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Beating‐Heart Valvular Surgery: A Possible Alternative for Patients with Severely Compromised Ventricular Function
Author(s) -
Kaplon Richard J.,
Pham Si M.,
Salerno Tomas A.
Publication year - 2002
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2002.tb01194.x
Subject(s) - medicine , cardiopulmonary bypass , ventricle , cardiology , perfusion , ejection fraction , aortic valve replacement , tricuspid valve , hypothermia , mitral valve replacement , ventricular function , mitral valve , heart failure , stenosis
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.