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Ann Thorac Surg 2007;83:329-330
© 2007 The Society of Thoracic Surgeons

How To Do It

Cardiac Luxation to Facilitate Off-Pump Bilateral Lung Transplantation

Hester T. Visser, MD, Michiel E. Erasmus, MD, PhD, Tjark Ebels, MD, PhD*

Department of Cardiothoracic Surgery, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands

Accepted for publication May 15, 2006.

* Address correspondence to Dr Ebels, Department of Cardiothoracic Surgery, University Medical Centre Groningen, P. O. Box 30001, 9700 RB Groningen, the Netherlands (Email: t.ebels{at}thorax.umcg.nl).

To facilitate access to the left hilum during off-pump bilateral lung transplantation we used the Xpose 4TM apical suction device (Guidant Corp., Indianapolis, IN), an off-pump coronary bypass device to luxate the heart out of the pericardium. The effects on circulation and possible myocardial injury were studied in retrospect. We found the device to provide us with an elegant and nondamaging method to visualize the left hilum.






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Copyright © 2007 by The Society of Thoracic Surgeons.