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Ann Thorac Surg 2000;70:2169-2170
© 2000 The Society of Thoracic Surgeons

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Heart positioner: a device to easily expose all coronary arteries during beating heart operations

Ruggero De Paulis, MDa, Luisa Colagrande, MDa, Mirella De Cotiis, RNa, Luigi Chiariello, MDa

a Department of Cardiac Surgery, Università di Roma Tor Vergata, Rome, Italy

Accepted for publication May 20, 2000.

Address reprint requests to Dr De Paulis, Divisione di Cardiochirurgia, Università di Roma Tor Vergata, European Hospital, via Portuense 700, 00149 Rome, Italy
e-mail: depauli{at}tin.it

The increasing number of coronary operations performed on a beating heart has prompted the development of new techniques and instruments to expose the coronary arteries without major hemodynamic derangements. We describe an expandable surgical pad combined with a series of tapes that help to control rotations and positioning of the heart. The empty surgical pad is fixed at the bottom of the pericardial cavity. After injection of warm saline, the pad elevates and displaces the heart, and the tapes rotate and immobilize the heart in the desired position. Easy access to all coronary arteries with minimal effect on hemodynamics is possible.




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[Abstract] [Full Text]


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