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Ann Thorac Surg 1994;57:1281-1283
© 1994 The Society of Thoracic Surgeons

Articles

Hypothermic circulatory arrest for cardiac valve replacement reoperations

Guido Michielon, MD, Donald B. Doty, MD*

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, LDS Hospital, University of Utah School of Mediane, Salt Lake City, Utah, USA

Accepted for publication September 15, 1993.

* Address reprint requests to Dr Doty, 324 10th Avenus, No. 160, Salt Lake City, UT 84103.

Three patients had cardiac valve replacement using hypothermic circulatory arrest. The patients had multiple previous operations via median stemotomy, and 1 had functioning coronaxy bypass grafts. This technique provided simple and safe reentry to the heart without necessity of control of the aorta or venae cavae, adequate myocardial and cerebral protection from ischemia, and excellent operating conditions for the valve replacement.




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