Aortic Valve Replacement With On-Pump Beating Heart Technique

Çiçekçioğlu, Ferit; Tütün, Ufuk; Babaroglu, Seyhan; Aksöyek, Ayşen; Parlar, Ali İhsan; Mungan, Ufuk; Tosya, Alper; Tuncel, Cagatay; Demirtaş, Ertan; Katırcıoğlu, Salih Fehmi

doi:10.1111/j.1540-8191.2007.00387.x

Cited by 17 publications

(19 citation statements)

References 16 publications

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“…This subgroup was not included in this study. They are the study group of another investigation, the coronary sinus retroperfusion group 9,11 . Myocardial function was continuously followed intraoperatively with 5‐lead electrocardiogram (ECG) monitors (S/5 Critical Care Monitor®, Datex‐Ohmeda Inc., Madison, CT, USA).…”

Section: Methodsmentioning

confidence: 99%

“…Off‐pump coronary artery bypass grafting (CABG) has gained popularity in the last two decades. Recently, use of beating heart valve surgery technique with successful results has been published 5–12 . It seems reasonable using on‐pump beating heart technique for heart valve surgery as long as myocardial perfusion is maintained and particulate or air embolism is avoided.…”

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confidence: 99%

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On-Pump Beating Heart Mitral Valve Surgery without Cross-Clamping the Aorta

Katırcıoğlu

Çiçekçioğlu

Tütün

et al. 2008

Journal of Cardiac Surgery

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

On-Pump Beating Heart Mitral Valve Surgery without Cross-Clamping the Aorta

Katırcıoğlu

Çiçekçioğlu

Tütün

et al. 2008

Journal of Cardiac Surgery

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“…1,4 We also have an onpump beating heart valve replacement series with acceptable clinical results. 2,[6][7][8][9] The patient had had root replacement due to type I aortic dissection 4 years previously. The tube graft was between the aortic root and below the aortic arch.…”

Section: Discussionmentioning

confidence: 99%

Beating heart mitral valve replacement in a patient with a previous Bentall operation

Çiçekçioğlu

Parlar

Altinay

et al. 2008

Gen Thorac Cardiovasc Surg

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Today, mitral valve replacement is performed under cardioplegic arrest with cross-clamping of the ascending aorta. In the case reported here, mitral valve replacement was performed with an on-pump beating heart technique without cross-clamping the aorta because of diffuse adhesion around the tube graft. A 36-year-old man had undergone a Bentall operation (aortic root replacement+coronary reimplantation) via median sternotomy because of type I aortic dissection 4 years previously in our cardiac center. He was admitted to the hospital complaining of palpitation and dyspnea on mild exertion. Transthoracic echocardiography study revealed third-degree mitral insufficiency. Mitral valve replacement was carried out through re-median sternotomy with an on-pump beating heart technique without crossclamping the aorta. On-pump beating heart mitral valve replacement without a cross-clamp offers a safe approach when excessive dissection is required to place a crossclamp on the ascending aorta.

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“…This approach to mitral valve surgery has also been found to be useful in patients requiring mitral valve reoperations [16], as well as in those with ischemic mitral insufficiency [17,18], since myocardial ischemic injury is minimized.…”

Section: Discussionmentioning

confidence: 99%

Resultados da abordagem transeptal para a valva mitral com coração batendo

Salerno¹,

Suarez²,

Panos³

et al. 2009

Rev Bras Cir Cardiovasc

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Results of beating heart mitral valve surgery via the trans-septal approachResultados da abordagem transeptal para a valva mitral com coração batendo Resumo Objetivo: A cirurgia da valva mitral pode ser feita via transatrial ou transeptal. Embora a transatrial seja a preferida, a via transeptal tem sido utilizada mais recentemente e tido um grande valor nas operações com o coração batendo. Mostramos a nossa experiência na cirurgia da valva mitral via transeptal com coração batendo e discutimos seus benefícios e problemas. AbstractObjective: Mitral valve surgery can be performed through the trans-atrial or the trans-septal approach. Although the trans-atrial is the preferred method, the trans-septal approach has also been used recently and has a particular value in beating-heart mitral valve surgery. Herein we report our experience with beating-heart mitral valve surgery via trans-septal approach, and discuss its advantages and pitfalls.Methods: Between 2000 and 2007, 214 consecutive patients were operated upon utilizing beating heart technique for mitral valve surgery. The operation was performed via transseptal approach with the aorta unclamped, the heart beating, with normal electrocardiogram and in sinus rhythm.Results Rev Bras Cir Cardiovasc 2009; 24(1): 4-10 and 83 (38.8%) females. Of the prostheses used, 108 (50.5%) were biological, and 39 (18.2%) were mechanical. Mitral repairs were performed in 67 (31.3%) patients. Mean hospital stay was 17.4 ± 20.0 days (range: 3-135 days; median: 11 days). Intra-aortic balloon pump (IABP) utilization was required in 12 (5.6%) of 214 patients. One-month mortality was 7.4%, and re-operation for bleeding was needed in 15 (7%) patients.

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Aortic Valve Replacement With On-Pump Beating Heart Technique

Abstract: On-pump beating heart aortic valve replacement with retrograde CS warm blood perfusion is a good surgical option, and has the advantage of maintaining physiologic condition of the heart throughout the procedure.

Cited by 17 publications

References 16 publications

On-Pump Beating Heart Mitral Valve Surgery without Cross-Clamping the Aorta

On-Pump Beating Heart Mitral Valve Surgery without Cross-Clamping the Aorta

Beating heart mitral valve replacement in a patient with a previous Bentall operation

Resultados da abordagem transeptal para a valva mitral com coração batendo

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