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

Why membrane became permeable to sodium ions, At 1 AM, an impermeable membr...

At 1 AM, an impermeable membrane separates a 1 liter solution of 1M NaCl in the left compartment from a 1 liter solution containing both 1M NaCl and 1M KCl in the right compartment

Genic type-genetic basis of sex determination, Genic Type-Genetic basis of ...

Genic Type-Genetic basis of Sex Determination In some organisms, certain indepe~ident genes located on different chromosomes are responsible for sex determination. Most species

What is tricuspid valve annuloplasty, Q. What is Tricuspid valve annuloplas...

Q. What is Tricuspid valve annuloplasty? It depends upon the cause of tricuspid regurgitation. Specific therapy is directed towards the particular cause of pulmonary artery hyp

Haemodynamics of tricuspid regurgitation, Q. Haemodynamics of Tricuspid reg...

Q. Haemodynamics of Tricuspid regurgitation? Right Atrial pressure tracing shows a prominent ‘v' wave and these cannot be appreciated in a patient with atrial fibrillation. RV

Female reproductive system - graffian follicle, GRAFFIAN FOLLICLE - ...

GRAFFIAN FOLLICLE - It appears as knob or stigma in medulla. It is round, discovered by Graff. It is covered by 2 layers - thecae externa & theca interna. From theca i

Similaritie and difference between lamarckism and darwinism, What are the f...

What are the fundamental similarities and differences between lamarckism and darwinism? Both darwinism and lamarckism are evolutionary theories as opposed to fixism, both admit

Explain about freezing point - properties of solutions, Freezing Point - Pr...

Freezing Point - Properties of Solutions The freezing point of a material is the temperature at which it changes from a liquid to a solid. A liquid freezes when its vapour pre

State about led fredrick griffith, In the experiments that led Fredrick Gr...

In the experiments that led Fredrick Griffith to discover the "Transforming Principle", which of the following was the key step in illustrating that a substance within one cell cou

Illustrate natural and phylogenetic classification, Q. Illustrate Natural a...

Q. Illustrate Natural and Phylogenetic Classification? Natural Classification Natural systems of classification reflect the situation as it might have existed in nature. T

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