Importance of venting the left ventricle in aortic valve surgery.

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dc.contributor.authorTempe, D Ken_US
dc.contributor.authorKhanna, S Ken_US
dc.contributor.authorBanerjee, Aen_US
dc.date.accessioned1999-09-18en_US
dc.date.accessioned2009-05-27T04:28:41Z
dc.date.available1999-09-18en_US
dc.date.available2009-05-27T04:28:41Z
dc.date.issued1999-09-18en_US
dc.description.abstractRoutine use of left ventricular vent is controversial in patients undergoing open heart surgery. However, surgeons use it during valvular surgery to maintain a dry field to make the operation easier. In addition it helps to prevent left ventricular distention during the critical period of rewarming and reperfusion, if ventricular function does not return immediately following the release of aortic cross clamp. In our country, patients present for valvular surgery at a very late stage and they often have severe left ventricular hypertrophy. This may affect the return of cardiac rhythm after the release of aortic cross clamp with progressive left ventricular distention. In the authors' experience, insertion of left ventricular vent through the apex is occasionally necessary to decompress the left ventricle as the left atrial vent usually fails to do so. This paper deals with retrospective analysis of the seven patients (out of a total of 395 patients who underwent valve surgery) who required insertion of left ventricular vent through the apex and reviews the beneficial effects of an apical left ventricular vent under refractory circumstances. It is recommended that insertion of left ventricular vent through apex should be strongly considered in patients having severe aortic valve disease with hypertrophied hearts, if cardiac rhythm in not restored with conventional management with left atrial vent and 3 to 5 DC shocks following the release of aortic cross clamp.en_US
dc.description.affiliationDepartment of Anaesthesiology, GB Pant Hospital, New Delhi.en_US
dc.identifier.citationTempe DK, Khanna SK, Banerjee A. Importance of venting the left ventricle in aortic valve surgery. Indian Heart Journal. 1999 Sep-Oct; 51(5): 532-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/5704
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAortic Valve Insufficiency --complicationsen_US
dc.subject.meshAortic Valve Stenosis --complicationsen_US
dc.subject.meshCardiac Surgical Procedures --methodsen_US
dc.subject.meshCardiomyopathy, Dilated --etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Ventricles --physiopathologyen_US
dc.subject.meshHumansen_US
dc.subject.meshHypertrophy, Left Ventricular --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleImportance of venting the left ventricle in aortic valve surgery.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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