure. A multidisciplinary review has highlighted the priorities for future perioperative trials in congenital heart disease. These pervasive developments likely will influence the future training models in pediatric cardiac anesthesia.
  • The aortic valve treatment revolution continues with the maturation of aortic valve repair and the dissemination of transcatheter aortic valve implantation. The recent publication of comprehensive multidisciplinary guidelines for diseases of the thoracic aorta has assigned important roles for the cardiovascular anesthesiologist and perioperative echocardiographer. Although intense angiotensin blockade improves outcomes in heart failure, it might further complicate the maintenance of perioperative systemic vascular tone. Ultrafiltration as well as intensive medical management guided by the biomarker brain natriuretic peptide improves outcomes in heart failure. Continuous-flow left ventricular assist devices have further improved outcomes in the surgical management of heart failure. Major risk factors for bleeding in the setting of these devices include advanced liver disease and acquired von Willebrand syndrome. The metabolic modulator perhexiline improves myocardial diastolic energetics to achieve significant symptomatic improvement in hypertrophic cardiomyopathy. A landmark report was also published recently that outlines the major areas for future research and clinical innovation in this disease. Landmark trials have documented the outcome importance of perioperative cerebral oxygen saturation monitoring as well as the outcome advantages of the Sano shunt over the modified Blalock-Taussig shunt in the Norwood procedure. Furthermore, the development and evaluation of pediatric-specific ventricular assist devices likely will revolutionize the mechanical management of pediatric heart failure. A multidisciplinary review has highlighted the priorities for future perioperative trials in congenital heart disease. These pervasive developments likely will influence the future training models in pediatric cardiac anesthesia. (en)
Title
  • The year in cardiothoracic and vascular anesthesia: selected highlights from 2010
  • The year in cardiothoracic and vascular anesthesia: selected highlights from 2010 (en)
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  • The year in cardiothoracic and vascular anesthesia: selected highlights from 2010
  • The year in cardiothoracic and vascular anesthesia: selected highlights from 2010 (en)
skos:notation
  • RIV/00023001:_____/11:00002688!RIV12-MZ0-00023001
http://linked.open...avai/predkladatel
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  • 242038
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  • RIV/00023001:_____/11:00002688
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • aortic valve; aortic valve repair; transcatheter aortic valve implantation; thoracic aorta; guidelines; endovascular aortic repair; aortic dissection; aortic aneurysm; heart failure; ventricular assist device; angiotensin; ultrafiltration; natriuretic peptide; model for end-stage liver disease; von Willebrand syndrome; hypertrophic cardiomyopathy; perhexiline; metabolic modulator; cerebral oxygen saturation; near-infrared; spectroscopy; Norwood procedure; Sano shunt; Blalock-Taussig shunt; congenital heart disease; perioperative management (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [F61D3A2C5D63]
http://linked.open...i/riv/nazevZdroje
  • Journal of cardiothoracic and vascular anesthesia
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 25
http://linked.open...iv/tvurceVysledku
  • Říha, Hynek
  • Fassl, J.
  • Patel, P.
  • Wyckoff, T.
  • Andritsos, M.
  • Augoustides, JGT
  • Ramakrishna, H.
  • Roscher, C.
  • Singh, N.
  • Sinha, A.
  • Subramaniam, B.
http://linked.open...ain/vavai/riv/wos
  • 000287065200003
issn
  • 1053-0770
number of pages
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