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  • Clinical Case "Aortic Valve Replacement"

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    Andrea Ortiz
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    Mauricio Diaz, a 79-year-old man, was diagnosed with aortic valve regurgitation based on an echocardiogram, cardiac catheterization, and electrocardiogram. He underwent an aortic valve replacement surgery where his diseased aortic valve was removed and replaced with a biological valve. The 25-minute surgery was performed successfully and he is expected to make a full recovery following post-operative care recommendations.

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    Clinical Case "Aortic valve replacement"

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    Clinical Case "Aortic valve replacement"

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    Mauricio Diaz, a 79-year-old man, was diagnosed with aortic valve regurgitation based on an echocardiogram, cardiac catheterization, and electrocardiogram. He underwent an aortic valve replacement surgery where his diseased aortic valve was removed and replaced with a biological valve. The 25-minute surgery was performed successfully and he is expected to make a full recovery following post-operative care recommendations.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    119 views10 pages

    Clinical Case "Aortic Valve Replacement"

    Uploaded by

    Andrea Ortiz
    Mauricio Diaz, a 79-year-old man, was diagnosed with aortic valve regurgitation based on an echocardiogram, cardiac catheterization, and electrocardiogram. He underwent an aortic valve replacement surgery where his diseased aortic valve was removed and replaced with a biological valve. The 25-minute surgery was performed successfully and he is expected to make a full recovery following post-operative care recommendations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 10

    CLINICAL CASE

    "Aortic valve replacement"


    INFORMATION OF THE PATIENTE

    NAME: Mauricio Diaz


    ID: 123456789
    WEIGHT: 92Kg
    BLOOD TYPE: O+
    AGE: 79 years old
    FE: 73%
    RESULTS: VIH (-) HEPATITIS B (-)
    SURGICAL HISTORY: Umbilical hernia
    DIAGNOSTIC
    MEANS
    ECHOCARDIOGRAM: mild dilatation of the left
    ventricle. normal ventricular systolic function.
    moderate aortic and mild mitral regurgitation.

    CARDIAC CATHETERIZATION: Healthy


    coronary arteries, severe aortic valve

    ELECTROCARDIOGRAM: bloqueo av de primer


    grado
    DIAGNOSIS
    Aortic valve regurgitation

    PROCEDURE
    Aortic valve replacement
    IMPORTANT
    VALUES
    BODY SURFACE: 2.03
    FLOW: 5.07
    HEPARIN: 6.3
    EFFECTIVE ORIFICE AREA: 1.72 - HK 25mm
    (biological valve)
    THE PROCESS BEGINS

    1 .R e vie w me di ca l his tory

    2 .Huma niz e d tre a tme nt isma d e w ith


    t he pa tie nt

    3 .He i s a ske d how the surgic a lbat h


    wa s a nd wha t a ntis e ptic w a s us e d

    4 . R e c omm e ndat ions a re gi ven for


    t he pos tope ra tive per iod
    SURGICAL PROCEDURE
    1. Mixed lavage is performed on the patient
    2. Get dressed and fix the tables and cables
    for the surgery
    3. Incision of skin, tcs, muscle is made 6. We proceed to make the tuck in the
    4. A sternotomy is performed with a saw and ascending aorta with 2/0 polyester and also
    hemostasis is performed with bone wax. in the right atrium
    5. The pericardium is incised and repairs are 7. With 4/0 prolene, perform the purse string
    made with silk 0 at the root of the aorta for anterograde
    cardioplegia
    8. As the tucks are made, the tourniquets are
    placed on the sutures
    9. Arterial cannulation is performed and the
    tourniquets are tightened to then secure it
    with silk 1
    10. Total occlusion vascular clamp is
    16. proceed to place the valve with
    placed in the aorta
    2/0 polyester
    11. Incision of the aorta is made and
    17. the shells are tested
    repair is placed with 4/0 silk
    18. the aorta is closed with prolene
    12. direct antegrade cardioplegia is
    4/0
    placed through the coronary ostium
    19. Aortic unclamping is performed
    13. leaflets are removed
    and the arterial and venous cannulas
    14. We proceed to measure the valve
    are removed and the pursestrings are
    with the gauges and select the size of
    closed
    the final valve
    20. we proceed to place the
    15. The biological valve is washed
    pacemaker wire in the left ventricle
    21. placement of chest tube
    22. hemostasis is performed and count is made
    23. proceed to close the sternum with wire 6
    24. closure is made by planes with vicryl 0 and
    monocryl 3/0
    25. Finally, healing is performed
    THANK
    YOU

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