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Ann Thorac Surg 2003;76:1312-1314
© 2003 The Society of Thoracic Surgeons

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A technique for aortic valve replacement on the beating heart with continuous retrograde coronary sinus perfusion with warm oxygenated blood

Borut Gersak, MD, PhDa*

a Department of Cardiovascular Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia

Accepted for publication February 19, 2003.

* Address reprint requests to Dr Gersak, Department of Cardiovascular Surgery, University Medical Center Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia
e-mail: borut.gersak{at}maat.si

The protection of ventricular myocardium in aortic valve operations is always an issue because those hearts do not tolerate global ischemia well. A technique of aortic valve replacement is described involving continuous retrograde coronary sinus perfusion with warm oxygenated blood used in 34 patients to date without any complications. This technique maintains a beating heart throughout the procedure.




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