- Mechanical Circulatory Support Devices
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Structural Anomalies and Repair
- Cardiac Arrest and Resuscitation
- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Cardiac Valve Diseases and Treatments
- Anesthesia and Sedative Agents
- Retinal Diseases and Treatments
- Coronary Interventions and Diagnostics
- Glaucoma and retinal disorders
- Infective Endocarditis Diagnosis and Management
- Antiplatelet Therapy and Cardiovascular Diseases
- Nutrition, Genetics, and Disease
- Cardiac and Coronary Surgery Techniques
- Health and Medical Research Impacts
- Medical and Biological Ozone Research
- Retinopathy of Prematurity Studies
- Pulmonary Hypertension Research and Treatments
- Pectus Deformity Diagnosis and Treatment
- Ectopic Pregnancy Diagnosis and Management
- Connexins and lens biology
- Vascular Procedures and Complications
- Occupational and environmental lung diseases
- Head and Neck Surgical Oncology
The Ohio State University Wexner Medical Center
2013-2025
Alexandrovska Hospital
2020
The Ohio State University
2010-2019
Medical University of Sofia
1999-2018
Marymount University
2011
THE literature on anesthetic concerns and perioperative care of patients with mediastinal masses has focused almost exclusively anterior masses. Posterior traditionally have been suggested to carry a low risk implications.1We present the case patient posterior mass who experienced hemodynamic respiratory decompensation upon induction general anesthesia required urgent transition cardiopulmonary bypass (CPB).Our illustrates importance real-time imaging provided by transesophageal...
Here we present our attempt at off pump HeartMate II left ventricular assist device (LVAD) implantation using the anticoagulant bivalirudin in a patient with heparin induced thrombocytopenia, which resulted thrombosis within LVAD device. This required that procedure be converted to on pump, and new implanted. In view, this thrombotic event may have been caused by number of factors include bivalirudin's (1) short half-life about 20 minutes, (2) decreased activity blood stasis, (3) inability...
We hypothesize that implantation of left ventricular assist device through off-pump technique is feasible and has a comparable result to on cardiopulmonary bypass could improve one-year survival.This retrospective, observational, single-center study was conducted 29 consecutive patients at our institution who underwent by single surgeon.Twenty-seven procedures were performed successfully using the technique. The survival rate 92% 30 days, 76% 90 67% one year. compared different periods,...
Alagille syndrome (ALGS) is a genetic disorder associated with multisystem dysfunction involving the hepatic, cardiovascular, and neurologic systems. Tetralogy of Fallot (TOF), congenital cardiac anomaly, commonly found in these patients. Patients ALGS may also have an increased risk cerebrovascular abnormalities bleeding. Ruptured cerebral aneurysm subarachnoid hemorrhage (SAH) be developed, increasing incidence morbidity mortality. Advances neuroimaging neurosurgery allowed early...
The perioperative anesthesia care during subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation is still evolving.To assess the feasibility and safety of S-ICD with monitored (MAC) versus general (GA) in a tertiary center.This single-center retrospective study patients undergoing between October 2012 May 2019. Patients were categorized into MAC GA group based on mode anesthesia. Procedural success without escalation to was primary endpoint study, whereas intraprocedural...
Santiago, Michelle MD; El-Dayem, Mohamed Abd Dimitrova, Galina Awad, Hamdy MD Author Information
Amniotic fluid embolism is usually a life-threatening complication of an otherwise healthy pregnancy. Medical management the coagulopathy and cardiovascular collapse challenging often unsuccessful. We present case advocate use temporary circulatory support pulmonary embolectomy in what would have been fatal scenario.
The Syncardia total artificial heart system is the only commercially approved durable device for treating biventricular failure patients awaiting transplantation. Conventionally, implanted based on distance from anterior aspect of 10th thoracic vertebra to sternum and patient's body surface area. However, this criterion does not account chest wall musculoskeletal deformities. This case report describes a patient with pectus excavatum who developed compression inferior vena cava after...
Serotonin syndrome is a potentially life threatening adverse drug reaction caused by excessive activation of postsynaptic serotonin receptors in the central nervous system (CNS).It typically associated with simultaneous administration two or more selective reuptake inhibitors (SSRI) as result combination another similar serotonergic activity.The authors describe cases intraoperative vasoplegic necessitating use methylene blue (MB) rescue therapy and subsequently causing intensive care unit (ICU).
During a study of hereditary motor and sensory neuropathy-Lom in Bulgaria, previously unrecognized neurological disorder was encountered, mainly Wallachian Gypsies, who represent relatively recent genetic isolate. The has been termed the congenital cataracts facial dysmorphism neuropathy (CCFDN) syndrome to emphasize its salient features. Fifty individuals from 19 extended pedigrees were identified examined clinically electrophysiologically. At least 1 patient each family admitted hospital...
The relationship between diabetic retinopathy and macro-vascular complications in diabetes suggests a pathogenic association these conditions. Vascular endothelium has been identified as main site of blood vessel injury diabetes. Diabetic is associated with systemic arterial stiffness altered vascular function structure. Retinal vasculature at the macula, arterio-venous crossings, optic nerve lamina cribrosa region reported to differ from rest retinal vessels. central artery vein are close...