Cardiovascular Perfusion and Nursing 2019 , Vol 1, Issue 1
Beating heart mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve
Hüseyin Gümüş1,Ahmet Ünlü2,Ahmet Barış Durukan2
1Medical Park Uşak Hastanesi, Perfüzyon, Uşak, Türkiye
2Medical Park Uşak Hastanesi, Kalp ve Damar Cerrahisi Bölümü, Uşak, Türkiye
DOI : 10.5606/e-cvpn.2019.119 Mitral valve redo surgery is a high-risk intervention in particularly patients with low ejection fraction. In these cases, if the absence of aortic insufficiency is documented, beating heart surgery is possible via right thoracotomy in the Trendelenburg position. However, venous drainage, cardiopulmonary bypass temperature, electrolyte balance, and cerebral monitorization are the key considerations for the perfusionist. Herein, we discuss the perfusion standards of mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve. Keywords : Beating heart cardiopulmonary bypass, mitral valve insufficiency, thoracotomy