title: Vacuum-assisted venous drainage in tricuspid valve re-replacement.
abstract: The number of reoperations for prosthetic valve replacement has increased in recent years due to the steady increase in life expectancy. However, reoperations are complex and require experience and skills. We report the case of a 69-year-old female with severe right heart failure who underwent tricuspid valve re-replacement 28 years after the initial tricuspid valve replacement. Cardiopulmonary bypass with vacuum-assisted venous drainage (VAVD) was used to achieve better perfusion flow and heart decompression with smaller venous cannulae. The operation was successful. The VAVD system is effective in patients who have a persistent elevation of central venous pressure.
authors: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Zaifu-cho 5, Hirosaki, Aomori 036-8562, Japan.
authors: Wakako
authors: W
authors: Fukuda
authors: Chikashi
authors: C
authors: Aoki
authors: Kazuyuki
authors: K
authors: Daitoku
authors: Ikuo
authors: I
authors: Fukuda
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002496:Central Venous Pressure; D020878:Device Removal; D004322:Drainage / Q000379:methods*; D005260:Female; D005263:Femoral Artery; D005268:Femoral Vein; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007601:Jugular Veins; D011474:Prosthesis Design; D012086:Reoperation; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*; D014619:Vacuum Curettage