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Outcomes following the Kawashima procedure for single-ventricle palliation in left atrial isomerism.
These findings confirm that the majority of patients who undergo a KP will require HVR and that patients who are older at the time of the KP or having an initial arterial shunt or bilateral SVCs are at higher risk of HVR or death.
Pulmonary valve replacement through a left thoracotomy approach.
We report here the first case, to our knowledge, of pulmonary valve replacement being performed via a left thoracotomy approach in a patient with pectus excavatum who had 3 previous sternotomies. The
Urgent resection of a giant left atrial appendage aneurysm and mitral valve replacement in a complex case of Hurler-Scheie syndrome
The successful management of a patient with an extremely challenging case of mitral valve stenosis and a giant left atrial appendage aneurysm due to MPS type 1 (Hurler-Scheie syndrome) is described.
Structural and Functional Properties of Subsidiary Atrial Pacemakers in a Goat Model of Sinus Node Disease
Goat SAN ablation resulted in the generation of chronic SAP activity in 60% of treated animals and was located within the previously discovered PNA in humans, suggesting its role as dominant pacemaker in SND.
161  Novel Immunohistochemical and Structural Features of Subsidiary Atrial Pacemakers in the Goat; Relevance to Potential Sites for Biological Pacemakers
The SAP in the goat is situated caudal to the SN and expresses in abundance both HCN4, and NCX1 the principal ion-channels of the "membrane" and "calcium-clock" respectively; allowing pacemaking function.
An analysis of oxygen consumption and oxygen delivery in euthermic infants after cardiopulmonary bypass with modified ultrafiltration.
An unusual continuous decrease in VO2 during the first 12 hours after CPB in infants is indicated and control of body temperature to maintain euthermia in addition to the use of MUF may be beneficial to the balance between VO2 and DO2 in the early postoperative period.
A meta-analysis of platelet gel for prevention of sternal wound infections following cardiac surgery.
The use of autologous platelet gel in cardiac surgery appears to provide significant reductions in serious sternal wound infections, and its use is unlikely to be associated with significant risk.
Does the use of a centrifugal pump offer any additional benefit for patients having open heart surgery?
It is concluded that there is no evidence for the benefit of a centrifugal pump over a roller pump in elective coronary artery bypass grafting in respect of blood loss, clinical outcomes or neurological problems.
Does clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery?
It is concluded that clopidogrel causes fewer gastrointestinal complications than aspirin in those patients with no previous history of gastric or duodenal ulceration with a number needed to treat of around 200 to prevent an episode of bleeding per year.