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David C. Charlesworth
Richard D. Weisel
Ronald J. Baird
Hugh E. Scully
Bernard S. Goldman
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Ann Thorac Surg 1983;35:105-107
© 1983 The Society of Thoracic Surgeons

Articles

Assessment of Mitral and Tricuspid Competence after Valvuloplasty

David C. Charlesworth, M.D., Richard D. Weisel, M.D.*, Ronald J. Baird, M.D., Hugh E. Scully, M.D., Bernard S. Goldman, M.D.

From the Division of Cardiovascular Surgery, Toronto General Hospital, Toronto, Ont, Canada

Accepted for publication November 5, 1981.

* Address reprint requests to Dr. Weisel, Division of Cardiovascular Surgery, Toronto General Hospital, EN13-224, 200 Elizabeth St, Toronto, Ont, Canada M5G 1L7

An accurate intraoperative assessment of valvular competence is essential to evaluate the results of valvuloplasty for the mitral or tricuspid valve. A simple, reliable, and reproducible technique employing a standard cardioplegia apparatus is described. Cold Ringer's lactate solution is infused through a small apical ventricular vent from the cardioplegia line at a controlled pressure to assess the competence of the mitral or tricuspid valve before and after valvuloplasty.




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