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Tricuspid valve excision using off-pump inflow occlusion technique: Role of intra-operative trans-esophageal echocardiography

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Author(s): Gadhinglajkar Shrinivas | Sreedhar Rupa | Karunakaran Jayakumar | Misra Manoranjan | Somasundaram Ganesh | Mathew Thomas

Journal: Annals of Cardiac Anaesthesia
ISSN 0971-9784

Volume: 13;
Issue: 2;
Start page: 148;
Date: 2010;
Original page

Keywords: Infective endocarditis | trans-esophageal echocardiography | tricuspid valve

ABSTRACT
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. .

Tango Jona
Tangokurs Rapperswil-Jona

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