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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2007 August;48(4):523-5

language: English

Saving space for less invasive direct-vision, mitral valve surgery with altered cannulation protocol

Panagiotou M. 1, Voutetakis K. 1, Zarbis N. 1, Palatianos G. 2

1 Cardiac Surgery Department Athens Medical Center, Athens, Greece
2 Third Cardiac Surgery Department Onassis Cardiac Surgery Center, Athens, Greece


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Saving vital space in less invasive cardiac surgery is of great importance, especially in mitral valve surgery which is sometimes difficult, even with the full sternotomy approach. We present a modification of the venous cannulation protocol we use in less invasive, direct–vision mitral valve surgery through a half-lower partial sternotomy. The superior vena cava is drained with a right jugular vein cannula. For inferior vena cava drainage we use an oval venous cannula which is exteriorized through another small skin incision. These modifications, together with the use of a smaller diameter aortic cannula, provide vital space for surgical maneuvers through a small (8–10 cm) skin incision.

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