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Korean J Crit Care Med > Volume 15(1); 2000 > Article
Korean Journal of Critical Care Medicine 2000;15(1): 47-51.
응급개심술 직전 심혈관계 안정을 위한 대퇴동 - 정맥 체외순환의 이용
신일우, 조형찬, 최완수, 양우창, 이헌근, 정영균
경상대학교 의과대학 마취과학교실
Use of Femorofemoral Bypass for Life Saving before the Emergency Replacement of Thrombotic Prosthetic Mitral Valve
Il Woo Shin, Hyoung Chan Cho, Wan Soo Choi, Woo Chang Yang, Hyun Keun Lee, Young Kyun Chung
Department of Anesthesiology, Gyeongsang National University, College of Medicine, Korea.
ABSTRACT
Mechanical valves have generally good hemodynamic function and indefinite durability, but they have a higher thromboembolic potential and thus a requirement for permanent anticoagulation, because thrombotic occlusion is a potentially fatal complication of heart valve replacement surgery. We had experienced mitral valve replacement because of thrombosis around the replaced prosthetic valve. The patient's mechanical prosthetic valve was acutely obstructed by thrombosis, and it was a life threatening condition. We performed partial bypass through femorofemoral bypass for life saving. Femorofemoral bypass improved oxygenation and cardiovascular stability, and mitral valve replacement was successfully performed without complication.
Key Words: Embolism; thromboembolism; Heart; cardiopulmonary resuscitation; femorofemoral bypass; mitral valve
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