Document Detail

A transthoracic, left ventricular vent facilitates challenging sternal reentry.
MedLine Citation:
PMID:  20667388     Owner:  NLM     Status:  MEDLINE    
In this brief report, we describe a technique to facilitate hypothermic arrest before a redo sternotomy that is likely to require extensive dissection. This approach may be well-suited for patients with significant aortic insufficiency, as it allows control of left ventricular distention once hypothermic ventricular fibrillation ensues. The procedure entails inserting a second venous cannula through the left ventricular apex through a 7-cm left mini-thoracotomy. We used the technique successfully in a patient with a ruptured, infected ascending aortic pseudoaneurysm and severe aortic insufficiency who had undergone a previous sternotomy.
William E Cohn
Related Documents :
7789388 - Multiplane transoesophageal echocardiography detection of a papillary fibroelastoma of ...
10918648 - Surgical management of heart failure.
3208778 - Impaired vagal heart rate control in aortic valve stenosis.
14565638 - Restoration of endothelial function after repaired coarctation of the aorta--a case rep...
21891968 - Prognostic value of n-terminal pro-b-type natriuretic peptide in patients with acute co...
24727258 - Use of the six-minute walk distance to identify variations in treatment benefits from i...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  679-80     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aneurysm, False / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Rupture / surgery*
Circulatory Arrest, Deep Hypothermia Induced*
Heart Catheterization
Middle Aged
Sternum / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Surgical Technique of Total Arch Replacement for Failed Thoracic Endovascular Aortic Repair.
Next Document:  Technique of Harvesting an Internal Thoracic Artery Densely Adherent to the Periosteum.