| Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve. | |
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MedLine Citation:
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PMID: 2764604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ten patients underwent mitral valve re-replacement for the third to sixth time through a right thoracotomy using one-lung anesthesia, femorofemoral bypass, profound systemic hypothermia, and low-flow perfusion without aortic cross-clamping or cardioplegia. The indications for this approach were previous mediastinitis, severe right ventricular hypertension with multiple previous sternotomies, intact coronary artery bypass graft, or previous aortic valve replacement. There was 1 operative death, which was due to end-stage pulmonary hypertension and intractable right heart failure. Blood loss was minimal, and there was no major postoperative morbidity in the 9 surviving patients except for supraventricular arrhythmias. |
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Authors:
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L H Cohn; P S Peigh; J Sell; V J DiSesa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 48 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1989 Jul |
Date Detail:
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Created Date: 1989-09-18 Completed Date: 1989-09-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 69-71 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteriovenous Shunt, Surgical Bioprosthesis* Cardiopulmonary Bypass Female Femoral Artery Heart Valve Prosthesis* Humans Hypothermia, Induced* Intraoperative Care / methods Male Middle Aged Mitral Valve Reoperation Risk Factors Thoracotomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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