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The Annals of Thoracic Surgery, Vol 39, 192-193, Copyright © 1985 by The Society of Thoracic Surgeons
F Robicsek
Two technical maneuvers are presented to make the administration of
cardioplegia feasible in the presence of moderate aortic valve
incompetence. In the first maneuver, the cardioplegic solution is
administered through a double-lumen balloon catheter inserted retrograde
through the aortic wall and the aortic valve into the left ventricle; the
inflated balloon obstructs the aortic orifice while the solution is
injected through the proximal hole. In the second, after proximal
anastomoses of the saphenous vein grafts are performed, the portion of the
aorta from which the vein grafts rise is excluded by double cross-clamping
and the cardioplegic solution is injected into this excluded segment.
ARTICLES
Administration of hypothermic cardioplegia in the presence of aortic regurgitation
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