scholarly journals BIOELECTRIC IMPEDANCEMETRY AS A METHOD OF ASSESSMENT OF THE MYOCARDIUM DURING OPEN-HEART SURGERY

2012 ◽  
Vol 3 (3) ◽  
pp. 25-30
Author(s):  
V A Bubnov ◽  
D V Puzenko
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Bioelectrical Impedance ◽  
Open Heart ◽  
Artificial Blood Circulation ◽  
Flow Restoration ◽  
Cold Cardioplegia ◽  
The Right ◽  
Method Of Assessment ◽  
Thermal Induction

The article analyses the possibility of using direct bioelectric impedancemetry of the right ven- tricle (RV) as an intra-operation method for evaluation of myocardial protection effectiveness in open-heart surgery. The results of intra-operation monitoring of bioelectric impedancemetry indi- cators of RV in 40 patients underwent surgical treatment with the use of cardioplegia were ana- lyzed. Bioelectrical impedance of myocardium has been studied during the whole period of artificial blood circulation. The analysis of the results showed that the bioelectric myocardium impedancemetry allows to assess the level of the interstitial space filling during the infusion of cardioplegia solution, providing an opportunity to assess the perfusion adequacy and also the level of reperfusion cells damage and myocardium swelling degree at the stage of coronary blood flow restoration. Using the method of myocardium bioelectric impedancemetry we found that blood cardioplegia with the "thermal induction" more reliably protects the myocardium in the period of anoxia in comparison with the cold cardioplegia.

scholarly journals Impalement Injury to The Heart

2012 ◽  
Vol 9 (1) ◽  
pp. 80-82
Author(s):  
S Pradhan ◽  
R Sapkota ◽  
U K Shrestha ◽  
R Amatya ◽  
B Koirala
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Blood Products ◽  
Surgical Team ◽  
Rapid Imaging ◽  
Cardiac Trauma ◽  
Impalement Injury ◽  
Chest Injuries ◽  
The Right

Cardiac impalement injury is rare and one of the most severe penetrating chest injuries, often fatal. The management of penetrating cardiac injuries is a challenging one. The success in management of impaling cardiac trauma requires stabilization of the impaling object, expeditious transfer to a facility for open heart surgery, rapid imaging, access to blood and blood products and a ready surgical team. We report a case of impalement injury to the heart by a stick, transfixing the right ventricle and its successful treatment. http://dx.doi.org/10.3126/kumj.v9i1.6270 Kathmandu Univ Med J 2011;9(1):80-2

Percutaneous retrieval of a partially flared Melody valve

2018 ◽  
Vol 28 (5) ◽  
pp. 753-755
Author(s):  
Katarzyna Gendera ◽  
Peter Ewert ◽  
Andreas Eicken
Keyword(s):  
Heart Surgery ◽  
Pulmonary Valve ◽  
Jugular Vein ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Melody Valve ◽  
Percutaneous Pulmonary Valve Implantation ◽  
The Right ◽  
Valve Implantation ◽  
Percutaneous Pulmonary Valve

AbstractWe report on successful endovascular retrieval of an accidentally flared Melody valve in an adult patient with an indication for percutaneous pulmonary valve implantation. The Melody valve was removed through a 24 F sheath, introduced via the right jugular vein, and the urgent open-heart surgery was avoided.

Temporary pacing

ESC CardioMed ◽  
2018 ◽  
pp. 1978-1980
Author(s):  
Alexander Bauer
Keyword(s):  
Critical Care ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Non Invasive ◽  
Temporary Pacing ◽  
Life Saving ◽  
Transcutaneous Pacing ◽  
The Right

Temporary pacing was first introduced in 1952 by Zoll and co-workers. This life-saving technique is used in a variety of critical care settings. It can be achieved by leads placed in the right ventricle or atrium, or both, via the femoral, jugular, or subclavian vein. Epicardial insertion of pacing leads is frequently used during open heart surgery. A non-invasive option is transcutaneous pacing through adhesive electrode pads. This chapter discusses indications, technique, implantation, complications, and follow-up of temporary pacemakers.

Characterization of the anisotropic deformation of the right ventricle during open heart surgery

2019 ◽  
Vol 23 (3) ◽  
pp. 103-113 ◽  
Author(s):  
A. Soltani ◽  
J. Lahti ◽  
K. Järvelä ◽  
J. Laurikka ◽  
V.-T. Kuokkala ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
The Right ◽  
Anisotropic Deformation

scholarly journals Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead

2019 ◽  
Vol 22 (2) ◽  
pp. E131-E133
Author(s):  
Zhen Xia ◽  
Jianhua Yu ◽  
Juxiang Li ◽  
Qinmei Xiong ◽  
Yanhua Tang ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Pacemaker Lead ◽  
Open Heart ◽  
Cardiac Events ◽  
Icd Implantation ◽  
Pacing Lead ◽  
Pacemaker Dysfunction ◽  
The Right

Background: Pacemaker lead–related thrombosis is a rare but severe complication in patients with pacing lead implantation in the right ventricle. We present a case with recurrent syncope after single-chamber implantable cardioverter defibrillator (ICD) implantation. Pacing lead–related thrombosis was observed during open-heart surgery. This induced intermittent pacemaker dysfunction and recurrent syncope. Case Presentation: A 67-year-old male patient presented with frequent episodes of syncope and a history of dilated cardiomyopathy and paroxysmal ventricular tachycardia. Normal coronary angiography was found, and therefore a single-chamber ICD was implanted into the right ventricle to prevent cardiac events in 2013. However, he was referred to our hospital because of recurrent syncope 3 to 4 years after ICD implantation. A comprehensive investigation was performed to find out the etiology for the recurrent syncope. Pacing lead thrombosis was finally observed during open-heart surgery, which can introduce intermittent pacemaker dysfunction. After the thrombus was removed and the lead was separated from the posterior leaflet of the tricuspid valve, the ICD functioned normally after reprogramming. Oral anticoagulant was prescribed after discharging. During the 1-year follow-up period, this patient was free of syncope. Conclusions: This case illustrated that pacemaker lead–associated thrombosis should be considered when the cardiac implantable electronic device fails to prevent patients from having cardiac events. Oral anticoagulant might be important for preventing thrombosis among patients with ICD implantation into the right ventricle.

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