Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Mitral valve replacement 41 years after right pneumonectomy].

Y Imoto1, A Sese, M Sakamoto

  • 1Department of Cardiovascular Surgery, Kyushu Koseinenkin Hospital, Kitakyushu, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|January 5, 2002
PubMed
Summary

This study details a successful mitral valve replacement in a patient with severely impaired lung function due to prior surgery. Careful management ensured a good outcome, highlighting the importance of perioperative care for high-risk cardiac patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Combined use of amrinone and high-dose epinephrine for postoperative low output syndrome (LOS) in pediatric patients.

Journal of anesthesia·2013
Same author

[Emergency operation due to complications of cardiac catheterization].

Kyobu geka. The Japanese journal of thoracic surgery·2007
Same author

Pain perception and fibromyalgia.

Actas espanolas de psiquiatria·2005
Same author

[Two-stage repair of the transposition of great arteries with interruption/coarctation of the aorta].

Kyobu geka. The Japanese journal of thoracic surgery·2005
Same author

Bidirectional Glenn procedure improves the mechanical efficiency of a total cavopulmonary connection in high-risk fontan candidates.

Circulation·2001
Same author

Surgical management of aortopulmonary window.

The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi·2000

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Pulmonary Medicine

Background:

  • Mitral valve disease necessitates surgical intervention, posing increased risks in patients with compromised respiratory function.
  • A history of extensive thoracic surgery, such as right pneumonectomy and thoracoplasty, can lead to significant and long-term pulmonary impairment.

Observation:

  • A 68-year-old patient with a history of right pneumonectomy and thoracoplasty 41 years prior presented for mitral valve replacement.
  • Preoperative pulmonary function tests indicated severe limitations: forced vital capacity (FVC) of 950 ml (28.0% predicted) and forced expiratory volume in 1 second (FEV1) of 750 ml (28.9% predicted).

Findings:

  • Despite extremely poor preoperative pulmonary function, the patient successfully underwent mitral valve replacement.

Related Experiment Videos

  • The patient experienced an uneventful postoperative recovery, tolerating the procedure well.

    • Implications:

    • This case underscores the feasibility of mitral valve replacement even in patients with severe, pre-existing pulmonary dysfunction.
    • Meticulous perioperative management, focusing on preventing pulmonary edema and implementing aggressive postoperative pulmonary care, is crucial for successful outcomes in such high-risk individuals.
    • Enhanced pulmonary toilet strategies may aid in functional recovery post-cardiac surgery in patients with limited respiratory reserve.