Document Detail


Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve.
MedLine Citation:
PMID:  2764604     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
L H Cohn; P S Peigh; J Sell; V J DiSesa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  48     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-09-18     Completed Date:  1989-09-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115.
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MeSH Terms
Descriptor/Qualifier:
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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