The patient data were assessed at the end of the study period (a minimum of 3 months) for survival outcome via the Danish Civil Registry, which is a unique complete national registry, providing up to date data on survival of all citizens and through the Electronic Health Record Data for other clinical outcomes (discharge time from the Intensive Care Unit, New York Heart Association score at 3-month follow-up, inotropic support, acute kidney injury, reoperation from any cause, acute myocardial infarction, heart tamponade, postoperative bleeding of more than 1000 cc, wound infection, cerebrovascular events, prolonged ventilatory support, and cardiac arrhythmias). Patients were transferred to the cardiac intensive care unit for postoperative management according to the institution's standard for fast-track cardiac surgery. Another TTE was obtained after the surgical drapes had been removed. After chest and skin closure the TEE probe was removed. The pericardial suspension was relieved, but the pericardium was not closed. After weaning from CPB, relief of the pericardial suspension and heparin reversal with protamine-sulphate TEE monitoring and image acquisition were continued until skin closure. The right atrium was cannulated through its appendage with a 2-stage venous cannula of appropriate size. The pericardium was suspended and the aorta and the right atrium were cannulated. The surgical procedure comprised the following steps: after skin incision the chest was opened using a full median sternotomy and the left internal mammary artery was mobilized for graft usage, after which the mediastinum was incised and full pericardiotomy was attained.
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