February 2009
Critical Care Nurse;Feb2009, Vol. 29 Issue 1, p26
Academic Journal
Case Study
The article describes the case of a 71-year-old woman who had previously undergone a triple coronary artery bypass in 1997. The patient underwent transapical aortic valve replacement (AVR) under general anesthesia in the operating room. Intravenous heparin was used during the procedure to maintain the activated clotting time at greater than 250 seconds and prevent clot formation during catheter and valve positioning. Five days after the operation, the patient was discharged home.


Related Articles

  • Coronary Artery Surgery: The Use of Decision Analysis. Pauker, Stephen G. // Annals of Internal Medicine;Jul76, Vol. 85 Issue 1, p8 

    Focuses on a study which examined the choice between coronary bypass surgery and medical therapy in patients with angiographically documented coronary artery disease. Variables that determine the value of bypass surgery; Methodology of the study; Results and discussion.

  • The Comparative Efficacy of Percutaneous and Surgical Coronary Revascularization in 2009. May, Stephen A.; Wilson, James M. // Texas Heart Institute Journal;2009, Vol. 36 Issue 5, p375 

    Medical, percutaneous, and surgical therapies for coronary atherosclerotic disease are developing rapidly, with many recent breakthroughs in metabolic control, improvements in catheter and stent engineering, and advances in surgical technique. Treatment guidelines are still in their infancy and...

  • Coronary Revascularization in Adults with Dextrocardia. Murtuza, Bari; Gupta, Prity; Goli, Giri; Lall, Kulvinder S. // Texas Heart Institute Journal;2010, Vol. 37 Issue 6, p633 

    Most reports of coronary artery bypass grafting in adult patients with dextrocardia have focused on the surgeon's position with respect to the operating table. Herein, we describe the cases of 2 patients with dextrocardia who underwent surgery at our own institution, then discuss preoperative...

  • Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization. Ibrahim, Said A.; Whittle, Jeff; Bean-Mayberry, Bevanne; Kelley, Mary E.; Good, Chester; Conigliaro, Joseph // American Journal of Public Health;Oct2003, Vol. 93 Issue 10, p1689 

    Objectives. We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. Methods. We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were...

  • Goal-directed fluid management reduces vasopressor and catecholamine use in cardiac surgery patients. Goepfert, Matthias S. G.; Reuter, Daniel A.; Akyol, Derya; Lamm, Peter; Kilger, Erich; Goetz, Alwin E. // Intensive Care Medicine;Jan2007, Vol. 33 Issue 1, p96 

    We examined whether guiding therapy by an algorithm based on optimizing the global end-diastolic volume index (GEDVI) reduces the need for vasopressor and inotropic support and helps to shorten ICU stay in cardiac surgery patients. Single-center clinical study with a historical control group at...

  • Off-pump coronary artery bypass grafting in an octogenarian with situs inversus and dextrocardia: Report of a case. Takahashi, Hiroaki; Okada, Kenji; Matsumori, Masamichi; Okita, Yutaka // Surgery Today;Aug2011, Vol. 41 Issue 8, p1130 

    Dextrocardia associated with situs inversus totalis is a rare condition. A small number of patients with the condition have been reported after undergoing myocardial revascularization. We experienced a case of this rare disorder in an 83-year-old man. He was successfully treated by off-pump...

  • CORONARY VEIN BYPASS SURGERY -- A CRITIQUE. Kalmansohn, Robert B.; Kalmansohn, Richard W. // Vascular Surgery;Nov/Dec1972, Vol. 6 Issue 5, p215 

    Criticizes coronary bypass surgery to treat coronary artery disease. Goal of surgical procedure to improve the blood supply to ischemic myocardium; Disadvantage of the procedure in a patient with a history of myocardial infarction; Obstacles that minimize the potential value of coronary bypass...

  • Low prevalence of significant carotid artery disease in Iranian patients undergoing elective coronary artery bypass. Tarzamni, Mohammad K.; Afrasyabi, Abbas; Farhoodi, Mehdi; Karimi, Fatemeh; Farhang, Sara // Cardiovascular Ultrasound;2007, Vol. 5, p3 

    Background: Coronary artery bypass grafting ranks as one of the most frequent operations worldwide. The presence of carotid artery stenosis may increase the stroke rate in the perioperative period. Routine preoperative noninvasive assessment of the carotid arteries are recommended in many...

  • Late acute aortic dissection after coronary artery bypass. Shinfeld, Amihay; Raanani, Ehud // Langenbeck's Archives of Surgery;Apr2009, Vol. 394 Issue 2, p345 

    Late ascending aortic dissection after coronary artery bypass grafting (CABG) is an uncommon phenomenon, and treatment presents a complex clinical dilemma. Between 1995 and 2005, eight patients were diagnosed with post-CABG late acute aortic dissection. Mean age was 61.7 (range 52–76),...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics