Heart Valve Diseases
Conditions
Keywords
Femoro-femoral bypass
Brief summary
Redo cardiac surgery are becoming more common with a patient population at greater risk. Sternal re-entry poses the hazard of probable injury to vital structures. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB).
Detailed description
Redo cardiac surgery are more frequent with a patient population at greater risk. Repeat sternal entry poses the risk of possible injury to vital structures. These include laceration of the myocardium, especially the right ventricle, injury of great vessels or crossing coronary bypass grafts as the internal mammary grafts in particular, or dislodgement of emboli from patent vein grafts. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac drain prior to sternotomy. Also, femorofemoral bypass support the hemodynamics in cases of redo emergency cardiac surgery.
Interventions
Patients with redo cardiac surgery 1: femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac decompression prior to sternotomy. Patients with redo cardiac surgery 2: only conventional aortobicaval cannulation will be used
Sponsors
Study design
Intervention model description
Femorofemoral bypass in redo cardiac surgery
Eligibility
Inclusion criteria
* 25-65 years old * Patients scheduled for repeat open heart surgery with sternotomy * informed consent has been obtained
Exclusion criteria
* Planned off-pump cardiac surgery * Vascular disease * previous operation on femoral artery * under 25 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| invasive monitoring of arterial blood pressure | Baseline during operation | suitable systolic arterial blood pressure between 50 and 60 mmHg during cardiopulmonary bypass. |