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Abstract:We report the case of a patient unweanable from cardiopulmonary bypass who underwent transaortic implantation of an Impella Recover LD blood pump. The ventricular assistance afforded an adequate flow but the patient died 48 hours after due to severe ischemia of the lower limbs. Chronic atherosclerotic occlusion of the abdominal aorta could be observed during the necropsy study as well as a subendocardial hematoma of the left ventricular wall. Some aspects concerning the pathologic finding observed in the heart are discussed.

Background: Volatile anaesthetics, most of all sevoflurane, have been described as providers of myocardial preconditioning, but few articles are focused on immunomodulatory effects of these agents. We aimed to study the effects of different anaesthetic procotols with sevoflurane and propofol on immunomodulation in patients undergoing cardiopulmonary bypass (CBP).

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