| Issue |
J Extra Corpor Technol
Volume 55, Number 4, December 2023
|
|
|---|---|---|
| Page(s) | 201 - 205 | |
| DOI | https://doi.org/10.1051/ject/2023040 | |
| Published online | 15 December 2023 | |
Case Report
Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp
1
Department of Clinical Engineering, Kitaharima Medical Center, 926-250, Ichiba-cho, Ono-shi, Hyogo 675-1392, Japan
2
Department of Cardiovascular Surgery, Kitaharima Medical Center, 926-250, Ichiba-cho, Ono-shi, Hyogo, 675-1392, Japan
* Corresponding author: tommo.tommo@outlook.jp
Received:
2
March
2023
Accepted:
21
September
2023
The surgical management of prosthetic valvular endocarditis (PVE) can be challenging. We report a case of a 46-year-old female patient who had a history of four cardiac operations. We chose a mitral valve replacement via right thoracotomy to enable optimal exposure of the mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect the heart during cardiopulmonary bypass (CPB) without aortic cross-clamping. Here, we present a complex operation that performed management of CPB under hyperkalemia and the patient had a good postoperative recovery.
Key words: Cardiopulmonary bypass (CPB) / Systemic hyperkalemia / Right thoracotomy / Reoperation
© The Author(s), published by EDP Sciences, 2023
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