| Reoperation of Bentall Procedure Using Remote Access Perfusion (RAP) Catheter: A case report. |
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Justin Sang Ko, Pyo Won Park, Sangmin M Lee |
1Departments of Anesthesiology and Pain Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea. marialee@smc.samsung.co.kr
2Departments of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. |
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| Abstract |
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Redo cardiac operation is extremely hazardous because of adhesions of underlying structures between the sternum and the heart. Total body perfusion through femoral vessel cannulation in conjunction with endovascular aortic clamping can be achieved using remote access perfusion (RAP) endoclamp catheter prior to opening the sternum. We experienced a patient with Marfan syndrome who underwent redo Bentall operation. A 27-year-old male with Marfan syndrome who had undergone two previous Bentall operations was presented with infective endocarditis and pseudoaneurysm of aorta. Total cardiopulmonary bypass perfusion through RAP catheter before the sternotomy was initiated. Safe insertion and proper positioning of RAP catheter was guided by intraoperative transesophageal echocardiography. The operation was uneventful. |
| Key Words:
Bentall operation; remote access perfusion (RAP) catheter; repeat cardiac surgery |
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