Document Detail


Mitral valve replacement and tricuspid annuloplasty via right mini-thoracotomy in a patient with tracheostomy.
MedLine Citation:
PMID:  12756608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes our experience in performing mitral valve replacement and tricuspid annuloplasty via a right mini-thoracotomy in a patient with tracheostomy. A 24-year-old woman was admitted with shortness of breath and palpitations. She had subglottic tracheal stenosis and tracheostomy due to tracheal intubation of long duration. Echocardiography revealed chronic severe mitral and tricuspid valve regurgitation. We planned to perform at first the cardiac, and then the tracheal operation, because her left ventricular function was worsening. To eliminate the potential complications of sternotomy in patients with tracheostomy, we used right mini-thoracotomy. We performed mechanical mitral valve replacement for the mitral valve and De Vega annuloplasty for the tricuspid valve. The patient was transferred to the tracheal surgery clinic after the 20th day. Tracheal resection and anastomosis were performed in this department. Three months later, the patient was asymptomatic. We believe that the right mini-thoracotomy approach is a good technique for mitral valve replacement in patients with tracheostomy.
Authors:
Necip Becit; Münacettin Ceviz; Necdet Biliciler; Hikmet Koçak
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart and vessels     Volume:  18     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-20     Completed Date:  2003-10-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  103-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Atatürk University Loj. No: 8 / 7, 25240 Erzurum, Turkey. necipbecit@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography
Female
Heart Valve Prosthesis Implantation / methods*
Humans
Mitral Valve Insufficiency / complications,  surgery
Mitral Valve Stenosis / complications,  surgery*
Reoperation
Thoracotomy* / methods
Tracheal Stenosis / etiology*
Tracheostomy*
Tricuspid Valve / surgery*
Tricuspid Valve Insufficiency / complications,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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