International Perfusion Association

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IPA

Category: Case Report

Myxoma Leg

A Firing Cannon: Bilateral Lower Limb Ischemia as a Manifestation of Cardiac Myxoma

This article presents a rare case of a 33-year-old woman with a left atrial myxoma, a benign cardiac tumor, causing bilateral lower limb ischemia due to systemic embolization. The patient’s myxoma, identified as the source of emboli, was successfully excised through open-heart surgery. The case underscores the critical need for timely surgical intervention to prevent potentially fatal complications such as stroke. Postoperative outcomes were excellent, with the patient resuming normal activities.

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December 28, 2024
A Technique Avoiding Cardioplegia Delivery Complications: A Case Using Systemic Hyperkalemia Cardiopulmonary Bypass Combined with Circulatory Arrest

A Technique Avoiding Cardioplegia Delivery Complications: A Case Using Systemic Hyperkalemia Cardiopulmonary Bypass Combined with Circulatory Arrest

This case study details a novel approach to avoid cardioplegia delivery complications during a high-risk redo mitral valve replacement. The 75-year-old patient, with severe mitral regurgitation and mild aortic regurgitation, underwent minimally invasive surgery using systemic hyperkalemia and circulatory arrest. The method eliminated the need for aortic cross-clamping, achieving effective myocardial protection and an uneventful recovery, despite complex surgical challenges.

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December 24, 2024
TEG2

Use of Thromboelastography in Coronary Artery Bypass Grafting in a Patient With Factor Ⅴ Deficiency With Platelet Function Disorders: A Case Report and Literature Review

This case report examines the role of thromboelastography (TEG) in managing a 64-year-old hemodialysis patient with Factor V deficiency and platelet function disorders undergoing coronary artery bypass grafting. Despite a mild decrease in Factor V activity, preoperative transfusions corrected platelet dysfunction, allowing for successful surgery. Postoperative strategies were also TEG-guided, showcasing its utility in complex clinical scenarios.

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May 15, 2024
Heart 2024-2

Intraoperative Acute Cardiac Tamponade as a Result of Intracardiac Perforation Requiring Emergency Continuous Pericardiocentesis and Open Sternotomy: A Case Report and Literature Review of a Rare but Fatal Complication

This report details a case of intraoperative acute cardiac tamponade caused by left atrial perforation during a percutaneous intervention for anomalous pulmonary venous return, a rare but life-threatening complication. Despite emergency measures including continuous pericardiocentesis and an open sternotomy for repair, the patient, an 86-year-old female with history of right-ventricular failure and atrial fibrillation, succumbed to her condition hours post-operation. The case emphasizes the critical need for swift, multidisciplinary intervention in managing such complications and outlines the potential risks associated with percutaneous cardiac procedures.

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March 30, 2024
Infant Cannula

Bedside Repositioning of a Migrated Avalon ECMO Cannula in an Infant: Novel Technique

This article presents a novel bedside method for repositioning a migrated Avalon ECMO cannula in an infant. The Avalon Elite bi-caval dual lumen catheter, essential for veno-venous extracorporeal membranous oxygenation, requires precise placement. The new technique, involving direct access of the ECMO inflow tube with a catheter and guide wire, proved successful in two instances of catheter migration without the need for additional venous access, highlighting an advancement in pediatric critical care.

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February 6, 2024
Saudi Aortic Dissection

Retrograde Type A Acute Aortic Dissection With Cerebral Malperfusion Six Years After Thoracic Endovascular Aortic Repair

A 59-year-old male, previously treated with thoracic endovascular aortic repair (TEVAR), developed retrograde type A aortic dissection, leading to cerebral infarction and carotid artery occlusion. He underwent successful total arch replacement and carotid artery bypass, followed by rehabilitation, highlighting the complex challenges and critical interventions needed for TEVAR complications.

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January 24, 2024

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