The Korean Journal of Critical Care Medicine  2000;15(1):47-51

Use of Femorofemoral Bypass for Life Saving before the Emergency Replacement of Thrombotic Prosthetic Mitral Valve.

Il Woo SHIN 1 ; Hyoung Chan CHO ; Wan Soo CHOI ; Woo Chang YANG ; Hyun Keun LEE ; Young Kyun CHUNG

Affiliations

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Keywords

Embolism; thromboembolism; Heart; cardiopulmonary resuscitation; femorofemoral bypass; mitral valve

Country

Republic 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.