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Horst, M; Easo, J; Hölzl, PP; Dapunt, OE.
Beating heart valve surgery using stentless xenografts as a surgical alternative for patients with end-stage renal failure.
THORAC CARDIOV SURG. 2008; 56(7): 428-430. Doi: 10.1055/s-2008-1038351 (- Case Report)
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Co-Autor*innen der Med Uni Graz
Dapunt Otto Eugen
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Abstract:
Patients suffering from end-stage renal disease are an inhomogeneous high-risk group with a substantial perioperative mortality and morbidity when undergoing cardiac surgical procedures[1-3]. Myocardial ischemia, reperfusion injury and myocardial edema are a few of the deleterious consequences of the traditional use of cardioplegic arrest when performing valve surgery,irrespective of the type of cardioplegia used [4-7]. Novel operative techniques are required to reduce these induced perioperative risks. Clinical studies in the past have demonstrated the efficacy of beating heart valve surgery in the high-risk patient using retrograde, antegrade or combined coronary perfusion with warm oxygenated blood [8, 9]. We chose to combine the superior hemodynamic profile of stentless xenografts with the concept of performing valve replacement on the empty beating heart with continuous antegrade application of oxygenated blood in 2 chronic hemodialysis patients.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aortic Valve - surgery
Female -
Heart Valve Diseases - complications Heart Valve Diseases - surgery
Heart Valve Prosthesis -
Heart Valve Prosthesis Implantation - instrumentation
Heart-Lung Machine -
Humans -
Kidney Failure, Chronic - complications Kidney Failure, Chronic - therapy
Male -
Middle Aged -
Renal Dialysis -
Transplantation, Heterologous -
Treatment Outcome -

Find related publications in this database (Keywords)
Heart valve surgery
myocardial protection
cardiovascular surgery
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