title: Tricuspid valve excision using off-pump inflow occlusion technique: role of intra-operative trans-esophageal echocardiography.
abstract: A pacing system infection may lead to infective endocarditis and systemic sepsis. Tricuspid valve surgery may be required if the valve is severely damaged in the process of endocarditis. Although, cardiopulmonary bypass is the safe choice for performing right-heart procedures, it may carry risk of inducing systemic inflammatory response and multi-organ dysfunction. Some studies have advocated TV surgery without institution of CPB. We report tricuspid valve excision using the off-pump inflow occlusion technique in a 68-year-old man. We also describe role of intra-operative TEE as a monitoring tool at different stages of the surgical procedure.
authors.affiliation: Department of Anaesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, Kerala-695 011, India. shri@sctimst.ac.in
authors.forename: Shrinivas
authors.initials: S
authors.lastname: Gadhinglajkar
authors.forename: Rupa
authors.initials: R
authors.lastname: Sreedhar
authors.forename: Jayakumar
authors.initials: J
authors.lastname: Karunakaran
authors.forename: Manoranjan
authors.initials: M
authors.lastname: Misra
authors.forename: Ganesh
authors.initials: G
authors.lastname: Somasundaram
authors.forename: Thomas
authors.initials: T
authors.lastname: Mathew
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D012804:Sick Sinus Syndrome / Q000601:surgery*; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods*