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Ann Thorac Surg 1999;68:1094-1095
© 1999 The Society of Thoracic Surgeons

How To Do It

Pulmonary hypertension during beating heart coronary surgery: intermittent inferior vena cava snaring

François Dagenais, MDa, Raymond Cartier, MDa

a Department of Surgery, Montreal Heart Institute, Montreal, Quebec, Canada

Address reprint requests to Dr Cartier, Research Center, Montreal Heart Institute, 5000 Belanger St E, Montreal, PQ, H1T 1C8, Canada;
e-mail: cartierr{at}icm.umontreal.ca

Pulmonary hypertension during beating heart coronary artery bypass grafting may compromise the possibility of safely completing the procedure off-pump. To obviate such a problem, we describe a simple technique by which the inferior vena cava is progressively snared to decrease pulmonary pressure.




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