Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass: A randomized prospective.

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Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass: A randomized prospective trial  J.P. Remadi, MD, Z. Rakotoarivello, MD, P. Marticho, MD, F. Trojette, MD, A. Benamar, MD, H. Poulain, MD, C. Tribouilloy, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 128, Issue 3, Pages 436-441 (September 2004) DOI: 10.1016/j.jtcvs.2004.01.041

Figure 1 Jostra MECC System (left) and standard CPB (right). The Journal of Thoracic and Cardiovascular Surgery 2004 128, 436-441DOI: (10.1016/j.jtcvs.2004.01.041)

Figure 2 Hemoglobin evolution. 1, Preoperative; 2, after CPB or MECC; 3, postoperative hour 6; 4, postoperative day 1; 5, postoperative day 2; 6, discharge. Hemoglobin level was significantly lower after MECC (light bars) than after standard CPB (dark bars). Asterisk indicates P < .05. The Journal of Thoracic and Cardiovascular Surgery 2004 128, 436-441DOI: (10.1016/j.jtcvs.2004.01.041)

Figure 3 Troponin T evolution. 1, Postoperative hour 3; 2, postoperative day 1; 3, postoperative day 2. Troponin T level was significantly lower with MECC during postoperative period. This result outlines better preservation of myocardial preservation with MECC System (light bars) than with standard CPB (dark bars). Asterisk indicates P < .05. The Journal of Thoracic and Cardiovascular Surgery 2004 128, 436-441DOI: (10.1016/j.jtcvs.2004.01.041)