Introduction: Boussignac CPAP has recently been considered as an alternative to mechanical ventilation for AHRF after open cardiac surgery. Objectives: The study aims to: 1) Evaluate the effectiveness of Boussignac CPAP on clinical profile and arterial blood gases in treating AHFR after cardiac surgery. 2) Identify the success rate and adverse effects of Boussignac CPAP. Subjects and method: Controlled clinical trial included 35 patients with AHRF after open cardiac surgery. Patients were treated by Boussignac APCP. Measurements of MAP, HR, RR, PaO2, PaO2/FiO2 and PaCO2 before and after procedure were compared. Duration, success rate and disadvantages of Boussignac CPAP were noted. Results: MAP, HR, RR measurements were stabilised gradually. ABGs just before, at 30, 60 minutes after and at the end of procedure revealed as following: PaO2 increased from 71.6 to 148.3 to 155.8 to 166.1mmHg; PaO2/FiO2 increased from 208.3 to 297.4 to 311.8 to 332.9mmHg. PaCO2 decreased from 52.7 to 38.6 to 37.1 to 35.3mmHg (p<0.001). The duration of Boussignac CPAP ranged from 2.09+/-0.5 to 51.2+/-14.1h, dependent on AHRF causes. The success rate was 97.1% with minor adverse effects. Conclusion: Boussignac CPAP can be considered as a safe procedure with high success rate. It can improve significantly MAP, HR, RR, oxygenation (PaO2, PaO2/FiO2) and ventilation (PaCO2). The duration of Boussignac CPAP in patients with hemodynamic-originated AHRF was significantly shorter than that in patients with nonhemodynamic-originated AHRF.
Boussignac CPAP: AHRF ; Cardiac surgery

No abstract available.
Arrhythmias, Cardiac* ; Heart* ; Thoracic Surgery*

Humans ; Arrhythmias, Cardiac ; Tachycardia, Ventricular/surgery*

Break of a stent delivery catheter and subsequent stent loss (SL) has been a rare event in the drug-eluting stent (DES) era. We here report a case of successful retrieval of a stent after a break if the delivery catheter and SL from a balloon catheter at a culprit lesion. We finally resolved this situation using a simple balloon technique for both the broken stent catheter inside of the guide catheter and the unexpanded stent in the culprit lesion. Thus balloons are an important weapon in our armamentarium in the cardiac catheterization laboratory for urgent retrieval of a lost stent. Their apt use definitely allowed our patient to avoid undergoing emergency cardiovascular thoracic surgery.
Angioplasty ; Cardiac Catheterization ; Cardiac Catheters ; Catheters ; Dimaprit ; Drug-Eluting Stents ; Emergencies ; Humans ; Stents ; Thoracic Surgery

Acute renal failure is a serious complication after open heart surgery which involve total body perfusion but the reported incidence of the complication has varied widely. We have experienced a case of acute renal failure with hemoglobinuria following an open heart surgery for correction of ventricular septal depect, which was comfirmed by cardiac catheterization. Kidney biopsy shows a typical change of acute tubular necrosis. A brief review of literature was also presented.
Acute Kidney Injury* ; Biopsy ; Cardiac Catheterization ; Cardiac Catheters ; Heart* ; Hemoglobinuria* ; Incidence ; Kidney ; Necrosis ; Perfusion ; Thoracic Surgery*

DSA was done in 133 examinations of 128 patients during 2 years consist of 9 examination of IV DSA and 124examination of selective cardiac DSA after cardiac catheterization. Open heart surgery was performed in 90patients and 12 patients showed discrepancy between pre-and post operative diagnosis, showing a total 86.7% ofdiagnostic accuracy with DSA. We experienced the significant reduction in dose of contrast media, 30-40% of doseof conventional cardiac heart disease. DSA is an accurate simple and safe method in evaluation of cardiac disases.
Angiography, Digital Subtraction ; Cardiac Catheterization ; Cardiac Catheters ; Contrast Media ; Diagnosis ; Heart Diseases ; Humans ; Methods ; Thoracic Surgery

Postoperative intractable arrhythmia can result in high morbidity and mortality. This report describes our experiences using mechanical circulatory support (MCS) to control medically intractable arrhythmias in three pediatric patients with congenital heart disease (CHD), after palliative or total corrective open-heart surgery.
Arrhythmias, Cardiac ; Extracorporeal Membrane Oxygenation ; Heart Diseases ; Humans ; Thoracic Surgery

QT prolongation is an electrocardiographic change that can lead to lethal arrhythmia. Acquired QT prolongation is known to be caused by drugs and electrolyte abnormalities. We report three cases in which the prolonged QT interval was improved at the time of operation by briefly discontinuing the drugs suspected to have caused the QT prolongation observed on preoperative electrocardiography. The QTc of cases 1, 2, and 3 improved from 518 to 429 ms, 463 to 441 ms, and 473 to 443 ms on discontinuing the use of a gastrointestinal prokinetic agent, a proton pump inhibitor, and a molecular targeted drug, respectively. These cases were considered to have drug-induced QT prolongation. We reaffirmed that even drugs administered for conditions unrelated to cardiac diseases can have adverse side effect of QT prolongation. In conclusion, our cases indicate that dental surgeons should be aware of the dangerous and even potentially lethal side effects of QT prolongation. For safe oral and maxillofacial surgery, cooperation with medical departments in various fields is important.
Arrhythmias, Cardiac ; Electrocardiography ; Heart Diseases ; Proton Pumps ; Surgeons ; Surgery, Oral

Cardiac Rehabilitation ; Exercise Therapy ; Heart Failure/surgery* ; Heart Transplantation ; Humans

Cardiac Catheterization ; Catheter Ablation ; Heart Septum/surgery* ; Punctures