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Ann Thorac Surg 1998;65:1481-1482
© 1998 The Society of Thoracic Surgeons


How To Do It

Control of Endoaortic Clamp Position During Port-Access Mitral Valve Operations Using Transcranial Doppler Echography

Felix Schneider, MDa, Volkmar Falk, MDa, Thomas Walther, MDa, Friedrich W. Mohr, MD, PhDa

a Department of Cardiac Surgery, Herzzentrum, Universität Leipzig, Leipzig, Germany

Accepted for publication December 8, 1997.

Address reprint requests to Dr Mohr, Herzzentrum, Klinik für Herzchirurgie, Universität Leipzig, Russenstraße 19, D-04289 Leipzig, Germany

The technique of computer-aided transcranial Doppler echography for continuous control of cerebral perfusion during minimally invasive mitral valve operations using the Port-Access system is described. Temporary displacement of the endoclamp in the aortic arch (brachiocephalic trunk, left carotid artery) is followed by cerebral embolic signals and a sudden decrease in the blood flow velocity in the middle cerebral arteries.




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