Aortic Valve Replacement With On-Pump Beating Heart Technique
| Autor: | Çağatay Tuncel, Ayşen Aksöyek, Seyhan Babaroglu, Ufuk Tütün, Ertan Demirtas, Salih Fehmi Katircioglu, Ferit Cicekcioglu, Ufuk Mungan, Ali Ihsan Parlar, Alper Tosya |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Heart Valve Diseases Creatine Prosthesis Pulmonary vein chemistry.chemical_compound Aortic valve replacement Internal medicine medicine Humans Prospective cohort study Coronary sinus Aged Heart Valve Prosthesis Implantation Cardiopulmonary Bypass Troponin T business.industry Middle Aged medicine.disease chemistry Aortic Valve Anesthesia Cardiology Female Surgery Cardiology and Cardiovascular Medicine business Perfusion |
| Zdroj: | Journal of Cardiac Surgery. 22:211-214 |
| ISSN: | 1540-8191 0886-0440 |
| DOI: | 10.1111/j.1540-8191.2007.00387.x |
| Popis: | BACKGROUND The aim of this study was to assess the efficacy and applicability of on-pump beating heart aortic valve replacement with retrograde coronary sinus (CS) warm blood perfusion. METHODS The prospective study included 14 consecutive patients who underwent aortic valve replacement with mechanical prosthesis using retrograde CS perfusion. The operative variables and early outcome of this procedure are presented. RESULTS Retrograde CS perfusion and venting the heart from the pulmonary vein provided good visualization of the operative field and performance of the operations without any difficulty. Partial oxygen pressures of CS perfusion blood and the returning blood from the coronary ostia were 288.5 +/- 34.4 and 39.6 +/- 4.6 mmHg, respectively. Postoperative peak creatine kinase-MB and troponin T values were mean 77.0 +/- 63.6 IU/L and mean 0.8 +/- 0.7 ng/mL, respectively. No mortality or major complication was observed and all the patients were discharged from the hospital in good condition. CONCLUSIONS On-pump beating heart aortic valve replacement with retrograde CS warm blood perfusion is a good surgical option, and has the advantage of maintaining physiologic condition of the heart throughout the procedure. |
| Databáze: | OpenAIRE |
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