학술논문
Perfusion techniques for minimally invasive valve procedures.
Document Type
Article
Author
Source
Subject
*HEMORRHAGE complications
*LUNG physiology
*MITRAL valve
*THORACIC aorta
*ANESTHESIA
*ARTIFICIAL blood circulation
*BLOOD filtration
*CARDIOLOGY
*CARDIOPULMONARY bypass
*CATHETERIZATION
*DRUG infusion pumps
*ECHOCARDIOGRAPHY
*MINIMALLY invasive procedures
*FENTANYL
*CARDIAC patients
*HEART valve diseases
*MEDICAL technology
*MITRAL valve diseases
*PATIENT positioning
*PERFUSION
*REOPERATION
*SUPINE position
*TOMOGRAPHY
*TRANSLUMINAL angioplasty
*VENTILATION
*DATA analysis
*PROPOFOL
*CARDIOPLEGIC solutions
*DESCRIPTIVE statistics
*GENERAL anesthesia
*THORACOTOMY
*ANATOMY
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Language
ISSN
0267-6591
Abstract
In this paper, we present, in detail, the simplified perfusion technique that we have adopted since January 2009 and that we have utilized in 200 cases for cardiac minimally invasive valvular procedures that were performed through a right lateral mini-thoracotomy in the 3rd-4th intercostal space. Cardiopulmonary bypass was achieved by means of the direct cannulation of the ascending aorta and the insertion of a percutaneous venous cannula in the femoral vein. A flexible aortic cross-clamp was applied through the skin incision and cardioplegic arrest was obtained with the antegrade delivery of a crystalloid solution. Gravity drainage was enhanced by vacuum-assisted aspiration. There were no technical complications related to this perfusion technique that we have adopted in minimally invasive surgical procedures. [ABSTRACT FROM AUTHOR]