A Unique Hybrid Approach to Complex Re-Do Aortic Root Surgery - 05/10/17
, Rishen Naidoo, MBBS, FRACS, Vinod Sharma, MBBS, Peter Tesar, MBBS, FRACSRésumé |
Background |
We present the case of a 23-year-old male with ventriculo-aortic dehiscence and a retrosternal false aneurysm communicating to the left ventricular outflow tract (LVOT) and ascending aorta. His history included aortic valve replacement (AVR) and mitral valve (MV) repair remotely, followed by two further operations for endocarditis and aortic root abscess.
Methods |
The risk associated with the redo surgery required detailed planning and innovative techniques to allow it to be performed safely. These included femoral cannulation for cardiopulmonary bypass, venting the left ventricular apex via a small left anterior thoracotomy, use of a CODA® (COOK Medical, Bloomington USA) balloon to occlude the distal ascending aorta (placed via left brachial artery) and finally, the use of a PROPLEGE® (Edwards Lifesciences, Irvine, USA) retrograde cardioplegia cannula (placed via right internal jugular vein).
Le texte complet de cet article est disponible en PDF.Keywords : Re-do cardiac surgery, Percutaneous retrograde cardioplegia, Endo-aortic balloon
Plan
Vol 26 - N° 11
P. e68-e70 - novembre 2017 Retour au numéro
Article précédent
- Robotically Assisted Minimally Invasive Off-Pump Coronary Artery Bypass Surgery in a Patient With Permanent Tracheostomy
- Fabio Ramponi, Campbell D. Flynn, Michael K. Wilson
- Simultaneous Transseptal Para-Ring Leak Closure and Transcatheter Mitral Valve Implantation for the Treatment of Surgical Mitral Repair Failure
- James Roy, Mehdi Eskandari, Mark Monaghan, Olaf Wendler, Jonathan Byrne, Philip MacCarthy
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