| 11. |
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| 12. |
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| 13. |
- Svedjeholm, Rolf, et al.
(author)
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Heart rescue in acute left main coronary artery occlusion with CABG using initial retrograde perfusion
- 2001
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In: The thoracic and cardiovascular surgeon. - : Georg Thieme Verlag KG. - 0171-6425 .- 1439-1902. ; 49:6, s. 331-333
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Journal article (peer-reviewed)abstract
- Acute occlusion of the left main coronary artery (LMCA) is a rare and almost invariably fatal condition. Here, we report on heart salvage in two such cases with CABG aided by emergent retrograde reperfusion as the initial operative step. Both cases were extremely unusual. The first patient had twice survived LMCA occlusion, the second also had right coronary artery occlusion. We will also review the literature on acute LMCA occlusion and coronary venous retroperfusion.
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| 15. |
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| 16. |
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| 17. |
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| 18. |
- Svedjeholm, Rolf, et al.
(author)
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Neurological injury after surgery for ischemic heart disease: risk factors, outcome and role of metabolic interventions
- 2001
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In: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. - 1010-7940. ; 19:5, s. 611-618
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Journal article (peer-reviewed)abstract
- Objectives: Neurological complication remains a feared and increasing problem in association with cardiac surgery. The aim of this study was to analyze risk factors for neurological complications in a cohort of patients in whom inotropes for weaning from cardiopulmonary bypass was gradually replaced by metabolic treatment. Methods: The records of 775 consecutive patients undergoing coronary artery bypass grafting (CABG) or combined CABG+valve procedures were examined. Forward stepwise multiple logistic regression analysis was used for statistical evaluation of independent risk factors. Results: The incidence of neurological injury was 1.8% in patients undergoing isolated CABG and 5.4% after combined CABG+valve procedures. After cross-validation multivariate analysis identified history of cerebrovascular disease, advanced age and aortic cross-clamp time as independent risk factors for postoperative cerebral complications. Chronic obstructive pulmonary disease and number of bypasses also emerged as risk factors in the primary analysis. Conclusions: In general, markers for advanced atherosclerosis, with history of cerebrovascular disease as the most important, emerged as predictors for neurological injury. Although it did not enter the final risk model, the results also suggest that postoperative heart failure deserves further surveillance as a potential risk factor for neurological complications. However, no evidence for untoward neurological effects associated with glutamate or glucose–insulin–potassium treatment was found.
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| 19. |
- Svedjeholm, Rolf, et al.
(author)
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Off-Pump versus On-Pump Coronary Bypass Surgery
- 2004
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In: New England Journal of Medicine. - Waltham, MA, United States : Massachusetts Medical Society. - 0028-4793 .- 1533-4406. ; 350:17
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Journal article (other academic/artistic)
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| 20. |
- Svedjeholm, Rolf, 1952-, et al.
(author)
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Post-infarct left ventricular free wall rupture and ventricular septal defect managed by pericardial aspiration during transport to referral hospital
- 2003
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In: Interactive Cardiovascular and Thoracic Surgery. - 1569-9293 .- 1569-9285. ; 2:2, s. 193-195
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Journal article (peer-reviewed)abstract
- Although left ventricular free wall rupture is a comparatively common cause of death in acute myocardial infarction survival is infrequently reported. However, even in cases where surgical expertise is not immediately available the condition can be temporarily controlled by judicious pericardial aspiration and blood transfusion until definitive repair can be undertaken. Here we report the successful management of a patient sustaining combined left ventricular free wall rupture and ventricular septal rupture in a community hospital 130 km from the referral center.
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