Table 7

Intraoperatory adverse events

Intraoperatory adverse events
Re-entry injuryLIMA adherent to the sternum
Injury of right lung
Injury of right atrium
CPB-related complicationsIncessant fine VF activity despite 7‚ÄČL of cardioplegia (patent LIMA occluded with bulldog)
Technical surgical complicationsTearing of friable aortic root wall and RCA ostium disintegration - Expeditious bypass grafting of the RCA for cardioplegia delivery. Severe RV failure, RVAD, intraoperative death
Disintegration of homograft NCS from the brittle nature of the calcium treated with a double layer of bovine pericardium remodelling patch
TOE assessment showed an interference of one of the valve suture with mechanical valve hemidisc excursion. II round of CPB.
Residual supra-aortic stenosis post-AVR. II round of CPB and remodelling of the seno-tubular junction with pericardial patch
  • Kinking post proximal reimplantation of previous SVG-RCA. TTFM assessment confirmed impaired flow, additional CABG was performed.

  • AVR, aortic valve replacement; CABG, coronary artery bypass graft; CPB, cardiopulmonary bypass; LIMA, left internal mammary artery; NCS, non-coronary sinus; RCA, right coronary artery; RV, right ventricular; RVAD, right ventricular assist devce; SVG, saphenous venus graft; TOE, transoesophageal echocardiogram; TTFM, transit time flow measurements; VF, Ventricular Fibrillation.