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Emergency Pulmonary Artery–to-Systemic Artery Shunt to Break the Positive Feedback Loop of a Pulmonary Hypertensive Crisis after Neonatal Coarctation Repair

Shin YR, Yang YH, Park YH, Park HK

A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the...
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Critical Illness-Related Corticosteroid Insufficiency in Patients with Low Cardiac Output Syndrome after Cardiac Surgery

Ok YJ, Lim JY, Jung SH

BACKGROUND: Low cardiac output syndrome (LCOS) after cardiac surgery usually requires inotropes. In this setting, critical illness-related corticosteroid insufficiency (CIRCI) may develop. We aimed to investigate the clinical features of...
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Early Clinical Outcomes of Tricuspid Valve Repair with a Tri-Ad Annuloplasty Ring in Comparison with the Outcomes Using an MC³ Ring

Jung W, Choi JW, Hwang HY, Kim KH

BACKGROUND: We evaluated the early clinical outcomes of tricuspid valve annuloplasty (TAP) with the Tri-Ad annuloplasty ring for functional tricuspid regurgitation (TR). METHODS: From January 2015 to March 2017, 36 patients...
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Experience with Mechanical Circulatory Support for Medically Intractable Low Cardiac Output in a Pediatric Intensive Care Unit

Park JB, Kwak JG, Lim HG, Kim WH, Lee JR, Kim YJ

BACKGROUND AND OBJECTIVES: Mechanical circulatory support with extracorporeal membrane oxygenation (ECMO) and ventricular assist device has always been the optimal choice for treating the majority of medically intractable low cardiac...
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Where Is the “Optimal” Fontan Hemodynamics?

Ohuchi H

Fontan circulation is generally characterized by high central venous pressure, low cardiac output, and slightly low arterial oxygen saturation, and it is quite different from normal biventricular physiology. Therefore, when...
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Stormy Course of a Huge Submitral Aneurysm Causing Low Cardiac Output State

Gokhroo RK, Anantharaj A, Kishor K, Ranwa B

Submitral aneurysm is a rare structural abnormality of congenital or acquired aetiology. Most reported cases are from Africa. Unless promptly treated surgically this condition is invariably fatal. We report a...
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Clinical Manifestations and Diagnosis of Right Ventricular Failure

Shin MS

Right ventricular (RV) failure is a complex clinical syndrome characterized by impaired RV filling and ejection. RV function is altered in the setting of either pressure overload or volume overload....
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Ruptured Tricuspid Valve Papillary Muscle in a Neonate with Intractable Persistent Fetal Circulation

Yoon JK, Kim HR, Kwon HW, Kwon BS, Kim GB, Bae EJ, Noh CI, Kim WH

Unguarded tricuspid regurgitation (TR) due to a flail tricuspid leaflet is a rare condition of newborn cyanosis. A high perinatal mortality has been associated with this fatal condition. But, there...
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Safety and Efficacy of the Off-Label Use of Milrinone in Pediatric Patients with Heart Diseases

Lee J, Kim GB, Kwon HW, Kwon BS, Bae EJ, Noh CI, Lim HG, Kim WH, Lee JR, Kim YJ

BACKGROUND AND OBJECTIVES: Milrinone is often used in children to treat acute heart failure and prevent low cardiac output syndrome after cardiac surgery. Due to the lack of studies on...
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Outcomes of Open Surgical Repair of Descending Thoracic Aortic Disease

Lee WY, Yoo JS, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW

  • KMID: 2288789
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Jun;47(3):255-261.
BACKGROUND: To determine the predictors of clinical outcomes following surgical descending thoracic aortic (DTA) repair. METHODS: We identified 103 patients (23 females; mean age, 64.1+/-12.3 years) who underwent DTA replacement from...
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Myocardial Injury Following Aortic Valve Replacement for Severe Aortic Stenosis: Risk Factor of Postoperative Myocardial Injury and Its Impact on Long-Term Outcomes

