G. Michielon et Db. Doty, HYPOTHERMIC CIRCULATORY ARREST FOR CARDIAC-VALVE REPLACEMENT REOPERATIONS, The Annals of thoracic surgery, 57(5), 1994, pp. 1281-1283
Three patients had cardiac valve replacement using hypothermic circula
tory arrest. The patients had multiple previous operations via median
sternotomy, and 1 had functioning coronary bypass grafts. This techniq
ue provided simple and safe reentry to the heart without necessity of
control of the aorta or venae cavae, adequate myocardial and cerebral
protection from ischemia, and excellent operating conditions for the v
alve replacement.