Aortic cannulation system for minimally invasive mitral valve surgery

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Presentation transcript:

Aortic cannulation system for minimally invasive mitral valve surgery Cristina Barbero, MD, Davide Ricci, MD, PhD, Suad El Qarra, MD, Giovanni Marchetto, MD, PhD, Massimo Boffini, MD, Mauro Rinaldi, MD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 6, Pages 1669-1672 (June 2015) DOI: 10.1016/j.jtcvs.2015.02.040 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Algorithm for cannulation and clamping strategy. ER, Endoreturn (peripheral cannulation and endoaortic clamping); TT, transthoracic clamping (peripheral cannulation); ED, Endodirect (aortic cannulation and endoaortic clamping). Asterisk indicates an ascending aorta diameter less than 42 mm. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1669-1672DOI: (10.1016/j.jtcvs.2015.02.040) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Patient's positioning and port and incision placements. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1669-1672DOI: (10.1016/j.jtcvs.2015.02.040) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Technique of direct aortic cannulation with the Endodirect system. A, Endodirect 24F cannula. B, Two purse-string sutures closed with 2 polytetrafluoroethylene pledgets in the ascending aorta. C, Endodirect cannula in the ascending aorta. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1669-1672DOI: (10.1016/j.jtcvs.2015.02.040) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions