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A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants  Avihu Z. Gazit, MD, Orlando Petrucci, MD, PhD, Peter Manning, MD,

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Presentation on theme: "A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants  Avihu Z. Gazit, MD, Orlando Petrucci, MD, PhD, Peter Manning, MD,"— Presentation transcript:

1 A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants 
Avihu Z. Gazit, MD, Orlando Petrucci, MD, PhD, Peter Manning, MD, Mark Shepard, RN, CCP, Sirine Baltagi, MD, Kathleen Simpson, MD, Chesney Castleberry, MD, Charles Canter, MD, Pirooz Eghtesady, MD, PhD  The Annals of Thoracic Surgery  Volume 104, Issue 5, Pages (November 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Aortic cannulation using apical Berlin Heart cannula and a 8 mm Gore-Tex tube. Note the shorter side of the beveled cannula is oriented superiorly to prevent potential kinking. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Atrial Berlin Heart cannula has a “basket,” which is placed deeply into the atrium and may predispose to clot formation. (B) Arterial Berlin Heart cannula used in the atrium, as we propose, does not offer a surface for potential clot formation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Common atrium cannulation using an arterial Berlin Heart cannula and a purse string suture to flatten out the edges of the atrial tissue, preventing potential encroachment into the lumen of the cannula. Additional pledgeted interrupted sutures are then applied to secure cannula in place. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Final aspect of proposed cannulation with no incisions into systemic ventricle and permitting cannulation without use of cardiopulmonary bypass. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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