Ay. Zlotnick et al., Innominate vein cannulation for venous drainage in minimally invasive aortic valve replacement, ANN THORAC, 67(3), 1999, pp. 864-865
Citations number
1
Categorie Soggetti
Cardiovascular & Respiratory Systems","Medical Research Diagnosis & Treatment
Minimally invasive aortic valve or aortic root replacement may be carried o
ut through a mini-hemisternotomy. Venous cannulation of the right atrium ma
y be difficult, at best, and obstruct the limited operative field. We have
carried out cannulation of the innominate vein with 25F or 27F thin-walled
femoral venous cannulae in 20 patients. Transesophageal echocardiographic g
uidance is invaluable in safely passing the guidewire and subsequently the
cannula into the right atrium. This approach results in an unobtrusive meth
od of complete intrathoracic cannulation through a mini-hemisternotomy with
the risks of femoral cannulation. (Ann Thorac Surg 1999;67:864-5) (C) 1999
by The Society of Thoracic Surgeons.