Document Detail


A simple and effective technique for left ventricular deairing.
MedLine Citation:
PMID:  18270137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Despite careful deairing procedures, residual air has been found in the left ventricle. For this reason, we created a simple and effective left ventricular deairing technique. DESIGN: Forty patients with pure mitral valve disease were randomly divided into 2 groups. In group 1, deairing was done by filling the left atrium actively by a line coming from the aortic cannula line, and by venting from the antegrade cardioplegia line. In group 2, the air was removed by ventilating the lungs, and venting from the antegrade cardioplegia line, but not active filling of the left atrium. The patients were evaluated with transesophageal echocardiograpy during the procedure. RESULTS: According to the preoperative data, the groups were similar. After 3 minutes of deairing, 5 patients in group 2 had transesophageal echocardiographical air bubbles. In these patients, after 2 minutes, the air was removed by an active filling technique. None of the patients in group 1 had air bubbles. DISCUSSION: The technique described in this study seems to solve remaining air problems in the cardiac chambers. It can be applied easily, and it is safe and effective.
Authors:
Necmettin Yakut; Bilgin Emrecan; Engin Tulukoğlu; Ali Gürbüz
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The heart surgery forum     Volume:  11     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-13     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E34-6     Citation Subset:  IM    
Affiliation:
Departments of Cardiovascular Surgery, Gazi Hospital, Izmir/Turkey.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / methods*
Echocardiography, Transesophageal
Female
Health Status Indicators
Heart Arrest, Induced
Heart Valve Diseases / surgery*,  ultrasonography
Heart Ventricles / pathology,  ultrasonography*
Humans
Male
Middle Aged
Mitral Valve / pathology*,  ultrasonography
Mitral Valve Insufficiency
Mitral Valve Stenosis
Treatment Failure*
Treatment Outcome

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


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