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The communication, while a team effort, is led and directed by the cardiothoracic anesthesiologist, as the surgeon is focused on acquiring and maintaining adequate exposure. This can even extend to placement of the cannulae for CPB preparation, as the cardiothoracic anesthesiologist often directs the surgical placement via real-time TEE data.
Guidelines and indications are specific to different patient populations. For adults with aortic stenosis, guidelines suggest that balloon aortic valvuloplasty (BAV) is to be used as a temporary procedure to improve blood flow through the aortic valve to alleviate symptoms and stabilize clinically before having more invasive procedures done, including aortic valve replacement (AVR) or ...
A transesophageal echocardiogram (TEE; also spelled transoesophageal echocardiogram; TOE in British English) is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patient's esophagus . [ 1 ]
Pre-procedural planning includes aortic valve annulus measurements and possible procedural complication likelihood. The standard for preoperative plans is to perform a multi-detector computed angiotomography (MDCT), which delivers the information required. Magnetic resonance imaging (MRI) and 3D echocardiography is an alternative. [15]
Early Morbidity and Mortality Within 30 days of hospitalization, morbidity and mortality after Bentall procedure are associated with complications stemming from cardiac arrhythmia, pneumonia, acute respiratory distress syndrome (ARDS), sepsis, graft infection, wound infection, neurologic/ cerebrovascular accident and stroke, hemorrhage/ bleeding, myocardial infarction, pericardial effusion ...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally-invasive procedure performed during resuscitation of critically-injured trauma patients.. Originally developed as a less invasive alternative to emergency thoracotomy with aortic cross clamping, REBOA is performed to gain rapid control of non-compressible truncal or junctional hemorrh
Possible problems include cardiac infarction or failure, arrhythmia or heart block typically requiring the permanent insertion of a cardiac pacemaker, mediastinal bleeding, stroke and infection. Late complications include endocarditis , thromboembolic events ( blood clots ), prosthetic valve dysfunction and paravalvular leak (blood flowing ...
Potential complications of placement of such a line include hemorrhage and pneumothorax during insertion and thrombosis or infection at later stages. Patients with a Hickman line therefore require regular flushes of the catheter with normal saline, in order to prevent the line becoming blocked by blood clots .