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Aortic Valve Aortic Valve Replacement Replacement: Erika Lizeth Carreño Contreras

The document describes an aortic valve replacement procedure for a patient. It details the patient information, diagnostic procedure, steps of the surgery including preparing instruments and devices, inserting cannulas, removing the old valve and implanting a new one, and closing the incisions. It notes a complication where the skin incision bled due to a small bone fracture discovered during closure.

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29 views9 pages

Aortic Valve Aortic Valve Replacement Replacement: Erika Lizeth Carreño Contreras

The document describes an aortic valve replacement procedure for a patient. It details the patient information, diagnostic procedure, steps of the surgery including preparing instruments and devices, inserting cannulas, removing the old valve and implanting a new one, and closing the incisions. It notes a complication where the skin incision bled due to a small bone fracture discovered during closure.

Uploaded by

api-638919540
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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AORTIC VALVE

REPLACEMENT

Erika Lizeth Carreño Contreras


PATIENT
INFORMATION
NAME: TC
ID: 172394383
WEIGHT: 62KG
HEIGHT: 1,67 CM
BLOOD TYPE: O+
RESULTS: HEPATITIS B(-), HIV (-)
AGE: 53
FE: 40%
DIAGNOSTIC Y
PROCEDURE

VALVE STENOSIS

AORTIC VALVE REPLACEMENT


1. REVIEW MEDICAL HISTORY
2. A HUMANIZED TREATMENT IS MADE WITH THE
PATIENT
3. YOU ARE ASKED HOW THE SURGICAL BATH WENT
AND WHATANTISEPTIC WAS USED
4. INSTRUMENTS AND MEDICAL DEVICES TO BE
USED AREPREPARED
1. USE DIAERESIS INSTRUMENTS FOR THE SKIN INCISION.

2. PASS THE ELECTROCAUTERY TO THE TCS INCISION ANDPRE-


STERNAL FASCIA OF THE PECTORALIS MUSCLE.

3. PASS THE RECIPROCATING SAW FOR THE STERNOTOMY TO


THESURGEON, SEPARATING THE STERNAL BORDERS WITH
THEFARABEUF RETRACTOR.

4. WITH ELECTROCOAGULATION DEVICE MAKESHEMOSTASIS OF


THE STERNAL PERIOSTEUM, AND FOR THE BONEMARROW USES
BONE WAX.
1.PASS 2/0 POLYESTER SUTURE AND 4/0 POLYPROPYLENE SUTURE TOTHE
SURGEON WITH A ROUND NEEDLE SO THAT THE SURGEON CANMAKE THE
PURSE STRINGS IN:

ASCENDING AORTA
RIGHT ATRIUM
PULMONARY VEIN

2. A TOURNIQUET AND GROMMETS ARE PASSED TO REPAIR BAGS OF


TOBACCO REPAIRING THEM WITH KELLY CLAMP

3. ARTERIOTOMY AND VENOTOMY ARE PERFORMED, CANNULAS AREINSERTED


TRANSFER TO THE SURGEON INSTRUMENTAL UMLAUT (SCALPEL, BLADE 11)
AND VASCULAR APPREHENSION TOINCISE THE AORTA

THEN PASS METZEMBAUM-TYPE SCISSORS


2.PASS PERICARDIAL SUCTION CANNULA TO COLLECT BLOOD
3.PASS CORONARY PERFUSION CANNULA, FOR DIRECT ANTEROGRADE
CARDIOPLEGIA IN THECORONARY OSTIA
4.PASSAGE OF ELASTIC VASCULAR INSTRUMENTS AND 4-0 SILK SUTURE TO
REPAIR THEWALLS OF THE AORTAPASS VASCULAR GRASPING FORCEPS AND
SCISSORS FOR DISSECTION AND REMOVAL OF THE AORTIC VALVE.THE
NURSING ASSISTANT IS ASKED TO IDENTIFY THE VALVE DEVICE TO BE
PLANTED.
IT ISCONFIRMEDALOUD.PASS THE VALVE TO THE ASSISTANT
SURGEON AND PASS 2/0 POLYESTER SUTURE WITH A16 MM
NEEDLEAND SYNTHETIC INSTRUMENTS

VICRYL 0 IS PASSED FOR TCS CLOSURE AND MONOCRYLE 3/0


FOR SKIN CLOSURE.

CURE THE PATIENT BY CLEANING ANDCOVERING THE WOUND


WITH ADHESIVE DRESSINGS.
COMPLICATIONS

THE COMPLICATION THAT


THEPATIENT HAD WAS THAT
WHENTHEY WERE CLOSING THE
SKIN,THEY REALIZED THAT IT
WASBLEEDING A LOT, SO
THEYDECIDED TO OPEN IT TO
CHECKWHAT WAS BLEEDING AND
ITWAS THE BONE THAT
HADFRACTURED A LITTLE.

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