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"Kelainan jantung univentrikel tanpa restriksi aliran darah paru perlu dilakukan tindakan paliatif tahap awal berupa pulmonary artery banding (PAB) untuk menurunkan tekanan paru sebelum dilanjutkan tindakan bidirectional cavopulmonary shunt / BCPS. Namun, interval waktu optimal antara kedua tahap pembedahan paliatif tersebut masih belum diketahui. Dilakukan penelitian kohort retrospektif pada pasien kelainan jantung univentrikel tanpa restriksi aliran darah paru yang menjalani tindakan BCPS dengan riwayat PAB. Total sebanyak 41 subjek yang dianalisis. Terdapat hubungan bermakna antara interval waktu tindakan PAB–BCPS dan mortalitas dini pasca-BCPS (p = 0,018), dengan nilai median interval waktu pada pasien yang mengalami mortalitas lebih singkat dibandingkan pada pasien yang hidup [9(8–10) vs. 26(12–97) bulan]. Tidak terdapat hubungan/korelasi bermakna antara interval waktu PAB–BCPS dan mortalitas 1 tahun (p = 0,645), lama penggunaan ventilator (r = 0,053;p = 0,768), lama rawat ICU (r = 0,064;p = 0,693), dan lama rawat RS (r = -0,098;p = 0,544) pascaoperasi BCPS. Disimpulkan bahwa terdapat hubungan yang signifikan antara interval waktu tindakan PAB–BCPS dan kejadian mortalitas dini pasca-BCPS. Pasien yang mengalami mortalitas memiliki nilai interval waktu lebih singkat dibandingkan dengan pasien yang hidup.

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Univentricular heart defects with unrestricted pulmonary blood flow require pulmonary artery banding (PAB) as an initial palliative procedure to reduce pulmonary pressure before proceeding with the second-stage surgery (bidirectional cavopulmonary shunt / BCPS). However, the optimal time interval between these two palliative surgeries remains unknown. A retrospective cohort study was conducted on patients with univentricular heart defects and unrestricted pulmonary blood flow who underwent BCPS with a history of PAB. A total of 41 subjects were analyzed. There was a statistically significant association between the time interval of PAB–BCPS and early mortality after BCPS (p = 0.018), with a shorter median interval time in patients who experienced mortality compared to those who survived [9(8–10) vs. 26(12–97) months, respectively]. No significant association between the PAB–BCPS time interval and one-year mortality (p = 0.645), period of ventilator use (r = 0.053; p = 0.768), ICU length of stay (r = 0.064; p = 0.693), or hospital length of stay (r = -0.098; p = 0.544) following BCPS. In conclusion, the time interval between PAB and BCPS is significantly associated with early mortality after BCPS. Patients who did not survive had a shorter interval compared to those who survived."

"Kelainan jantung univentrikel tanpa restriksi aliran darah paru perlu dilakukan tindakan paliatif tahap awal berupa pulmonary artery banding (PAB) untuk menurunkan tekanan paru sebelum dilanjutkan tindakan bidirectional cavopulmonary shunt / BCPS. Namun, interval waktu optimal antara kedua tahap pembedahan paliatif tersebut masih belum diketahui. Dilakukan penelitian kohort retrospektif pada pasien kelainan jantung univentrikel tanpa restriksi aliran darah paru yang menjalani tindakan BCPS dengan riwayat PAB. Total sebanyak 41 subjek yang dianalisis. Terdapat hubungan bermakna antara interval waktu tindakan PAB–BCPS dan mortalitas dini pasca-BCPS (p = 0,018), dengan nilai median interval waktu pada pasien yang mengalami mortalitas lebih singkat dibandingkan pada pasien yang hidup [9(8–10) vs. 26(12–97) bulan]. Tidak terdapat hubungan/korelasi bermakna antara interval waktu PAB–BCPS dan mortalitas 1 tahun (p = 0,645), lama penggunaan ventilator (r = 0,053;p = 0,768), lama rawat ICU (r = 0,064;p = 0,693), dan lama rawat RS (r = -0,098;p = 0,544) pascaoperasi BCPS. Disimpulkan bahwa terdapat hubungan yang signifikan antara interval waktu tindakan PAB–BCPS dan kejadian mortalitas dini pasca-BCPS. Pasien yang mengalami mortalitas memiliki nilai interval waktu lebih singkat dibandingkan dengan pasien yang hidup.

