1 case of adult patients with Ebstein malformation of the postoperative care.docVIP

 PAGE \* MERGEFORMAT 8 1 case of adult patients with Ebstein malformation of the postoperative care [Abstract] summary 1 adult patients with Ebstein malformation of the care of patients experience after surgery. [Keywords:] Ebstein malformation postoperative care Ebstein malformation, also known as Ebstein malformation is a rare congenital heart disease. The main pathological features of tricuspid or (after the flap to the right ventricular apex and down, some of the right atrium of the heart wall (heart wall like the right atrial wall thinning and expansion [2]. Ebstein malformation surgery is currently the main treatment for patients, but the surgical risk and postoperative complications in high-.2010 on June, 1 case of adult hospital Ebstein malformation in patients with postoperative care, and achieved satisfactory clinical results, postoperative care now experience are described below. 1 Clinical data 1.1 General information on our hospital in June 2010 admitted to adult Ebstein malformation in 1 case, the patient was male, 24 years old, combined tricuspid regurgitation, patent foramen ovale, clinical presentation: chest tightness, palpitations, cardiac function . Patients admitted to hospital after low-flow oxygen to, cardiac, diuretic therapy. 1.2 surgical patients in the low temperature (35 rectal temperature) cut the right atrium without cardiopulmonary bypass, mitral valve and its chordae cut off and the papillary muscles, choose the appropriate artificial valve sewing rings made in the atrioventricular tricuspid valve replacement [1 ]. were selected biological valve replacement. 1.3 Treatment outcome in patients with tricuspid valve replacement surgery, of surgery with intubation anesthesia unawakened care unit back to custody. Of surgery to anesthesia awake time 5h, the time of surgery using the breathing machine was 20h, after patients recovered satisfactorily. 2 postoperative care Surgery and open b