Transesophageal echocardiography for cardiac herniation occurring during robotic-assisted mitral valve repair: a case report

JA Clinical Reports

Case Report

Sayaka Shigematsu¹  Kazuto Miyata¹  Naoki Miyayama¹ 

[1] Department of Anesthesia, New Heart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan;

关键词: Cardiac herniation;    Transesophageal echocardiography;    Double-lumen tube;    Robotic-assisted mitral valve repair;   

DOI  :  10.1186/s40981-023-00594-z

 received in 2022-10-28, accepted in 2023-01-04,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundCardiac herniation has been reported in thoracic trauma and after pneumonectomy; however, it is sporadic in cardiac surgery.Case presentationA 35-year-old male patient underwent an elective totally endoscopic robotic-assisted mitral valve repair (TERMVR). His hemodynamics were stable after weaning from cardiopulmonary bypass, and no residual mitral valve regurgitation was observed. However, during suturing of the port wound, the patient developed hypotension, which improved with phenylephrine administration. Four-chamber transesophageal echocardiography (TEE) images showed cardiac deformity, and postoperative chest radiography confirmed the dextrocardia. The cardiac herniation was repaired by deflating the left lung and over-inflating the right lung using a double-lumen tube, allowing selective ventilation without re-thoracotomy. The patient was discharged on the sixth postoperative day without complications.ConclusionsThis was a very unusual case of cardiac herniation during TERMVR visualized using distinct TEE images. The cardiac herniation was successfully repaired using a double-lumen tube without re-thoracotomy.

【 授权许可】

CC BY   
© The Author(s) 2023

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