Operative Report
Pre-Operative Diagnosis: Rheumatic aortic stenosis
Procedure Performed: Valvuloplasty, aortic valve with transventricular dilation
Operative Note: This 38-year-old female patient who has a diagnosis of rheumatic aortic stenosis. She has had this same surgery 5 months ago, today we are performing the same procedure due to restenosising of the aortic valve. We will perform a coronary bypass on her aortic valve.
She is brought to the operating room today and was given general anesthesia. She was prepped and draped in the usual fashion. We proceeded with a valvuloplasty, aortic valve with transventricular dilation. She was placed on cardiopulmonary bypass during the procedure.
The patient tolerated the procedure well. She was taken to the CCU in serious but stable condition.
Based on the provided operative report, the procedure performed on the 38-year-old female patient was a valvuloplasty, aortic valve with transventricular dilation. This procedure was done to address the restenosis of the patient's aortic valve, which was diagnosed as rheumatic aortic stenosis. It is mentioned that the patient had undergone the same surgery 5 months ago.
To further understand the report, let's break down the key points:
- Pre-Operative Diagnosis: Rheumatic aortic stenosis: This refers to a condition where there is narrowing (stenosis) of the aortic valve due to rheumatic disease. Rheumatic heart disease is caused by strep throat infections that were not adequately treated.
- Procedure Performed: Valvuloplasty, aortic valve with transventricular dilation: Valvuloplasty is a surgical procedure used to repair stenotic (narrowed) heart valves. In this case, the aortic valve was the target. Transventricular dilation refers to the expansion or widening of the valve through the ventricular cavity of the heart.
- Operative Note: The patient was given general anesthesia and prepared for surgery. The surgery was done according to the usual protocols, including draping of the patient.
- Cardiopulmonary bypass: During the procedure, the patient was placed on cardiopulmonary bypass. This means that a heart-lung machine was used to temporarily take over the functions of the heart and lungs, allowing the surgeon to work on the aortic valve without the need for the heart to pump blood.
- Patient outcome: The patient tolerated the procedure well and was afterwards taken to the Coronary Care Unit (CCU) in a serious, but stable condition. This suggests that the patient is receiving specialized post-operative care in a cardiac unit.
Overall, this operative report indicates that the patient had a valvuloplasty, aortic valve with transventricular dilation procedure to address restenosis of the aortic valve caused by rheumatic aortic stenosis. The report also mentions that the patient had previously undergone the same surgery.