| Mitral and tricuspid valve surgery in homozygous sickle cell disease: perioperative considerations for a successful outcome. | |
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MedLine Citation:
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PMID: 18304136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Homozygous sickle cell disease (SCD) presents a multitude of challenges in patients undergoing cardiac surgery with cardiopulmonary bypass. Special consideration must be made in such patients and routine practice modified to prevent hypoxia, hypothermia, acidaemia and low-flow states which may potentially trigger a fatal sickling crisis perioperatively. We discuss several perioperative management strategies including a preoperative exchange transfusion, high flow normothermic bypass and warm blood cardioplegia that was utilized in a woman with homozygous SCD who underwent a successful double valve procedure. |
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Authors:
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Anand Sachithanandan; Prakash Nanjaiah; Christine J Wright; Stephen J Rooney |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 23 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2008 Mar-Apr |
Date Detail:
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Created Date: 2008-02-28 Completed Date: 2008-05-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
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Languages: eng Pagination: 167-8 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, University Hospital Birmingham NHS Trust, Queen Elizabeth Medical Centre, Birmingham B15 2TH, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anemia, Sickle Cell / complications*, physiopathology Cardiopulmonary Bypass / methods Female Homozygote Humans Mitral Valve / surgery* Perioperative Care / methods* Treatment Outcome Tricuspid Valve / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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