Korean J Anesthesiol.  2005 Aug;49(2):247-250. 10.4097/kjae.2005.49.2.247.

Reoperation of Bentall Procedure Using Remote Access Perfusion (RAP) Catheter: A case report

• Ko JS
• Park PW
• Lee SM

• KMID: 2092039
• DOI: http://doi.org/10.4097/kjae.2005.49.2.247

Abstract

Redo cardiac operation is extremely hazardous because of adhesions of underlying structures between the sternum and the heart. Total body perfusion through femoral vessel cannulation in conjunction with endovascular aortic clamping can be achieved using remote access perfusion (RAP) endoclamp catheter prior to opening the sternum. We experienced a patient with Marfan syndrome who underwent redo Bentall operation. A 27-year-old male with Marfan syndrome who had undergone two previous Bentall operations was presented with infective endocarditis and pseudoaneurysm of aorta. Total cardiopulmonary bypass perfusion through RAP catheter before the sternotomy was initiated. Safe insertion and proper positioning of RAP catheter was guided by intraoperative transesophageal echocardiography. The operation was uneventful.

Keyword

Bentall operation; remote access perfusion (RAP) catheter; repeat cardiac surgery

MeSH Terms

Adult
Aneurysm, False
Aorta
Cardiopulmonary Bypass
Catheterization
Catheters*
Constriction
Echocardiography, Transesophageal
Endocarditis
Heart
Humans
Male
Marfan Syndrome
Perfusion*
Reoperation*
Sternotomy
Sternum