scholarly journals New Intracardiac Mass in Right Atrium Postcardiac Surgery: Thrombus or Artifact?

2017 ◽  
Vol 5 (1) ◽  
pp. 25-26
Author(s):  
Minati Choudhary ◽  
Shivani Aggarwal ◽  
Amolkumar Bhoje
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Right Atrium ◽  
Intracardiac Mass ◽  
Intracardiac Masses ◽  
The Right

ABSTRACT Intracardiac masses namely thrombus, vegetation, and tumors may have overlapping echocardiographic appearance. Differentiating them from artifacts and normal anatomic structures further adds to the confusion. We report a similar scenario about the appearance of a new hyperechoic mass in the right atrium (RA) after mitral valve replacement (MVR) surgery. How to cite this article Choudhary M, Aggarwal S, Bhoje A. New Intracardiac Mass in Right Atrium Postcardiac Surgery: Thrombus or Artifact? J Perioper Echocardiogr 2017;5(1):25-26.

Left ventricle-right atrium shunt following mitral valve replacement

2018 ◽  
Vol 26 (6) ◽  
pp. 496-497
Author(s):  
Richard Saldanha ◽  
Mohan Gan ◽  
Abhijeet Shitole
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Right Atrium

Republished: A case of right middle cerebral artery ‘tendonectomy’ following mitral valve replacement surgery

2017 ◽  
Vol 9 (9) ◽  
pp. e35-e35 ◽  
Author(s):  
Mary C Thomas ◽  
Josser E Delgado Almandoz ◽  
Adam J Todd ◽  
Mark L Young ◽  
Jennifer L Fease ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Middle Cerebral Artery ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Cerebral Artery ◽  
Mechanical Thrombectomy ◽  
Chordae Tendineae ◽  
Replacement Surgery ◽  
The Right ◽  
Valve Replacement Surgery

Following mechanical mitral valve replacement surgery, a 69-year-old woman had an ischemic stroke in the right middle cerebral artery territory. Mechanical thrombectomy showed the embolus to be a piece of chordae tendineae excised during the valve replacement surgery.

Single-stage open repair of severe asymmetric pectus excavatum and mitral valve replacement in connective tissue disease

2021 ◽  
pp. 021849232110140
Author(s):  
Cheong Ping Pau ◽  
Kee Soon Chong ◽  
Mohd Azhari Yakub ◽  
Alizan Abdul Khalil
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Pectus Excavatum ◽  
Pedicled Flap ◽  
Single Stage ◽  
Left Hemithorax ◽  
Mammary Arteries ◽  
Internal Mammary ◽  
The Right

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.

scholarly journals Comparison of Totally Thoracoscopic and Traditional Sternotomy Approaches for Mitral Valve Replacement

2019 ◽  
Vol 22 (4) ◽  
pp. E310-E314
Author(s):  
He Fan ◽  
Qian Xi Ming ◽  
Zhang Wei Min ◽  
Chen Huai Dong
Keyword(s):  
Cardiopulmonary Bypass ◽  
Postoperative Complications ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Median Sternotomy ◽  
Traditional Group ◽  
Thoracoscopic Approach ◽  
Postoperative Drainage ◽  
The Right

Background: We aimed to investigate the feasibility and safety of mitral valve replacement using a totally thoracoscopic approach in comparison with traditional median sternotomy. Methods: Between January 2016 and December 2017, 94 consecutive patients who underwent mitral valve replacement were divided into two groups: A thoracoscopic group (43 cases) and a traditional group (51 cases). For the thoracoscopic group, all patients underwent total thoracoscopic procedures with femoral arterial and venous cannulation to cardiopulmonary bypass, transthoracic aortic cross-clamp, and antegrade cardioplegia. Three intercostal ports in the right chest were used for access in the thoracoscopic group. The operation was performed completely under two-dimensional video. For the traditional group, all operations were done with traditional median sternotomy. Results: All the operations were successfully performed. The thoracoscopic group had longer aortic cross-clamping and cardiopulmonary bypass times compared with the traditional group (62.30 ± 8.17 minutes versus 44.90 ± 12.00 minutes, P < .001; 92.33 ± 12.03 minutes versus 74.22 ± 14.72 minutes, P < .001). The two groups did not show statistically significant differences with respect to operative times (184.26 ± 32.49 minutes versus 181.47 ± 23.31 minutes, P = .631). In addition, the postoperative mechanical ventilation, ICU stay, and postoperative hospital stay times and postoperative drainage were 10.14 ± 2.21 hours and 11.35 ± 2.58 hours (P = .016), 21.40 ± 3.15 hours and 29.12 ± 6.59 hours (P < .001), 8.70 ± 2.52 days and 10.04 ± 3.11 days (P = .023), and 325.71 ± 97.11 mL and 396.57 ± 121.50 mL (P < .001), respectively. Major postoperative complications occurred in three (6.98%, P = .873) cases of the thoracoscopic group. Four (7.84%) cases of the traditional group had postoperative complications. Conclusions: Despite the disadvantages such as long cross-clamp and cardiopulmonary bypass times, totally thoracoscopic mitral valve replacement is feasible and safe. More importantly, one of the principal advantages with three intercostal ports over standard sternotomy is avoiding retrosternal adhesion, thus lowering the risk of needing to redo a cardiac procedure in the future.

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