Lee CH, Ju MH, Kim JB, Chung CH, Jung SH, Choo SJ, Lee JW

  • KMID: 2288786
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Jun;47(3):233-239.
BACKGROUND: As hypertrophied myocardium predisposes the patient to decreased tolerance to ischemia and increased reperfusion injury, myocardial protection is of utmost importance in patients undergoing aortic valve replacement (AVR) for...
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Combination Therapies of Amiodarone and Digoxin for Refractory Supraventricular Tachycardia Accompanied by Congenital Heart Diseases in a Preterm Infant with Hydrops Fetalis

Han CW, Yu HY, Shin JE, Eun HS, Lee SM, Park MS, Namgung R, Lee C, Park KI

  • KMID: 2312958
  • Neonatal Med.
  • 2014 Feb;21(1):52-58.
Fetal tachycardia is at risk for developing low cardiac output, non-immune hydrops fetalis and ultimately fetal death. Spontaneous resolution of supraventricular tachycardia (SVT) is common during the first year of...
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Chest Wall Reconstruction with a Transverse Rectus Abdominis Musculocutaneous Flap in an Extremely Oversized Heart Transplantation

Yim JH, Eom JS, Kim DY

An 8-year-old girl diagnosed with dilated cardiomyopathy and Russell-Silver syndrome was admitted to our pediatric intensive care unit due to low cardiac output and multiple-organ dysfunction. The patient was placed...
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The determinants of propofol induction time in anesthesia

Adachi YU, Satomoto M, Higuchi H, Watanabe K

BACKGROUND: The required dose of anesthetics is generally smaller in patients with low cardiac output (CO). A high CO decreases the blood concentration of anesthetics during induction and maintenance of...
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Early Postoperative Complications after Heart Transplantation in Adult Recipients: Asan Medical Center Experience

Kim HJ, Jung SH, Kim JJ, Kim JB, Choo SJ, Yun TJ, Chung CH, Lee JW

  • KMID: 1987361
  • Korean J Thorac Cardiovasc Surg.
  • 2013 Dec;46(6):426-432.
BACKGROUND: Heart transplantation has become a widely accepted surgical option for end-stage heart failure in Korea since its first success in 1992. We reviewed early postoperative complications and mortality in...
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Subxiphoid Incisional Hernia Development after Coronary Artery Bypass Grafting

Kim HS, Kim KB, Hwang HY, Chang HW, Park KJ

BACKGROUND: Median sternotomy can weaken the upper abdominal wall and result in subxiphoid incisional hernia. We evaluated risk factors associated with the development of subxiphoid incisional hernias after coronary artery...
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Bridge to Transplantation with a Left Ventricular Assist Device

Jung JJ, Sung K, Jeong DS, Kim WS, Lee YT, Park PW

A 61-year-old female patient was diagnosed with dilated cardiomyopathy with severe left ventricle dysfunction. Two days after admission, continuous renal replacement therapy was performed due to oliguria and lactic acidosis....
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Minimally Invasive Approaches Versus Conventional Sternotomy for Aortic Valve Replacement: A Propensity Score Matching Study

Bang JH, Kim JW, Lee JW, Kim JB, Jung SH, Choo SJ, Chung CH

BACKGROUND: The aim of this study is to evaluate our institutional results of the aortic valve replacement through minimally invasive approaches compared with conventional sternotomy. MATERIALS AND METHODS: From August 1997...
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Midterm Follow-up after Cryopreserved Homograft Replacement in the Aortic Position

Park S, Hwang HY, Kim KH, Kim KB, Ahn H

  • KMID: 2063124
  • Korean J Thorac Cardiovasc Surg.
  • 2012 Feb;45(1):30-34.
BACKGROUND: The long-term results of homografts used in systemic circulation are controversial. We assessed the long-term results of using a cryopreserved homograft for an aortic root or aorta and its...
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The uncalibrated pulse contour cardiac output during off-pump coronary bypass surgery: performance in patients with a low cardiac output status and a reduced left ventricular function

Jo YY, Song JW, Yoo YC, Park JY, Shim JK, Kwak YL

BACKGROUND: We compared the continuous cardiac index measured by the FloTrac/Vigileo(TM) system (FCI) to that measured by a pulmonary artery catheter (CCI) with emphasis on the accuracy of the FCI...
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