Beating-heart valvular surgery: A possible alternative for patients with severely compromised ventricular function

Richard J. Kaplon, Si M. Pham, Tomas A. Salerno

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)170-172
Number of pages3
JournalJournal of cardiac surgery
Volume17
Issue number2
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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