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