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Ann Thorac Surg 1993;56:986-987
© 1993 The Society of Thoracic Surgeons

Articles

Aorto-aortic shunt via the left ventricular apex for operation on the distal arch and the descending aorta

Mazin A.I. Sarsam, FRCS*,a,b, Abdul K. Deiraniya, FRCSa,b

a Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester United Kingdom
b Royal Victoria Hospital, Belfast, United Kingdom

Accepted for publication June 30, 1993.

* Address reprint requests to Dr Sarsam, Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor Rd, Belfast, BT12 6BA, United Kingdom.

A technique of aorto-aortic shunt using ordinary nonheparin-bound tubing was used in 21 patients. The proximal limb of the shunt was introduced via the left ventricular apex and advanced through the aortic valve into the ascending aorta, thereby avoiding the difficulty of cannulating the ascending aorta and offering a superior alternative to positioning the proximal limb in the left ventricular cavity.






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Copyright © 1993 by The Society of Thoracic Surgeons.