scholarly journals Anaesthetic management of a single stage surgery of anterior chest wall reconstruction and mitral valve replacement in a patient with loeys dietz syndrome

2020 ◽  
Vol 34 ◽  
pp. S30
Author(s):  
N.H. Mohd Noor ◽  
S. Sulaiman ◽  
S. Kadiman ◽  
T.K. A/L A.Namasiwayam
Author(s):  
Conor F. Hynes ◽  
Omid Fatemi ◽  
Aditya C. Sharma ◽  
Christian D. Nagy ◽  
Gregory D. Trachiotis

We present a complex case of a transapical redo mitral valve-in-valve replacement. Repeat mitral valve replacement was indicated for severe symptomatic bioprosthetic stenosis. In addition to the patient's numerous comorbidities that included diabetes, hepatic cirrhosis, ischemic cardiomyopathy, and atrial flutter, he had undergone a previous open mitral valve replacement that was complicated by sternal dehiscence requiring extensive chest wall reconstruction. Transapical approach was performed through left minithoracotomy incision with balloon-expandable valve. Transapical valve-in-valve replacement of a stenotic mitral bioprosthesis is a viable solution in a patient with previous complex chest wall reconstruction and multiple comorbidities.


2021 ◽  
pp. 021849232110140
Author(s):  
Cheong Ping Pau ◽  
Kee Soon Chong ◽  
Mohd Azhari Yakub ◽  
Alizan Abdul Khalil

We present a 14-year-old boy with Loey–Dietz syndrome with severe mitral regurgitation, pectus excavatum and scoliosis. The Haller index was 25. The heart was displaced into the left hemithorax. The right inferior pulmonary vein was very close to the sternum and vertebral body. Single-stage surgery was performed. An osseo-myo-cutaneous pedicled flap was created by sterno-manubrial junction dislocation and rib resection with bilateral internal mammary arteries supplying the flap. Cardiopulmonary bypass and mitral valve replacement was performed. The defect was bridged with three straight plates. The flap was laid on top and anchored. Early outcome at three months was good.


Author(s):  
Jonathan M. Hemli ◽  
Simrit K. Uppal ◽  
Karthik Seetharam ◽  
Julie Delianides ◽  
Luigi Pirelli ◽  
...  

Galactorrhea, or nonpuerperal lactation, is a rare complication that can occur after trauma to the chest wall. Although galactorrhea has been reported after thoracic surgery, it has not been previously noted as a potential outcome following cardiac surgery. We present a unique case of hyperprolactinemic galactorrhea experienced by a 39-year-old nongravid female patient after having undergone reoperative mitral valve replacement via a right minithoracotomy. To the best of our knowledge, this is the first reported case of spontaneous lactation occurring after cardiac surgery.


2006 ◽  
Vol 54 (S 1) ◽  
Author(s):  
T Günther ◽  
N Augustin ◽  
R Bauernschmitt ◽  
C Nöbauer ◽  
M Wottke ◽  
...  

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