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Ann Thorac Surg 1976;21:131-133
© 1976 The Society of Thoracic Surgeons


Articles

Aortic Valve Replacement without Left Heart Decompression

Hassan Najafi, M.D.*, Hushang Javid, M.D., Marshall D. Goldin, M.D., Cyrus Serry, M.D.

From the Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.

Accepted for publication May 12, 1975.

* Address reprint requests to Dr. Najafi, 1725 W Harrison St, Chicago, IL 60612

Conventionally, during aortic valve replacement the left ventricle is vented to achieve a dry field, remove air, and prevent ventricular distention. This report demonstrates the feasibility of performing aortic valve replacement without cannulation of either the left ventricle or the left atrium. The technique has been utilized in 54 patients with 1 early death due to pulmonary embolism and 1 late death presumably secondary to ventricular arrhythmias.







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Copyright © 1976 by The Society of Thoracic Surgeons.