Management of extracorporeal circulation for totally robotic assisted underwent mitral valve plasty or mitral valve replacement
Wang Tao
Yang Su-min
Lu Yan
Yang Lin-shan
Lin Guan-jun
Abstract：Objective To discuss the management of extracorporeal circulation for totally robotic assisted mitral valve repairor replacement. Methods MethodsFrom December2014to June 2015,10 patients underwent mitral valve repairor replacement, including 5 cases of MVR and 5 patients MV repair.The setting up of ECC was achieved with femoral artery cannulation and femoral venous can?nulation under the guidance of transesophageal echocardiography. All the patients were perfused bycentrifugal pump. Myocardial protec?tion was managed with St. Thomas solution plusHTK solution. For all cases, VAVD, SvO2 mornitoring and conventional ultrafiltration were routinely performed. Results The ECC time was 171~249 (192.7±18.7) min and aortic clamp time was 95~165 (115.9±21.5) min. All cases were resuscitated automatically and no hemoglobinuriaoccurred. Eight patients hadpostoperative intubation time less than 24h in,and 2 cases had prolonged intubation up to 48hdue to excessive chest drainage. No death orother complication occurred in 10 ca?ses. Conclusion The establishment of ECC system through femoral artery and femoral venous cannulation is reliable for totally robotic assisted mitral valve repairor replacement. Myocardial protection was managed with St. Thomas and HTK solution. VAVD,SvO2 and conventional ultrafiltration are extremely necessary and the result is reliable.
Keywords：Extracorporeal circulationRoboticMitral valve plastyMitral valve replacement
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 227-228,239 )