Document Detail


A transthoracic, left ventricular vent facilitates challenging sternal reentry.
MedLine Citation:
PMID:  20667388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
William E Cohn
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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.
Affiliation:
Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA. wcohn@heart.thi.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Rupture / surgery*
Circulatory Arrest, Deep Hypothermia Induced*
Heart Catheterization
Humans
Male
Middle Aged
Reoperation
Sternum / surgery*

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


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