Traumatic vascular injuries of the lower extremity in pediatric population are rare but can result significant morbidity. We aimed at describing our experience with such complex injuries, associated patterns injury, diagnostic and therapeutic challenges, outcomes.From January 2006 to December 2011, 2,844 trauma patients presented Ryder Trauma Center, an urban Level I center Miami, Florida. Among them, 18 (0.6%) were evaluated for traumatic injuries. Variables collected included age, sex,...

Acute pulmonary embolism (PE) is a life-threatening disease which often results in death if not diagnosed early and treated aggressively. Despite all efforts at improving outcomes, there no consensus on the management of acute severe PE.From May 2000 to June 2009, 16 consecutive patients underwent surgical embolectomy our institution. Mean age was 45 +/- 17 years (range, 14 76) with nine (56%) males seven (43%) females. Preoperatively, cases were classified as massive PE; hemodynamic...

Patients with very low left ventricular ejection fraction (LVEF) are at high risk for valve surgery. We herein present our experience beating heart surgery in such patients.From May 2000 to October 2006, 346 consecutive patients underwent Of these, 50 had LVEF <30%: 7 21 29%, 34 <20%, and 9 <10%. Mean age was 57.44 +/- 12.45 years (range 28 85 years). There were 40 males (80%) 10 females (20%).Isolated mitral (MV) aortic replacements performed 11 (22%) (20%) of patients, respectively....

Abstract Background: Acute type A aortic dissection (ATAAD) is a life-threatening disease entity. Untreated, it usually results in death due to rupture of the proximal aorta into pericardial cavity, leading cardiac tamponade. Should patients who have had prior surgery presenting with ATAAD be treated emergently surgery, or should they managed medically? We herein present preliminary evidence that suggests medical treatment, at least initially, best option for these patients. Surgery...

Mitral valve surgery can be performed through the trans-atrial or trans-septal approach. Although is preferred method, approach has also been used recently and a particular value in beating-heart mitral surgery. Herein we report our experience with via approach, discuss its advantages pitfalls.Between 2000 2007, 214 consecutive patients were operated upon utilizing beating heart technique for The operation was transseptal aorta unclamped, beating, normal electrocardiogram sinus rhythm.Mean...

Abstract Background: Mitral valve surgery can be performed through the trans-atrial or trans-septal approach. Although is preferred method, approach has also been used recently and a particular value in beating-heart mitral surgery. Herein we report our experience with via approach, discuss its advantages pitfalls. Methods: Between 2000 2007, 214 patients underwent procedures using surgical Results: One hundred forty-three (66.8%) had replacement, 68 (31.7%) repair, 82 (38.3%) concomitant...

Myocardial and pulmonary ischemia during cardiopulmonary bypass has been associated with postoperative cardiac dysfunction, as well poor outcomes. Beating-heart valve surgery utilizing continuous coronary perfusion warm oxygenated blood via the antegrade/retrograde routes, is a novel strategy for myocardial protection. Conceptually, it proposed that maintenance of ventilation period also might be advantageous. The most current evidence regarding these evolving techniques further areas...

Lung perfusion/ventilation was introduced as a means to minimize cardiopulmonary (CPB)-related pulmonary ischemic injury. Current results in the literature are divergent, and role of gas exchange during lung CPB, remains undefined. This report details a) technique continuous b) provides initial observations, c) discusses CPB.

Femoral vessel injuries are a familiar injury treated in busy urban trauma centers. The majority of peripheral vascular to the lower extremity occur most commonly femoral vessels. increasing incidence civilian violence provides an opportunity perform comprehensive review and management these injuries.

Right ventricular failure is a major contributor to increased morbidity and mortality in patients undergoing left assist device implantation. Cardiopulmonary bypass associated with pulmonary ischaemia vascular resistance. Continuous perfusion ventilation represents an emerging strategy for protection during cardiac surgery. We hypothesize that this technique may have pivotal role reducing postoperative right dysfunction high-risk LVAD placement.