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| 篇名 |
Caval Inflow Occlusion during Surgery for Tricuspid Infective Endocarditis: Report of a Case |
| 作者 |
Kuan-Ming Chiu, Jer-Shen Cheng, Tzu-Yu Lin , Shu-Hsun Chu, Shao-Jung Li |
| 卷期/出版年月 |
39卷1期 (2006/2) |
| 頁次 |
33-37 |
| 摘要 |
The technique of normothermic caval inflow occlusion was introduced more than 50
years ago, and it was well established and used extensively before the era of cardiopulmonary
bypass. It had been used in various cardiac situations where a period
of up to 2 minutes of intracardiac exposure was sufficient. However, this technique
was rarely used recently, especially for adult cardiac procedures. Almost every open
heart surgery was performed under the assistance of cardiopulmonary bypass which
provided a motionless and bloodless surgical field. Here we report our experience of
tricuspid valve surgery using caval inflow occlusion in adults. Three infective endocarditis
patients with multiple pulmonary emboli, congestive heart failure and uncontrolled
sepsis underwent tricuspid valve vegetectomy without cardiopulmonary
bypass. Right atria were opened and infected leaflets were excised after occlusion of
both vena cava. All these patients had good recovery. The detailed surgical managements were described. |
| 關鍵詞 |
inflow occlusion, tricuspid valve, infective endocarditis |
| 分類 |
Case Report |
|
