Document Detail

Prospective analysis of valvular replacement without venting the left ventricle.
MedLine Citation:
PMID:  312978     Owner:  NLM     Status:  MEDLINE    
The present study is a prospective analysis of a series of consecutive valve replacement and combined (valvular plus coronary artery) operations performed without left ventricular decompression. Results indicate that left ventricular venting (direct or indirect) is unnecessary provided that cardioplegic arrest is used, that the venous line is positioned in the right atrium, and that left-sided pressures are monitored. Left ventricular distention, as measured by left ventricular pressure recording, did not occur; air embolism, as determined clinically and by electroencephalographic (EEG) monitoring, was not encountered. The routine use of a left ventricular vent has been abandoned in most intracardiac operations at our center.
T A Salerno; E J Charrette
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  78     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1979-08-16     Completed Date:  1979-08-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve / surgery*
Coronary Artery Bypass
Dilatation, Pathologic
Embolism, Air / prevention & control
Evaluation Studies as Topic
Heart Arrest, Induced
Heart Valve Prosthesis / methods*
Heart Ventricles*
Middle Aged
Mitral Valve / surgery*
Monitoring, Physiologic
Postoperative Complications / prevention & control

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

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