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Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report

Received: 6 July 2020     Accepted: 17 July 2020     Published: 28 July 2020
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Abstract

We discuss the nursing intervention of nonstop minimally invasive tricuspid valve forming with simultaneous atrial flutter after secondary cardiac surgery. Patient is a 50-years-old male who undergoing repair of atrial septal defect by central thoracotomy with extracorporeal circulation as atrial septal defect in the 30 years ago require repair of atrial septal defect by central thoracotomy with extracorporeal circulation again as residual shunt after repair. In patient checking report of January 2019, it indicated that in the case of no obvious inducement patients appear palpitation, palpitation, is persistent. Base on admission dynamic electrocardiogram, it indicated: (1) Persistent atrial flutter (2) second degree atrioventricular block with junctional escape (3) severe tricuspid regurgitation. In result of operation, we successfully completed the operation, and the patient had no complications after the operation. The surgical procedure was to perform electrophysiological mapping of the right atrium, establish extracorporeal circulation, surgical bipolar radiofrequency ablation, and tricuspid valve formation. Base on result of this operation, effective implementation of prospective nursing interventions can reduce the risk of surgery. In addition, in operation process, as the operation involves a large number of instruments and equipment and surgical personnel, the position of equipment and the rationality of personnel station will influence the result of operation.

Published in American Journal of Nursing Science (Volume 9, Issue 4)
DOI 10.11648/j.ajns.20200904.30
Page(s) 281-284
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Cardiac Surgery, Nursing, Surgery

References
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[5] Zambon M, Greco M, Bocchino S, et al.: Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med. 2017; 43: 29-38.
[6] Liu J, Zhang XS, Guo HM, Liu J, et al. Complete thoracoscopic tricuspid valve replacement in 1 case. Chinese journal of thoracic and cardiovascular surgery, 2016; 30 (6): 379.
[7] Moury PH, Cuisinier A, Durand M, et al. Diaphragm thickening in cardiac surgery: a perioperative prospective ultrasound study. Ann Intensive Care. 2019; 9: 50.
[8] D’Agostino RS, Jacobs JP, Badhwar V, et al. The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2019 update on outcomes and quality. Ann Thorac Surg 2019; 107: 24–23.
[9] Landoni G, Lomivorotov V, Silvetti S, et al. Nonsurgical strategies to reduce mortality in patients undergoing cardiac surgery: An updated consensus process. J Cardiothorac Vasc Anesth 2018; 32: 225–235.
[10] Lazam S, Vanoverschelde J-L, Tribouilloy C, et al. Twenty-year outcome after mitral repair versus replacement for severe degenerative mitral regurgitation. Analysis of a large, prospective, multicenter international registry. Circulation. 2017; 135: 410–422.
[11] Pieri M, Belletti A, Monaco F, et al. Outcome of cardiac surgery in patients with low preoperative ejection fraction. BMC Anesthesiol. 2016; 16: 97.
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[13] Pianpian Y, Xijie W, Feifei C, Yongcong C, Yiting H, Gang L, Keke L. Efficacy and safety of sugammadex in anesthesia of cardiac surgery: A retrospective study. Journal of Clinical Anesthesia. 2020; 65.
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    Zhilian Huang, Yuxiu Qian, Lihuan Hou, Xiaoshen Zhang, Chengfeng Huang, et al. (2020). Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report. American Journal of Nursing Science, 9(4), 281-284. https://doi.org/10.11648/j.ajns.20200904.30

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    ACS Style

    Zhilian Huang; Yuxiu Qian; Lihuan Hou; Xiaoshen Zhang; Chengfeng Huang, et al. Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report. Am. J. Nurs. Sci. 2020, 9(4), 281-284. doi: 10.11648/j.ajns.20200904.30

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    AMA Style

    Zhilian Huang, Yuxiu Qian, Lihuan Hou, Xiaoshen Zhang, Chengfeng Huang, et al. Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report. Am J Nurs Sci. 2020;9(4):281-284. doi: 10.11648/j.ajns.20200904.30

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  • @article{10.11648/j.ajns.20200904.30,
      author = {Zhilian Huang and Yuxiu Qian and Lihuan Hou and Xiaoshen Zhang and Chengfeng Huang and Hailing Huang},
      title = {Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {4},
      pages = {281-284},
      doi = {10.11648/j.ajns.20200904.30},
      url = {https://doi.org/10.11648/j.ajns.20200904.30},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200904.30},
      abstract = {We discuss the nursing intervention of nonstop minimally invasive tricuspid valve forming with simultaneous atrial flutter after secondary cardiac surgery. Patient is a 50-years-old male who undergoing repair of atrial septal defect by central thoracotomy with extracorporeal circulation as atrial septal defect in the 30 years ago require repair of atrial septal defect by central thoracotomy with extracorporeal circulation again as residual shunt after repair. In patient checking report of January 2019, it indicated that in the case of no obvious inducement patients appear palpitation, palpitation, is persistent. Base on admission dynamic electrocardiogram, it indicated: (1) Persistent atrial flutter (2) second degree atrioventricular block with junctional escape (3) severe tricuspid regurgitation. In result of operation, we successfully completed the operation, and the patient had no complications after the operation. The surgical procedure was to perform electrophysiological mapping of the right atrium, establish extracorporeal circulation, surgical bipolar radiofrequency ablation, and tricuspid valve formation. Base on result of this operation, effective implementation of prospective nursing interventions can reduce the risk of surgery. In addition, in operation process, as the operation involves a large number of instruments and equipment and surgical personnel, the position of equipment and the rationality of personnel station will influence the result of operation.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report
    AU  - Zhilian Huang
    AU  - Yuxiu Qian
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    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ajns.20200904.30
    AB  - We discuss the nursing intervention of nonstop minimally invasive tricuspid valve forming with simultaneous atrial flutter after secondary cardiac surgery. Patient is a 50-years-old male who undergoing repair of atrial septal defect by central thoracotomy with extracorporeal circulation as atrial septal defect in the 30 years ago require repair of atrial septal defect by central thoracotomy with extracorporeal circulation again as residual shunt after repair. In patient checking report of January 2019, it indicated that in the case of no obvious inducement patients appear palpitation, palpitation, is persistent. Base on admission dynamic electrocardiogram, it indicated: (1) Persistent atrial flutter (2) second degree atrioventricular block with junctional escape (3) severe tricuspid regurgitation. In result of operation, we successfully completed the operation, and the patient had no complications after the operation. The surgical procedure was to perform electrophysiological mapping of the right atrium, establish extracorporeal circulation, surgical bipolar radiofrequency ablation, and tricuspid valve formation. Base on result of this operation, effective implementation of prospective nursing interventions can reduce the risk of surgery. In addition, in operation process, as the operation involves a large number of instruments and equipment and surgical personnel, the position of equipment and the rationality of personnel station will influence the result of operation.
    VL  - 9
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Author Information
  • The Operating Room, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • The Operating Room, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • The Operating Room, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Department of Cardiac Surgery, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Department of Cardiac Surgery, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Plastic Surgery Department, The First Affiliated Hospital, Jinan University, Guangzhou, China

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