tailieunhanh - Báo cáo y học: "Repair of injured right inferior pulmonary vein during mitral valve replacement"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Repair of injured right inferior pulmonary vein during mitral valve replacement. | Journal of Cardiothoracic Surgery BioMed Central Open Access Case report Repair of injured right inferior pulmonary vein during mitral valve replacement Efstratios Apostolakis1 Vassilios N Leivaditis 1 Antonios Kallikourdis2 and Panagiotis Dedeilias3 Address 1Cardiothoracic Surgery Department Patras University Medical School Patras Greece 2Aberdeen Royal Infirmary Aberdeen UK and 31st Cardiac Surgery Department Evangelismos General Hospital Athens Greece Email Efstratios Apostolakis - stratisapostolakis@ Vassilios N Leivaditis - leivassiller@ Antonios Kallikourdis - adonkal@ Panagiotis Dedeilias - pdedeilias@ Corresponding author Published 7 November 2009 Received 20 August 2009 Accepted 7 November 2009 Journal of Cardiothoracic Surgery 2009 4 64 doi 1749-8090-4-64 This article is available from http content 4 1 64 2009 Apostolakis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract During mitral valve surgery right pulmonary veins injury subsequent to excessive traction for better exposure of the mitral apparatus is often unavoidable. This is more likely in patients with small left atrium. This common complication may cause severe intraoperative bleeding while its surgical repair may lead to complications such as late stenosis or obstruction of the pulmonary veins. This injury should be early detected before left atriotomy closing and it is suggested to be repaired using a patch so as to avoid any possible late constriction. We describe a case -to our knowledge the first reported in the literature- of intraoperatively injured right inferior pulmonary vein in a patient who underwent mitral valve replacement. As outlined we propose that the .

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