Open heart surgery in a paraplegic patient.

نویسندگان

  • Yasuyuki Shimada
  • Masatoshi Kawata
  • Yasushi Iwasaki
  • Hideshi Itoh
  • Hideyuki Kawachi
چکیده

We operated on a patient who had been paraplegic since sustaining a spinal cord injury 11 years ago. We made a reversed L-shaped sternum incision and cannulated all tubes for the cardiopulmonary bypass through a wound window. This provided an excellent surgical view without restricting the patient's upper limbs (needed for wheel chair operation), and recovery was good. Just after surgery, however, it was difficult to control blood pressure and the loss of serum albumin. We believe this is the first report of open-heart surgery undertaken in a paraplegic patient and that the reversed L-shaped incision and careful monitoring of hemodynamics each played an important role in the successful outcome. We hope that this report will help in the treatment of other paraplegic patients who need open-heart surgery.

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عنوان ژورنال:
  • Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia

دوره 10 5  شماره 

صفحات  -

تاریخ انتشار 2004