Open AccessTricuspid valve excision using off-pump inflow occlusion technique: Role of intra-operative trans-esophageal echocardiography
Author(s) -
Shrinivas Gadhinglajkar,
Rupa Sreedhar,
Jayakumar Karunakaran,
Manoranjan Misra,
Ganesh Somasundaram,
Thomas Mathew
Publication year - 2010
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.62929
Subject(s) - medicine , tricuspid valve , endocarditis , cardiopulmonary bypass , infective endocarditis , sepsis , surgery , cardiology , occlusion
A pacing system infection may lead to infective endocarditis and systemic sepsis. Tricuspid valve surgery may be required if the valve is severely damaged in the process of endocarditis. Although, cardiopulmonary bypass is the safe choice for performing right-heart procedures, it may carry risk of inducing systemic inflammatory response and multi-organ dysfunction. Some studies have advocated TV surgery without institution of CPB. We report tricuspid valve excision using the off-pump inflow occlusion technique in a 68-year-old man. We also describe role of intra-operative TEE as a monitoring tool at different stages of the surgical procedure.