Document Detail

Giant left atrium needed negative pressure ventilation.
MedLine Citation:
PMID:  20103251     Owner:  NLM     Status:  MEDLINE    
Giant left atrium (GLA) is seen in a variety of cardiac conditions. The GLA is diagnosed by combining the patient's history, physical examination, and imaging techniques, along with a computed tomographic chest scan, echocardiogram, and barium swallow test. We recently operated on a severely symptomatic 71-year-old woman with GLA (135 mm x 192 mm). We were forced to anesthetize her with negative pressure ventilation before connecting to the cardiopulmonary bypass circuit. Her postoperative course and long-term follow-up were uneventful. The procedure for GLA reduction is safe, even in very high-risk patients. Negative pressure ventilation may be used successfully as a bridge to cardiopulmonary bypass in certain cases.
Erez Kachel; Hartzell V Schaff; Fuad Moussa; Sergey Preisman; Ehud Ranani; Leonid Sternik
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-03-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  269-71     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiac Surgery, Sheba Medical Center, Ramat Gan, Israel.
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MeSH Terms
Cardiac Surgical Procedures / methods*
Cardiomyopathy, Dilated / diagnosis,  therapy*
Follow-Up Studies
Heart Atria / surgery*
Intraoperative Care / methods*
Respiration, Artificial / instrumentation*
Tomography, X-Ray Computed
Ventilators, Negative-Pressure*

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