A simple technique to rule out occlusion of right coronary artery after aortic valve surgery |
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| Authors: | Fernández Angel L El-Diasty Mohammad M Martínez Amparo Alvarez Julian García-Bengochea José B |
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| Affiliation: | aDepartment of Surgery, University of Santiago de Compostela, and Division of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain;bDivision of Cardiac Surgery, Juan Canalejo Hospital, La Coruña, Spain;cDivision of Cardiology, University Hospital, Santiago de Compostela, Spain;dDivision of Anesthesiology, University Hospital, Santiago de Compostela, Spain |
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| Abstract: | Mechanical occlusion of the right coronary artery during aortic valve surgery is an infrequent but serious complication. Early recognition and expeditious management are important to reduce mortality. We developed a safe, quick, and easy technique to assess right coronary artery flow after aortic valve surgery. Direct intraoperative right coronary artery flow was measured by placing a transit-time flowmeter probe around the right coronary artery. We were able to promptly detect severe right coronary artery insufficiency in patients with acute unexpected right ventricular failure after aortic valve replacement. |
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| Keywords: | CTSNet classification: 35 |
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