[HSF] tricuspid noncoaptation

[erdinç naseri]

That was the only option to stop the heart.Aorta out of site ,LV fibrilating.(  no TEE available and can't see LV)> Date: Sat, 16 Feb 2008 00:00:25 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] tricuspid noncoaptation> CC: > > Erdinc, I am a bit confused. Why did you do a TCA ? You implanted a> valve in the tricuspid position and only vented the left heart isn't> it ?> Prasanna> > While explanting the valve the cardiac activity seemed to be> depressed( temp 37,MAP 55, good urination ).VF and several bouts of> defibrillation gave nothing.Put a LA sump( thru atrial septum) and> cooled to 20 C. TCA with RCP thru SVC and effluent coming out of> femoral artery with SO2>60% and PO2 >30.Arrest time 28> minutes.Retrograde blood cardioplegia for induction ,maintenance and> hot shot. Put 31 MORE bioprosthesis.Annulus somehow traumatized by> previous sutures but no major problem happened.Deairing from LA thru> atrial septum.Warming with spontaneous cardiac activity.Weaning with> inotropics .Epicardial echo showed a normal prosthesis with no> regurg.Now at postop 14.th hour she is not awakened .She started> having diaphragmatic and later on bilateral lower extremity muscular> je> > rks.Diagnosed as seizures and started Epdantoin and diazepam with no response.Pentobarbital was started and the seizure activity ceased.Venous bloog gas thru reverse L IJV showed PO2 34 and SO2 61%.Now the problem is much bigger and again any advice will be welcomed.> > erdinc> >> >> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies and> > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> > > > -- > Prasanna Simha M> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------