Continuous suture method in Aortic Valve Replacement Surgery.docVIP

 PAGE \* MERGEFORMAT 9 Continuous suture method in Aortic Valve Replacement Surgery [Abstract] Objective: To summarize the continuous suture in aortic valve replacement in the application experience. Methods: 152 patients with valvular heart disease [mere 39 cases of aortic valve replacement, double valve (aortic valve and mitral) replacement in 113 cases] have adopted a continuous suture. Results: The simple aortic valve replacement clamp time (38 ± 4  3) min, transfer time (56 ± 11) min. Double-valve replacement clamp time (57 ± 4  9) min, transfer time (85 ± 18) min. Inotropes after a decline in mechanical ventilation time, less complication. Conclusion: The continuous suture method can significantly shorten the aortic cross-clamping time and turnaround time, reduce myocardial ischemic time and postoperative complications. [Keywords:] continuous suture aortic valve replacement surgery heart valve disease I Division of the 152 cases of heart valve disease using a continuous suture to good effect. 1 Data and methods General information 1  1 male in this group 96 cases, female 56 cases. Ages 7 to 62 years, an average of 38  5 years of age. 131 patients with rheumatic valvular heart disease, degenerative disease in 11 cases, 6 cases of congenital valvular heart disease, bacterial endocarditis in 4 cases. Just 39 cases of aortic valve replacement, double valve (aortic valve and mitral) replacement in 113 cases; the same time, tricuspid valvuloplasty in 31 cases, atrial septal defect repair in 3 cases, left atrial thrombus removal in 36 cases associated with chronic bronchitis, emphysema, 1 case of renal insufficiency in 4 cases. 1  2 preoperative preparation routine preoperative electrocardiogram, chest X-ray film, color Doppler echocardiography. 18 cases of coronary angiography over the age of 50. There rheumatic activity, first control of rheumatism activity. According to application of cardiac function in cardiac, diuretic, vasodilator, and