|
KMID : 0364019960290121342
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 12 p.1342 ~ p.1346
|
|
|
Right Thoracotomy for Reoperation of Mitral Valve
|
|
조창욱
구본일/오상준/이홍섭/김창호
|
|
|
Abstract
|
|
|
A right thoracotomy was used for the reoperation of mitral valve of 15 patients who had previously undergone a cardiac operation through a median sternotomy.
In our experience, this approach provided an excellent exposure of the mitral valve and easy cannulations of both cavae with minimal dissection. Avoiding any damage of cardiac and major vessels during re-sternotomy.
Arterial cannulation was performed in the ascending aorta in 13 patients and in the femoral artery in 2 patients. In earlier cases, venous cannulation was done in the SVC and IVC through the right atrium and snared. In later cases, this could be
done
without snaring of both cavae or by placing a single right-angled catheter into the right atrium. Crystalloid cardioplegic solution was infused for myocardial protection. Hypothermia was controlled at 20~25℃. For defibrillation. Internal paddles
were
used in one patient while sterilized external paddles were used in 10 patients. In the remaining four patients, however, the heart beat spontaneously.
The respirator could be weaned within 48 hours after the operation and no pulmonary complication was observed. One out of the 15 patients expired due to sudden attack of ventricular tarchycardia developed ten days after the operation, but the
rest
of
the patients were discharged with good condition.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|