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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2026, Number 4

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Cir Card Mex 2026; 11 (4)

Protected cardiac surgery: managing risk before it manages you

Calderón-Abbo MC
Full text How to cite this article 10.35366/124234

DOI

DOI: 10.35366/124234
URL: https://dx.doi.org/10.35366/124234

Language: English
References: 6
Page: 131-132
PDF size: 767.74 Kb.


Key words:

mechanical cardiac support, postoperative low output cardiac syndrome, protected cardiac surgery.

Text Extraction

Those of us who have been in the operating room long enough know the feeling well: you are halfway through a complex redo, the heart comes off bypass sluggishly, and the anesthesiologist’s face tells you everything before a word is spoken. You add inotropes, you wait, you adjust — and sometimes you get away with it, and sometimes you do not. That particular form of anxiety is what this editorial is about.


REFERENCES

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  2. Miguel-Díez J, Jiménez-García R, López-de-Andrés A. Trendsin utilization and in-hospital outcomes of cardiac surgery. Braz JCardiovasc Surg. 2020;35(2):7-9. doi: 10.21470/1678-9741-1-2020-0603.

  3. Nashef SA, Roques F, Sharples LD, et al. EuroSCORE II. Eur JCardiothorac Surg. 2012;41(4):734-744; discussion 744-745. doi:10.1093/ejcts/ezs043.

  4. Lorusso R, Salazar L, Nersesian G, et al; EACTS ScientificDocument Group. EACTS Expert Consensus Document onprotected cardiac surgery: pre-emptive use of temporary mechanicalcirculatory support in adult cardiac surgery patients at high risk forperioperative low cardiac output syndrome. Eur J Cardiothorac Surg.2026;68(3):ezaf296. doi: 10.1093/ejcts/ezaf296.

  5. Lomivorotov VV, Efremov SM, Kirov MY, Fominskiy EV,Karaskov AM. Low-cardiac-output syndrome after cardiac surgery.J Cardiothorac Vasc Anesth. 2017;31(1):291-308. doi: 10.1053/j.jvca.2016.05.029.

  6. Potapov EV, Whitman G, John R, et al; EACTS/STS/AATSScientific Document Group. EACTS/STS/AATS Guidelines ontemporary mechanical circulatory support in adult cardiac surgery.Ann Thorac Surg. 2025;S0003-4975(25)00949-X. doi: 10.1016/j.athoracsur.2025.09.005.




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C?MO CITAR (Vancouver)

Cir Card Mex. 2026;11