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Title: Tricuspid valve excision using off-pump inflow occlusion technique: role of intra-operative trans-esophageal echocardiography.
Authors: Gadhinglajkar, Shrinivas
Sreedhar, Rupa
Karunakaran, Jayakumar
Misra, Manoranjan
Somasundaram, Ganesh
Mathew, Thomas
Keywords: Cardiovascular and Thoracic Surgery
Issue Date: 2010
Publisher: Annals of cardiac anaesthesia
Citation: Annals of cardiac anaesthesia. 13; 2; 148-53
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.
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