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Cardiology Heart Surgery

Heart Surgery

TTP after a complicated TAVR procedure

When a patient presents with hemolytic anemia, thrombocytopenia, acute renal failure or neuropsychiatric symptoms after complicated cardiac surgery, TTP should be suspected. Make sure you know how to rapidly diagnose and treat this life-threatening emergency.

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Editor's Choice

Surgical management of aorto-right atrial fistula

Aorto-right atrial fistula associated with Stanford type A aortic dissection is rare, and difficult to diagnose clinically. Intraoperative diagnosis in this case allowed effective treatment by direct suture.

Best strategies for pain control after cardiac surgery

Successful pain management following cardiac surgery is critical for optimising short- and long-term patient outcomes. Evaluate the options available to your patients. 

Intravenous amino acids reduce incident AKI during cardiac surgery

Continuous amino acid infusion reduces acute kidney injury in patients undergoing elective cardiac surgery with cardiopulmonary bypass.

A complicated massive pulmonary arteriovenous fistula

Pulmonary arteriovenous fistula is a rare type of cyanotic pulmonary vascular malformation with right-to-left shunt. This case reports co-presentation in a patient with atherosclerotic heart disease.  

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A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
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Case Studies

TTP after a complicated TAVR procedure

When a patient presents with hemolytic anemia, thrombocytopenia, acute renal failure or neuropsychiatric symptoms after complicated cardiac surgery, TTP should be suspected. Make sure you know how to rapidly diagnose and treat this life-threatening emergency.

Surgical management of aorto-right atrial fistula

Aorto-right atrial fistula associated with Stanford type A aortic dissection is rare, and difficult to diagnose clinically. Intraoperative diagnosis in this case allowed effective treatment by direct suture.

A complicated massive pulmonary arteriovenous fistula

Pulmonary arteriovenous fistula is a rare type of cyanotic pulmonary vascular malformation with right-to-left shunt. This case reports co-presentation in a patient with atherosclerotic heart disease.  

Episode 3: Unravelling resistant hypertension

Why is it so difficult to diagnose and manage?

Resistant hypertension is a difficult to treat and often misunderstood phenomenon that continues to frustrate cardiologists. 

In this episode, Professors Morris Brown and Bryan Williams debate the causes of resistant hypertension and explore novel treatment options.

Prof. Morris Brown
Prof. Bryan Williams
Listen now

Current Reviews

Augmented Reality in Cardiology: Enhancing Visualization and Precision

Visualizing the heart’s structure is challenging because of its complex anatomy and beating nature. Cardiologists usually require a long learning curve during training. There always have been needs for intuitive imaging that allows physicians more …

Surgery for CHD in Malaysia—setting standards for lower and middle-income countries

The surgery for congenital heart diseases in Malaysia started in 1992 under the purview of the adult cardiac unit within the framework of the General Hospital. This unit catered for the whole country within its landscape of limited manpower and …

Development of pediatric cardiac surgery in Indonesia—a thousand islands and a handful of centers

Providing good medical access for patients with congenital heart disease (CHD) is still a significant issue in most developing countries, including Indonesia. With approximately 50,000 newborns with CHD annually, the development of pediatric …

Levosimendan: A New Therapeutical Strategy in Patients with Renal Insufficiency

Levosimendan, a Ca2 + sensitizer with positive inotropic effects, is primarily employed for the short-term treatment of acute decompensated heart failure (ADHF). Levosimendan exerts renal function protection through various mechanisms, including …

Keynote webinar | Spotlight on cardio-oncology

  • Webinar | 16-05-2023 | 17:30 (CEST)

An expert-led symposium exploring the most pertinent issues in cardio-oncology, with a focus on the new ESC guidelines. Highlights include preventative approaches in cardio-oncology, toxicity risk-stratification strategies, the clinical management of myocarditis as an adverse effect of immune checkpoint inhibitor-treatments, and the utility of biomarkers in long-term follow-up of cardiovascular disease risk in cancer patients.

Prof. Rudolf de Boer
Prof. Lorenz Lehmann
Dr. Teresa Lopéz Fernández
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Further Reading

Non-HACEK gram-negative bacilli infective endocarditis: data from a retrospective German cohort study

Infective endocarditis (IE) due to gram-negative bacilli (GNB) not included in the HACEK group (Haemophilus, Aggregatibacter spp., Cardiobacterium, Eikenella corrodens , and Kingella spp.) constitutes 2–3% of IE cases [ 1 , 2 ]. However, non-HACEK …

Augmented Reality in Cardiology: Enhancing Visualization and Precision

Visualizing the heart’s structure is challenging because of its complex anatomy and beating nature. Cardiologists usually require a long learning curve during training. There always have been needs for intuitive imaging that allows physicians more …

Perioperative outcome of left atrial appendage amputation in coronary artery bypass grafting

  • Open Access
  • CABG
  • Original Paper

The left atrial appendage (LAA) is a significant focus in cardiac surgery, interventional cardiology, electrophysiology, and ablation [ 1 – 3 ]. It has been identified as the main source of stroke-causing thrombi in patients with atrial …

Population Pharmacokinetics and Target Attainment of Allopurinol and Oxypurinol Before, During, and After Cardiac Surgery with Cardiopulmonary Bypass in Neonates with Critical Congenital Heart Disease

Critical congenital heart disease (CCHD) affects 0.3% of newborns and necessitates cardiac surgery with cardiopulmonary bypass (CPB) within the first weeks of life for the majority of cases [ 1 ]. While up to 90% of neonates survive into adulthood …