This video takes the viewer through the initial steps of an aortic valve replacement, after the patient has been placed on cardiopulmonary bypass. Anatomical diagrams help to demonstrate the anatomical concepts surrounding these steps, which would otherwise be rather difficult to conceptualize for those not trained to do so.
References
- Emery RW, Voeller RK, Emery RJ. Aortic Valve Replacement With a Mechanical Cardiac Valve Prosthesis. In: Cohn LH, Adams DH, eds. Cardiac Surgery in the Adult. 5th ed. New York, NY: McGraw Hill Education; 2018:Chapter 27.
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Toh T, Ghosh M, Jayakumar S, Harling L, Varzaly J, Edwards J. CTSNet Step-by-Step Series: AVR Valve Excision and Debridement. February 2018. doi:10.25373/ctsnet.5878768.
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3 Comments
Very interesting video, some comments after 30 years of practice: I Prüfer a vent via the left atrium and place a swab into the left ventricle to avoid loss of debris into the lumen, but never Forget to Remove it Prior to fixing the artificial Valve!
Swab in LV is OK but vent is a bad idea before decalcification as negative pressure can suck in the calcium debris.
Whats the name of the curved forcep used during decalcification of of annulus ?