全身性高钾血症下经右开胸行第5次二尖瓣置换术，无主动脉交叉夹

Q2 Health Professions

Journal of Extra-Corporeal Technology Pub Date : 2023-10-13 DOI:10.1051/ject/2023040

Tomohisa Takeichi, Takanori Tanaka, Yoshihisa Morimoto, Akitoshi Yamada

{"title":"全身性高钾血症下经右开胸行第5次二尖瓣置换术，无主动脉交叉夹","authors":"Tomohisa Takeichi, Takanori Tanaka, Yoshihisa Morimoto, Akitoshi Yamada","doi":"10.1051/ject/2023040","DOIUrl":null,"url":null,"abstract":"The surgical management of prosthetic valvular endocarditis (PVE) can be challenging. We report a case of a 46-year-old female patient who had a history of four cardiac operations. We chose a mitral valve replacement via right thoracotomy to enables optimal exposure of mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect heart during cardiopulmonary bypass (CPB) without aortic cross-clamping. Here, we present a complex operation that performed management of CPB under hyperkalemia and the patient had a good postoperative recovery.","PeriodicalId":39644,"journal":{"name":"Journal of Extra-Corporeal Technology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fifth-Time Redo Mitral Valve Replacement via Right Thoracotomy under Systemic Hyperkalemia Cardiopulmonary Bypass without Aortic Cross-clamp\",\"authors\":\"Tomohisa Takeichi, Takanori Tanaka, Yoshihisa Morimoto, Akitoshi Yamada\",\"doi\":\"10.1051/ject/2023040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The surgical management of prosthetic valvular endocarditis (PVE) can be challenging. We report a case of a 46-year-old female patient who had a history of four cardiac operations. We chose a mitral valve replacement via right thoracotomy to enables optimal exposure of mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect heart during cardiopulmonary bypass (CPB) without aortic cross-clamping. Here, we present a complex operation that performed management of CPB under hyperkalemia and the patient had a good postoperative recovery.\",\"PeriodicalId\":39644,\"journal\":{\"name\":\"Journal of Extra-Corporeal Technology\",\"volume\":\"15 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Extra-Corporeal Technology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1051/ject/2023040\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Health Professions\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Extra-Corporeal Technology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1051/ject/2023040","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Health Professions","Score":null,"Total":0}

引用次数: 0

摘要

人工瓣膜心内膜炎(PVE)的外科治疗具有挑战性。我们报告一个46岁的女性病人，她有四次心脏手术的历史。我们选择通过右开胸进行二尖瓣置换术，以实现二尖瓣(MV)的最佳暴露。由于多次再手术，我们采用全身高钾血症治疗心脏骤停，以保护体外循环(CPB)期间无主动脉交叉夹紧的心脏。在这里，我们提出了一个复杂的手术，在高钾血症下进行了CPB的管理，患者术后恢复良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Fifth-Time Redo Mitral Valve Replacement via Right Thoracotomy under Systemic Hyperkalemia Cardiopulmonary Bypass without Aortic Cross-clamp

The surgical management of prosthetic valvular endocarditis (PVE) can be challenging. We report a case of a 46-year-old female patient who had a history of four cardiac operations. We chose a mitral valve replacement via right thoracotomy to enables optimal exposure of mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect heart during cardiopulmonary bypass (CPB) without aortic cross-clamping. Here, we present a complex operation that performed management of CPB under hyperkalemia and the patient had a good postoperative recovery.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Extra-Corporeal Technology Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： The Journal of Extracorporeal Technology is dedicated to the study and practice of Basic Science and Clinical issues related to extracorporeal circulation. Areas emphasized in the Journal include: •Cardiopulmonary Bypass •Cardiac Surgery •Cardiovascular Anesthesia •Hematology •Blood Management •Physiology •Fluid Dynamics •Laboratory Science •Coagulation and Hematology •Transfusion •Business Practices •Pediatric Perfusion •Total Quality Management • Evidence-Based Practices