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J Thorac Cardiovasc Surg 2006;131:1188-1190
© 2006 The American Association for Thoracic Surgery

Brief Communication

Use of the endoclamp device in a patient with a native mitral valve endocarditis and a previous arch replacement with a modified Griepp technique

Siamak Mohammadi, MD, Pierre Voisine, MD, Patrick Mathieu, MD, François Dagenais, MD *

Department of Cardiac Surgery, Laval Hospital, Québec City, Québec Canada

Received for publication November 25, 2005; accepted for publication January 3, 2006.

* Address for reprints: Dr François Dagenais, Department of Cardiac Surgery, Laval Hospital, 2725 Chemin Ste-Foy, Québec, Canada, G1V 4G5 (Email: francois.dagenais@chg.ulaval.ca).

The first 20% of the full text of this article appears below.

Development of new catheters and cannulas has allowed accessing the heart through short incisions. Use of this technology may also be applied for difficult reoperative situations. We herein report the use of the endoclamp in a patient with a previous root and arch replacement requiring mitral surgery for a native mitral endocarditis.

Clinical Summary

A 58-year-old male was admitted with asthenia, weight loss, and fever. His past medical history was positive for hypertension, diabetes, peripheral vascular disease (aortobifemoral graft). The patient had a root replacement with a Bjork-Shiley conduit in 1982 for a type A dissection. The patient also had an arch replacement using an isolated graft to the arch vessels (modified Greipp technique) and an "elephant trunk" procedure in 2001 with a right axillary artery cannulation. The patient also required a replacement of his thoracoabdominal aorta in May 2002.

Transthoracic echocardiography revealed a moderate mitral regurgitation and a 3.5-cm vegetation on the posterior leaflet. No vegetation . . . [Full Text of this Article]




This article has been cited by other articles:


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J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 1044 - 1046.
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