Category: Cardiac Surgery

Anatomical considerations of the mitral valve are important while considering mitral valve repair either surgically or by percutaneous trans catheter techniques.

Postoperative arrhythmias after CHD surgery usually associated with inadequate repair.

Arterial switch operation (Jatene's) is done under cardiopulmonary bypass and involves the restoration of ventriculo-arterial concordance.

Role of echo in surgery for mitral regurgitation: Various measurements like tenting and tethering of leaflets and ischemic segments can be obtained by echo.

Mitral valve replacement after closed mitral valvotomy: Mitral restenosis with calcification is the common reason for requiring MVR later.

Rastelli procedure: excision of obstructive muscle in RVOT, suturing an intraventricular baffle connecting the LV to aorta and closing the VSD.

Management of prosthetic valve thrombosis: Less than 5 mm - only intravenous heparin. Larger thrombi needs thrombolysis or surgery.