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The Journal of Cardiovascular Surgery 2001 August;42(4):493-4

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Left ventricular apex venting during deep hypothermia in a case of difficult re-entry into the mediastinum

Ito K., Yaku H., Shimada Y., Kawata M., Kitamura N.

From the Department of Cardiovascular Surgery Kyoto Prefectural University of Medicine, Kyoto, Japan


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The car­di­o­pul­mo­nary ­bypass tech­niques of periph­eral can­nu­la­tions and ­deep hypo­thermia pro­vide ­safe and con­trolled re-­entry ­into the med­i­as­tinum, ­when the tho­racic ­organs are con­tig­uous ­with the ­sternum. In ­such ­cases, in ­order to pre­vent ven­tric­ular dis­ten­tion ­during ­cooling, ­left ven­tric­ular ­venting is ­very impor­tant but can be dif­fi­cult. We ­made a ­small (3 cm) ­left-­sided thor­a­cotomy inci­sion and ­inserted a ­left ven­tric­ular ­apical ­venting ­tube ­while ­cooling a ­patient ­with a ­large pseu­do­aneu­rysm of the ­ascending ­aorta, ­which was diag­nosed 12 ­years ­after ­aortic ­valve replace­ment. We ­found ­that ­this tech­nique was ­easy, ­safe, and ­useful to pre­vent ven­tric­ular dis­ten­tion ­during ­cooling.

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