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Improved Hemodynamics and Outcome After Modified Norwood Operation on the Beating Heart  Joachim Photiadis, MD, Boulos Asfour, MD, PhD, Nicodème Sinzobahamvya,

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1 Improved Hemodynamics and Outcome After Modified Norwood Operation on the Beating Heart 
Joachim Photiadis, MD, Boulos Asfour, MD, PhD, Nicodème Sinzobahamvya, MD, Christoph Fink, MD, Ehrenfried Schindler, MD, Anne- Marie Brecher, MD, Andreas E. Urban, MD  The Annals of Thoracic Surgery  Volume 81, Issue 3, Pages (March 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Schema of the two techniques used for continuous coronary perfusion. (A) Continuous coronary and systemic perfusions are applied through a Gore-Tex tube (diameter, 3.5 to 5 mm) retrograde to the ascending aorta and antegrade to the carotid and subclavian arteries supplying the upper body, and through collaterals to the lower body. The aorta ascendens is not augmented. (B) Continuous coronary perfusion is established through a 4F cannula. Continuous systemic perfusion is instituted via a Gore-Tex tube connected to the brachiocephalic artery. The ascending aorta is augmented. (AA = reconstruction of aortic arch by anastomosis of the pulmonary artery to the undersurface of the aortic arch with homograft patch augmentation of only the posterior aspect of the aortic arch [in A], and by using a homograft patch augmentation on the anterior and posterior aspect of the aortic arch [in B]; CCP = continuous coronary perfusion; CF = collateral blood flow; CSP = continuous systemic perfusion; PA = main pulmonary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions


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