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

Define tracheal system in details., Define tracheal system in details. ...

Define tracheal system in details. Respiratory system found in insects and some spiders where air passes directly to the tissues through a series of tubules. Since oxygen tran

Explain environmental resistance and the population growth, What is the rel...

What is the relationship among environmental resistance and the population growth according to the biotic potential curve and the real population growth curve? The difference

What are the common changes in the eye, What are the common changes in the ...

What are the common changes in the eye Other changes in the eye are: 1) Increase in curvature of anterior surface of lens. 2) Anterior pole of lens moves forwards without

State the process of rna editing, Which of the following is a true statemen...

Which of the following is a true statement regarding the process of RNA editing? A. RNA editing changes the sequence of the mRNA message thereby permitting for enhance in prote

Test, which area of the basal nuclei is responsible for controlling appendi...

which area of the basal nuclei is responsible for controlling appendicular muscle tone?

Explain about the anti obesity drugs, Explain about the Anti Obesity Drugs?...

Explain about the Anti Obesity Drugs? The anti-obesity drugs can be classified into two broad groups as indicated in the Figure. Drugs must be taken only under Doctor's

Characteristics of metazoa, Characteristics of Metazoa The unicellular...

Characteristics of Metazoa The unicellular protozoans are highly versatile and successful organisms that show remarkable organization and division of labour within the confine

Zoology, adaptation and distribution of synaptura (flat fish)

adaptation and distribution of synaptura (flat fish)

What is coevolution, What is Coevolution ? There is considerable eviden...

What is Coevolution ? There is considerable evidence that supports an interesting theory that two individual species can affect each others evolution in reciprocal fashion. In

Genetic defects in dna repair and human disease, Genetic Defects in DNA rep...

Genetic Defects in DNA repair and human disease: 1. Xeroderma pigmentosum is an inherited disease that is characterized by severe photosensitivity and a very high incidence 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