Prosthetic Valve Removal Technique Using Ultrasonic Scalpel.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
10 2019
Historique:
received: 01 04 2019
accepted: 26 04 2019
pubmed: 25 6 2019
medline: 17 1 2020
entrez: 25 6 2019
Statut: ppublish

Résumé

Prosthetic valve removal for reoperative valve replacement is time consuming and has a risk of damage to the heart because of severe adhesions. Prosthetic valves can be removed quickly, easily, and safely by using an ultrasonic scalpel (Harmonic Scalpel, Ethicon Endo-Surgery, Cincinnati, OH). The space between the prosthesis and the native annulus was carefully dissected using Harmonic Synergy blades connected to an Ethicon Gen11 Generator at energy level 5. The average time for prosthetic valve removal using an ultrasonic scalpel was 6 minutes 11 seconds. No patient required new permanent pacemaker implantation.

Identifiants

pubmed: 31233719
pii: S0003-4975(19)30871-9
doi: 10.1016/j.athoracsur.2019.04.105
pii:
doi:

Types de publication

Journal Article Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

e273-e274

Informations de copyright

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Hiroyuki Tsukui (H)

Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan. Electronic address: htsukui@wf7.so-net.ne.jp.

Shizuko Iwasa (S)

Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan.

Kenji Yamazaki (K)

Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan.

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Classifications MeSH