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Univentricular heart defects with unrestricted pulmonary blood flow require pulmonary artery banding (PAB) as an initial palliative procedure to reduce pulmonary pressure before proceeding with the second-stage surgery (bidirectional cavopulmonary shunt / BCPS). However, the optimal time interval between these two palliative surgeries remains unknown. A retrospective cohort study was conducted on patients with univentricular heart defects and unrestricted pulmonary blood flow who underwent BCPS with a history of PAB. A total of 41 subjects were analyzed. There was a statistically significant association between the time interval of PAB–BCPS and early mortality after BCPS (p = 0.018), with a shorter median interval time in patients who experienced mortality compared to those who survived [9(8–10) vs. 26(12–97) months, respectively]. No significant association between the PAB–BCPS time interval and one-year mortality (p = 0.645), period of ventilator use (r = 0.053; p = 0.768), ICU length of stay (r = 0.064; p = 0.693), or hospital length of stay (r = -0.098; p = 0.544) following BCPS. In conclusion, the time interval between PAB and BCPS is significantly associated with early mortality after BCPS. Patients who did not survive had a shorter interval compared to those who survived."

"Echocardiography in Heart Failure - a volume in the exciting new Practical Echocardiography Series edited by Dr. Catherine M. Otto - provides practical, how-to guidance on effectively applying echocardiography to evaluate heart failure, make therapeutic decisions, and monitor therapy. Definitive, expert instruction from Drs. Martin St. John Sutton and Denise Wiegers is presented in a highly visual, case-based approach that facilitates understanding and equips you to accurately apply this technique while avoiding any potential pitfalls. Access the full text online at www.expertconsult.com al."

"Transesophageal echocardiography (TEE) is a valuable diagnostic modality now routinely used during cardiac surgery and in the intensive care unit. Increasingly, anesthesiologists trained in TEE provide the service in both settings where they face the challenge of integrating numerous current TEE guidelines into day-to-day practice. Perioperative two-dimensional transesophageal echocardiography : a practical handbook has been designed to be a concise, portable guide for using TEE to recognize cardiac pathology during the perioperative period. This compact guide has a diverse appeal for anesthesiologists, cardiac surgeons, and cardiologists desiring comprehensive up-to-date echocardiographic information at their fingertips.Features :- More than 450 full-color, high quality clinical images and illustrations- Synopsis of cardiac pathology commonly encountered in cardiac surgery patients- Convenient spiral binding- On-the-spot reference for echocardiographers with a wide range of experience, from novice to expert"

"Suitable for the resident, fellow, practicing cardiologist, or nurse-practitioner treating patients with cardiovascular disease, this book features practical and effective approaches to common clinical syndromes - including clear guidance on administration of commonly prescribed medications and descriptions of proven therapeutic procedures."

"Much has been written about reperfusion injury in the past decade but unfortunately the information has been generally presented in the form of original specialist papers and little if any integral publication exists on the topic, summarising and analysing the clinical impact of the condition and its management. The pathophysiology and molecular mechanisms of reperfusion injury are complex and, regarding diagnosis, individual diagnostic techniques have been proposed but without a proper assessment of the relative values of these methods. A publication dealing with integral diagnostic strategies would be welcome by the managing physician. Management of the condition is also problematic, as strategies that appear to work in the experimental models do not translate into beneficial interventions in patients. There is a need for these issues to be addressed and discussed in a monographic fashion. Management of myocardial reperfusion injury will tackle these issues in a modern and systematic way and the information will be delivered in a fashion that will be appealing to the reader."

"This new case-based book fills a gap in the literature by guiding the reader through the challenging clinical problems encountered in daily practice. Each case presents the clinician with a complete patient work-up that includes clinical history, radiological and clinical findings, treatment summary and suggested readings."