Aortic and Mitral Valve Surgery on the Beating Heart

Ricci, Marco; Lombardi, Pierluca; Sigler, Michael O.; D’Ancona, Giuseppe; Salerno, Tomás A.

doi:10.1002/9780470987452.ch34

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2007

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“…A technique of performing valvular surgery with the heart beating has been recently reported by Salerno et al 1–4 This technique originally utilized perfusion of the heart via a system connected to a calibrated centrifugal pump, controlled by the perfusionist, connected to both the coronary sinus and coronary ostia as one perfusion system. Flows adjust themselves according to resistances in the system.…”

Section: Discussionmentioning

confidence: 99%

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A New Technique for Perfusion of the Heart During Aortic Valvular Surgery on a Beating Heart

2007

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A new technique of perfusion of the heart during aortic valvular and combined aortic valvular and coronary artery surgery on the beating heart is presented. The inflow for perfusion is via a dual system: the coronary sinus is perfused with blood from a calibrated centrifugal pump connected to the oxygenator; the coronary ostia are perfused with blood from the ascending aortic cannula. The advantages of this new technique of perfusion of the heart are discussed. A new technique of perfusion of the heart during aortic valve surgery is presented, utilizing a dual system: one utilizing a pump, the other derived from the aortic cannula.

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Section: Discussionmentioning

confidence: 99%

“…Beating heart valvular surgery has been introduced by Salerno et al 1–3 as a new technique for myocardial protection during valvular surgery. Its scientific basis has been established via studies performed by Hong et al 4 utilizing magnetic resonance spectroscopy in hypertrophied‐heart pigs.…”

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confidence: 99%