Repair of Concomitant Valvular Endocarditis Using a Single Homograft

Peng, Yong; Martin, Tomas D.; Horowitz, Todd S.; Sidi, Avner; Janelle, Gregory M.

doi:10.1016/j.athoracsur.2009.04.127

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…TEE is a valid alternative to invasive monitoring like pulmonary artery catheter. Previously this method has been successfully used during cardiac surgery, especially during cardiac valve repair [3]. The results of this study confirm previous data on intraoperative TEE though caution should be used in interpreting the results because the sample population was very small.…”

Section: Discussionsupporting

confidence: 84%

Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series

Marinangeli

Ciccozzi

Angeletti

et al. 2011

ISRN Anesthesiology

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The aim of this clinical observation was to compare intraoperative transesophageal echocardiography (TEE) and pulmonary artery catheterization (PAC) during hepatic vascular exclusion (HEV). Five non-cirrhotic patients to undergo HVE for major liver resection have been observed. Hemodynamic parameters: pulmonary arterial wedge pressure (PCWP), cardiac index (CI), cardiac output (CO), and systemic vascular resistance (SVR) have been monitored by PAC. Left ventricular end-diastolic area (LVEDA), left ventricular end-systolic area (LVESA), left ventricular end-diastolic pressure (LVEDP), cardiac index (CI), cardiac output (CO), and fractional area changes (FAC) have been monitored by TEE. Hemodynamic variables were assessed before clamping (), at 5 and 30 minutes after clamping (, ) and 15 minutes after unclamping (). No significant difference between PCWP and LVEDP was found. LVEDP significantly decreased at and compared to (); PCWP showed the same trend. A correlation was found between SV and LVEDP (, ) as well as CI (, ). Data confirm that intraoperative TEE may be a reliable method for hemodynamic monitoring during major liver resections.

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Section: Discussionsupporting

confidence: 84%

Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series

Marinangeli

Ciccozzi

Angeletti

et al. 2011

ISRN Anesthesiology

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“…A monobloc aorto-mitral homograft is also sometimes used in complex and destructive cases [42][43][44]. Construction of a monobloc mechanical valve before starting cardiopulmonary bypass may be an alternative to reduce clamping time [45].…”

Section: Surgical Proceduresmentioning

confidence: 99%

Clinical and Microbiologic Features of Multivalvular Endocarditis

Selton-Suty

Doco‐Lecompte

Bernard

et al. 2010

Curr Infect Dis Rep

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Multivalvular endocarditis accounts for 15% of all endocarditis. The mechanisms of spread of the infection differs whether endocarditis is only left-sided (involving both the mitral and aortic valves) or bilateral. In left-sided bivalvular endocarditis, it is often a secondary mitral lesion following a primary aortic endocarditis. Multivalvular endocarditis often results in severe and extensive cardiac lesions, well described at echocardiography and frequently responsible for severe heart failure. Patients often need surgery, which consists of radical debridement of all the infected tissue with reconstruction using different types of prostheses; therefore, the surgery may be very complex. The goal should be an early diagnosis of endocarditis to avoid spread of the infection to more than one valve, to improve the prognosis for those patients.

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Aortic Homograft for Treatment of Aortic Root Endocarditis With Concomitant Mitral Valve Destruction

Northrup

2010

The Annals of Thoracic Surgery

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Repair of Concomitant Valvular Endocarditis Using a Single Homograft

Cited by 4 publications

References 14 publications

Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series

Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series

Clinical and Microbiologic Features of Multivalvular Endocarditis

Aortic Homograft for Treatment of Aortic Root Endocarditis With Concomitant Mitral Valve Destruction

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