Successful Replacement of the Aortic Valve, Mitral Valve and Ascending Aorta with Re-implantation of the Coronary Arteries
| Autor: | Leif Bergdahl, Luis Rodriguez |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
Male
Aortic valve Cardiac Catheterization medicine.medical_specialty Aortic Valve Insufficiency Tilting disc prosthesis Cardiomegaly medicine.artery Internal medicine Mitral valve Ascending aorta medicine Humans Prolene business.industry Mitral Valve Insufficiency Middle Aged Coronary Vessels Aortic Aneurysm Blood Vessel Prosthesis Radiography Coronary arteries medicine.anatomical_structure Re implantation Heart Valve Prosthesis Heart Arrest Induced Cardiology Cardiology and Cardiovascular Medicine business Perfusion |
| Zdroj: | Scandinavian Journal of Thoracic and Cardiovascular Surgery. 13:9-12 |
| ISSN: | 0036-5580 |
| DOI: | 10.3109/14017437909101778 |
| Popis: | A 63-year-old man was operated upon with replacement of the aortic valve, mitral valve and ascending aorta with re-implantation of the coronary arteries. A composite graft with a 27 mm Björk-Shiley tilting disc prosthesis was inserted with 3 continuous Prolene sutures in the aortic position. The coronary arteries were thereafter re-implanted in holes made in the graft. A 31 mm Björk-Shiley valve was sutured in the mitral position with about 20 isolated mattress sutures of Ti-Cron. Selective myocardial hypothermia was instituted with Ringer's solution of 4 degrees C. The total perfusion time was 185 min compared with 240 and 275 min in two previously reported, similar cases. We consider that the use of cardioplegia, a composite graft and continuous sutures makes it possible to reduce the operation time in these complex cases. Our patient is in good condition 9 months postoperatively. |
| Databáze: | OpenAIRE |
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