Warm, beating heart aortic valve replacement in a sickle cell patient

Department of Cardiothoracic Surgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA *Corresponding author. Tel.: +1 (718) 226 1615; fax: +1 (718) 226 1139. E-mail address : saif.usman{at}gmail.com (S. Usman). Patients with sickle cell abnormalities undergoing su...

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Bibliographic Details
Published in:	Interactive cardiovascular and thoracic surgery Vol. 10; no. 1; pp. 67 - 68
Main Authors:	Usman, Saif, Saiful, Faisal B, DiNatale, Joseph, McGinn, Joseph T
Format:	Journal Article
Language:	English
Published:	England Eur Assoc Cardio Surg 01-01-2010
Subjects:	Adult Anemia, Sickle Cell - blood Anemia, Sickle Cell - complications Aortic Valve - surgery Aortic Valve Insufficiency - complications Aortic Valve Insufficiency - diagnostic imaging Aortic Valve Insufficiency - surgery Cardiopulmonary Bypass - adverse effects Female Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Mitral Valve Insufficiency - complications Sternotomy Treatment Outcome Tricuspid Valve Insufficiency - complications Ultrasonography
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Summary:	Department of Cardiothoracic Surgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA *Corresponding author. Tel.: +1 (718) 226 1615; fax: +1 (718) 226 1139. E-mail address : saif.usman{at}gmail.com (S. Usman). Patients with sickle cell abnormalities undergoing surgery are generally considered to be at greater risk for perioperative complications. We present a 25-year-old woman with sickle cell disease (SCD) and severe aortic insufficiency. A minimally invasive, warm, beating heart approach was adopted to try and minimize the risk of sickling due to cardiopulmonary bypass (CPB), low-flow states, cold cardioplegia and aortic cross-clamping. Compared to classical methods, we believe our technique further reduces the risk of systemic and organ hypothermia and thus, sickling. Key Words: Extracorporeal circulation; Minimally invasive surgery; Sickle cell; Valve disease Related Article eComment: Cardiopulmonary bypass without exchange transfusion in sickle cell disease – An update Frank Edwin, Ernest Aniteye, Martin Tamatey, and Kwabena Frimpong-Boateng Interactive CardioVascular and Thoracic Surgery 2010 10: 68-69. [Full Text] [PDF]
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1569-9293 1569-9285
DOI:	10.1510/icvts.2009.214395