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 enable optimal exposure of the mitral valve (MV). Because...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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EDP Sciences
2023-12-01
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| Series: | The Journal of ExtraCorporeal Technology |
| Subjects: | |
| Online Access: | https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230014/ject230014.html |
| _version_ | 1797294845482500096 |
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| author | Takeichi Tomohisa Morimoto Yoshihisa Yamada Akitoshi Tanaka Takanori |
| author_facet | Takeichi Tomohisa Morimoto Yoshihisa Yamada Akitoshi Tanaka Takanori |
| author_sort | Takeichi Tomohisa |
| collection | DOAJ |
| description | 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 enable optimal exposure of the mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect the 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. |
| first_indexed | 2024-03-07T21:37:54Z |
| format | Article |
| id | doaj.art-bc06fb0877ec4504bc46ff4d56d76cf8 |
| institution | Directory Open Access Journal |
| issn | 0022-1058 2969-8960 |
| language | English |
| last_indexed | 2024-03-07T21:37:54Z |
| publishDate | 2023-12-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | The Journal of ExtraCorporeal Technology |
| spelling | doaj.art-bc06fb0877ec4504bc46ff4d56d76cf82024-02-26T11:28:11ZengEDP SciencesThe Journal of ExtraCorporeal Technology0022-10582969-89602023-12-0155420120510.1051/ject/2023040ject230014Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clampTakeichi Tomohisa0https://orcid.org/0000-0003-2344-6219Morimoto Yoshihisa1Yamada Akitoshi2Tanaka Takanori3Department of Clinical Engineering, Kitaharima Medical CenterDepartment of Cardiovascular Surgery, Kitaharima Medical CenterDepartment of Cardiovascular Surgery, Kitaharima Medical CenterDepartment of Clinical Engineering, Kitaharima Medical CenterThe 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 enable optimal exposure of the mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect the 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.https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230014/ject230014.htmlcardiopulmonary bypass (cpb)systemic hyperkalemiaright thoracotomyreoperation |
| spellingShingle | Takeichi Tomohisa Morimoto Yoshihisa Yamada Akitoshi Tanaka Takanori Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp The Journal of ExtraCorporeal Technology cardiopulmonary bypass (cpb) systemic hyperkalemia right thoracotomy reoperation |
| title | Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp |
| title_full | Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp |
| title_fullStr | Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp |
| title_full_unstemmed | Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp |
| title_short | Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp |
| title_sort | fifth time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross clamp |
| topic | cardiopulmonary bypass (cpb) systemic hyperkalemia right thoracotomy reoperation |
| url | https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230014/ject230014.html |
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