CLINICAL

CASE #1

NAME OF PATIENT: NORMA M.V

DOCUMENT: 2801****
DATE OF BIRTH: 22-06-1953
AGE: 69 AÑOS
WEIGHT: 39KG
SIZE:1,56 CM
HEMOCLASSIFICATION: O+
FE: 58%

DIAGNOSIS:
MITRAL VALVE INSUFFICIENCY, 5/9 GEARING AND
PROLAPSE.

INDICATIONS:
THIS PROCEDURE IS INDICATED WHEN THE HEART
VALVES (MITRAL, TRICUSPID, PULMONARY, AORTIC)
PRESENT STENOSIS OR INSUFFICIENCY.
PROCEDURE DESCRIPTION
1. Perform setup time steps
2. Perform the opening time steps
3. Verify with the surgeon, if necessary, the femoral opening
4. Perform the vascular timing steps
5. Note that the cannulation will be unique, according to the surgeon's taste
the use of vent suction and retrogradecardioplegia.
6. If the venous sinus is not cannulated for retrograde perfusion, pass to the
surgeon metal needle to give indirectanterograde cardioplegia (surgeon's
choice)
7. Pass to the surgeon the instruments of dieresis (scalpel blade 11), and
vascular apprehension to incise the aorta, then pass the tissue scissors.
1. Pass the suction cannula from the machine to collect the blood
2. Pass coronary perfusion cannula, for direct anterograde cardioplegia in the
coronary ostum.
3. Pass 4-0 silk for repair of aortic wals
4. Pass vascular grasping forceps and scissors for dissection and removal of
the aortic valve.
5. Note that when the valve is calcified, the surgeon places a half wet gauze in
the cavity, removes the valve byapplying allix forceps, scissors and vascular
grasping forceps.
6. The surgeon passes to the surgeon 2-0 vascular needle polyester suture with
or without plush (surgeon's tast of16mm in each of the posts and respective
repair, then passes the following sutures, taking special care not repeatthe
color of the thread, the change of this sequence will be given by the
surgeon's order.
1. Wash with saline solution, remember to place an extension to the aseptic
syringe.
2. Proceed to measure the valve with the meter approved by the surgeon and
confirmed.
3. The valvular device to be implanted is asked to the nurse assistant and
confirmed aloud.
4. If the valve to be implanted is biological, wash it according to the protocol for
washing valve devices.
5. Pass the valve to the assistant surgeon
6. Support the surgeon in the passage of the sutures in the valve annulus.
7. After implantation of the medical device., pass closing suture (4-0 prolene 4-
0 16mm round needle with pleget)
1. Enlist root suction (surgeon's discretion).
2. When removing the suction from the vent, make sure to introduce SSN in
the right superior vein, so as not to
3. createair bubbles
4. Perform the steps of the completion tim