HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Lawrence H. Cohn Pamela S. Peigh Jeffrey Sell Verdi J. DiSesa Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Cohn, L. H. Articles by DiSesa, V. J. Search for Related Content PubMed PubMed Citation Articles by Cohn, L. H. Articles by DiSesa, V. J.

Ann Thorac Surg 1989;48:69-71
© 1989 The Society of Thoracic Surgeons

---

Articles

Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve

Department of Surgery, Division of Cardiac Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts USA

Accepted for publication January 26, 1989.

^_* Address reprint requests to Dr Cohn, Department of Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

Ten patients underwent mitral valve re-replacement for the third to sixth time through a right thoracotomy using one-lung anesthesia, femorofemoral bypass, profound systemic hypothermia, and low-flow perfusion without aortic cross-clamping or cardioplegia. The indications for this approach were previous mediastinitis, severe right ventricular hypertension with multiple previous sternotomies, intact coronary artery bypass graft, or previous aortic valve replacement. There was 1 operative death, which was due to end-stage pulmonary hypertension and intractable right heart failure. Blood loss was minimal, and there was no major postoperative morbidity in the 9 surviving patients except for supraventricular arrhythmias.

This article has been cited by other articles:

				B. Zingone, G. Gatti, A. Spina, E. Rauber, L. Dreas, G. Forti, and A. Pappalardo Current Role and Outcomes of Ascending Aortic Replacement for Severe Nonaneurysmal Aortic Atherosclerosis Ann. Thorac. Surg., February 1, 2010; 89(2): 429 - 434. [Abstract] [Full Text] [PDF]

				M. Murzi, E. Kallushi, K. K. Tiwari, A. G. Cerillo, S. Bevilacqua, J. H. Karimov, M. Solinas, and M. Glauber Minimally invasive mitral valve surgery through right thoracotomy in patients with patent coronary artery bypass grafts Interact CardioVasc Thorac Surg, July 1, 2009; 9(1): 29 - 32. [Abstract] [Full Text] [PDF]

				T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]

				J. P. Greelish, R. M. Ahmad, J. M. Balaguer, M. R. Petracek, and J. G. Byrne Reoperative Valve Surgery Card. Surg. Adult, January 1, 2008; 3(2008): 1159 - 1174. [Full Text]

				F. P. Casselman, M. La Meir, H. Jeanmart, E. Mazzarro, J. Coddens, F. Van Praet, F. Wellens, Y. Vermeulen, and H. Vanermen Endoscopic Mitral and Tricuspid Valve Surgery After Previous Cardiac Surgery Circulation, September 11, 2007; 116(11_suppl): I-270 - I-275. [Abstract] [Full Text] [PDF]

				B. Zingone, G. Gatti, E. Rauber, A. Pappalardo, B. Benussi, and L. Dreas Surgical Management of the Atherosclerotic Ascending Aorta: Is Endoaortic Balloon Occlusion Safe? Ann. Thorac. Surg., November 1, 2006; 82(5): 1709 - 1714. [Abstract] [Full Text] [PDF]

				T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [Full Text]

				J. G. Byrne, B. J. Phillips, and L. H. Cohn Reoperative Valve Surgery Card. Surg. Adult, January 1, 2003; 2(2003): 1047 - 1056. [Full Text]

				W. L. Holman, S. P. Goldberg, L. J. Early, D. C. McGiffin, J. K. Kirklin, D. H. Cho, and A. D. Pacifico Right thoracotomy for mitral reoperation: analysis of technique and outcome Ann. Thorac. Surg., December 1, 2000; 70(6): 1970 - 1973. [Abstract] [Full Text] [PDF]

				J. G. Byrne, S. F. Aranki, D. H. Adams, R. J. Rizzo, G. S. Couper, and L. H. Cohn Mitral valve surgery after previous CABG with functioning IMA grafts Ann. Thorac. Surg., December 1, 1999; 68(6): 2243 - 2247. [Abstract] [Full Text] [PDF]

				O Merin, S Silberman, R Brauner, Y Munk, N Shapira, G Falkowski, I Dzigivker, and D Bitran Femoro-femoral bypass for repeat open-heart surgery Perfusion, December 1, 1998; 13(6): 455 - 459. [Abstract] [PDF]

				DavidP. Bichell, J. M. Balaguer, S. F. Aranki, G. S. Couper, D. H. Adams, R. J. Rizzo, J. J. Collins Jr, and L. H. Cohn Axilloaxillary Cardiopulmonary Bypass: A Practical Alternative to Femorofemoral Bypass Ann. Thorac. Surg., September 1, 1997; 64(3): 702 - 705. [Abstract] [Full Text]

				L. H. Cohn Right Thoracotomy, Femorofemoral Bypass, and Deep Hypothermia for Re-replacement of the Mitral Valve: Updated in 1997 Ann. Thorac. Surg., August 1, 1997; 64(2): 578 - 579. [Full Text]

				M. B. Izzat, A. P. C. Yim, C.-H. Chang, P. J. Lin, C. Mavroudis, D. P. Shetty, M. D. Gan, M. B. Das, R. Harish, and L. Kapoor Minimally Invasive Direct Atrial Septal Defect Closure Ann. Thorac. Surg., June 1, 1997; 63(6): 1831 - 1834. [Full Text]

				J.-M. Grinda, T. A. Folliguet, P. Dervanian, L. Mace, B. Legault, and J.-Y. Neveux Right Anterolateral Thoracotomy for Repair of Atrial Septal Defect Ann. Thorac. Surg., July 1, 1996; 62(1): 175 - 178. [Abstract] [Full Text]

				Comment Ann. Thorac. Surg., September 1, 1995; 60(3): 709 - 709. [PDF]

				J. Fisher, M. Butterfield, K. J. Lockie, and G. A. Davies A Model of the Geometrical Changes in Aortic Valve Leaflets in Response to Leaflet Extension and Variable Boundary Conditions Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, March 1, 1992; 206(1): 7 - 14. [Abstract] [PDF]