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    Laporan Operasi 16 Agustus 2023

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    Faisal Adam
    The patient underwent mitral valve replacement surgery with ring annuloplasty, tricuspid valve replacement, and left atrial appendage reduction. The 4-hour operation had 600cc of blood loss. Post-operatively, the patient was extubated on August 17th and was stable with a sinus rhythm on the monitor and required several intravenous medications for support.

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    Laporan Operasi 16 Agustus 2023

    Uploaded by

    Faisal Adam
    4 views2 pages
    The patient underwent mitral valve replacement surgery with ring annuloplasty, tricuspid valve replacement, and left atrial appendage reduction. The 4-hour operation had 600cc of blood loss. Post-operatively, the patient was extubated on August 17th and was stable with a sinus rhythm on the monitor and required several intravenous medications for support.

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    The patient underwent mitral valve replacement surgery with ring annuloplasty, tricuspid valve replacement, and left atrial appendage reduction. The 4-hour operation had 600cc of blood loss. Post-operatively, the patient was extubated on August 17th and was stable with a sinus rhythm on the monitor and required several intravenous medications for support.

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    4 views2 pages

    Laporan Operasi 16 Agustus 2023

    Uploaded by

    Faisal Adam
    The patient underwent mitral valve replacement surgery with ring annuloplasty, tricuspid valve replacement, and left atrial appendage reduction. The 4-hour operation had 600cc of blood loss. Post-operatively, the patient was extubated on August 17th and was stable with a sinus rhythm on the monitor and required several intravenous medications for support.

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    LAPORAN OPERASI 16 AGUSTUS 2023

    Tn. Antonius Sinaga, 33 Tahun


    DPJP: dr. T. Winda Ardhini, Sp.JP(K)
    Dx:
    -Post MVR + LA reduction a/i MR Severe, TR Severe, PR Mild-Moderate + Prolapse
    PML (POD 0)
    -AF NVR
    -Syok kardiogenik
    -Hipokalsemia

    Laporan operasi
    Jam mulai : 10:00
    Jam selesai : 14.00
    Durasi operasi: 4 jam
    Jumlah Perdarahan : 600 cc
    Dilakukan : MVr + Ring Anuloplasty + TVr + LAA Reduction + internal dc shock
    Jenis impian: Katup Ring Anuloplasty Physio 2 No.36mm
    CPB Time : 112 menit
    Aorta Cross Clamp Time : 80 menit
    Iskemik : 21 menit

    Kondisi terakhir

    Pasien terekstubasi : 17 Agustus 2023, 06.45

    Sens: CM
    TD: 129/64 mmHg (MAP: 80)
    HR: 94 x/i
    RR: 18 x/i
    SaO2: 100 %
    CVP: 14 cmH20
    UOP : 5604 ml/14 jam
    Bc : -410 ml/14 jam
    Drain substernal: 210 ml/14 jam
    Drain Intraperikard: 634 ml/14 jam

    EKG monitor (16.15): Sinus Normo

    Mata : anemis (-/-) ikterik (-). Pupil isokor (+)


    Leher : TVJ R+2 CmH2O
    Cor : S1S2 reg, Mechanical Valve Sound (+), gallop (-)
    Pulmo : Sp: Vesikuler, ST : Rhales (-)
    Abdomen : Soepel, normoperistatik
    Ekstremitas : Akral hangat, edema pretibial (-)
    Th/
    IVFD Tutosol 40 tpm
    Drips Norepinefrin 0.15 mcg/kg/menit
    Drips Dobutamin 10 mcg/kg/menit
    Drips Morfin 10 mcg/kg/menit
    Drips Milrinon 0.37 mcg/kg/menit
    Drips Heparun 10.000 Iu/50cc Nacl 0.9 -> 5cc/jam
    Inj Sefuroxim 750mg/12jam
    Inj Omeprazole 40mg/12jam
    Inj Furosemid 20mg k/p
    Nebule combivent/8jam
    NAC 2x200mg
    Spironolakton 1x25mg
    Simarc 1x3mg

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