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Cardiopulmonary Bypass Before General Anesthesia in Prosthetic Valve Thrombosis

Department of Cardiovascular Surgery Alkan Hospital Ankara, Turkey 1 Department of Cardiovascular Surgery Inönü University Faculty of Medicine Malatya, Turkey
Nevzat Erdil, MD Tel: 90 422 341 0660 Fax: 90 422 341 0728 email: n_erdil{at}yahoo.com Department of Cardiovascular Surgery, Turgat Özal Medical Center, Inönü University Faculty of Medicine, Elazig Yolu Street, Malatya 44069, Turkey.

Valve obstruction is a lifethreatening complication of mechanical valve prostheses. Emergency operation is mandatory for patients who subsequently develop cardiogenic shock and severe pulmonary edema. In this severely compromised hemodynamic condition, cardiac arrest develops in most of the patients before surgery and just after general anesthesia induction. In one such case, we performed femorofemoral cardiopulmonary bypass with local anesthesia before general anesthesia induction and successfully replaced the thrombosed prosthetic valve, thus avoiding a catastrophic outcome.