Describe technique operation prosthetic valve endocarditis, Biology

Assignment Help:

Describe the Technique of Operation in prosthetic valve endocarditis?

The operative principle is drainage of abscess, removal of debris and valve rep or replacement to reverse haemodynamic abnormality. Any acquired defect like VSD ring abscess, fistula or aneurysm has to be repaired. In children congenital lesion is also rectified.

Availability of intra operative TEE is absolutely essential during surgery. Cardiopulmonary bypass with aortic and bicaval cannulae is instituted. Antegrac and retrograde cardioplegia are administered. Manipulation of heart is kept to a minimum for fear of embolism. For aortic valve endocarditis inspection of anterior mitral leaflet and chordae for drop lesions is a routine procedure. Mitra valve may be repaired and valve perforation could be closed with pericardial patch if infection is under contl-01.

When valve replacement is necessary, the valve is excised and careful check for abscess is done. If present it is drained and debridement done. Abscess that burrows deeper could cause aortoventricular or atrioventricular separation.

Interrupted sutures with pericardial patches are used to treat this and anchor the valve. Larger disruptions are managed with autologus or bovine pericardial patches. The advantage of a bioprosthesis over mechanical valve in preventing re infection has not been proved conclusively. However, for aortic prosthetic valve endocarditits a cryopreserved, free homograft is the best choice. In such cases if there is extensive abscess formation and disruption of aoi-to-ventricular continuity homograft aortic root replacement with re-implantation of coronaries is the preferred technique.

 


Related Discussions:- Describe technique operation prosthetic valve endocarditis

Chromosome partitioning depends on polymerization state, Chromosome partiti...

Chromosome partitioning depends on changes in the polymerization state of bacterial proteins that are functionally analogous to what eukaryotic protein?

What causes acid precipitation, What causes acid precipitation? Acid pr...

What causes acid precipitation? Acid precipitation is the result of air pollutants that combine with water vapor in the atmosphereto form acids, causing precipitation that is m

Explain the quantitative techniques - microbial culture, Explain the Quanti...

Explain the Quantitative Techniques? Now that we are well-versed with the techniques involved in preparing and maintaining cultures, it is also important for us to learn how to

Explain resistance to infection in nutritional care, Explain Resistance to ...

Explain Resistance to Infection in Nutritional Care? Amino acids help to build the body's defence mechanisms like antibodies, blood cells, hormones and enzymes so as to prevent

Define key concepts and facts about disaccharides, Define Key Concepts and ...

Define Key Concepts and Facts about Disaccharides? 1. All disaccharides contain 2 monosaccharides. 2. Disaccharides are linked by glycosidic linkage. 3. If both the functional

Does the fish heart pump venous or arterial blood, Q. Does the fish heart p...

Q. Does the fish heart pump venous or arterial blood? After oxygenation in the gills the arterial blood goes to the tissues so the fish heart pumps venous blood, the venous blo

Explain the type I diabetes mellitus, What the difference is between type I...

What the difference is between type I diabetes mellitus and type II diabetes mellitus? Type I diabetes, also called as juvenile diabetes, or insulin-dependent diabetes (this na

Explain about the micronutrient deficiencies, Explain about the Micronutrie...

Explain about the Micronutrient Deficiencies? Micronutrient deficiencies are more common during calamities. Can you guess, why? This is due to the lack of diversified food item

Ageing, AGEING - The appearance of some changes as the body grows older...

AGEING - The appearance of some changes as the body grows older is called ageing. It ultinately leads to death. It can be defined as deteoration in structure and function of

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd