Use of Femorofemoral Bypass for Life Saving before the Emergency Replacement of Thrombotic Prosthetic Mitral Valve.
- Author:
Il Woo SHIN
1
;
Hyoung Chan CHO
;
Wan Soo CHOI
;
Woo Chang YANG
;
Hyun Keun LEE
;
Young Kyun CHUNG
Author Information
1. Department of Anesthesiology, Gyeongsang National University, College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Embolism;
thromboembolism;
Heart;
cardiopulmonary resuscitation;
femorofemoral bypass;
mitral valve
- MeSH:
Cardiopulmonary Resuscitation;
Embolism;
Emergencies*;
Heart;
Heart Valves;
Hemodynamics;
Mitral Valve*;
Oxygen;
Thromboembolism;
Thrombosis
- From:The Korean Journal of Critical Care Medicine
2000;15(1):47-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mechanical valves have generally good hemodynamic function and indefinite durability, but they have a higher thromboembolic potential and thus a requirement for permanent anticoagulation, because thrombotic occlusion is a potentially fatal complication of heart valve replacement surgery. We had experienced mitral valve replacement because of thrombosis around the replaced prosthetic valve. The patient's mechanical prosthetic valve was acutely obstructed by thrombosis, and it was a life threatening condition. We performed partial bypass through femorofemoral bypass for life saving. Femorofemoral bypass improved oxygenation and cardiovascular stability, and mitral valve replacement was successfully performed without complication.