Beating-Heart Valvular Surgery: A Possible Alternative for Patients with Severely Compromised Ventricular Function

Cardioplegic arrest of the severely compromised ventricle may make weaning from cardiopulmonary bypass problematic. We report a novel approach to myocardial protection in a patient requiring multi‐valve surgery who had an ejection fraction of 15%. Warm oxygenated blood was infused continuously both...

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Bibliographic Details
Published in:Journal of cardiac surgery 2002-05, Vol.17 (2), p.170-172
Main Authors: Kaplon, Richard J., Pham, Si M., Salerno, Tomas A.
Format: Article
Language:English
Subjects:
Adult
Aortic Valve Insufficiency - complications
Aortic Valve Insufficiency - surgery
Cardiovascular Surgical Procedures
Complementary Therapies
Echocardiography
Heart Ventricles - surgery
Heart-Assist Devices
Humans
Male
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - surgery
Pulmonary Valve Insufficiency - complications
Pulmonary Valve Insufficiency - surgery
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - surgery
Severity of Illness Index
Tricuspid Valve Insufficiency - complications
Tricuspid Valve Insufficiency - surgery
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - surgery
Ventricular Function
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Summary:Cardioplegic arrest of the severely compromised ventricle may make weaning from cardiopulmonary bypass problematic. We report a novel approach to myocardial protection in a patient requiring multi‐valve surgery who had an ejection fraction of 15%. Warm oxygenated blood was infused continuously both antegrade and retrograde during aortic valve replacement and mitral and tricuspid valve repair. Adequacy of perfusion was confirmed by the absence of electrocardiographic changes. Clinical improvement suggests that this strategy of myocardial protection warrants further investigation.
ISSN:0886-0440
1540-8191
DOI:10.1111/j.1540-8191.2002.tb01194.x