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Ann Thorac Surg 2007;84:1414-1415
© 2007 The Society of Thoracic Surgeons

How To Do It

Right Heart Operations Without Cardiopulmonary Bypass: The Use of Temporary Total Cavopulmonary Connection

Ahmad Ali Amirghofran, MD, Abbas Emami Nia, MD*

Department of Cardiac Surgery, Shiraz University of Medical Sciences, Faghihi Hospital, Shiraz, Iran

Accepted for publication February 14, 2007.

* Address correspondence to Dr Emami Nia, Division of Cardiac Surgery, Department of Surgery, Faghihi Hospital, Shiraz, 71348-44119, Iran (Email: emaminia{at}gmail.com).

Although cardiopulmonary bypass is essential for most cardiac operations, it is preferable to avoid it because of its nonphysiologic nature and complications. For coronary artery bypass surgeries, off-pump methods have been developed, but few advances have been made for intracardiac operations. We have developed a technique to perform operations inside the right heart chambers without using cardiopulmonary bypass. In this technique, blood from cavae is directly guided toward the pulmonary artery using cannulas.






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Copyright © 2007 by The Society of Thoracic Surgeons.